• Job Description

  Req#: E0054-25-0025CHMC?language=en&page=568&sort=publicationDateDesc

  Job summary

  We are seeking a skilled and experienced Advanced Nurse Practitioner (ANP) to join our multidisciplinary team at Chiltern House Medical Centre on a part-time basis. This is a fantastic opportunity for an autonomous clinician to play a key role in delivering high-quality care to our patient population. The role involves providing advanced clinical assessments, managing long-term conditions, leading on health promotion and disease prevention initiatives, and contributing to the development of clinical policies and procedures. The ANP will work collaboratively with the wider team to support the delivery of patient-centred care across a range of clinical areas including chronic disease management, well woman and well man clinics, and urgent care.

  Main duties of the job

  As an Advanced Nurse Practitioner, you will work autonomously within your scope of practice to deliver high-quality, patient-centred care. Key responsibilities include managing acute and chronic conditions, conducting health assessments, running specialist clinics, prescribing medications, and promoting health and disease prevention. You will also contribute to clinical policy development, support safeguarding, and play an active role in clinical audits and service improvement across the practice.

  About us

  Chiltern House Medical Centreis committed to delivering outstanding clinical services to our NHS patients. We pride ourselves on providing compassionate, patient-focused care from the first point of contact through to diagnosis and treatment. We promote a respectful and inclusive working environment and believe that our patients come first in everything we do.

  Details

  Date posted

  01 July 2025

  Pay scheme

  Agenda for change

  Band

  Band 7

  Salary

  Depending on experience Depending on experience

  Contract

  Permanent

  Working pattern

  Part-time, Flexible working

  Reference number

  E0054-25-0025CHMC

  Job locations

  Chiltern House Medical Centre

  Temple End

  High Wycombe

  Buckinghamshire

  HP135DN

  
  

  Job description

  Job responsibilities

  Clinical Responsibilities:

  In accordance with the practice timetable, the ANP will work autonomously, delivering care within their scope of practice to the patient population. Contributing towards clinical areas such as health promotion, chronic disease management, health prevention, well-women and well man clinics as well as supporting the management team in the reviewing of clinical policy and procedure.

  • Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice to patients
  • Implement and evaluate individual specialised treatment plans for chronic disease patients
  • Identify, manage and support patients as risk of developing long-term conditions, preventing adverse effects on the patients health
  • Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
  • Provide wound care (ulcer /Doppler etc.) to patients
  • Provide specialist clinics such as ear syringing, contraception etc.
  • Undertake the collection of pathological specimens
  • Provide travel medicine services
  • Request pathology services as necessary
  • Process and interpret pathology and other test results as required
  • Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / specialist care as required
  • Maintain accurate clinical records in conjunction with extant legislation
  • Ensure read codes are used effectively
  • Maintain chronic disease registers
  • Prioritise health issues and intervene appropriately
  • Support the team in dealing with clinical emergencies
  • Recognise, assess and refer patients presenting with mental health needs
  • Implement vaccination programmes for adults and children
  • Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)
  • Support the clinical team with all safeguarding matters, in accordance with local and national policies
  • Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
  • Deliver opportunistic health promotion where appropriate
  • Extended and supplementary prescriber, adhering to extant guidance
  • Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required
  • Contribute to practice targets (QOF etc.), complying with local and regional guidance
  • Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

  Other responsibilities within the organisation:

  • Awareness of and compliance with all relevant practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety.
  • A commitment to life-long learning and audit to ensure evidence-based best practice.
  • Contributing to evaluation/audit and clinical standard setting within the organisation.
  • Participate in local initiatives to enhance service deliver and patient care.
  • Participate in the review of significant and near-miss events applying a structured approach i.e. root cause analysis (RCA).
  • Drives the development of nursing services within the practice, liaising with external agencies and professional organisations are required
  • Attending training and events organised by the practice or other agencies, where appropriate.

  Job description

  Job responsibilities

  Clinical Responsibilities:

  In accordance with the practice timetable, the ANP will work autonomously, delivering care within their scope of practice to the patient population. Contributing towards clinical areas such as health promotion, chronic disease management, health prevention, well-women and well man clinics as well as supporting the management team in the reviewing of clinical policy and procedure.

  • Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice to patients
  • Implement and evaluate individual specialised treatment plans for chronic disease patients
  • Identify, manage and support patients as risk of developing long-term conditions, preventing adverse effects on the patients health
  • Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
  • Provide wound care (ulcer /Doppler etc.) to patients
  • Provide specialist clinics such as ear syringing, contraception etc.
  • Undertake the collection of pathological specimens
  • Provide travel medicine services
  • Request pathology services as necessary
  • Process and interpret pathology and other test results as required
  • Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / specialist care as required
  • Maintain accurate clinical records in conjunction with extant legislation
  • Ensure read codes are used effectively
  • Maintain chronic disease registers
  • Prioritise health issues and intervene appropriately
  • Support the team in dealing with clinical emergencies
  • Recognise, assess and refer patients presenting with mental health needs
  • Implement vaccination programmes for adults and children
  • Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)
  • Support the clinical team with all safeguarding matters, in accordance with local and national policies
  • Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
  • Deliver opportunistic health promotion where appropriate
  • Extended and supplementary prescriber, adhering to extant guidance
  • Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required
  • Contribute to practice targets (QOF etc.), complying with local and regional guidance
  • Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

  Other responsibilities within the organisation:

  • Awareness of and compliance with all relevant practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety.
  • A commitment to life-long learning and audit to ensure evidence-based best practice.
  • Contributing to evaluation/audit and clinical standard setting within the organisation.
  • Participate in local initiatives to enhance service deliver and patient care.
  • Participate in the review of significant and near-miss events applying a structured approach i.e. root cause analysis (RCA).
  • Drives the development of nursing services within the practice, liaising with external agencies and professional organisations are required
  • Attending training and events organised by the practice or other agencies, where appropriate.

  Person Specification

  Qualifications

  Essential

  • Registered Nurse;
  • Post graduate diploma or degree (Advanced Practice Qualification);
  • Qualified Nurse Prescriber;
  • Qualified Triage Nurse;

  Desirable

  • Minor Illness Qualification;
  • Teaching Qualification;
  • ALS, PALS;

  Experience

  Essential

  • Experience working in a primary care environment;
  • Experience in chronic disease management;
  • Experience in prescribing and undertaking medication reviews;

  Desirable

  • Experience working as a practice nurse or community nurse

  Clinical Knowledge

  Essential

  • Wound Care / Removal of sutures & staples
  • ECGs
  • Venepuncture
  • New patient medicals
  • Chaperone procedure
  • Requesting pathology tests and processing the results, advising patients accordingly
  • Travel medicine
  • Diabetes
  • Hypertension
  • Asthma
  • Spirometry
  • CHD
  • Immunisations (routine, childhood and travel)
  • Womens health (Cervical cytology, contraception, etc.)
  • Understands the importance of evidence based practice
  • Broad knowledge of clinical governance
  • Ability to record accurate clinical notes
  • Ability to work within own scope of practice and understanding when to refer to GPs
  • Knowledge of health promotion strategies
  • Understands the requirement for PGDs and associated policy

  Desirable

  • Knowledge of public health issues in the local area
  • Awareness of issues within the wider health arena

  Person Specification

  Qualifications

  Essential

  • Registered Nurse;
  • Post graduate diploma or degree (Advanced Practice Qualification);
  • Qualified Nurse Prescriber;
  • Qualified Triage Nurse;

  Desirable

  • Minor Illness Qualification;
  • Teaching Qualification;
  • ALS, PALS;

  Experience

  Essential

  • Experience working in a primary care environment;
  • Experience in chronic disease management;
  • Experience in prescribing and undertaking medication reviews;

  Desirable

  • Experience working as a practice nurse or community nurse

  Clinical Knowledge

  Essential

  • Wound Care / Removal of sutures & staples
  • ECGs
  • Venepuncture
  • New patient medicals
  • Chaperone procedure
  • Requesting pathology tests and processing the results, advising patients accordingly
  • Travel medicine
  • Diabetes
  • Hypertension
  • Asthma
  • Spirometry
  • CHD
  • Immunisations (routine, childhood and travel)
  • Womens health (Cervical cytology, contraception, etc.)
  • Understands the importance of evidence based practice
  • Broad knowledge of clinical governance
  • Ability to record accurate clinical notes
  • Ability to work within own scope of practice and understanding when to refer to GPs
  • Knowledge of health promotion strategies
  • Understands the requirement for PGDs and associated policy

  Desirable

  • Knowledge of public health issues in the local area
  • Awareness of issues within the wider health arena

  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.

  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.

  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

  Primary Care Management Solutions Ltd

  Address

  Chiltern House Medical Centre

  Temple End

  High Wycombe

  Buckinghamshire

  HP135DN

  
  

  Employer's website

  https://www.pcmsolutions.co.uk (Opens in a new tab)

  Employer details

  Employer name

  Primary Care Management Solutions Ltd

  Address

  Chiltern House Medical Centre

  Temple End

  High Wycombe

  Buckinghamshire

  HP135DN

  
  

  Employer's website

  https://www.pcmsolutions.co.uk (Opens in a new tab)

• About the company

  National Health Service (NHS) is the umbrella term for the publicly-funded healthcare systems of the United Kingdom (UK). The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care.

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