Job summary Harpenden Health Primary Care Network (PCN) are looking for an experienced Enhanced Nurse Practitioner and Independent Nurse Prescriber to join their busy team. Full time or Part time applications will be considered. This is a Clinical role. Main duties of the job The Enhanced Nurse Practitioner will ideally have experience of Primary Care and must be confident working autonomously and independently within their professional boundaries and as part of a team, whilst carrying out clinical assessment, triage, and consultations, providing diagnosis, treatment, evaluation of care and prescribing. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary General Practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing support to GPs and Practice Team as required. About us Our PCN is a group of 3 high achieving training practices who aim to provide a patient friendly quality service to our 45,000 patients. We enjoy multidisciplinary teamworking and the opportunities that collaborative working in a PCN provides. Date posted 29 January 2025 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Full-time, Part-time Reference number M0055-25-0001 Job locations Elms Medical Practice 5 Stewart Close Harpenden Hertfordshire AL5 4QA Davenport House Surgery Bowers Way Harpenden Hertfordshire AL5 4HX The Village Surgery Amenbury Lane Harpenden Hertfordshire AL5 2BT Job description Job responsibilities Job Summary The post holder will be an experienced Enhanced Nurse Practitioner and Independent Nurse Prescriber. They will ideally have experience of Primary Care and must be confident working autonomously and independently within their professional boundaries and as part of a team, whilst carrying out clinical assessment, triage, and consultations, providing diagnosis, treatment, evaluation of care and prescribing. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary General Practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing support to GPs and Practice Team as required. The post holder must maintain registration with NMC, maintaining its Code of Conduct to protect the public through professional standards. Fulfil its learning requirements. Main Duties and Responsibilities Provide a first point of contact within the practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan. Provide assistance to GPs seeing and treating patients referred to you as appropriate, minor illness, chronic conditions management. Provide the choice of direct access to an Enhanced Nurse Practitioner, both in the practice and over the telephone, for the general practice population. Make home visits to those who are too unwell to come into the clinic in person. Make professionally autonomous decisions for which he/she is accountable. Prescribe safe, effective, and appropriate medication as defined by current legislative framework in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate. Promote health and well-being through the use of health promotion, health education, screening, and therapeutic communication skills. Refer patients directly to other services / agencies as appropriate. Work with multi-disciplinary team within the practice, and across the wider NHS, to promote integrated and seamless pathways of care. Provide integrated, pro-active care for people identified as frail, including those in care homes, with multiple complex long-term conditions who required more intensive support and care in our community. To support the reduction of avoidable hospital admissions/readmissions or A&E attendances. As a member of the PCN ARRS team, you would be expected to participate with extended access provision as part of your role. Perform any other tasks within the skills of the post holder. We see this role evolving and developing with input from the candidate to make this role interesting and effective. Job description Job responsibilities Job Summary The post holder will be an experienced Enhanced Nurse Practitioner and Independent Nurse Prescriber. They will ideally have experience of Primary Care and must be confident working autonomously and independently within their professional boundaries and as part of a team, whilst carrying out clinical assessment, triage, and consultations, providing diagnosis, treatment, evaluation of care and prescribing. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary General Practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing support to GPs and Practice Team as required. The post holder must maintain registration with NMC, maintaining its Code of Conduct to protect the public through professional standards. Fulfil its learning requirements. Main Duties and Responsibilities Provide a first point of contact within the practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan. Provide assistance to GPs seeing and treating patients referred to you as appropriate, minor illness, chronic conditions management. Provide the choice of direct access to an Enhanced Nurse Practitioner, both in the practice and over the telephone, for the general practice population. Make home visits to those who are too unwell to come into the clinic in person. Make professionally autonomous decisions for which he/she is accountable. Prescribe safe, effective, and appropriate medication as defined by current legislative framework in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate. Promote health and well-being through the use of health promotion, health education, screening, and therapeutic communication skills. Refer patients directly to other services / agencies as appropriate. Work with multi-disciplinary team within the practice, and across the wider NHS, to promote integrated and seamless pathways of care. Provide integrated, pro-active care for people identified as frail, including those in care homes, with multiple complex long-term conditions who required more intensive support and care in our community. To support the reduction of avoidable hospital admissions/readmissions or A&E attendances. As a member of the PCN ARRS team, you would be expected to participate with extended access provision as part of your role. Perform any other tasks within the skills of the post holder. We see this role evolving and developing with input from the candidate to make this role interesting and effective. Person Specification Qualifications Essential Registered General Nurse. Current registration with the Nursing & Midwifery Council. Recognised NP qualification at minimum of degree level or equivalent Independent Nurse Prescriber. Current Hepatitis B immunity certificate. Experience Essential IT: basic computer literacy. Good telephone manner, clear speech. Good record keeping. Communication and listening skills. Ability to work in a multi-professional team. Experience: Primary care home visiting. Triage. Face to face consultation. Minimum of 5 years post registration experience. Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the ENP role. Experience in management long term conditions e.g. asthma, COPD, diabetes, CHD. Evidence of working autonomously and as part of a team. Proven ability to evaluate the safety and effectiveness of their own clinical practice. Abilities and Personal Qualities Essential Ability to work under pressure, manage demanding workload (when necessary). Aware of needs of patients, relatives, and carers. Adhere to confidentiality requirements. Flexible, caring, and empathetic. Self-motivated. Professional approach. Presentable appearance. Reliable, punctual, and committed to work. Person Specification Qualifications Essential Registered General Nurse. Current registration with the Nursing & Midwifery Council. Recognised NP qualification at minimum of degree level or equivalent Independent Nurse Prescriber. Current Hepatitis B immunity certificate. Experience Essential IT: basic computer literacy. Good telephone manner, clear speech. Good record keeping. Communication and listening skills. Ability to work in a multi-professional team. Experience: Primary care home visiting. Triage. Face to face consultation. Minimum of 5 years post registration experience. Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the ENP role. Experience in management long term conditions e.g. asthma, COPD, diabetes, CHD. Evidence of working autonomously and as part of a team. Proven ability to evaluate the safety and effectiveness of their own clinical practice. Abilities and Personal Qualities Essential Ability to work under pressure, manage demanding workload (when necessary). Aware of needs of patients, relatives, and carers. Adhere to confidentiality requirements. Flexible, caring, and empathetic. Self-motivated. Professional approach. Presentable appearance. Reliable, punctual, and committed to work. 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 Harpenden Health PCN Address Elms Medical Practice 5 Stewart Close Harpenden Hertfordshire AL5 4QA Employer's website https://www.harpendenhealthpcn.nhs.uk/ (Opens in a new tab)