Lead Nurse/Advanced Clinical Practitioner

NHS; United States; Remote; GBP 53,000 - 61,000; Full time

Job summary

A leading healthcare provider is seeking an Advanced Clinical Practitioner to provide leadership and management within a practice team. The role involves running complex long-term condition management and enhancing nursing services while collaborating with a multidisciplinary team. Suitable candidates must be registered clinicians with extensive experience in a primary care setting.

Qualifications

• Experience in Primary Care is essential.
• Capable of leading teams and managing nursing resources.
• Registered with NMC or HCPC.

Responsibilities

• Develop practice-agreed protocols for patient nursing treatments.
• Lead and manage the nursing team to meet health care priorities.
• Assess and triage patients, providing treatment or referrals.

Skills

Team Management

Critical Thinking

Patient Assessment

Leadership

Problem Solving

Education

Registered clinician (NMC or HCPC)

Independently Prescribing Qualification

MSc or equivalent

Job description

Job summary

The post-holder will work closely with the practice manager, Clinical Lead GP and the Head of Nursing as the senior management team for surgery and will provide leadership at the practice for nursing and other staff. The post-holder will therefore have joint decision-making responsibilities with the Clinical GP Lead in relation to funding, clinical and management decisions and will (co-)chair the MDTs with the Clinical Lead GP. Working in accordance with the NMC/HCPC Code of Conduct, the post-holder is responsible for ensuring the delivery of safe, effective and evidence based nursing care to the whole practice population. Working as part of a multidisciplinary team, they will lead and develop the nursing team in the provision of assessment, treatment, screening, health education services and advice to patients.

They will also be a competent, experienced Practice Nurse/Advanced Clinical Practitioner, capable of running complex LTC management and/or acute on the day clinics.

Main duties of the job

The post-holder will develop practice-agreed protocols and guidelines to provide nursing treatments to patients both independently and in participation with nurse colleagues and general practitioners. They will lead and manage nursing resources, working closely with the practice manager and GPs to deliver practice priorities. The post-holder will provide leadership and direction for the nursing team as well as advising the Clinical Lead GP and practice manager on health care priorities and service redesign. They will also have excellent organisational and planning skills in order to successfully lead the nursing team in the delivery of care and service. Additionally, the post-holder will have strong analytical, problem-solving and research skills in order to lead the nursing function and deliver the service to patients.

Please for further information kindly refer to the job description and person specification attached to this vacancy.

About us

Our mission is to make a positive difference to people's lives by improving the quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive - so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations.

Details Date posted

30 June 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£53,755 to £60,504 a year PA

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working, Home or remote working, Compressed hours

Reference number

363-PC7282830

Job locations

Leighton Road Surgery

7 Ridgeway Court, 42 Grovebury Road

Leighton Buzzard

LU7 4SF

Job description Job responsibilities

1. The post-holder will have clinical and management/leadership responsibilities. Clinical work involves seeing patients presenting with undifferentiated / previously undiagnosed conditions as well as the ongoing care of patients.

2. Advanced Clinical Practitioners working at this level of competence must have the ability to use complex reasoning, critical thinking, reflection and analysis to inform their health assessments, clinical judgements and decisions. The post-holder is the senior nurse/AHP in the practice and works with the wider team and affiliated professionals to ensure that workload is effectively and appropriately shared.

3. Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.

4. The lead ACP will work closely with the nursing team to ensure they are delivering the services to the needs of the community.

5. The lead ACP will work closely with the Head of Nursing to ensure all targets are met at the surgery.

6. Work closely with the clinical Lead GP and the practice manager to ensure there are appropriate clinics available for the patient cohort.

7. They will work closely with other Lead Nurses/ACPs within the Directorate to ensure consistency in nursing practices.

Job description Job responsibilities

1. The post-holder will have clinical and management/leadership responsibilities. Clinical work involves seeing patients presenting with undifferentiated / previously undiagnosed conditions as well as the ongoing care of patients.

2. Advanced Clinical Practitioners working at this level of competence must have the ability to use complex reasoning, critical thinking, reflection and analysis to inform their health assessments, clinical judgements and decisions. The post-holder is the senior nurse/AHP in the practice and works with the wider team and affiliated professionals to ensure that workload is effectively and appropriately shared.

3. Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.

4. The lead ACP will work closely with the nursing team to ensure they are delivering the services to the needs of the community.

5. The lead ACP will work closely with the Head of Nursing to ensure all targets are met at the surgery.

6. Work closely with the clinical Lead GP and the practice manager to ensure there are appropriate clinics available for the patient cohort.

7. They will work closely with other Lead Nurses/ACPs within the Directorate to ensure consistency in nursing practices.

Person Specification Qualifications/Experience Essential

• Registered clinician (NMC or HCPC)
• Experience working in Primary Care
• Experienced in managing/leading teams

Desirable

• Experience in complex LTC management
• Experience managing QOF achievement
• QI / change management experience
• MSc or currently working towards/at MSc level

Qualifications Essential

• Independent Prescriber
• Qualified in either Respiratory or Diabetes LTC management

Desirable

• Primary Care Qualification

Person Specification Qualifications/Experience Essential

• Registered clinician (NMC or HCPC)
• Experience working in Primary Care
• Experienced in managing/leading teams

Desirable

• Experience in complex LTC management
• Experience managing QOF achievement
• QI / change management experience
• MSc or currently working towards/at MSc level

Qualifications Essential

• Independent Prescriber
• Qualified in either Respiratory or Diabetes LTC management

Desirable

• Primary Care Qualification

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information 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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details Employer name

East London NHS Foundation Trust

Address

Leighton Road Surgery

7 Ridgeway Court, 42 Grovebury Road

Leighton Buzzard

LU7 4SF

Employer's website

https://www.elft.nhs.uk/ (Opens in a new tab)

Employer details Employer name

East London NHS Foundation Trust

Address

Leighton Road Surgery

7 Ridgeway Court, 42 Grovebury Road

Leighton Buzzard

LU7 4SF

Employer's website

https://www.elft.nhs.uk/ (Opens in a new tab)