Job summary Symphony Healthcare Services is looking for a Enhance Care Practitioner / Advanced Nurse Practitioner to join their team at Crewkerne Health Centre in Crewkerne, Somerset. This is an opportunity to work in a collaborative, multidisciplinary environment providing high quality, patient-centred care as part of a team of health professionals and administrative staff. The role will combine assessing undifferentiated patients in both face-to-face consultations and via telephone calls, using digital platforms to triage patient requests and resolve queries from the administrative staff. We are offering 37.5 hours per week, working Monday to Friday. Working patterns (days and times) will be discussed at interview. Requests for part-time working are welcome. Please note that the post is based in Crewkerne but you will also be required to work on rotation at the Contact Hub which is based at South Petherton Medical Centre. Please consider this before applying. The annual salary for this post is £47,565 - £61,820 per annum (pro rata for part time workers) and the option to join either a NHS or NEST pension, as one of our many SHS benefits. Please see the attached links documents for more information. Main duties of the job You will be an experienced, NMC registered Nurse who, whilst acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of patient care. You will be able to demonstrate the ability to make differential diagnosis using decision making and problem solving skills whilst making professional autonomous decisions for which they are accountable. You will also possess the ability to work independently and collaboratively, as part of a multi-disciplinary team, with other health care professionals and disciplines, supporting the delivery of policy and procedures. NMC requirements for advanced practice must be met. Please see attached job description and person specification (JD) for a full list of duties and expectations. About us Symphony Healthcare Services (SHS) was established in 2016 as part of the award-winning Symphony Programme Vanguard, developing new models of care. We now support 20 practices across Somerset providing care for 100,000 patients. Symphony has developed a model where each practice is encouraged to operate autonomously, but as a subsidiary of NHS Somerset Foundation Trust (SFT), and with the backing and economies of scale from a central support team (particularly for HR, finance, corporate and strategic management matters). Providing NHS services is at the heart of what we do. Our vision is to ensure that primary care is sustainable for patients and practices in Somerset, and we aim to be a national exemplar for primary care provision. We work closely with our practice teams to support, develop and transform patient care and working practices with innovation and technology at the heart of what we do. Symphony welcome applications from people of all backgrounds and underrepresented groups. When undertaking recruitment and selection for our services, Symphony are committed to equality of opportunity for all. Symphony offers a fantastic range of employee benefits (see attached poster), along with flexible working from day of employment and an agile approach to home / office-based working. We look forward to hearing from you. Date posted 15 January 2025 Pay scheme Other Salary £47,565 to £61,820 a year Starting salary will be based on previous experience Contract Permanent Working pattern Full-time Reference number E0215-SHSECPCH-012025 Job locations Crewkerne Health Centre Middle Path Crewkerne Somerset TA18 8BX South Petherton Medical Centre Bernard Way South Petherton Somerset TA13 5EG Job description Job responsibilities As an Advanced Nurse Practitioner: you will be an experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. You will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills at an advanced level, for patients within the general practice. You will also will demonstrate critical thinking in the clinical decision-making process and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures. In order to work at this level, NMC requirements for advanced practice must be met. As a Enhanced Care Practitioner: You will be an experienced paramedic acting within their professional boundary to provide care for the presenting patient. This role is expected to develop and evolve over time as the successful post holder gains experience. The primary care practitioner will work closely with our GPs to advise treatment and healthcare for patients, to include those presenting in the primary care setting and those in the community. You will attend home visits to include residential and nursing homes, where they will liaise with staff, family and other stakeholders in the production of the care plans to be shared with other providers and stakeholders. As practitioner, you will also triage acute patients presenting in the surgery environment and demonstrate safe, clinical decision-making and expert care for patients. You will work collaboratively with the multi-disciplinary team to meet the needs of our patients. Please read the attached job description (JD) carefully before applying. Job description Job responsibilities As an Advanced Nurse Practitioner: you will be an experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. You will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills at an advanced level, for patients within the general practice. You will also will demonstrate critical thinking in the clinical decision-making process and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures. In order to work at this level, NMC requirements for advanced practice must be met. As a Enhanced Care Practitioner: You will be an experienced paramedic acting within their professional boundary to provide care for the presenting patient. This role is expected to develop and evolve over time as the successful post holder gains experience. The primary care practitioner will work closely with our GPs to advise treatment and healthcare for patients, to include those presenting in the primary care setting and those in the community. You will attend home visits to include residential and nursing homes, where they will liaise with staff, family and other stakeholders in the production of the care plans to be shared with other providers and stakeholders. As practitioner, you will also triage acute patients presenting in the surgery environment and demonstrate safe, clinical decision-making and expert care for patients. You will work collaboratively with the multi-disciplinary team to meet the needs of our patients. Please read the attached job description (JD) carefully before applying. Person Specification Experience Essential Advanced Nurse Practitioner: Minimum 5 years post-registration experience At least 2 years recent primary / community nursing experience Nurse prescribing Nurse-led management of minor illness, minor ailments and injuries Nurse-led triage Compiling protocols and clinical guidelines Audit Research QI Enhanced Care Practitioner: Qualified paramedic or specialist paramedic registered with the HCPC A minimum of 5 years paramedic work experience Evidence of appropriate continuing professional development activity Ability to assess and manage patient risk effectively and safely Desirable Advanced Nurse Practitioner: Health-needs assessment Enhanced Care Practitioner: Diploma or Degree in a healthcare related discipline Qualifications Essential Advanced Nurse Practitioner: Registered first level nurse MSc or equivalent Independent/supplementary nurse prescribing qualification Advanced nursing specialist qualification Relevant nursing/health degree Clinical supervision training and experience Enhanced Care Practitioner: GCSE or equivalent in English and Mathematics A Level qualifications or equivalent Evidence of continual professional development. Desirable Advanced Nurse Practitioner: Mentor/teaching qualification Enhanced Care Practitioner: Evidence of continual professional development Knowledge and Skills Essential Advanced Nurse Practitioner: 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 Clinical governance issues in primary care Patient group directives and associated policy Communication skills, both written and verbal Communication of difficult messages to patients and families Negotiation and conflict management skills Change management Resource management Enhanced Care Practitioner: Excellent interpersonal and communication skills Knowledge of primary care operating environment Excellent analytical skills, including analysis of data Time management skills and the ability to prioritise workload Demonstrable commitment to and focus on quality and safety Strong IT skills Desirable Advanced Nurse Practitioner: Knowledge of public health issues Able to identify determinants on health in the area Knowledge of public health issues in the area Enhanced Care Practitioner: Ability to collaborate constructively with internal and external partners to create the conditions for successful partnership working Understanding of the South Somerset Symphony Programme and New Models of Care Understanding of the NHS GP Contract Use of EMIS searches and protocols Able to multi-task and cope with an unpredictable work pattern Person Specification Experience Essential Advanced Nurse Practitioner: Minimum 5 years post-registration experience At least 2 years recent primary / community nursing experience Nurse prescribing Nurse-led management of minor illness, minor ailments and injuries Nurse-led triage Compiling protocols and clinical guidelines Audit Research QI Enhanced Care Practitioner: Qualified paramedic or specialist paramedic registered with the HCPC A minimum of 5 years paramedic work experience Evidence of appropriate continuing professional development activity Ability to assess and manage patient risk effectively and safely Desirable Advanced Nurse Practitioner: Health-needs assessment Enhanced Care Practitioner: Diploma or Degree in a healthcare related discipline Qualifications Essential Advanced Nurse Practitioner: Registered first level nurse MSc or equivalent Independent/supplementary nurse prescribing qualification Advanced nursing specialist qualification Relevant nursing/health degree Clinical supervision training and experience Enhanced Care Practitioner: GCSE or equivalent in English and Mathematics A Level qualifications or equivalent Evidence of continual professional development. Desirable Advanced Nurse Practitioner: Mentor/teaching qualification Enhanced Care Practitioner: Evidence of continual professional development Knowledge and Skills Essential Advanced Nurse Practitioner: 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 Clinical governance issues in primary care Patient group directives and associated policy Communication skills, both written and verbal Communication of difficult messages to patients and families Negotiation and conflict management skills Change management Resource management Enhanced Care Practitioner: Excellent interpersonal and communication skills Knowledge of primary care operating environment Excellent analytical skills, including analysis of data Time management skills and the ability to prioritise workload Demonstrable commitment to and focus on quality and safety Strong IT skills Desirable Advanced Nurse Practitioner: Knowledge of public health issues Able to identify determinants on health in the area Knowledge of public health issues in the area Enhanced Care Practitioner: Ability to collaborate constructively with internal and external partners to create the conditions for successful partnership working Understanding of the South Somerset Symphony Programme and New Models of Care Understanding of the NHS GP Contract Use of EMIS searches and protocols Able to multi-task and cope with an unpredictable work pattern 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 Symphony Healthcare Services Limited Address Crewkerne Health Centre Middle Path Crewkerne Somerset TA18 8BX Employer's website https://www.symphonyhealthcareservices.com/ (Opens in a new tab)