Job summary
We are seeking an enthusiastic, experienced, and highly motivated Advanced Nurse Practitioner (ANP) to join our friendly and supportive clinical team at Amersham Health Centre.

The successful candidate will be an autonomous practitioner, providing high-quality, patient-centred care within primary care. You will undertake advanced clinical assessment, diagnosis, treatment, and management of patients presenting with undifferentiated and undiagnosed conditions, as well as acute and chronic illnesses, across all age groups.

We value teamwork, respect, and kindness and are looking for individuals who share our commitment to delivering excellent patient care. If you are seeking a rewarding role within a welcoming and progressive practice where your expertise will be recognised and your professional development supported, we would be delighted to hear from you.

Main duties of the job
Key responsibilities include:

• Undertaking comprehensive clinical assessments, formulating differential diagnoses, and implementing appropriate treatment plans.
• Independently prescribing medication in accordance with current legislation and best practice.
• Managing patients presenting with minor illness within your scope of practice.
• Assessing, diagnosing, treating, and referring patients appropriately using evidence-based practice.
• Supporting the management and review of patients with long-term conditions.
• Providing health promotion, preventative care, and lifestyle advice to improve patient outcomes.
• Requesting, interpreting, and acting upon appropriate investigations and diagnostic tests.
• Working collaboratively with GPs, nurses, clinical pharmacists, and the wider multidisciplinary team to deliver safe, effective, and coordinated care.
• Contributing to clinical governance, quality improvement initiatives, audit, and service development.
• Supporting the continued development of practice services to enhance patient access, quality, and efficiency.
• Maintaining accurate, contemporaneous clinical records in accordance with professional and organisational standards.

About us
Amersham Health Centre is a well-established, friendly, and forward-thinking GP practice providing high-quality primary care services to approximately 14,500 patients in the heart of Buckinghamshire.

We are a supportive, multidisciplinary team comprising GP Partners, salaried GPs, Advanced Clinical Practitioners, nurses, healthcare assistants, pharmacists, pharmacy technicians, care coordinators, social prescribers, first contact practitioners, and an experienced administrative and management team. We pride ourselves on delivering safe, compassionate, and patient-centred care while fostering a positive and collaborative working environment.

As a training practice, we are committed to developing our workforce and supporting continuous professional development. We encourage innovation, quality improvement, and shared learning, ensuring our clinicians have the opportunity to develop their skills and contribute to service development.

We are part of the Mid-Chiltern Primary Care Network and work closely with our local healthcare partners to provide integrated, accessible care for our patients. Our practice embraces modern ways of working, including digital consultation systems and multidisciplinary care, enabling us to continually improve patient access and outcomes.

Job responsibilities
Clinical Practice

• Undertake comprehensive history taking, clinical examination, assessment, diagnosis, treatment, and management of patients across all age groups.
• Assess and manage patients presenting with undifferentiated illnesses and acute presentations.
• Diagnose and manage minor illnesses within own competence.
• Independently prescribe medication in accordance with current legislation and local prescribing guidance.
• Request, interpret, and act upon laboratory and diagnostic investigations.
• Formulate appropriate management plans and arrange follow-up where required.
• Refer patients appropriately to secondary care or other healthcare professionals.
• Recognise and respond appropriately to medical emergencies.
• Maintain accurate, timely, and legally compliant clinical records using EMIS Web.
• Work within professional competence and the NMC Code at all times.

Long-Term Condition Management

• Support the assessment and management of patients with long-term conditions.
• Deliver evidence-based care in line with national and local clinical guidelines.
• Promote self-management and patient education.
• Undertake appropriate medication reviews where clinically indicated.

Health Promotion

• Promote healthy lifestyles and preventative healthcare.
• Provide opportunistic health education and screening advice.
• Support vaccination and disease prevention initiatives where appropriate.

Multidisciplinary Working

• Work collaboratively with GP Partners, salaried GPs, nurses, healthcare assistants, pharmacists, pharmacy technicians, care coordinators, social prescribers, and the wider Primary Care Network.
• Participate in multidisciplinary meetings where appropriate.
• Support integrated patient care across community services.

Quality Improvement

• Participate in clinical audit, service evaluation, and quality improvement projects.
• Contribute to the development and implementation of practice protocols and clinical pathways.
• Support the achievement of Quality and Outcomes Framework (QOF) and other contractual requirements.

Professional Responsibilities

• Maintain professional registration and comply with NMC standards.
• Participate in appraisal, mandatory training, and continuing professional development.
• Keep clinical knowledge and prescribing practice up to date.
• Act as a positive role model within the practice.
• Maintain patient confidentiality and comply with GDPR, information governance, safeguarding, and infection prevention policies.

General Responsibilities

• Work flexibly to meet the needs of the practice.
• Participate in practice meetings and protected learning events.
• Undertake any other duties appropriate to the role and level of responsibility.

Person Specification
Essential
Qualifications

• Registered Nurse with current NMC registration.
• Advanced Nurse Practitioner qualification (Master's level or equivalent).
• Independent Prescriber (V300).
• Recognised Minor Illness qualification.
• Evidence of ongoing Continuing Professional Development.

Experience

• Experience working as an Advanced Nurse Practitioner in General Practice or Primary Care.
• Experience assessing patients with acute and undifferentiated conditions.
• Experience independently prescribing.
• Experience managing long-term conditions.
• Experience using clinical computer systems (EMIS Web desirable).

Knowledge

• Primary Care and NHS contractual requirements.
• NICE guidance and evidence-based practice.
• Clinical governance.
• Safeguarding adults and children.
• Infection prevention and control.
• Information Governance and GDPR.

Skills

• Excellent history taking and clinical assessment skills.
• Advanced diagnostic and clinical decision-making skills.
• Independent prescribing.
• Ability to prioritise workload effectively.
• Excellent communication and interpersonal skills.
• Ability to work independently and as part of a multidisciplinary team.
• Excellent documentation and IT skills.

Personal Attributes

• Compassionate and patient-focused.
• Professional and approachable.
• Flexible and adaptable.
• Motivated and proactive.
• Committed to continuous improvement.
• Strong organisational skills.
• Able to remain calm under pressure.

Desirable

• Experience of working within a Primary Care Network.
• Experience supervising or mentoring junior clinicians.
• Experience participating in quality improvement or audit projects.
• Knowledge of QOF and enhanced services.
• Experience using Accurx and Docman.

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).

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.
Applicants must have current UK professional registration.