ANP - WorkWell MDT Chair and Clinical Triage Lead

Norfolk Primary Care C.I.C.; England; Hybrid; GBP 52,000 - 70,000; Full time

Job summary

Norfolk Primary Care is seeking an Advanced Nurse Practitioner to lead clinical triage for the WorkWell service across Norfolk, including MDT chairing and autonomous clinical practice. The role involves certifying fit notes, supervising coaches, and ensuring robust governance and record-keeping.

Travel across Norfolk and some remote work are required; visa sponsorship is not available. The candidate will hold a Level 7 Advanced Practice Master's and post-registration qualifications in clinical

Qualifications

• Master's degree at Level 7 in advanced clinical practice or equivalent evidenced Level 7 advanced practice across the four pillars.
• Post-registration qualification in clinical assessment, history taking and clinical decision making.
• Level 3 safeguarding adults and children training and applying safeguarding and the Mental Capacity Act in practice.
• Fit Note and Work and Health e-learning, or willingness to complete on appointment.

Responsibilities

• Lead clinical triage of all WorkWell referrals within one working day, overseeing non-clinical triage and triaging complex referrals.
• Assess safety risk, including suicide and self-harm, and decide on WorkWell suitability or transfer.
• Chair the WorkWell MDT, set agenda, lead decisions on clinical input, referrals, escalation and discharge.
• Practise autonomously as an advanced clinician, including joint assessments with Work and Health Coaches.
• Certify Med3 fit notes for participants under WorkWell care.
• Provide clinical supervision to Work and Health Coaches and other team members.
• Maintain triage protocol, risk stratification tool and escalation pathways; lead quarterly triage audits.
• Act as clinical escalation point for safeguarding and apply MCA.
• Contribute to clinical governance and ensure accurate records and coding.
• Build relationships with GP practices and PCNs; manage cross-border referrals with Suffolk WorkWell.
• Advise participants, coaches and employers on reasonable adjustments and phased returns.
• Provide senior clinical cover during high demand or absences; report triage performance.

Skills

Autonomous decision making

Chairing MDT meetings

Interpersonal skills

Record keeping & IT skills

Clinical supervision

Education

Master's degree Level 7 in Advanced Clinical Practice

Post-registration qualification in clinical assessment, history taking & clinical decision making

Level 3 safeguarding adults & children training

Fit Note / Work and Health e-learning

Tools

SystmOne

EMIS

Microsoft Office

Job description

This Advanced Nurse Practitioner post sits within the Norfolk WorkWell service run by Norfolk Primary Care, on a two-year fixed-term contract. The postholder triages referrals to the single point of access and chairs the multidisciplinary team, deciding clinical input, onward referral and discharge. Autonomous advanced practice, including fit note certification, sits alongside travel to delivery sites across Norfolk and some remote working. Visa sponsorship is not available, so candidates must already hold the right to work in the UK.

What the job involves

• Lead clinical triage of all WorkWell single point of access referrals within one working day, overseeing non-clinical triage and personally triaging complex or higher-risk referrals
• Assess safety risk, including suicide and self-harm, deciding whether WorkWell is appropriate and arranging transfer or warm handover where it is not
• Chair the WorkWell multidisciplinary team, setting the agenda and leading decisions on clinical input, onward referral, escalation and discharge
• Practise autonomously as an advanced clinician, including joint assessments with Work and Health Coaches and low-intensity clinical interventions
• Certify Med3 fit notes for participants under WorkWell care and maintain the required competence
• Provide clinical supervision to Work and Health Coaches and other non-clinical team members delivering low-level health interventions
• Maintain the triage protocol, risk stratification tool and escalation pathways, and lead the quarterly clinical triage audit
• Act as clinical escalation point for safeguarding concerns, applying adult and children procedures and the Mental Capacity Act
• Contribute to clinical governance, review patient safety incidents under PSIRF and ensure records are accurate and coded
• Build relationships with GP practices and Primary Care Networks and manage cross-border referrals with the Suffolk WorkWell service
• Advise participants, coaches and employers on reasonable adjustments, phased returns and changes of duties
• Provide senior clinical cover to the single point of access during high demand or absence, and report triage performance to the Service Manager

Qualifications

• Master's degree at Level 7 in advanced clinical practice, or equivalent evidenced Level 7 advanced practice across the four pillars
• Post-registration qualification in clinical assessment, history taking and clinical decision making
• Level 3 safeguarding adults and children training and applying safeguarding and the Mental Capacity Act in practice
• Fit Note and Work and Health e-learning, or willingness to complete on appointment

Registration & licences

• Current NMC registration with valid revalidation and ongoing CPD evidence
• Non-medical independent prescriber (V300)

Experience

• Significant post-registration experience, particularly in mental health, including advanced practice in primary care, community or urgent care
• Clinical triage and prioritisation of referrals, including telephone and remote triage
• Assessment and management of common mental health and musculoskeletal conditions, including suicide and self-harm risk
• Chairing or leading MDT meetings or case reviews to clear decisions across clinical and non-clinical colleagues

Skills & knowledge

• Autonomous clinical decision making and sound judgement in time-critical triage under uncertainty
• Confident chairing and facilitation, managing differing views to reach clear, safe decisions
• Excellent interpersonal skills for sensitive conversations about health, risk and work
• Clear, accurate and timely record keeping, with good IT skills including SystmOne or EMIS and Microsoft Office
• Experience of clinical supervision and an ability to teach and develop others

Checks & eligibility

• Right to work in the UK, as visa sponsorship is not available

Nice to have

• Post-registration qualification or training in mental health assessment, or SCPHN occupational health or vocational rehabilitation qualification
• Clinical supervision, practice educator or mentorship qualification
• Health coaching or motivational interviewing training
• Occupational health, vocational rehabilitation or work and health service experience
• Clinical audit, quality improvement and data analysis for KPI monitoring
• Experience working with VCFSE, Local Authority or DWP/Jobcentre Plus partners, and knowledge of employment rights and reasonable adjustments
• Experience of mobilising a new clinical service or pathway
• Understanding of NHS system architecture, ICBs, Places and PCNs, personalised care, the biopsychosocial model and Making Every Contact Count