The closing date is 20 July 2026

Job summary
Due to organisational growth we currently have vacancies for Advanced Nurse Practitioners to work in our Extended Access service.

The primary focus of the role is work as an autonomous advanced practitioner providing high quality and timely patient centred care.

The post holder will be responsible for the assessment, diagnosis, treatment, referral and discharge of a diverse range of patients with minor injuries/minor illnesses, without reference to a doctor and within their level of competence and agreed protocols.

This job role is aligned to that of a traditional in-hours Advanced Nurse Practitioner working in General Practice and has fundamental differences to that of the Out of Hours ANP Role.

Main duties of the job

• Act as an advanced practitioner, demonstrating advanced clinical competence and a knowledge base beyond those associated with conventional nursing roles.
• See pre-booked nursing appointments as if working in a conventional GP Surgery
• Triage patients
• Undertake consultations, both face to face and via the telephone, with patients of all ages (neonate to elderly) as an autonomous practitioner and using own clinical judgement to diagnose, treat, refer and/or discharge patients
• Make direct referrals to primary, secondary and social services within our agreed pathways, guidance and protocols.
• Administer dressings
• Provide chronic disease management for pre-booked patients when allocated to specifically competent ANPs.
• Ensure that patients receive high quality clinical care, delivered in a timely manner.
• Prescribe, supply and administer medicines as indicated to address patient need.
• Ensure complete and accurate documentation
• Work as an autonomous practitioner and as part of multi-disciplinary and multiagency teams in order to ensure patients needs are met.

About us
ELM Alliance Ltd, extended hours GP Service are a federation of all GP Practices throughout South Tees and covers over 400,000 patients.

Details
Date posted: 02 July 2026
Pay scheme: Other
Salary: £37.75 an hour
Premium rates for weekends
Contract: Permanent
Working pattern: Part-time
Reference number: B0258-26-0018
Job locations: One Life, Linthorpe Road, Middlesbrough, Cleveland, TS1 3QY, United Kingdom; Redcar Primary Care Hospital, West Dyke Road, Redcar, Cleveland, TS10 4NW, United Kingdom

Job description
For comparison purposes, £73612 a year is the full time equivalent for this role which includes premium rates for weekend work. However due to the hours of service, full time hours are not available in this service as this service only operates on week day evenings and Saturday day time.

Professional:

• Adhere to the NMC Code of Professional Conduct and at all times work within the scope of professional practice.
• Ensure that professional practice adheres to organisational and NMC policies, procedures and guidelines.
• Maintain a professional manner and act as a positive role model for junior staff and other members of the Hub team.
• Maintain confidentiality with regard to information pertaining to patients and staff.
• Ensure that the service interfaces with all other departments in a professional and productive manner, providing an effective service to partner organisations and other service providers
• Where required provide supervision and mentoring to other staff in order to help them develop their knowledge, skills and abilities.

Communication:

• Communicate effectively with patients and families regarding complex information about their care.
• Provide advice and information to patients, carers and their families where appropriate.
• Communicate effectively and work collaboratively with medical, nursing, allied health professionals and operational staff to ensure delivery of a co-ordinated service.
• Ensure accurate record keeping in line with local policies and NMC guidelines.
• Promote and demonstrate effective communication networks within the organization
• Refrain from posting comments involving the ELM Alliance LTD, its employees or patients on social media

Clinical Governance and Service Improvement:

• Work with the Clinical Director to provide clinical leadership to other members of the nursing team when required.
• Investigate adverse clinical incidents and complaints.
• Develop and implement clinical audits identifying areas of best practice and areas for improvement when required.
• Provide support and supervision to assist others to develop knowledge, skills, and abilities.
• Contribute to quality improvement within the service through the identification and initiation of changes, which lead to better evidence based practice and improved standards of care.
• Adhere to ELM policies, procedures and guidelines.

Educational/Personal Development

• Work with the Operations Manager and Clinical Director to develop and maintain an excellent learning environment
• Develop and implement a range of learning activities for the nursing team
• Support the development of other members of the nursing team.
• Adhere to professional registration requirements.
• Participate in defining own developmental plan to maintain and develop own clinical skills and ensure own professional development.
• Undertake and complete all statutory and mandatory training.
• Participate in an appraisal and regular performance reviews.
• Ensure that all mandatory training is completed in line with organisational policy.

Person Specification
Qualifications
Essential

• NMC, Paediatric Certificate, Prescribers Certificate (required)

Desirable

• Master's (preferred)

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.

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.

Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details
Employer name: ELM Alliance LTD
Address: One Life, Linthorpe Road, Middlesbrough, Cleveland, TS1 3QY, United Kingdom
Employer's website: Apply through our website

Employer contact details
For questions about the job, contact:
Head of HR, Heather Kipling, heather.kipling1@nhs.net, 07876596416