Advanced Nurse Practitioner

Job summary

An exciting opportunity has arisen for an experienced Advanced Nurse Practitioner (ANP) to join Fenland Primary Care Network (PCN) delivering a high quality service for patients and care home residents across our four member practices.

The role focuses on providing autonomous, high-quality care including holistic enhanced assessments, management of acute and long-term conditions, medication reviews, prescribing, holding surgery clinics and potential for some mobile working.

Main duties of the job

Clinical Care

• Take patient histories, perform physical examinations, and make independent clinical diagnoses.
• Order diagnostic tests, interpret results, and prescribe medications as an independent prescriber.
• Refer patients directly to secondary care, specialists, or emergency hospital services.

Holistic Enhanced Reviews

• Undertake comprehensive, patient-centred assessments including:
  • Physical health
  • Mental health and cognition
  • Functional status
  • Social and environmental factors
• Develop personalised care plans
• Identify and manage clinical risk and deterioration

• Manage patients with frailty and multiple long-term conditions
• Provide proactive care for high-risk patients
• Optimise long-term condition management in the community

• Undertake structured medication reviews, particularly in:
  • Polypharmacy
  • Housebound patients
  • Care home residents
• Prescribe independently (V300) within scope
• Work with PCN pharmacy team to optimise medicines use

Care Home Support

• Provide cover for care homes
• Undertake resident reviews and acute care assessment
• Participate in MDT and care home ward rounds

Palliative & End-of-Life Care

• Deliver high-quality end-of-life care
• Support symptom control and patient comfort
• Contribute to advance care planning and DNACPR decisions
• Liaise with specialist and community teams

Multidisciplinary Working

• Work collaboratively with PCN MDT:
  • GPs, nurses, pharmacists, social prescribers
• Participate in MDT meetings and care planning
• Contribute to PCN DES priorities and ARRS role expectations

About us

Fenland Primary Care Network (PCN) is a collaborative network of four GP practices, comprising three practices in March and one in Ramsey.

Mercheford House, The Riverside Practice, Cornerstone Practice and Ramsey Health Centre

The PCN works together to deliver high-quality, patient-centred care to a diverse population, including a significant number of housebound patients, care home residents, and individuals with frailty and complex long-term conditions.

Job responsibilities

The ANP will deliver a dedicated service across the PCN, working autonomously within advanced clinical practice scope.

The role involves managing a caseload of patients, providing both planned and urgent care, and delivering holistic enhanced reviews, medication optimisation, and end-of-life care.

Main Duties and Responsibilities

Clinical duties

• Conduct face-to-face, telephone, or video consultations for patients presenting with undifferentiated and undiagnosed problems
• Formulate clinical management plans, provide evidence-based care, and handle same-day urgent or acute presentations (such as minor illnesses, infections, and injuries)
• Prescribe safe and appropriate medications as an independent non-medical prescriber
• Order and interpret diagnostic tests (like blood tests or imaging) and make direct onward referrals to secondary care or specialist services
• Manage ongoing care for chronic illnesses such as diabetes, asthma, hypertension, and COPD

Home visiting

• Provide planned, routine, and urgent home visits as required to complement and support existing staff
• Assess, diagnose, and manage acute and chronic conditions
• Respond to same-day clinical need and prevent hospital admissions
• Deliver ongoing monitoring and continuity of care

• Undertake comprehensive, patient-centred assessments including:
  • Physical health
  • Mental health and cognition
  • Functional status
  • Social and environmental factors
• Develop personalised care plans
• Identify and manage clinical risk and deterioration

• Manage patients with frailty and multiple long-term conditions
• Provide proactive care for high-risk patients
• Optimise long-term condition management in the community

• Undertake structured medication reviews, particularly in:
  • Polypharmacy
  • Housebound patients
  • Care home residents
• Prescribe independently (V300) within scope
• Work with PCN pharmacy team to optimise medicines use

• Provide regular clinical input to care homes
• Undertake resident reviews and acute care assessment
• Participate in MDT and care home ward rounds

• Deliver high-quality end-of-life care
• Support symptom control and patient comfort
• Contribute to advance care planning and DNACPR decisions
• Liaise with specialist and community teams

• Work collaboratively with PCN MDT:
  • GPs, nurses, pharmacists, social prescribers
• Participate in MDT meetings and care planning
• Contribute to PCN DES priorities and ARRS role expectations

Person specification

Experience

Essential

• Primary care, community, or home visiting experience
• Management of frailty and complex long-term conditions
• Medication reviews and prescribing
• Palliative and end-of-life care

Desirable

• Experience working within a PCN
• Experience supporting care homes
• Interest in proactive and preventative care

Qualifications

Essential

• Registered Nurse (NMC)
• MSc Advanced Clinical Practice (or equivalent)
• Independent Prescriber (V300)

Essential Skills

Essential

• Advanced clinical assessment and diagnostic skills
• Autonomous working within scope of practice
• Clinical decision-making and risk management
• Holistic and patient-centred approach
• Excellent communication and MDT working