Job Title

Advanced Nurse Practitioner (GP Practice)The Leith Hill Practice is looking to welcome a capable and motivated Advanced Nurse Practitioner (ANP) to our collaborative and forward-thinking team. This part-time opportunity (15-20 hours per week) offers the chance to play a meaningful role in delivering high-quality care at a well-established rural practice with a loyal and varied patient population. The role reports to the practice manager.As an ANP, you will manage a broad clinical caseload across acute, urgent, and long-term conditions. You will be involved in chronic disease management, on-the-day care, and collaborative decision-making alongside our GPs, nurses, HCAs, and wider multi-professional team.Independent prescribing (V300) is highly desirable.What were looking for:MSc/Postgraduate Diploma in Advanced Clinical Practice (or equivalent)Registered Nurse with current NMC registrationStrong clinical reasoning, communication, and decision-making skillsExperience in primary or urgent careA reflective, team-oriented professional with emotional intelligence and a commitment to high standardsMain duties of the jobThis is a varied and autonomous clinical role suited to a highly skilled Advanced Nurse Practitioner. You will assess, diagnose, treat, and manage patients with a wide range of acute and chronic conditions, using expert clinical reasoning and evidence-based decision-making. You will provide personalised care in partnership with patients and families, contribute to chronic disease management, and may prescribe medications and treatments where qualified.You will be a key part of the multidisciplinary team, working within your professional code and scope of practice, exercising judgement, managing risk, and recognising the limits of your competence. You will reflect critically on your practice, support safeguarding, lead service improvements, and help shape high-quality patient care.The role also includes mentoring, peer support, and contributing to governance, QOF, audit, and significant event reviews.If you''re passionate about delivering excellent care and supporting innovation in primary care, we welcome your application.About usThe Leith Hill Practice is a high-performing, rural GP surgery with two sites in Capel and South Holmwood, serving around 8,000 patients. We are a well-established training and dispensing practice known for our patient-centred care, collaborative ethos, and strong community links. We''ve been rated Good by the CQC across all domains and consistently rank among the top practices in Surrey and nationally most recently scoring 97% positive feedback in the 2025 GP Patient Survey.Our team includes GP Partners, nurses, healthcare assistants, pharmacists, dispensers, reception and admin staff working together to deliver high-quality care.This is a great opportunity to join a forward-thinking, friendly team in a role that offers real autonomy, variety, and the chance to make a difference to a loyal and diverse patient population.Job responsibilitiesPractise in compliance with their respective code ofprofessional conduct and within their scope of practice, being responsible andaccountable for their decisions, actions and omissions at this level ofpracticeDemonstrate a critical understanding of their broadenedlevel of responsibility and autonomy and the limits of own competence andprofessional scope of practice, including when working with complexity, risk,uncertainty and incomplete informationAct on professional judgement about when to seek help,demonstrating critical reflection on own practice, self-awareness, emotionalintelligence, and openness to changeWork in partnership with individuals, families and carers,using a range of assessment methods as appropriateDemonstrate effective communication skills, supportingpeople in making decisions, planning care or seeking to make a positive changeUse expertise and decision-making skills to inform clinicalreasoningInitiate, evaluate and modify a range of interventions whichmay include prescribing medicines, therapies, lifestyle advice and careExercise professional judgement to manage riskManage patients presenting with a range of acute and chronicmedical conditions, providing subject matter expert adviceImplement and evaluate individual specialised treatmentplans for chronic disease patientsIdentify, manage and support patients at risk of developinglong-term conditions, preventing adverse effects to the patients healthBe a professional role model for the organisationActively engage in peer review to inform own and otherspractice, formulating and implementing strategies to act on learning and makeimprovementsActively seek feedback and involvement from individuals,families, carers, communities and colleagues in the co-production of serviceimprovementsCritically assess and address own learning needs,negotiating a personal development plan that reflects the breadth of ongoingprofessional development across the four pillars of advanced nurse practice(clinical practice, leadership and management, education and research).Provide chronic disease clinics, delivering patient care asnecessary, referring patients to secondary/specialist care as requiredMaintain accurate clinical records in conjunction withextant legislationand to ensure SNOMED CT codes are used effectivelyDevelop, implement and embed an effective call/recall systemCritically appraise and synthesise the outcome of relevantresearch, evaluation and audit, using the results to underpin own practice andto inform that of othersDevelop and implement robust governance systems andcontribute to practice targets (QOF, etc.), complying with local and regionalguidanceChaperone patients where necessarySupport the team in dealing with clinical emergenciesSupport the team with all safeguarding matters in accordancewith local and national policiesUnderstand practice and local policies for substance abuseand addictive behaviour, referring patients appropriatelyJob descriptionJob responsibilitiesPractise in compliance with their respective code ofprofessional conduct and within their scope of practice, being responsible andaccountable for their decisions, actions and omissions at this level ofpracticeDemonstrate a critical understanding of their broadenedlevel of responsibility and autonomy and the limits of own competence andprofessional scope of practice, including when working with complexity, risk,uncertainty and incomplete informationAct on professional judgement about when to seek help,demonstrating critical reflection on own practice, self-awareness, emotionalintelligence, and openness to changeWork in partnership with individuals, families and carers,using a range of assessment methods as appropriateDemonstrate effective communication skills, supportingpeople in making decisions, planning care or seeking to make a positive changeUse expertise and decision-making skills to inform clinicalreasoningInitiate, evaluate and modify a range of interventions whichmay include prescribing medicines, therapies, lifestyle advice and careExercise professional judgement to manage riskManage patients presenting with a range of acute and chronicmedical conditions, providing subject matter expert adviceImplement and evaluate individual specialised treatmentplans for chronic disease patientsIdentify, manage and support patients at risk of developinglong-term conditions, preventing adverse effects to the patients healthBe a professional role model for the organisationActively engage in peer review to inform own and otherspractice, formulating and implementing strategies to act on learning and makeimprovementsActively seek feedback and involvement from individuals,families, carers, communities and colleagues in the co-production of serviceimprovementsCritically assess and address own learning needs,negotiating a personal development plan that reflects the breadth of ongoingprofessional development across the four pillars of advanced nurse practice(clinical practice, leadership and management, education and research).Provide chronic disease clinics, delivering patient care asnecessary, referring patients to secondary/specialist care as requiredMaintain accurate clinical records in conjunction withextant legislationand to ensure SNOMED CT codes are used effectivelyDevelop, implement and embed an effective call/recall systemCritically appraise and synthesise the outcome of relevantresearch, evaluation and audit, using the results to underpin own practice andto inform that of othersDevelop and implement robust governance systems andcontribute to practice targets (QOF, etc.), complying with local and regionalguidanceChaperone patients where necessarySupport the team in dealing with clinical emergenciesSupport the team with all safeguarding matters in accordancewith local and national policiesUnderstand practice and local policies for substance abuseand addictive behaviour, referring patients appropriatelySecondaryResponsibilitiesIn addition to the primary responsibilities, the AdvancedNurse Practitioner may be requested to:Support the IPC lead, ensuring compliance, and undertakingaudit as necessaryMonitor and ensure the safe storage, rotation and disposalof medicinesUndertake overall management of a clinical team, providingguidance when necessary, acting as a mentor to students and newly qualifiedstaffMaintain an effective clinical staff rota ensuring allclinics are staffed appropriatelyParticipate in local initiatives to enhance service deliveryand patient careSupport and participate in shared learning within theorganisationDevelop an area of specialist interest, taking the leadwithin the organisationContinually review clinical practices, responding tonational policies and initiatives where appropriateParticipate in the review of significant and near-missevents applying a structured approach i.e., root cause analysis (RCA)Commensurate with their role, support the development ofclinical services within the organisation, liaising with external agencies andprofessional organisations as requiredDevelop practice administrative and clinical protocols inline with the needs of the patient and current legislationPerson SpecificationQualificationsEducated to Masters degree as detailed within the HEE document tilted Multi-professional framework for advanced clinical practice in EnglandRegistered on their appropriate professional registerBLSQualified independent prescriber - V300Clinical Knowledge and SkillsTo see acutely ill patients of all ages on the day and to support the team with chronic disease reviewsUnderstand the importance of evidence-based practiceBroad knowledge of clinical governanceAbility to record accurate clinical notesAbility to work within own scope of practice and understand when to refer to GPsKnowledge of health promotion strategiesUnderstand the requirement for PGDs and associated policyPolite and confident, flexible and cooperativeMotivated, forward thinkerProblem solver with the ability to process information accurately and effectively, interpreting data as requiredHigh levels of integrity and loyaltySensitive and empathetic in distressing situations as well as ability to work under pressure/in stressful situationsKnowledge of public health issues in the local areaAwareness of issues within the wider health arenaOther RequirementsEnhanced Disclosure Barring Service (DBS) checkOccupational health clearanceMeet the requirements and produce evidence for revalidationEvidence of continuing professional development (CPD) commensurate with the role of an ANPAccess to own transport and ability to travel across locality on a regular basisFlexibility to work outside core office hoursExperienceExperience of practice within the four pillarsJob plan that demonstrates advanced nursing practice and has equity with peers working at this levelExperience of prescribing and undertaking medication reviewsExperience of working in a primary care environmentDisclosure and Barring Service CheckThis 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.Depending on experienceBand 7 - Band 8a (dependent on experience) #J-18808-Ljbffr