Job summary
We are looking for a compassionate and experienced Advanced Nurse Practitioner to join our Home Visiting Service at Ashfield North PCN. This is a rewarding opportunity to make a real difference by providing timely, high-quality care to patients who are unable to attend GP practice settings across four practices in and around Sutton-in-Ashfield, serving a population of around 52,000.

In this role, you will assess, diagnose, and manage a wide range of acute and chronic conditions through home visits and same-day consultations, delivering safe, effective, and person-centred care to those who need it most.

You will play an important part in supporting GP practices by responding to triaged requests, helping to ease pressure on primary care services and improving access for housebound and care home patients. The role also offers the chance to contribute to reducing avoidable hospital admissions and supporting proactive care for patients within frailty pathways.

As part of the Additional Roles Reimbursement Scheme (ARRS), you will be joining a wider multidisciplinary team across the PCN, working collaboratively to support integrated care and improve outcomes for patients and communities.

You will work closely with GP practices, community services, and PCN colleagues, building strong working relationships while maintaining high standards of clinical practice, communication, and patient advocacy in line with organisational and professional requirements.

Main duties of the job

• Act as an autonomous advanced practitioner working independently and in conjunction with other health care professionals to assess, diagnose and treat the conditions of patients.
• Avoiding inappropriate admissions and maintain patients in their home environments with a safe package of care and referral to other agencies as necessary, including directly admitting patients to hospital when necessary.
• Responding to GP triage for home visiting both in the patients home and in care homes.
• Provide evidence based professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence and a proactive approach to care.
• To develop and lead new and innovative concepts, models, methods and practices to deliver new and improved primary care services to meet the needs of the practice population.

About us
PICS is the employer for this role. We collaborate with patients and partners to design and deliver clinically robust health and social care solution through Community Services, Out of Hospital Services, GP Practices, and Primary Care Networks. Find out more about us: http://picsnhs.org.uk/.

Benefits of working for PICS
We offer a comprehensive package which includes:

• NHS Pension 2015 Scheme (subject to eligibility)
• Alternative government-based scheme (subject to eligibility)
• Competitive leave entitlement that includes maternity, paternity and adoption leave, study leave allowance, and sickness provisions
• Access to education and training opportunities, depending on your role (CPPE Pharmacy, NHS England Roadmap for First Contact Practitioners, apprenticeship schemes, support professional development)
• Working in a multi-disciplinary team with support from a wide variety of professionals
• A flexible approach to a work-life balance
• Cycle to work scheme (subject to eligibility)
• Access to Blue Light Card scheme
• All staff events and conferences
• Staff engagement (Wellbeing Group, EDI Network, Staff Focus group)
• Free parking across many sites
• Personalised induction into the company and job role

Job responsibilities

• To act as an autonomous advanced practitioner working independently and in conjunction with other health care professionals to assess, diagnose and treat the conditions of patients.
• To avoid inappropriate admissions and maintain patients in their home environments with a safe package of care and referral to other agencies as necessary, including directly admitting patients to hospital when necessary.
• To respond to GP triage for home visiting both in the patients home and in care homes.
• Provide evidence based professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence and a proactive approach to care.
• To develop and lead new and innovative concepts, models, methods and practices to deliver new and improved primary care services to meet the needs of the practice population.
• To provide education and training to other staff and students.
• To undertake research and audit as part of the role.

Advanced Clinical Practice

• The Advanced clinical Practitioner works autonomously and is accountable for own professional actions.
• Undertakes clinical practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing primary health care services.
• Utilises the four pillars of Advanced practice: clinical practice, leadership, facilitating learning and evidence, research and development.
• Assesses diagnoses and treats patients in own home who require acute/none acute medical attention and set up a package of care and/or refer to appropriate agencies if appropriate
• Prescribes appropriate treatment in line with Local/National prescribing guidelines according to assessment.
• Assesses diagnoses and treats patients who require medical care
• Telephone Consultations
• Refers patients to other medical specialities for assessment if deemed appropriate.
• Refers patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for further clinical investigations including but not limited to ECHO, ECG, Bloods, X-ray
• Ability to interpret a range of diagnostic tests and routine clinical procedures.
• Makes critical judgements of the highest order to satisfy the expectations and demands of the job e.g. first contact with patients presenting acutely and manages care in the presence and absence of protocols.
• Makes decisions where precedents do not exist, where appropriate without recourse to others e.g. direct referral of patients to Hospital Consultants without prior reference to other medical colleagues.
• Advises and supports others where standard protocols do not apply.
• Works within professional guidelines and codes of conduct.
• Works within all relevant practice policies and procedural guidelines e.g. infection control, chaperoning, risk management.
• Communicates highly sensitive condition related information to patients, relatives and carers.
• Initiates the process of diagnosis with patients suspected to have a chronic disease eg: Diabetes, COPD, Asthma, IHD referring onto other clinical staff as appropriate.
• Audits outcomes of care against standards and initiate changes as necessary.
• Refers to other members of the extended primary health care team as appropriate.

Professional Development

• To be responsible for maintaining own competency to practice through Continuing Professional Development activities and to participate in the review and appraisal process.
• To always adhere to the individual Professional Code of Conduct and practice.
• To reflect on own practice individually and/or through regular clinical supervision.
• To participate in any relevant training/course/conferences to maintain own professional development
• Participate in the education, induction programmes and support meetings for other professional staff.
• To participate in peer review, attend team meetings and periodically attend Federation meetings.
• Maintain up to date mandatory training records.
• To maintain, develop and disseminate specialist knowledge of evidence-based practice.
• To critically evaluate own work using evidence-based projects, audits and outcome measures.
• To work autonomously as a Home Visiting Practitioner within professional and PICS guidelines, policies and procedure

Communication and Relationship Skills

• Ensure close liaison with Line Manager and Clinical Lead in communicating with regards to clinical issues. Organise and attend regular MDT / Supervision
• Provides and receives highly complex, sensitive or contentious information and frequently deals with situations which are hostile or emotive.
• Uses developed communication, negotiation, conflict management skills which require empathy, reassurance and persuasive skills where there can be significant barriers to acceptance which need to be overcome.
• Regularly communicates service-related information to GPs, Practice Manager, Nursing and Administrative staff, patients, relatives and carers.
• Makes operational judgements, manages conflicting views and reconciles inter and intra professional differences of opinion.
• Builds and communicates therapeutic working relationships with a wide array of statutory and voluntary organisations for the benefit of patient care and facilitates good working relationships.
• Develops and delivers presentations to large groups e.g. local and national conferences, clinical meetings, empowers staff to develop presentation skills to promote good practice.

Information Resources

• To maintain accurate and comprehensive documentation in line with legal, professional and organisational requirements.
• Ensure all information regarding each patient related contact is recorded within SystmOne records.
• The nature of mobile working can sometimes lead to difficulties with IT/Telephone systems. There is a requirement that initiative is used in this circumstance to ensure a quality service is still provided.

Clinical Governance

• Identify risk issues that impact on the patients health or social are needs
• Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedure
• Demonstrate effective team working inclusive of all relevant professionals
• Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers.
• Contribute towards audit and data collection as required.

Person Specification
Experience
Essential

• Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Knowledge and skills
Essential

• Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Personal Qualities
Essential

• Please provide details for why you would be a great fit for this role and why you have decided to apply.

Qualifications
Essential

• Please provide details of your CPD, using examples where necessary.
• Please provide your registration number of your NMC professional registration.

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).