Enhanced Practice Nurse

Primary Care Physio; Borough of Rossendale; On-site; GBP 40,000 - 50,000; Full time

Job summary

A healthcare provider in the United Kingdom is seeking an experienced Advanced/Enhanced Nurse Practitioner to join their team in care home settings. The role involves delivering high-quality clinical care, managing urgent needs, and providing leadership within a nursing team. Candidates must hold NMC registration and demonstrate significant primary care experience. This position offers an opportunity to make a real impact on the lives of older adults in care homes across multiple locations.

Benefits

Professional development opportunities

Supportive work environment

Flexible working hours

Qualifications

• Significant experience in primary care or community nursing.
• Evidence of extended clinical skills including clinical assessment modules.
• Ability to manage complex frailty, polypharmacy, and multimorbidity.

Responsibilities

• Provide advanced clinical assessment, diagnosis, and treatment.
• Manage urgent care and long-term condition management.
• Conduct comprehensive assessments for new admissions.

Skills

Advanced clinical assessment

Communication skills

Clinical judgement

Compassionate approach

Ability to work autonomously

Education

Registered Nurse (NMC)

MSc in Advanced Clinical Practice

Physical assessment training at Level 7

Tools

EMIS

SystmOne

Job description

Are you an experienced Advanced/EnhancedNurse Practitioner with a passion for improving outcomes for older adults living in care homes?

We areseekinga highly skilled Advanced/EnhancedNurse Practitioner to work as part of a Primary Care Network (PCN) Care Home Nursing Team, delivering proactive, responsive, and person-centred clinical care to residents across multiple care homes.

This role focuses on providing high-quality clinical leadership, advanced assessment, and prescribing(desirable) tosupport care home residents, helping to reduce avoidable hospital admissions, improve continuity of care, and support care home staff through expert clinical input.

Main duties of the job

As an Advanced/EnhancedNurse Practitioner (Care Homes), you will work autonomously within a defined scope of practice, providing advanced clinical assessment, diagnosis, treatment, and ongoing management of care home residents, including urgent care, long term conditionmanagementand end of life care.

About us

Who We Are......

Founded in August 2020, Primary Care Physio has scaled rapidly and is one of the fastest-growing clinical service providers in the UK. Underpinned by our reputation for quality and sustainable care, we have already been established as England's largest national specialist ARRS clinical service provider who is purely focused on supporting NHS Primary Care Networks (PCNs) and their GP practices to deliver high-quality and tech-enabled NHS primary care clinical solutions.

Our services are recognised as best-in-class for our industry, recently winning the 'Best in Primary Care & Diagnostics' LaingBuisson 2023 award.

Through our talented employed team of over nearly 400 employed First Contact Practitioners, Nurses & Advanced Practitioners, who are supported by experienced and Health Education England-trained clinical supervisors, we have been commissioned by c 200 NHS Primary Care Networks (PCNs) to deliver an integrated and local managed clinical service. We now serve 1000+ GP practices and a patient population of over 9 million.

We conduct over 1 million patient consultation appointments per year. You can find out more about our team here:

https://primarycarephysio.co.uk/pages/management team

You can read what our team have to say about us here:

https://www.greatplacetowork.co.uk/certified-company/1574534

Job responsibilities

The Enhanced Practice Nurse (EPN) works as part of the primary care multidisciplinary team to deliver highquality, evidencebased nursing care. The role sits between a Practice Nurse and an Advanced Nurse Practitioner, providing extended clinical skills, increased autonomy, and leadership within the practice or PCN.

The postholder will manage a range of longterm conditions, undertake clinical assessments, contribute to service development, and support the delivery of highquality patient care across the practice.

Care Homes Responsibilities (Advanced/Enhanced Practice)

• Able to travel to different sites during the working week (set site per day).
• Work autonomously within a defined scope of practice, providing advanced clinical assessment, diagnosis, treatment, and ongoing management of care home residents.
• Deliver urgent care, longterm condition management, and endoflife care.
• Conduct weekly inperson ward rounds in allocated care homes.
• Provide sameday and urgent clinical assessments.
• Complete comprehensive assessments for new admissions and postdischarge reviews.
• Manage frailty, dementia, longterm conditions, and endoflife care needs.
• Undertake prescribing, referrals, escalation, and safetynetting within scope of competence.
• Maintain accurate, timely, and highquality clinical documentation.

Professional & Leadership Responsibilities

• Act as a clinical resource for the nursing team and wider MDT.
• Support junior nurses, HCAs, and trainees through supervision and mentorship.
• Contribute to clinical governance, quality improvement, and audit activities.
• Participate in the development and implementation of clinical pathways.
• Maintain accurate and timely clinical documentation.
• Work within NMC Code of Conduct and national/local policies.

Service Development

• Contribute to the design and delivery of enhanced services and PCN initiatives.
• Support the practice in meeting QOF, IIF, and other performance targets.
• Identify opportunities to improve patient experience and service efficiency.
• Participate in MDT meetings, case reviews, and clinical discussions.

Qualifications & Experience

• Registered Nurse (NMC).
• Significant experience in primary care or community nursing.
• Evidence of extended clinical skills (e.g., clinical assessment modules, LTC management).
• Strong understanding of safeguarding, infection control, and clinical governance.
• Ability to work autonomously and manage a varied caseload.
• Excellent communication and interpersonal skills.
• Ability to travel between sites as required.
• Level 6/7 modules in clinical assessment, diagnostics, or longterm condition management.
• Experience supervising or mentoring staff.
• Experience in quality improvement or service development.
• Working toward or interested in progressing to Advanced Clinical Practice.

Personal Attributes

• Compassionate, patientcentred approach.
• Strong clinical judgement and decisionmaking ability.
• Ability to work collaboratively within a multidisciplinary team.
• Commitment to ongoing professional development.
• Flexible, organised, and able to prioritise effectively.

Person Specification

Experience

• - Significant postregistration experience in primary care, community nursing or care home settings
• - Experience delivering comprehensive clinical assessments, including urgent and sameday presentations
• - Proven ability to manage longterm conditions (e.g., frailty, dementia, COPD, diabetes, hypertension)
• - Experience working autonomously and managing a varied caseload
• - Experience supporting patients with complex needs, including endoflife care
• - Experience conducting holistic assessments for new admissions and postdischarge reviews
• - Experience working within multidisciplinary teams across health and social care
• - Strong understanding of safeguarding (adults and children) and escalation processes
• - Experience in accurate clinical documentation and use of electronic clinical systems
• - Experience providing patientcentred care in care homes, community settings or similar environments
• - Experience working within Primary Care Networks (PCNs) or across multiple practice sites
• - Experience conducting weekly ward rounds in care homes or similar settings
• - Experience in advanced clinical assessment, diagnostics or managing undifferentiated presentations
• - Experience supporting service development, quality improvement or audit projects
• - Experience supervising, mentoring or assessing students, HCAs or junior nurses
• - Experience in palliative and endoflife care planning, including advance care plans
• - Experience managing complex frailty, polypharmacy and multimorbidity
• - Experience working closely with MDT partners such as care home staff, social care, pharmacists and geriatric teams
• - Experience using EMIS, SystmOne or other primary care clinical systems

Qualifications

• - Registered Nurse (Adult) with current NMC registration
• - MSc in Advanced Clinical Practice or relevant postgraduate clinical certificate with equivalent experience
• - Postgraduate qualifications in frailty, dementia, or longterm condition management
• - Physical assessment and clinical diagnostics training at Level 7
• - Mentorship, supervision or teaching qualification (e.g., Practice Assessor/Practice Supervisor)

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.