Nurse Practitioner in Shrewsbury

The Nurse Practitioner will provide advanced, autonomous, and person-centred care within a 24/7 integrated triage and coordination service. Working across in-hours and out-of-hours provision, Nurses will work on three workstreams: Oncology and Haematology Helpline, Powys Care Co-ordination (CCC) including Single Point of Access (SPA) and Integrated Urgent care (IUC) for Powys.

The postholder will deliver expert clinical assessment, care planning and autonomous decision making to achieve the best outcome for patients and the referring Clinicians. They will operate within an extended scope of practice and act as a clinical anchor across acute, primary, community, and voluntary sectors, particularly supporting patients with cancer, complex needs, and those requiring urgent care navigation.

CLINICAL AND PROFESSIONAL RESPONSIBILITIES

Deliver safe and effective triage and clinical assessment services via telephone and digital platforms both in-hours and out-of-hours, accurately collating information using electronic clinical systems and determining the most appropriate care response or escalation. Independently assess, interpret, and synthesise clinical information from a range of sources (including directly from patients or via call handlers) to make professionally autonomous decisions, avoiding unnecessary onward referral where safe to do so.

Provide an evidence-based, nurse-led Oncology and Haematology Helpline managing chemotherapy-related toxicities, treatment side effects, and life-threatening symptoms, with a strong emphasis on holistic support. Act as a Care Coordination Centre clinician, liaising with referring GPs, health and social care teams, and third-party providers to agree and implement care plans, ensuring safe and timely navigation through complex care pathways.

Provide health promotion, self-management education, and personalised care planning, working in partnership with patients and carers to support autonomy, wellbeing, and prevention of deterioration. Support clinical safeguarding responsibilities by identifying and escalating concerns in line with organisational policy, and by placing vulnerable adults or children at the centre of all risk-based decisions.

Document all patient contact, interventions, and clinical risk decisions accurately using the appropriate electronic systems. Ensure adherence to professional, legal, and organisational documentation standards. Always uphold professional standards and ethical practice, maintaining registration, engaging in revalidation processes, and working within the scope of practice defined by the NMC or other relevant regulatory body.

Maintain and promote dignity, respect, and inclusivity for all patients and carers, particularly addressing cultural, language, age, disability, or other barriers to health equity. Participate in and receive regular clinical supervision and mentorship to support safe practice, reflective development, and emotional resilience in high-pressure environments. Communicate and collaborate effectively with other health professionals, ensuring smooth handovers, continuity of care, and coordinated multidisciplinary responses.

SERVICE IMPROVEMENT DEVELOPMENT AND IMPLEMENTATION

Contribute to the development and continuous improvement of a 24/7 integrated unscheduled care service, proactively identifying system gaps, inefficiencies, or opportunities for innovation. Participate in the creation and review of clinical protocols, care pathways, and operating procedures to align service delivery with evidence-based practice and local population needs.

Lead or contribute to service audits, quality improvement projects, and research activity designed to evaluate and enhance patient outcomes, clinical safety, and staff performance. Represent the organisation with professionalism and act as a clinical ambassador in collaborative forums, partnership meetings, and when liaising with external providers.

Promote safe working environments by complying with all statutory Health & Safety, fire safety, infection prevention, and clinical incident reporting policies. Report any adverse clinical events with recommendations for service learning and improvement. Take responsibility for clinical equipment care, ensuring safe use, calibration, and prompt reporting of faults or risks.

Support the ongoing development of the workforce, mentoring junior or newly appointed colleagues and contributing to the organisational learning culture through formal and informal training opportunities. Maintain awareness of national and local developments in oncology, urgent care, and digital triage innovation, integrating relevant updates into local practice and sharing insights with the wider team.