Job summary
The Advanced Nurse Practitioner (ANP) will be an experienced prescriber, autonomous clinician working within their professional boundaries to provide expert clinical care, including the authority to independently prescribe medications. Working both onsite at The Croft Practice and in the community, the ANP will be an integral part of the total triage model, collaborating closely with triage GPs to manage patient flow through telephone, online and face-to-face consultations.

The role will combine onsite clinical sessions with planned and urgent community visits to housebound patients and residents in care homes. The ANP will manage acute presentations and long-term condition reviews and coordinate care pathways across multidisciplinary teams.

Main duties of the job

• Independently assess, diagnose, plan, implement and evaluate care for patients presenting with both undifferentiated and chronic conditions.
• Work within the total triage model reviewing online and telephone consultations, escalating appropriately and managing within scope.
• Prescribe and review medications within scope of practice, aligned with local and national guidelines.
• Undertake planned and urgent community visits to housebound patients and residents in care homes, providing acute and chronic condition management.
• Manage patients with complex needs using evidence-based practice.
• Interpret and act upon diagnostic results, correspondence, discharge summaries, and clinical alerts.
• Initiate and monitor treatment plans, ensuring continuity of care.
• Support urgent/emergency presentations, initiating appropriate response pathways.
• Maintain accurate, contemporaneous patient records and documentation in accordance with practice protocols.
• Maintain effective communication with triage GPs, practice staff, community teams, and external stakeholders.
• Use sensitive, culturally appropriate communication methods when consulting patients and families.
• Act as a patient advocate, supporting informed choice and self-management.
• Participate in MDT meetings, safeguarding discussions, and palliative care coordination.

About us
The Croft Practice cares for a mainly rural population covering an area of some 30 square miles in West Sussex, surrounding the Five Villages. As members of the Primary Health Care Team, we are committed to giving the best possible care and service to our patients.

We are rated 'Good' by CQC.

It is an exciting time at The Croft Practice as we recently opened our new site, Eastergate Medical Centre.

Job responsibilities
The Advanced Nurse Practitioner will be an experienced prescriber, autonomous clinician working within their professional boundaries to provide expert clinical care, including the authority to independently prescribe medications. Working both onsite at The Croft Practice and in the community, the ANP will be an integral part of the total triage model, collaborating closely with triage GPs to manage patient flow through telephone, online and face-to-face consultations.

The role will combine onsite clinical sessions with planned and urgent community visits to housebound patients and residents in care homes. The ANP will manage acute presentations and long-term condition reviews and coordinate care pathways across multidisciplinary teams.

Key responsibilities and accountabilities
Clinical

• Independently assess, diagnose, plan, implement and evaluate care for patients presenting with both undifferentiated and chronic conditions.
• Work within the total triage model reviewing online and telephone consultations, escalating appropriately and managing within scope.
• Prescribe and review medications within scope of practice, aligned with local and national guidelines.
• Undertake planned and urgent community visits to housebound patients and residents in care homes, providing acute and chronic condition management.
• Manage patients with complex needs using evidence-based practice.
• Interpret and act upon diagnostic results, correspondence, discharge summaries, and clinical alerts.
• Initiate and monitor treatment plans, ensuring continuity of care.
• Support urgent/emergency presentations, initiating appropriate response pathways.
• Maintain accurate, contemporaneous patient records and documentation in accordance with practice protocols.

Communication & Coordination

• Maintain effective communication with triage GPs, practice staff, community teams, and external stakeholders.
• Use sensitive, culturally appropriate communication methods when consulting patients and families.
• Act as a patient advocate, supporting informed choice and self-management.
• Participate in MDT meetings, safeguarding discussions, and palliative care coordination.

Service Quality & Governance

• Participate in clinical audits, significant event reviews, and quality improvement initiatives.
• Adhere to evidence-based guidelines (NICE, CQC, NHSE) and practice policies.
• Recognise and act within own competencies and scope of practice as per NMC standards.
• Identify and report safeguarding concerns in accordance with local protocols.

Leadership & Development

• Contribute to the education and mentorship of colleagues, students, and trainees.
• Maintain personal CPD, revalidation, and appraisal requirements.
• Participate in shaping service development and strategic planning initiatives.
• Provide professional leadership and act as a role model for clinical excellence.

Essential Criteria

• Registered Nurse with NMC registration.
• MSc/Postgraduate qualification in Advanced Clinical Practice or equivalent.
• Independent Non-Medical Prescriber (V300).
• Substantial experience in primary care or urgent care setting.
• Proven ability to work autonomously in clinical decision-making.
• Full UK driving licence and access to a vehicle for community visits.

Desirable Criteria

• Experience using SystmOne or other primary care systems.
• Experience in care home settings or community settings.

Confidentiality
All employees of the Organisation are required to maintain the confidentiality of members of the public and members of staff in accordance with the Practice policies.

Health & Safety
All employees have a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. Employees are required to co-operate with management to enable the practice to meet its own legal duties and to report any hazardous situations or defective equipment.

Things you should know:
Diversity and inclusion are very important to us at The Croft Practice and we value a multitude of diverse talent within the business. We want everyone to be themselves at work and encourage a culture that includes everyone. Our policies ensure that every candidate and employee are treated fairly and with equal opportunities.

The content of this Job Description represents an outline of the post only and is therefore, not a precise catalogue of duties and responsibilities. The Job Description is therefore intended to be flexible and is subject to review and amendment in the light of changing circumstances, following consultation

Person Specification
Qualifications
Essential

• Registered Nurse with NMC registration.
• MSc/Postgraduate qualification in Advanced Clinical Practice or equivalent.
• Independent Non-Medical Prescriber V300.

Experience
Essential

• Substantial experience in primary care or urgent care setting.
• Proven ability to work autonomously in clinical decision-making.

Desirable

• Experience using SystmOne or other primary care systems.
• Experience in care home settings or community settings.

Other
Essential

• Full UK driving licence and access to a vehicle for community visits.

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.

Diversity and inclusion are very important to us at The Croft Practice and we value a multitude of diverse talent within the business. We want everyone to be themselves at work and encourage a culture that includes everyone. Our policies ensure that every candidate and employee are treated fairly and with equal opportunities.