Closing date: 30 August 2026
Job summary
Harewood Surgery are looking to welcome an experienced Advanced Nurse Practitioner to join our team on a part-time basis.

Main duties of the job

• Assess patients presenting with undifferentiated and undiagnosed conditions across all age groups, using comprehensive history-taking, clinical examination, and clinical reasoning to formulate differential diagnoses
• Initiate evidence-based treatment plans, including medication prescribing, lifestyle advice, and onward referral where appropriate
• Manage same-day acute and urgent presentations, including minor illness, minor injury, infections, musculoskeletal complaints, and exacerbations of chronic conditions
• Conduct routine and follow-up consultations for patients with complex or multi-morbid long-term conditions
• Deliver consultations face-to-face, by telephone, and by video
• Manage clinical emergencies in the practice in accordance with the practice emergency protocol
• Prescribe medicines independently from the British National Formulary (BNF) within scope of competence, including some controlled drugs (Schedules 2-5, subject to regulatory restrictions)
• Conduct medication reviews, optimise medication regimes, and deprescribe where clinically appropriate
• Prescribe in accordance with NICE guidelines, local formulary, and evidence-based practice
• Monitor therapeutic outcomes and adjust prescribing in response to clinical findings
• Maintain prescribing competence through CPD, prescribing audit, and peer review

About us
Harewood Surgery is a well-established and highly regarded NHS GP practice serving Approx. 3000 patients across Great Oakley and the surrounding rural communities. Harewood Surgery is part of Stour Estuary PCN.

The practice is committed to delivering high-quality, patient-centred healthcare in a friendly, professional, and supportive environment. Led by a dedicated multidisciplinary team of 2 GPs, 2 Advanced Nurse Practitioners, a Practice Nurse, Healthcare Assistant and Phlebotomist, Dispensers and Administration staff, as well as Allied Healthcare team, Harewood Surgery places a strong emphasis on teamwork, continuous learning, and excellent patient care.

Job responsibilities
The Advanced Nurse Practitioner (ANP) is a senior clinical role within the practice multidisciplinary team. The ANP is an experienced, NMC-registered nurse who has preferably completed education to Master's level in clinical practice and holds an independent prescriber qualification (V300), enabling them to assess, diagnose, treat, and prescribe autonomously for patients presenting with undifferentiated and undiagnosed conditions. The role operates across the four pillars of advanced practice clinical practice, leadership, education, and research and functions at a level comparable to a GP for many primary care presentations.

Key Details
Job title: Advanced Nurse Practitioner
Reports to: Lead Advanced Nurse Practitioner/Nurse Manager
Band: Depending on experience
Salary: Depending on experience
Hour: Part-time
Contract type: Permanent
Base: Harewood Surgery, Oakley Road, Great Oakley, Harwich, Essex, CO12 5AD
DBS required: Yes Enhanced with adults barred list check
Professional registration: NMC active registration with V300 Independent Prescriber annotation

Main Responsibilities
Autonomous clinical consultations

• Assess patients presenting with undifferentiated and undiagnosed conditions across all age groups, using comprehensive history-taking, clinical examination, and clinical reasoning to formulate differential diagnoses
• Initiate evidence-based treatment plans, including medication prescribing, lifestyle advice, and onward referral where appropriate
• Manage same-day acute and urgent presentations, including minor illness, minor injury, infections, musculoskeletal complaints, and exacerbations of chronic conditions
• Conduct routine and follow-up consultations for patients with complex or multi-morbid long-term conditions
• Deliver consultations face-to-face, by telephone, and by video
• Manage clinical emergencies in the practice in accordance with the practice emergency protocol

Independent prescribing

• Prescribe medicines independently from the British National Formulary within scope of competence, including some controlled drugs.
• Conduct medication reviews, optimise medication regimes, and deprescribe where clinically appropriate
• Prescribe in accordance with NICE guidelines, local formulary, and evidence-based practice
• Monitor therapeutic outcomes and adjust prescribing in response to clinical findings
• Maintain prescribing competence through CPD, prescribing audit, and peer review

Investigations and referrals

• Order and interpret diagnostic investigations, including blood tests, radiology, ECGs, spirometry, and urinalysis
• Process pathology results and take appropriate clinical action on findings
• Make direct referrals to secondary care and specialist services, including two-week-wait (urgent suspected cancer) referrals
• Arrange emergency admissions where clinically indicated
• Coordinate care with other healthcare providers and services

Chronic disease management-advanced level

• Manage patients with complex, multi-morbid long-term conditions, including diabetes, dementia, COPD, asthma, cardiovascular disease, heart failure, hypertension, CKD, thyroid disease, and mental health conditions
• Initiate and adjust medication regimes for chronic conditions, including insulin initiation, dose titration, and complex polypharmacy review
• Manage patients whose clinical complexity exceeds practice nurse protocols, providing a step-up clinical resource within the practice
• Support QOF achievement through structured disease management, care planning, and population health approaches

Clinical governance

• Participate in clinical audits, significant event analysis (SEA), and quality improvement initiatives
• Develop, review, and update clinical protocols and pathways, ensuring alignment with current NICE guidelines
• Contribute to practice clinical governance meetings, safeguarding meetings, MDT meetings
• Report clinical incidents, near misses, and concerns through the practice incident reporting system

Research and evidence-based practice

• Critically appraise and apply research evidence to clinical practice and service development
• Participate in clinical audit cycles, using findings to improve care quality
• Use evidence to inform protocol development and policy updates

Professional development and revalidation

• Maintain personal clinical competence at advanced practice level through ongoing CPD
• Complete NMC revalidation requirements every three years: 450 practice hours, 35 hours of CPD, 5 pieces of feedback, 5 reflective accounts, and a reflective discussion
• Maintain an advanced practice portfolio evidencing practice across the four pillars
• Participate in structured clinical supervision
• Keep up to date with developments in advanced practice, prescribing, and primary care

Person Specification
Essential Criteria

• Active NMC registration as a Registered Nurse (Adult) with no restrictions or conditions
• Independent and Supplementary Prescriber qualification, annotated on NMC register
• Substantial clinical nursing experience post-registration, including autonomous assessment, diagnosis, and treatment of undifferentiated conditions
• Experience of independent prescribing and medication review across a broad range of conditions
• Experience of managing patients with complex, multi-morbid long-term conditions
• Advanced clinical assessment and examination skills comprehensive history-taking, clinical reasoning, and differential diagnosis
• Independent prescribing competence across the BNF within scope of practice
• Strong clinical leadership skills ability to lead, influence, and support within a multidisciplinary team
• Effective communication skills ability to communicate complex clinical information to patients and colleagues
• IT competence ability to use clinical systems for prescribing, clinical record-keeping, and referrals
• Understanding of clinical governance, including audit, SEA, evidence-based practice, and risk management
• Understanding of the NMC Code and personal professional accountability at advanced practice level
• Understanding of safeguarding responsibilities-adults and children

Desirable Criteria

• Additional post-graduate clinical qualifications (e.g., minor illness, dermatology, respiratory, diabetes)
• Teaching or mentorship qualification (Practice Assessor / Supervisor status)
• MSc in Advanced Clinical Practice or equivalent qualification, or RCN ANP accreditation
• Experience of working as an ANP in general practice or primary care
• Experience of mentoring trainee ANPs or student nurses
• Experience of clinical service development and quality improvement
• Knowledge of QOF and experience of contributing to target achievement
• Centre for Advancing Practice digital badge

Terms and Conditions
Annual leave: Five weeks plus bank holidays, increases with service at five years and ten years
Pension: NHS Pension Scheme
Notice period: Twelve weeks
Probationary period: Six months
Training and CPD: Protected time for CPD, revalidation activities, and supervision sessions.
Clinical supervision: Clinical Supervision with Prescribing Lead GP. Daily access to Duty GP
Indemnity: NHS clinical work is covered under CNSGP.

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.

Employer contact details
For questions about the job, contact: Debbie Coggan, debbie.coggan@nhs.net

We are an equal opportunities employer and welcome applications from all backgrounds in line with the Equality Act 2010.
We are committed to safeguarding and promoting the welfare of children and vulnerable adults. All appointments are subject to appropriate pre-employment checks, including DBS clearance.