The closing date is 31 July 2026

Job summary
Taunton Deane West Primary Care Network is seeking an experienced and motivated Advanced Nurse Practitioner to join our multidisciplinary team in an Additional Roles Reimbursement Scheme ARRS funded post. The role is hosted by Lister House Surgery on behalf of the Primary Care Network and will support the delivery of high quality patient centred care.

You will work as an autonomous clinician providing advanced assessment diagnosis treatment and management for patients presenting with acute illness long term conditions and complex health needs. You will work closely with GPs practice nurses pharmacists first contact practitioners and other members of the multidisciplinary team to provide safe effective and timely care.

The successful candidate will help improve access to primary care support prevention and wellbeing and contribute to the continued development of integrated services across the Primary Care Network.

Working pattern
Tuesday 8 30am to 6 00pm
Thursday 8 30am to 2 30pm
Friday 9 00am to 5 00pm and 6.30pm to 8.00pm (Late night can be remote)

Main duties of the job
We are looking for an experienced and motivated Advanced Nurse Practitioner to join our PCN team. You will work at Lister House Surgery to provide high quality patient centred care for people with acute and long term conditions.

You will work as an autonomous clinician using advanced clinical assessment examination diagnosis and treatment skills. You will support the delivery of safe effective and accessible primary care while working closely with clinicians and the wider multidisciplinary team.

This is an excellent opportunity to contribute to innovative models of care and help improve health outcomes across the local population.

Main duties

• Provide autonomous assessment diagnosis treatment and management of patients presenting with undifferentiated and undiagnosed conditions
• Manage acute presentations and long term conditions within your scope of practice
• Prescribe safely and appropriately where qualified as an independent prescriber
• Request interpret and act on investigations
• Develop management plans and make referrals where appropriate
• Provide health promotion prevention and patient education
• Work collaboratively with the practice and the wider multidisciplinary team
• Support service development quality improvement and clinical audit
• Maintain accurate clinical records using electronic patient record systems
• Act as a resource and support learning for colleagues where appropriate
• Participate in safeguarding infection prevention clinical governance and continuing professional development

About us
Taunton Deane West Primary Care Network is an NHS collaboration between two GP practices Wellington Medical Centre and Lister House Partnership. Our practice teams work closely together sharing expertise resources and ideas to develop new and innovative services that improve care for our local population.

As an approved PCN Learning Organisation we are committed to creating a positive learning culture where both learners and educators are supported to develop their skills and thrive. We value teamwork continuous improvement and the sharing of knowledge across our practices.

Together we care for approximately 28000 registered patients across the two practices. Our vision is to continue improving the quality and accessibility of care we provide by responding to the needs of our patient population and developing services that support better health outcomes.

Being part of a Primary Care Network enables us to benefit from additional roles and expertise through the Additional Roles Reimbursement Scheme. These roles strengthen our existing teams and help us provide the right care at the right time from the right professional.

We are committed to delivering compassionate person centred care while working collaboratively with our patients our practices and our wider healthcare partners.

Details
Date posted: 14 July 2026
Pay scheme: Other
Salary: £28 to £30 an hour
Contract: Permanent
Working pattern: Part-time
Reference number: W0068-26-0004
Job locations: Lister House Surgery, Croft Way, Wiveliscombe, Somerset, TA4 2BF, United Kingdom

Job responsibilities
Clinical Primary Care Network

• Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
• Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
• Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with highly complex needs
• Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)
• Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan
• Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based Primary Care Network and national and Primary Care Network protocols, and within scope of Primary Care Network

Communication

• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
• Communicate with and support patients who are receiving bad news
• Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating
• Anticipate barriers to communication and take action to improve communication
• Maintain effective communication within the Primary Care Network environment and with external stakeholders
• Act as an advocate for patients and colleagues
• Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate

Delivering a quality service

• Recognise and work within own competence and professional code of conduct as regulated by the NMC
• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
• Prioritise, organise and manage own workload in a manner that maintains and promotes quality
• Deliver care according to NSF, NICE guidelines and evidence-based care
• Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
• Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities
• Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
• In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate
• Evaluate patients response to health care provision and the effectiveness of care
• Support and participate in shared learning across the Primary Care Network and wider organisation
• Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events
• Assess the impact of policy implementation on care delivery
• Monitor and develop the performance of the GPN team in accordance with local policies
• Approve the performance of the team, providing feedback as appropriate
• Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance
• Ensure you have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required

Personal development

• Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode
• Support staff development in order to maximise potential
• Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good Practice
• Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services
• Critically evaluate and review innovations and developments that are relevant to the area of work
• Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services
• Take a lead role in planning and implementing changes within the area of care and responsibility
• Contribute to the development of local guidelines, protocols and standards
• Maintain effective communication with those responsible for the overall commissioning and procurement process
• Maintain active involvement in the planning and processes of Primary Care Network-based commissioning or similar initiatives
• Market the role of the advanced nurse practitioner in general Practice

Team working

• Understand own role and scope and identify how this may develop over time
• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
• Delegate clearly and appropriately, adopting the principles of safe Practice and assessment of competence
• Create clear referral mechanisms to meet patient need
• Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team
• Work effectively with others to clearly define values, direction and policies impacting upon care delivery
• Discuss, highlight and work with the team to create opportunities to improve patient care
• Manage and lead on the delivery of specifically identified services or projects as agreed with the Primary Care Network and Practice management team
• Agree plans and outcomes by which to measure success

Management of risk

• Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines
• Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs
• Apply infection-control measures within the Primary Care Network according to local and national guidelines
• Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all
• Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general Practice.

Managing information

• Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information
• Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes
• Manage information searches using the internet and local library databases
• Understand responsibility of self and others to the Primary Care Network and Practice regarding the Freedom and Information Act
• Manage, in conjunction with the QoF team, the QoF targets or the equivalent SPQS requirements.

Learning and development

• Undertake mentorship for more junior staff, assessing competence against set standards
• Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences)
• Assess own learning needs and undertake learning as appropriate
• Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning
• Establish an evidence base for practice, through benchmarking, audit, Quality Improvement and research ensuring that outcomes are disseminated locally, regionally, and nationally as appropriate.

Equality and diversity

• Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity
• Enable others to promote equality and diversity in a non-discriminatory culture
• Support people who need assistance in exercising their rights
• Monitor and evaluate adherence to local chaperoning policies
• Act as a role model in the observance of equality and diversity good practice
• Accept the rights of individuals to choose their care providers, participate in care and refuses care. Assist patients from marginalised groups to access quality care

Person Specification
Qualifications

• Registered first level nurse
• MSc or equivalent
• Independent/supplementary nurse prescribing qualification
• Advanced nursing specialist qualification
• Relevant nursing/health degree
• Clinical supervision training and experience

Desirable

• Mentor/teaching qualification

Experience

• Advanced clinical practice skills
• Management of patients with long-term conditions
• Management of patients with complex needs
• Clinical examination skills
• Accountability of own role and other roles in a nurse-led service
• Local and national health policy
• Clinical governance issues in primary care
• Patient group directives and associated policy
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Change management
• Resource management
• Minimum 5 years post-registration experience
• At least 2 years recent primary / community nursing experience
• Nurse prescribing
• Nurse-led management of minor illness, minor ailments and injuries
• Nurse-led triage
• Compiling protocols and clinical guidelines
• Audit
• Research
• QI

Desirable

• Knowledge of public health issues
• Able to identify determinants on health in the area
• Knowledge of public health issues in the area
• Experience of working in Primary Care

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).

Employer details
Employer name: Taunton Deane West Primary Care Network
Address: Lister House Surgery, Croft Way, Wiveliscombe, Somerset, TA4 2BF, United Kingdom
Employer's website: Apply through our website

Employer contact details
For questions about the job, contact:
Practice Manager
Catherine Binding
Catherine.Binding@nhs.net
01984623471

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.