Emergency Nurse Practitioner in London

With an increasing demand for urgent care, we are seeking the right person/s to join our workforce within our Urgent Treatment Centre .

We would welcome applications from Emergency Nurse Practitioners and Paramedic Practitioners, all based within our Hospital in Ashford, Surrey.

The Urgent Treatment Centre provides access to urgent care, 7 days a week, 365 days a year.

As a clinician, you will work as an independent, autonomous practitioner providing high quality, evidence based, patient centred care.

Responsible for utilising expert diagnostic and clinical skills to provide unscheduled medical care and management of a diverse range of patients with undifferentiated and undiagnosed minor illnesses and injuries.

This will include children over the age of 2 and adults.

There are excellent opportunities for training, including non-medical prescribing, with support for this by an experienced Clinical Lead who will encourage your personal development.

The post offers staff benefits as well as Agenda for Change, which include a pension scheme or continuation of an NHS pension scheme.

Full and part time hours are available over a 7-day week, 365 days a year, working shifts to cover opening hours of 08:00 20:00hrs.

Interviews will be held between 30 Nov and 4 Dec 2026.

Main duties of the job

Please note that Visa sponsorship is not available for this position. Candidates must possess valid UK right-to-work documentation.

Toprovide the local community with access to both scheduled and unscheduled careprovision, 365 days a year.

Aimsare

• To provide assessment, differential diagnosis, and treatments of acute episodes of minor health andminor injury conditions.
• Work in partnershipwith service users in agreeing management plans.
• Promote self-care inorder that service users are empowered to manage their health needs.

About us

CSHSurrey are part of the NHS and are Surrey's longest established NHS communityservices provider, so our employees get NHS pay and pensions, and also receivethe Fringe High-Cost Allowance of 5%.

Our staff enjoy excellent training and development opportunities, including thecare certificate, apprenticeships, numeracy and literacy courses, access tothe Nursing Associate programme, and a wide variety of management andleadership courses and programmes.

We CARE about our staff though through our values of Compassion, Accountability, Respect and Excellence.

Our active employee council called The Voice, elect employee representatives to ensure colleagues' voices areheard at Board level.

CSH is a diverse organisation, if you are a passionate, person-focusedindividual then apply to join CSH Surrey today!

We welcome candidates fromall backgrounds who meet the essential criteria of the job you are applying forand if you require any reasonable adjustments, please contact the namedindividual for this advert, or our recruitment team.

While AI (Artificial Intelligence)can be used to support your application, all submitted content must be your own original work and accurately reflect your real knowledge, skills, and values.

• Job responsibilities
• To work as anautonomous practitioner, providing completed episodes of care to individuals.
• Work within agreedguidelines and protocols where they exist and having autonomous decision-makingcapacity in the absence of guidelines.
• Where applicable, prescribewithin knowledge and skills, and in accordance with national and local guidelines.
• Work within scope ofpractice using specialist knowledge in relation tominor injuries and health problems, and drawing on relevant experience, todeliver quality patient care.
• Work in partnershipwith other health and social care providers.
• Provide service userswith the opportunity to contribute to the ongoing development of the service.
• To undertake prioritisation of serviceusers according to medical need.
• Interventions are timely and may includeemergency and surgical invasive procedures, administration of emergencytherapies, and urgent medications.
• To contribute to the ongoing developmentof clinical guidelines, reflecting best evidence-based practice.
• Referrals to both primary and secondaryservices are made in line with agreed guidelines and with clear, contemporaneous notes, which accurately reflect the consultation and reasonsfor referral.
• Supply and administer medications inaccordance with legislation and organisational policies.
• To have a working knowledge of childprotection, elder abuse, and domestic violence, and refer to services asnecessary.
• Support Lead Nurse in undertakingregular appraisals, exploring opportunities to develop walk-in centre staff tomaximise their performance.
• Managing performance of other teammembers reporting to Lead Nurse where appropriate.
• Ensure appropriate skill mix isallocated to each shift in order that the service needs are met efficiently andeffectively, anticipating and addressing shortfalls which may need to becovered.
• Ensuring effective communication withpatients offering informed choice. Recognising and addressing patientsanxieties and behaviours when managing acute health problems.
• Maintaining effective communication withother team members ensuring all team members are kept involved and informed inthe delivery and continued development of the service.
• Caldicott Guardianship is effective. Consentand confidentiality are maintained in line with data protection and consentpolicies.
• Quality controls are performed by allstaff. Risk assessments are performed and forwarded for action whereappropriate.
• All team members are aware of health andsafety for self and others and attend mandatory training.

Due consideration isgiven to exposure to bodily fluids.

All health and safety incidents are managedaccordingly through the appropriate reporting mechanism.

• Medicines are managed safely within theunit in accordance with policy.
• Demonstrate awareness of ownprofessional development and training needs in accordance with service needs.
• Promote and support the development andprovision of work base learning to paramedic/ nursing students, health careassistants, apprentices, and other care providers.
• Maintain learning environment to supporttraining for this group.
• Act as a supervisor for postregistration nurses whose clinical placements are within the Walk in Centre.
• Continued professional developmentthrough reflective practice is integral to practice; clinical supervision isregularly undertaken.
• Comply with organisation medicinespolicy and non-medical prescribing guidance, as well as other relevantorganisational policies and procedures, to ensure the safe, legal, andappropriate use of medicines.
• Ensure service is efficient bymonitoring and exploring opportunities for savings.
• Undertake clinical audit to reviewpractice and service, reporting results of audits.
• Explore opportunities in line with National Health plans to support effective health care for service users.

Job description

• Job responsibilities
• To work as anautonomous practitioner, providing completed episodes of care to individuals.
• Work within agreedguidelines and protocols where they exist and having autonomous decision-makingcapacity in the absence of guidelines.
• Where applicable, prescribewithin knowledge and skills, and in accordance with national and local guidelines.
• Work within scope ofpractice using specialist knowledge in relation tominor injuries and health problems, and drawing on relevant experience, todeliver quality patient care.
• Work in partnershipwith other health and social care providers.
• Provide service userswith the opportunity to contribute to the ongoing development of the service.
• To undertake prioritisation of serviceusers according to medical need.
• Interventions are timely and may includeemergency and surgical invasive procedures, administration of emergencytherapies, and urgent medications.
• To contribute to the ongoing developmentof clinical guidelines, reflecting best evidence-based practice.
• Referrals to both primary and secondaryservices are made in line with agreed guidelines and with clear, contemporaneous notes, which accurately reflect the consultation and reasonsfor referral.
• Supply and administer medications inaccordance with legislation and organisational policies.
• To have a working knowledge of childprotection, elder abuse, and domestic violence, and refer to services asnecessary.
• Support Lead Nurse in undertakingregular appraisals, exploring opportunities to develop walk-in centre staff tomaximise their performance.
• Managing performance of other teammembers reporting to Lead Nurse where appropriate.
• Ensure appropriate skill mix isallocated to each shift in order that the service needs are met efficiently andeffectively, anticipating and addressing shortfalls which may need to becovered.
• Ensuring effective communication withpatients offering informed choice. Recognising and addressing patientsanxieties and behaviours when managing acute health problems.
• Maintaining effective communication withother team members ensuring all team members are kept involved and informed inthe delivery and continued development of the service.
• Caldicott Guardianship is effective. Consentand confidentiality are maintained in line with data protection and consentpolicies.
• Quality controls are performed by allstaff. Risk assessments are performed and forwarded for action whereappropriate.
• All team members are aware of health andsafety for self and others and attend mandatory training.

Due consideration isgiven to exposure to bodily fluids.

All health and safety incidents are managedaccordingly through the appropriate reporting mechanism.

• Medicines are managed safely within theunit in accordance with policy.
• Demonstrate awareness of ownprofessional development and training needs in accordance with service needs.
• Promote and support the development andprovision of work base learning to paramedic/ nursing students, health careassistants, apprentices, and other care providers.
• Maintain learning environment to supporttraining for this group.
• Act as a supervisor for postregistration nurses whose clinical placements are within the Walk in Centre.
• Continued professional developmentthrough reflective practice is integral to practice; clinical supervision isregularly undertaken.
• Comply with organisation medicinespolicy and non-medical prescribing guidance, as well as other relevantorganisational policies and procedures, to ensure the safe, legal, andappropriate use of medicines.
• Ensure service is efficient bymonitoring and exploring opportunities for savings.
• Undertake clinical audit to reviewpractice and service, reporting results of audits.
• Explore opportunities in line with National Health plans to support effective health care for service users.

Person Specification

Experience

• Minimum 4 years post-registration experience in ED or UTC/walk-in centre.
• Proven track record in relation to research-based practice.
• Experience with audit.
• Experience of managing within a healthcare setting.
• Experience of staff management.
• Evidence of professional development.
• Experience of multi-disciplinary working.

Qualifications

• Registered Nurse Level 1 or HCPC registered paramedic.
• Post-registration diploma or equivalent in advanced assessment skills for non-medical practitioners.
• Post-registration diploma or equivalent in managing minor injury for advanced practice.
• Post-registration diploma or equivalent in managing minor illness/health problems for advanced practice.
• ILS or willingness to undertake.
• Evidence of continuing professional development.
• Non-medical prescriber.

Skills

• Organisational skills.
• Excellent communication and interpersonal skills.
• Broad range of excellent clinical skills.
• Ability to lead and manage a team.
• Ability to organise the workload, able to delegate and prioritise.
• Good knowledge of health and safety and risk management.
• Effective written and verbal skills.
• 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.

• £51,657 to £58,785 a yearinclusive of the 5% HCAS per annum pro rata