Job summary Join Our Growing, Supportive Team as an Advanced Clinical Practitioner Are you an experienced and passionate Advanced Clinical Practitioner looking for your next opportunity? We are a large, friendly, and forward-thinking training practice with a strong focus on staff wellbeing and teamwork. As our patient list continues to grow (currently at 22,000), we are excited to welcome two new Advanced Clinical Practitioners to our dynamic team. This role offers a mix of surgery-based clinics and home visits, allowing you to provide high-quality care to our diverse patient population. At Lombard Medical Centre, you'll be joining a well-established team of 9 GP Partners, 3 Salaried GPs, Clinical Pharmacists, FCP, an Advanced Long-Term Condition Nurse, and a skilled nursing team all working collaboratively to provide excellent patient care. As a training practice, we support up to five GP registrars and are committed to professional development. If you're looking for a role that offers variety, professional growth, and the chance to make a real impact within a supportive team, we'd love to hear from you Main duties of the job Assess/examine patients, diagnose, plan, treat and review/evaluate. Assessment may be face-to-face by appointment or by telephone as part of a triage/unscheduled care team and will include patients presenting with an undifferentiated diagnosis. Manage the surgeries Learning Disabilities population. Carry out home visits for acute presentations for the surgeries housebound population. Diagnose and manage patients presenting with both acute and chronic conditions based on a management plan which includes a medication plan and other interventions. Identify health priorities and make timely and appropriate interventions to support patients presenting in an emergency and/or with complex/urgent needs. About us Lombard Medical Centre has a supporting hardworking culture, It has a friendly team with lots of events. It has a focus on staff wellbeing. Big on team work and trust. Always willing to help each other and someone available to ask advice from. We pride ourselves on maintaining quality care. Emphasis on continuous improvement. We are keen to research new ways of working and welcome ideas from all team members. It is a busy environment, with a wide mix of patient demographics. Never a dull day, always something to learn from. Knowledgeable experienced mix of staff. Growing practice population. It is based in the centre of Newark on Trent next to Asda. Modern premises built in 2011. Close commute from Nottingham and Lincoln. Date posted 24 March 2025 Pay scheme Agenda for change Band Band 8a Salary Depending on experience Contract Permanent Working pattern Full-time, Part-time, Flexible working Reference number A5240-25-0002 Job locations 2 Portland Street Newark Nottingham NG24 4XG Job description Job responsibilities Assess/examine patients, diagnose, plan, treat and review/evaluate. Assessment may be face-to-face by appointment or by telephone as part of a triage/unscheduled care team and will include patients presenting with an undifferentiated diagnosis. Manage the surgeries Learning Disabilities population. Carry out home visits for acute presentations for the surgerys housebound population. Diagnose and manage patients presenting with both acute and chronic conditions based on a management plan which includes a medication plan and other interventions. Identify health priorities and make timely and appropriate interventions to support patients presenting in an emergency and/or with complex/urgent needs. Assess and manage patients physiological and psychological needs, including patients with complex needs, multiple diagnoses and polypharmacy. Identify patients at risk of developing a chronic illness and develop a plan for minimising risk of worsening. Advise and educate patients, promoting understanding, self-management, healthy lifestyle choices and sources of support and compliance with treatment plan and medication. In line with competence and agreed protocols, prescribe medication, review its effectiveness, and make appropriate adjustments to treatment, ensuring patient understanding of medication side-effects and interactions, including over-the-counter medication. Ensure the health needs of all patients presenting to the nursing team are met in a clinically appropriate way and by the team member best qualified to meet their needs. Ensure the nursing team meets the clinical needs of patients presenting with routine and emergency needs and conditions or who require advice and support including chronic disease management, family planning, vaccination and immunisations, health promotion/lifestyle advice, wound care, venepuncture etc. Ensure that all patients who may be vulnerable or who have mental health needs are appropriately managed and protected by the nursing team. Job description Job responsibilities Assess/examine patients, diagnose, plan, treat and review/evaluate. Assessment may be face-to-face by appointment or by telephone as part of a triage/unscheduled care team and will include patients presenting with an undifferentiated diagnosis. Manage the surgeries Learning Disabilities population. Carry out home visits for acute presentations for the surgerys housebound population. Diagnose and manage patients presenting with both acute and chronic conditions based on a management plan which includes a medication plan and other interventions. Identify health priorities and make timely and appropriate interventions to support patients presenting in an emergency and/or with complex/urgent needs. Assess and manage patients physiological and psychological needs, including patients with complex needs, multiple diagnoses and polypharmacy. Identify patients at risk of developing a chronic illness and develop a plan for minimising risk of worsening. Advise and educate patients, promoting understanding, self-management, healthy lifestyle choices and sources of support and compliance with treatment plan and medication. In line with competence and agreed protocols, prescribe medication, review its effectiveness, and make appropriate adjustments to treatment, ensuring patient understanding of medication side-effects and interactions, including over-the-counter medication. Ensure the health needs of all patients presenting to the nursing team are met in a clinically appropriate way and by the team member best qualified to meet their needs. Ensure the nursing team meets the clinical needs of patients presenting with routine and emergency needs and conditions or who require advice and support including chronic disease management, family planning, vaccination and immunisations, health promotion/lifestyle advice, wound care, venepuncture etc. Ensure that all patients who may be vulnerable or who have mental health needs are appropriately managed and protected by the nursing team. Person Specification Experience Essential 2 years minimum experience Desirable Experience working in a primary care setting Qualifications Essential Essential -Registered General Nurse (currently registered with Nursing & Midwifery Council) -In advanced clinical practice (at bachelors or masters level and/or equivalent experience) -Independent prescriber - Must hold a digital certificate. - Minimum 2 years post- registration experience - Can work to current primary care policy, national legislation, GMS contracts, clinical governance, Quality & Outcomes Framework and Clinical Commissioning -Knowledge of national and local clinical and prescribing standards -A good working knowledge of the wide range of presenting complaints seen in general practice -Can accurately interpreting diagnostics -Can accountability arising from the NMC Code of Professional Conduct and medico-legal aspects of the nurse practitioner role -Complies with equality & diversity -Demonstrable experience in autonomous clinical practice and clinical prioritisation -Demonstrable experience in advance clinical practice -Demonstrable experience of autonomous prescribing -Experience of ordering & interpreting diagnostics -Experience of team working and leadership -Ability to manage patient risk effectively and safely -Excellent interpersonal, verbal & written communication skills -Reflective practice -Time management & ability to prioritise -Negotiation and conflict management skills -Able to analyse data and information, drawing out implications for the patient/implications for the care plan -Ability to establish & maintain effective communication within the team, the MDT, the local CCG, and external stakeholders -Ability to drive and access to a car -Willing to uphold the values and ethos of the practice -Ability to work autonomously and independently -Recognition and ability to articulate limits of competence and how to gain support -Ability to work without direct supervision and determine own workload priorities -Ability to work under pressure. Resilient -Ability to be flexible to a changing environment -Ability to use common sense and own judgement when responding to patient or staff needs -Reflects upon practice -Self-motivated, positive, committed & adaptable -Understanding, acceptance & adherence to strict confidentiality -Ability to drive and access to a car Desirable -Teaching/mentorship experience/qualification -Minor illness/injury qualification -Specialist courses relevant to primary care -Leadership qualification -Are able to interpret in-practice diagnostics (eg ECG, spirometry) -Advanced knowledge of diagnostics -Training and recent updates on care of the unwell adult/child, information governance, safeguarding -Putting together clinical policies and protocols -Further development of prescribing knowledge -Ability to manage patient risk effectively and safely -Excellent interpersonal, verbal & written communication skills -Reflective practice -Time management & ability to prioritise -Negotiation and conflict management skills -Able to analyse data and information, drawing out implications for the patient/implications for the care plan -Ability to establish & maintain effective communication within the team, the MDT, the local ICB, and external stakeholders -Willing to uphold the values and ethos of the practice -Ability to work autonomously and independently -Recognition and ability to articulate limits of competence and how to gain support -Ability to work without direct supervision and determine own workload priorities -Ability to work under pressure. Resilient -Ability to be flexible to a changing environment -Ability to use common sense and own judgement when responding to patient or staff needs -Self-motivated, positive, committed & adaptable -Understanding, acceptance & adherence to strict confidentiality -Willingness to contribute to the practice providing extended access Person Specification Experience Essential 2 years minimum experience Desirable Experience working in a primary care setting Qualifications Essential Essential -Registered General Nurse (currently registered with Nursing & Midwifery Council) -In advanced clinical practice (at bachelors or masters level and/or equivalent experience) -Independent prescriber - Must hold a digital certificate. - Minimum 2 years post- registration experience - Can work to current primary care policy, national legislation, GMS contracts, clinical governance, Quality & Outcomes Framework and Clinical Commissioning -Knowledge of national and local clinical and prescribing standards -A good working knowledge of the wide range of presenting complaints seen in general practice -Can accurately interpreting diagnostics -Can accountability arising from the NMC Code of Professional Conduct and medico-legal aspects of the nurse practitioner role -Complies with equality & diversity -Demonstrable experience in autonomous clinical practice and clinical prioritisation -Demonstrable experience in advance clinical practice -Demonstrable experience of autonomous prescribing -Experience of ordering & interpreting diagnostics -Experience of team working and leadership -Ability to manage patient risk effectively and safely -Excellent interpersonal, verbal & written communication skills -Reflective practice -Time management & ability to prioritise -Negotiation and conflict management skills -Able to analyse data and information, drawing out implications for the patient/implications for the care plan -Ability to establish & maintain effective communication within the team, the MDT, the local CCG, and external stakeholders -Ability to drive and access to a car -Willing to uphold the values and ethos of the practice -Ability to work autonomously and independently -Recognition and ability to articulate limits of competence and how to gain support -Ability to work without direct supervision and determine own workload priorities -Ability to work under pressure. Resilient -Ability to be flexible to a changing environment -Ability to use common sense and own judgement when responding to patient or staff needs -Reflects upon practice -Self-motivated, positive, committed & adaptable -Understanding, acceptance & adherence to strict confidentiality -Ability to drive and access to a car Desirable -Teaching/mentorship experience/qualification -Minor illness/injury qualification -Specialist courses relevant to primary care -Leadership qualification -Are able to interpret in-practice diagnostics (eg ECG, spirometry) -Advanced knowledge of diagnostics -Training and recent updates on care of the unwell adult/child, information governance, safeguarding -Putting together clinical policies and protocols -Further development of prescribing knowledge -Ability to manage patient risk effectively and safely -Excellent interpersonal, verbal & written communication skills -Reflective practice -Time management & ability to prioritise -Negotiation and conflict management skills -Able to analyse data and information, drawing out implications for the patient/implications for the care plan -Ability to establish & maintain effective communication within the team, the MDT, the local ICB, and external stakeholders -Willing to uphold the values and ethos of the practice -Ability to work autonomously and independently -Recognition and ability to articulate limits of competence and how to gain support -Ability to work without direct supervision and determine own workload priorities -Ability to work under pressure. Resilient -Ability to be flexible to a changing environment -Ability to use common sense and own judgement when responding to patient or staff needs -Self-motivated, positive, committed & adaptable -Understanding, acceptance & adherence to strict confidentiality -Willingness to contribute to the practice providing extended access 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 Lombard Medical Centre Address 2 Portland Street Newark Nottingham NG24 4XG Employer's website https://www.lombardmedicalcentre.co.uk (Opens in a new tab)