Advanced Nurse Practitioner in Harwell

Job summary

• To provide high-quality, patient-centred care as part of a multidisciplinary team, contributing to the delivery of safe, efficient, and proactive healthcare services. This includes diagnosing and managing acute and chronic conditions, and supporting health promotion and prevention initiatives.
• Working as part of the On the day acute care team managing presentations of acute illness with support of the duty GP.

Overview

The post holder contributes to the delivery of safe, effective urgent care by providing informed clinical assessment, supporting clinical decision making, and managing a defined range of presentations in general practice and community settings. Working with increasing autonomy but within agreed clinical boundaries, the role applies developed knowledge of minor illness, minor injury, and urgent presentations to support timely patient management. The practitioner enhances service capacity by undertaking structured assessment, escalating appropriately, and contributing to patient flow, continuity, and a positive care experience.

Main duties of the job

Key Contributions

• Clinical Excellence: Deliver safe, effective, and evidence-based care through autonomous clinical decision-making, including assessment, diagnosis, and treatment for a wide range of conditions.
• Support patients with acute and chronic conditions, creating personalised care and treatment plans that integrate drug and non-drug-based therapies.

Health Promotion and Prevention

• Actively engage with patients to promote healthy lifestyles, delivering targeted advice on disease prevention and management.
• Facilitate referrals to community and specialist services to ensure patients receive holistic, ongoing care.

Collaborative Teamwork

• Work closely with GPs, nurses, and other healthcare professionals to deliver integrated care within defined healthcare pathways.
• Provide enhanced clinical advice to internal stakeholders and external partners, such as the ambulance service and district nurses.

Training and Development

• Participate in the structured development program, progressing towards qualifications such as a Level 7 (Masters).
• Engage in reflective practice and continuous professional development, attending clinical meetings and contributing to the development of best practices.

Organisational Impact

• Support the Practices administrative workload, including handling pathology results and electronic records.
• Contribute to clinical audits, risk assessments, and service evaluations, ensuring alignment with organisational objectives.

About us

Banbury Cross Health Centre is owned and operated by Principal Medical Limited (PML), which works in partnership with the NHS to deliver primary care services in GP practices and community settings.

Founded in 2004 as a not-for-profit organisation by local GPs, PML was established to enable healthcare professionals to develop and deliver innovative services at scale. Today, 70% of GP practices in Oxfordshire and 22% in Northamptonshire are associated with the Federation.

PML is the largest GP Federation in Oxfordshire and South Northamptonshire, serving nearly 800,000 patients. We believe local providers are best placed to deliver high-quality, cost-effective care that meets community needs.

With over 20 years of experience, PML has a strong track record of delivering NHS, ICB and Public Health services. Our work is guided by five core values: being Compassionate, Competent, Courteous, Collaborative and Committed. We welcome applicants from diverse backgrounds and those with protected characteristics under the Equality Act 2010.

Details

Date posted: 19 October 2026
Pay scheme: Other
Salary: Depending on experience competitive salary
Contract: Permanent
Working pattern: Full-time, Part-time, Flexible working, Compressed hours
Reference number: A6033-26-0028
Job locations: Banbury Cross Health Centre, 6 Oxford Road, Banbury, Oxfordshire, OX16 9AD, United Kingdom

Job responsibilities

Clinical Assessment and Early Clinical Decision Support

• Apply developed clinical judgement to assess patients presenting with undifferentiated or same day concerns within defined competence.
• Contribute meaningfully to clinical decision making by identifying relevant symptoms, recognising red flags, and determining appropriate escalation or management pathways.
• Support safe prioritisation of patients, helping clinicians manage demand effectively.

Delivery of Safe Care Within Defined Clinical Boundaries

• Provide safe and structured care for a range of minor illness and/or minor injury presentations, working within established guidelines and urgent care protocols.
• Use clinical understanding to guide appropriate next steps, ensuring care aligns with best practice and organisational governance.
• Work with a level of independence appropriate to experience, while recognising limitations and seeking senior input when required.

Contribution to Patient Flow and Operational Efficiency

• Enhance capacity in urgent care sessions by managing appropriate patients directly and supporting clinicians with timely information, assessment findings, and escalation.
• Contribute to an efficient, well organised clinical environment that supports rapid access and responsive care.
• Engage proactively in service processes that reduce delay, improve throughput, and maintain safe patient flow.

Communication, Patient Engagement and Experience

• Communicate sensitively with patients to support understanding of symptoms, care options, and next steps.
• Provide consistent, clear advice in line with clinical guidance and safety netting principles.
• Contribute to a reassuring and supportive experience for patients seeking urgent or same day care.

Clinical Governance, Documentation and Risk Management

• Maintain accurate, timely, and high quality clinical documentation to support continuity of care and clinical safety.
• Apply an understanding of risk, safeguarding, red flags, and clinical deterioration to ensure timely escalation.
• Contribute to quality improvement, clinical audit, and governance processes as part of safe practice.

Team Collaboration and Multidisciplinary Working

• Work closely with GPs, nurses, ANPs/ACPs, paramedics, and other community practitioners to ensure coordinated, integrated care.
• Share clinical insights appropriately to support safe handover and collaborative decision making.
• Contribute to a positive, supportive team culture within fast paced urgent care settings.

Professional Development and Supporting Others

• Continue building clinical expertise through training, supervision, and reflective practice.
• Support junior or developing practitioners by sharing knowledge and demonstrating good clinical and professional behaviours.
• Contribute to continuous service improvement through feedback, insight, and participation in development initiatives.

Person Specification

Qualifications

Essential

• Registered Paramedic or Nurse with the HCPC/NMC.
• Non-Medical Prescriber (V300).
• L7 Minor illness and/or advanced history taking module (Or working towards).
• Commitment to completing advanced qualifications, including L7 Masters.
• Relevant clinical qualification appropriate to urgent or primary care practice.
• Registration with the appropriate regulatory body where applicable (e.g. NMC, HCPC), or equivalent recognised qualification depending on role design.
• Willingness to undertake further development to expand competence within defined scope.

Desirable

• Evidence of post qualification training in urgent care, minor illness, minor injury, or clinical assessment.

Skills and Knowledge

Essential

• Ability to work autonomously and within a multidisciplinary team.
• Proven clinical decision-making skills for both acute and chronic conditions.
• Strong communication skills, with the ability to liaise effectively across organisational boundaries.
• Ability to assess and manage paediatric patients.
• Ability to conduct structured clinical assessments and gather relevant presenting information.
• Ability to apply clinical judgement within defined scope and elevate appropriately.
• Ability to provide clear, safe, and accurate advice or information to patients.
• Ability to manage a defined workload independently while working within protocols.
• Sound understanding of risk awareness, early recognition of deterioration, and safety netting.
• Ability to maintain accurate, timely documentation to support safe decision making.
• Ability to remain calm, professional, and solutions focused under pressure.
• Understanding of common minor illness and minor injury presentations.
• Knowledge of red flags, safeguarding principles, and escalation requirements.
• Understanding of confidentiality, information governance, and data protection.
• Knowledge of infection prevention and control standards appropriate to the care environment.

Desirable

• Strong communication skills suited to urgent and primary care environments.
• Knowledge of urgent care pathways, community services, and same day access models.
• Awareness of clinical governance, audit, and quality improvement processes.

Behaviours and Attributes

Essential

• Compassionate and patient-centred approach.
• Proactive problem solver with excellent time management skills.
• Resilient under pressure and adaptable to dynamic work environments.
• Professional, reliable, and accountable in approach to patient care.
• Compassionate, patient-centred, and respectful of individual needs.
• Confident yet aware of limits, with willingness to seek support.
• Supportive team member who contributes positively to collaborative working.
• Adaptable, resilient, and comfortable working in rapidly changing situations.
• Committed to learning, reflective practice, and continued development.
• Inclusive and sensitive to diversity, cultural needs, and individual preferences.
• Commitment to mandatory training and maintaining clinical competencies.
• Flexibility to work within service hours and respond to variations in demand.
• Ability to uphold high standards of safety, professionalism, and confidentiality at all times.

Experience

Essential

• Previous experience managing minor illness.
• Experience working in primary care or similar settings.
• Experience working in urgent care, general practice, community healthcare, or a similar fast‑paced clinical environment.
• Experience assessing patients with undifferentiated or same‑day presentations within defined boundaries.
• Experience recognising red flags, deterioration, and escalation triggers.
• Experience working collaboratively within multidisciplinary teams.
• Experience documenting clinical information accurately using digital clinical systems.

Desirable

• Experience contributing to patient flow, triage processes, or rapid access clinics.
• Experience supporting less experienced colleagues or contributing to team development.

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 details

Employer name: Banbury Cross Health Centre

Address: Banbury Cross Health Centre, 6 Oxford Road, Banbury, Oxfordshire, OX16 9AD, United Kingdom

Employer's website: https://www.banburycrosshealthcentre.co.uk/

Employer contact details

For questions about the job, contact: Clinical Operations Lead, Nick Collins, nick.collins2@nhs.net

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