Fenland PCN LtdAdvanced Nurse PractitionerJob summaryAn 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 jobClinical 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 usFenland 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 responsibilitiesThe 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 ResponsibilitiesClinical 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
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
Frailty & Complex Care- Manage patients with frailty and multiple long-term conditions
- Provide proactive care for high-risk patients
- Optimise long-term condition management in the community
Medication Reviews & Prescribing- 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 regular clinical input to 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
Person SpecificationExperienceEssential- 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
QualificationsEssential- Registered Nurse (NMC)
- MSc Advanced Clinical Practice (or equivalent)
- Independent Prescriber (V300)
Essential SkillsEssential- 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
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. For further information please see NHS Careers website (opens in a new window). 