Job summary Park and Orchard Primary Care Network (PCN) have an exciting opportunity to expand their Primary Care workforce by employing an Advanced Nurse Practitioner to join their innovative and dynamic Primary Care Network, to be based at Park Surgery. You will be joining an enthusiastic team of clinicians and administrators including GPs, Paramedic Practitioners, Pharmacy Technicians, Clinical Pharmacists, Physician Associates, First Contact Physiotherapists, Social Prescribers, Health and Wellbeing Coaches, Care Coordinators, Practice Nurses, Healthcare Assistants and more. Our surgery teams work closely, sharing expertise and resources to develop new services including ambitions to soon establish a Womens Health project and an Anticipatory Care/Frailty project. Our vision is to continue to improve the quality of care that we provide in alignment with the needs of our patient population and find innovative solutions in general practice to deliver the best care we can for our patients. Our PCN builds on the existing primary care services and enables a greater provision of proactive, personalised and more integrated health and social care. We are supported by practitioners in additional roles who allow us to create bespoke multi-disciplinary teams based on the needs of our local population. By working together with local community services, this allows us to make support available to people where it is most needed. Main duties of the job The post holder is an experienced nurse who, acting within their professional boundaries, will work as part of a multi-disciplinary team which consists of GPs and Pharmacists. The triage team will work together to triage all patient requests, which are received on the day, treating patients with own clinical competency as appropriate. The post holder will see acute on the day cases. The post holder will act as an autonomous practitioner working independently and in conjunction with other health care professionals to triage, assess, diagnose and treat the conditions of patients attending within primary care; initiating direct referrals as appropriate. The post holder will provide expert professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence. Whilst General Practice has some challenging times ahead, this role provides an exciting and innovative opportunity for someone who wants to make a real difference in the communities they serve. The successful candidate will be provided with excellent support, the opportunity for development in the role, and will be supervised by a General Practitioner. This is a part time position of up to 30 hours per week. About us Alliance for Better Care CIC is a GP Federation that unites 79 NHS GP practices across 25 Primary Care Networks in Sussex and Surrey. We support our Primary Care colleagues as well as their patients, to transform how healthcare is managed within the community. As a membership organisation, our focus is to work in partnership with our members and help them to improve the provision of General Practices in the local area. We work with and listen to our GP Practices, PCNs, Hospitals, Community Organisations and the Third Sector. These vital partnerships ensure that, together, we deliver a truly integrated approach that offers the support and expertise needed to effectively serve our communities. Benefits Generous annual leave allowance Access to NHS pension Bespoke training programme Cycle to Work Scheme Employee Assistance Programme Enhanced maternity pay NHS discounts Leadership Development Programme Salary sacrifice schemes technology and electric vehicle Opportunities for secondments Park and Orchard PCN Park and Orchard Primary Care Network (PCN) is an NHS Collaboration between 2 GP practices - Park Surgery and Orchard Surgery covering the Horsham Locality. The practices have a combined population of 30,000 patients. There is a wide socio-economic and demographic served within this area which will provide an interesting and varied case mix. Date posted 24 March 2025 Pay scheme Other Salary £49,419.20 to £55,654.05 a year dependent on experience (pro rata) Contract Permanent Working pattern Part-time Reference number B0141-25-0021 Job locations The Park Surgery Albion Way Horsham West Sussex RH12 1BG Job description Job responsibilities Clinical Practice Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis. Clinically examine and assess patient needs from a physiological and psychological perspective. Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs. Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition. Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan. Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national, local and practice protocols, and within scope of practice. Work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care. Communication Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment, including communication with, and support of, patients and their significant persons who are receiving bad news. Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating. Anticipate barriers to communication and take action to improve communication. Maintain effective communication within the practice environment and with external stakeholders. Act as an advocate for patients and colleagues. Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate. Delivering a Quality Service Recognise and work within own competence and professional code of conduct as regulated by the NMC (Nursing & Midwifery Council, 2015c). Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures. Prioritise, organise and manage own workload in a manner that maintains and promotes quality. Deliver care according to NICE guidelines and evidence-based care. Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation. Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities. Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required. In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate. Evaluate patients response to health care provision and the effectiveness of care. Support and participate in shared learning across the practice and wider organisation. Use a structured framework e.g. root-cause analysis to manage, review and identify learning from patient complaints, clinical incidents, and near-miss events. Assess the impact of policy implementation on care delivery. Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance. Leadership Personal and People Development Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model. Support staff development in order to maximise potential. Critically evaluate and review innovations and developments that are relevant to the area of work. Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services. Take a lead role in planning and implementing changes within the area of care and responsibility. Contribute to the development of local guidelines, protocols and standards. Market the role of the advanced nurse practitioner in general practice. Team Working Understand own role and scope and identify how this may develop over time. Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working. Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence. Create clear referral mechanisms to meet patient need. Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team. Work effectively with others to clearly define values, direction and policies impacting upon care delivery. Discuss, highlight and work win the team to create opportunities to improve patient care. Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team. Agree plans and outcomes to measure success. Management of Risk Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients. Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines. Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriate. Ensure the nursing team undertakes mandatory and statutory training requirements. Apply infection-control measures within the practice according to local and national guidelines. Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all. Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice. Managing Information Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information. Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes. Manage information searches using the internet and local library databases. Understand responsibility of self and others to the practice and primary care trust regarding the Freedom and Information Act. Monitor and confirm that the nursing team are receiving and processing data and information in an agreed format. Collate, analyse and present clinical data and information to the team. Communicate essential financial restraints with the team and discuss with them ideas for effective and efficient working within these constraints. Manage, if agreed, a nursing budget within financial principles. Please see full job description for further information. Job description Job responsibilities Clinical Practice Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis. Clinically examine and assess patient needs from a physiological and psychological perspective. Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs. Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition. Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan. Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national, local and practice protocols, and within scope of practice. Work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care. Communication Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment, including communication with, and support of, patients and their significant persons who are receiving bad news. Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating. Anticipate barriers to communication and take action to improve communication. Maintain effective communication within the practice environment and with external stakeholders. Act as an advocate for patients and colleagues. Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate. Delivering a Quality Service Recognise and work within own competence and professional code of conduct as regulated by the NMC (Nursing & Midwifery Council, 2015c). Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures. Prioritise, organise and manage own workload in a manner that maintains and promotes quality. Deliver care according to NICE guidelines and evidence-based care. Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation. Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities. Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required. In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate. Evaluate patients response to health care provision and the effectiveness of care. Support and participate in shared learning across the practice and wider organisation. Use a structured framework e.g. root-cause analysis to manage, review and identify learning from patient complaints, clinical incidents, and near-miss events. Assess the impact of policy implementation on care delivery. Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance. Leadership Personal and People Development Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model. Support staff development in order to maximise potential. Critically evaluate and review innovations and developments that are relevant to the area of work. Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services. Take a lead role in planning and implementing changes within the area of care and responsibility. Contribute to the development of local guidelines, protocols and standards. Market the role of the advanced nurse practitioner in general practice. Team Working Understand own role and scope and identify how this may develop over time. Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working. Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence. Create clear referral mechanisms to meet patient need. Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team. Work effectively with others to clearly define values, direction and policies impacting upon care delivery. Discuss, highlight and work win the team to create opportunities to improve patient care. Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team. Agree plans and outcomes to measure success. Management of Risk Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients. Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines. Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriate. Ensure the nursing team undertakes mandatory and statutory training requirements. Apply infection-control measures within the practice according to local and national guidelines. Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all. Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice. Managing Information Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information. Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes. Manage information searches using the internet and local library databases. Understand responsibility of self and others to the practice and primary care trust regarding the Freedom and Information Act. Monitor and confirm that the nursing team are receiving and processing data and information in an agreed format. Collate, analyse and present clinical data and information to the team. Communicate essential financial restraints with the team and discuss with them ideas for effective and efficient working within these constraints. Manage, if agreed, a nursing budget within financial principles. Please see full job description for further information. Person Specification Other Essential Commitment to reducing health inequalities and proactively working to reach people from all communities Able to recognise personal limitations and refer to more appropriate colleague(s) when needed Able to provide leadership and maintain effective working relationships and to promote collaborative practice with all colleagues Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines Ability to work flexibly and enthusiastically within a team or on own initiative Access to own transport Qualifications Essential Registered first level nurse MSc or equivalent Relevant nursing/health degree Mentor/teaching qualification Clinical supervision training and experience Independent Prescribing qualification Desirable Community nursing specialist qualification Ability to treat children Experience Essential Significant post registration experience Recent primary and community nursing experience Nurse-led management of minor illness, minor ailments and injuries Nurse-led triage Compiling protocols and clinical guidelines Clinical Leadership Audit Research Desirable Project management Working with community development initiatives Health-needs assessment Skills Essential Clinical leadership skills Physical assessment skills Communication skills, both written and verbal Communication of difficult messages to patients and families Negotiation and conflict management skills Change management Teaching and mentorship clinical setting Resource management Knowledge Essential Advanced clinical practice skills Management of patients with long-term conditions Management of patients with complex needs Clinical examination skills Accountability of own role and other roles in a nurse-led service Local and national health policy Wider health economy Clinical governance issues in primary care Patient group directions and associated policy Desirable Knowledge of public health issues Able to identify determinants on health in the area Person Specification Other Essential Commitment to reducing health inequalities and proactively working to reach people from all communities Able to recognise personal limitations and refer to more appropriate colleague(s) when needed Able to provide leadership and maintain effective working relationships and to promote collaborative practice with all colleagues Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines Ability to work flexibly and enthusiastically within a team or on own initiative Access to own transport Qualifications Essential Registered first level nurse MSc or equivalent Relevant nursing/health degree Mentor/teaching qualification Clinical supervision training and experience Independent Prescribing qualification Desirable Community nursing specialist qualification Ability to treat children Experience Essential Significant post registration experience Recent primary and community nursing experience Nurse-led management of minor illness, minor ailments and injuries Nurse-led triage Compiling protocols and clinical guidelines Clinical Leadership Audit Research Desirable Project management Working with community development initiatives Health-needs assessment Skills Essential Clinical leadership skills Physical assessment skills Communication skills, both written and verbal Communication of difficult messages to patients and families Negotiation and conflict management skills Change management Teaching and mentorship clinical setting Resource management Knowledge Essential Advanced clinical practice skills Management of patients with long-term conditions Management of patients with complex needs Clinical examination skills Accountability of own role and other roles in a nurse-led service Local and national health policy Wider health economy Clinical governance issues in primary care Patient group directions and associated policy Desirable Knowledge of public health issues Able to identify determinants on health in the area 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 Alliance for Better Care CIC Address The Park Surgery Albion Way Horsham West Sussex RH12 1BG Employer's website https://allianceforbettercare.org/ (Opens in a new tab)