Autonomous Nurse/Paramedic Prescriber — Urgent Care in Hitchin

Larksfield & Arlesey Medical Partnership is seeking a motivated and experienced Advanced Nurse Practitioner (ANP) or Emergency Care Practitioner (ECP) with independent prescribing rights to join our friendly and forward-thinking primary care team. This is an excellent opportunity to work autonomously while being fully supported within a well-established GP partnership.

Main duties of the job

• Deliver high-quality, patient-centred care through advanced clinical assessment, diagnosis, and management of acute and chronic conditions.
• Independent assessment, diagnosis and treatment of patients.
• Prescribing and medication reviews in line with current guidelines.
• Managing same-day urgent and routine appointments.
• Working collaboratively with GPs, nurses and the wider multidisciplinary team.
• Contributing to service development, quality improvement and clinical governance.

About us

Larksfield & Arlesey Medical Partnership is a patient-focused GP partnership serving just under 20,000 of the local community across two sites. We pride ourselves on a supportive team culture, commitment to high standards of care and ongoing investment in staff development. We work closely with PCN colleagues and emphasise teamwork, innovation and a positive work-life balance.

Job responsibilities

The post holder will work as an autonomous clinician within the GP practice, providing advanced clinical care to patients presenting with acute, chronic and complex health needs. The role requires independent prescribing, advanced clinical assessment skills and the ability to manage patients across the lifespan within a primary care setting. The ANP/ECP will work collaboratively with GPs, nurses and the wider multidisciplinary team to ensure safe, effective and patient-centred care, contributing to service development and quality improvement within the practice.

Clinical responsibilities

• Undertake comprehensive clinical assessments, including history taking, physical examination and diagnosis.
• Manage undifferentiated and differentiated presentations independently.
• Assess, diagnose, treat and discharge or refer patients as appropriate.
• Prescribe medications independently in line with clinical guidelines and best practice.
• Manage acute, urgent and long-term conditions.
• Order, interpret and act upon diagnostic tests and investigations.
• Provide health promotion, disease prevention and patient education.

Care management

• Provide same-day urgent care appointments and routine clinical appointments as required.
• Refer patients to secondary care, community services or allied health professionals where appropriate.
• Ensure continuity of care through appropriate follow-up and safety-netting.
• Maintain accurate, clear and contemporaneous clinical records.

Multidisciplinary working

• Work collaboratively with GPs, practice nurses, HCAs, pharmacists and the wider PCN team.
• Participate in MDT meetings and clinical discussions.
• Support and mentor junior staff where appropriate.

Quality, governance and safety

• Work within practice policies, procedures and clinical governance frameworks.
• Adhere to safeguarding policies for children and vulnerable adults.
• Participate in clinical audit, quality improvement and service development initiatives.
• Maintain professional registration, revalidation and mandatory training.

Professional development

• Maintain and develop clinical competence through CPD.
• Keep up to date with evidence-based practice and national guidance.
• Actively contribute to a learning and supportive practice environment.

Information governance

• Ensure patient confidentiality is maintained at all times.
• Comply with GDPR, data protection and Caldicott principles.
• Use clinical systems appropriately and securely.

Health & safety

• Work in accordance with Health & Safety legislation and practice policies.
• Report incidents, near misses and risks appropriately.

Flexibility

This job description is not exhaustive. The post holder may be required to undertake additional duties appropriate to the role, following discussion with the line manager.

Person specification

Experience

• Significant post-registration experience in urgent care, primary care, emergency care or general practice.
• Experience of autonomous clinical practice.
• Experience in assessment, diagnosis and management of acute presentations.
• Experience of prescribing and medication management.
• Experience working in general practice or primary care.
• Experience managing long-term conditions.
• Experience working within a multidisciplinary team in an NHS setting.

Qualifications

• Registered Nurse (NMC) or Registered Paramedic (HCPC).
• MSc level qualification in Advanced Clinical Practice or working towards one.
• Independent Non-Medical Prescribing qualification V300.
• Evidence of ongoing Continuing Professional Development (CPD).
• Minor illness trained.
• Advanced Clinical Practice qualification fully completed.
• Teaching, mentoring or clinical supervision training.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and a submission for Disclosure to the Disclosure and Barring Service is required to check for any previous criminal convictions.