Job summary We are looking for an Advanced Nurse Practitioner to join our forward thinking and supportive practice team in the historic market town of Ormskirk in West Lancashire. This post is up to full time, hours and sessions to be discussed (between 3-5 days per week). Main duties of the job We are looking for an enthusiastic ANP to work alongside our well established team providing primary care services over 2 sites in Ormskirk town centre. About us Parkgate Surgery is a 5 GP partnership led Practice. We are based in Ormskirk, A market town and home to Edge Hill University in West Lancashire. We are a large surgery across 2 sites with nearly 10,000 patients. We have a high prevalence of frail and elderly patients, of which we employ our own Frailty Nurse to complete home visit anticipatory care management plans for our patients. We are a digitally forward-thinking practice with implementation of modern access to General Practice through our total triage system and cloud-based telephony system. We have recognised the live challenges of balancing and meeting patient demand but also ensuring the wellbeing of our staff by holding frequent full Practice Wellbeing Meetings and keeping in regular contact with our PPG. We house Medical Students from the local university and recently qualified for being a training practice and enjoy having GP registrars at our surgery. We are part of a successful PCN Group and utilise, support and mentor ARRS Roles. We received Outstanding on our last CQC visit and frequently get full points on QOF. We have our own Care Co-ordinator who is the first point of call for all our Palliative Care patients, ensuring they receive all the care they need. We conduct a weekly inhouse MDT meeting with local agencies which is very successful. Date posted 29 January 2025 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Part-time Reference number A4585-25-0001 Job locations 28 St Helens Road Ormskirk Lancashire L39 4QR Doctors Surgery 109 County Road Ormskirk Lancashire L39 1NL Job description Job responsibilities The Advanced Nurse Practitioner (ANP) will Act autonomously within their professional scope of practice providing care for patients face to face, telephone consultations and home visits. Operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence. Prioritise and triage the needs of patients accordingly, making any necessary referrals for investigations in the appropriate manner. Use skills, knowledge and competencies as a qualified ANP in order to be responsible and accountable for managing patient caseloads for treatments, referral, admission and discharging patients as appropriate. Work as part of a multi-disciplinary team to deliver safe and high quality care. Carry out clinical nursing practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care. Ensure delivery of care in line with NSF, NICE guidelines and evidence-based care Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate. Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved. Prescribe and review medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice. Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan. Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc. Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency. Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary. Communicate confidential and sensitive information to patients, relatives and carers in relation to their condition. Provide highly specialised care advice beyond the scope of normal nursing practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals). Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking. Monitor and meet care outcomes against standards and recommend or initiate changes as necessary. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures Participate in the administrative and professional responsibilities of the practice team Ensure accurate and legible notes of all consultations and treatments are recorded in the patients notes Ensure clinical systems kept up to date, recording and/or amending accurate details Attend and participate in practice meetings as required Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level. Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation Take responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements. Comply with Legislation with regards to data protection act and ensure confidentiality is maintained at all times Comply with practice policies, procedures and clinical guidelines for self and others. Demonstrate due regard for safeguarding and promoting the welfare of children. Full job description will be provided Job description Job responsibilities The Advanced Nurse Practitioner (ANP) will Act autonomously within their professional scope of practice providing care for patients face to face, telephone consultations and home visits. Operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence. Prioritise and triage the needs of patients accordingly, making any necessary referrals for investigations in the appropriate manner. Use skills, knowledge and competencies as a qualified ANP in order to be responsible and accountable for managing patient caseloads for treatments, referral, admission and discharging patients as appropriate. Work as part of a multi-disciplinary team to deliver safe and high quality care. Carry out clinical nursing practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care. Ensure delivery of care in line with NSF, NICE guidelines and evidence-based care Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate. Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved. Prescribe and review medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice. Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan. Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc. Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency. Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary. Communicate confidential and sensitive information to patients, relatives and carers in relation to their condition. Provide highly specialised care advice beyond the scope of normal nursing practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals). Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking. Monitor and meet care outcomes against standards and recommend or initiate changes as necessary. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures Participate in the administrative and professional responsibilities of the practice team Ensure accurate and legible notes of all consultations and treatments are recorded in the patients notes Ensure clinical systems kept up to date, recording and/or amending accurate details Attend and participate in practice meetings as required Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level. Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation Take responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements. Comply with Legislation with regards to data protection act and ensure confidentiality is maintained at all times Comply with practice policies, procedures and clinical guidelines for self and others. Demonstrate due regard for safeguarding and promoting the welfare of children. Full job description will be provided Person Specification Experience Essential Recent experience of working as an Advanced Nurse Practitioner in the UK. Commitment to and experience of working as part of a multi-disciplinary and skill mixed team environment. Desirable Experience of working in a Primary Care setting. Experience of working to achieve standards within the Quality and Outcomes Framework (QOF). Evidence of participation in Audit. Skills and Attributes Essential Understanding of the health and social needs of a local practice patient population. Commitment to personal and professional development. Commitment to education and training Excellent verbal and written communication skills. Strong interpersonal skills Strong leadership skills. Excellent record keeping skills. Understanding of the current issues and challenges facing primary care Imaginative approach to problem solving and provision of services. Desirable Competent user of EMIS Web. Qualifications Essential Advanced Nurse Practitioner Qualification NMC Registered Prescribing qualification Person Specification Experience Essential Recent experience of working as an Advanced Nurse Practitioner in the UK. Commitment to and experience of working as part of a multi-disciplinary and skill mixed team environment. Desirable Experience of working in a Primary Care setting. Experience of working to achieve standards within the Quality and Outcomes Framework (QOF). Evidence of participation in Audit. Skills and Attributes Essential Understanding of the health and social needs of a local practice patient population. Commitment to personal and professional development. Commitment to education and training Excellent verbal and written communication skills. Strong interpersonal skills Strong leadership skills. Excellent record keeping skills. Understanding of the current issues and challenges facing primary care Imaginative approach to problem solving and provision of services. Desirable Competent user of EMIS Web. Qualifications Essential Advanced Nurse Practitioner Qualification NMC Registered Prescribing 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. 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 Parkgate Surgery Address 28 St Helens Road Ormskirk Lancashire L39 4QR Employer's website http://www.parkgatesurgery.co.uk/ (Opens in a new tab)