Enhanced Practice Nurse

Are you an experienced Advanced/Enhanced Nurse Practitioner with a passion for improving outcomes for older adults living in care homes? We are seeking a highly skilled Advanced/Enhanced Nurse Practitioner to work as part of a Primary Care Network (PCN) Care Home Nursing Team, delivering proactive, responsive, and person-centred clinical care to residents across multiple care homes. This role focuses on providing high-quality clinical leadership, advanced assessment, and prescribing (desirable) to support care home residents, helping to reduce avoidable hospital admissions, improve continuity of care, and support care home staff through expert clinical input.

Main duties of the job:

• Work autonomously within a defined scope of practice, providing advanced clinical assessment, diagnosis, treatment, and ongoing management of care home residents, including urgent care, long term condition management and end of life care.

About us:

Founded in August 2020, Primary Care Physio has scaled rapidly and is one of the fastest-growing clinical service providers in the UK. Underpinned by our reputation for quality and sustainable care, we have already been established as England's largest national specialist ARRS clinical service provider who is purely focused on supporting NHS Primary Care Networks (PCNs) and their GP practices to deliver high-quality and tech-enabled NHS primary care clinical solutions.

Job responsibilities:

• The Enhanced Practice Nurse (EPN) works as part of the primary care multidisciplinary team to deliver high-quality, evidence-based nursing care.
• The role sits between a Practice Nurse and an Advanced Nurse Practitioner, providing extended clinical skills, increased autonomy, and leadership within the practice or PCN.
• The postholder will manage a range of long-term conditions, undertake clinical assessments, contribute to service development, and support the delivery of high-quality patient care across the practice.

Care Homes Responsibilities (Advanced/Enhanced Practice):

• Able to travel to different sites during the working week (set site per day).
• Deliver urgent care, long-term condition management, and end-of-life care.
• Conduct weekly in-person ward rounds in allocated care homes.
• Provide same-day and urgent clinical assessments.
• Complete comprehensive assessments for new admissions and post-discharge reviews.
• Manage frailty, dementia, long-term conditions, and end-of-life care needs.
• Undertake prescribing, referrals, escalation, and safety netting within scope of competence.
• Maintain accurate, timely, and high-quality clinical documentation.

Professional & Leadership Responsibilities:

• Act as a clinical resource for the nursing team and wider MDT.
• Support junior nurses, HCAs, and trainees through supervision and mentorship.
• Contribute to clinical governance, quality improvement, and audit activities.
• Participate in the development and implementation of clinical pathways.
• Work within NMC Code of Conduct and national/local policies.

Service Development:

• Contribute to the design and delivery of enhanced services and PCN initiatives.
• Support the practice in meeting QOF, IIF, and other performance targets.
• Identify opportunities to improve patient experience and service efficiency.
• Participate in MDT meetings, case reviews, and clinical discussions.

Qualifications & Experience:

• Registered Nurse (NMC).
• Significant experience in primary care or community nursing.
• Evidence of extended clinical skills (e.g., clinical assessment modules, LTC management).
• Strong understanding of safeguarding, infection control, and clinical governance.
• Ability to work autonomously and manage a varied caseload.
• Excellent communication and interpersonal skills.
• Ability to travel between sites as required.
• Level 6/7 modules in clinical assessment, diagnostics, or long-term condition management.
• Experience supervising or mentoring staff.
• Experience in quality improvement or service development.

Personal Attributes:

• Compassionate, patient-centred approach.
• Strong clinical judgement and decision-making ability.
• Ability to work collaboratively within a multidisciplinary team.
• Commitment to ongoing professional development.
• Flexible, organised, and able to prioritise effectively.

Experience:

• Significant post-registration experience in primary care, community nursing or care home settings.
• Experience delivering comprehensive clinical assessments, including urgent and same-day presentations.
• Proven ability to manage long-term conditions (e.g., frailty, dementia, COPD, diabetes, hypertension).
• Experience working autonomously and managing a varied caseload.
• Experience supporting patients with complex needs, including end-of-life care.
• Experience conducting holistic assessments for new admissions and post-discharge reviews.
• Experience working within multidisciplinary teams across health and social care.
• Strong understanding of safeguarding (adults and children) and escalation processes.
• Experience in accurate clinical documentation and use of electronic clinical systems.
• Experience providing patient-centred care in care homes, community settings or similar environments.
• Experience working within Primary Care Networks (PCNs) or across multiple practice sites.
• Experience conducting weekly ward rounds in care homes or similar settings.
• Experience in advanced clinical assessment, diagnostics or managing undifferentiated presentations.
• Experience supporting service development, quality improvement or audit projects.
• Experience supervising, mentoring or assessing students, HCAs or junior nurses.
• Experience in palliative and end-of-life care planning, including advance care plans.
• Experience managing complex frailty, polypharmacy and multimorbidity.
• Experience working closely with MDT partners such as care home staff, social care, pharmacists and geriatric teams.

Qualifications:

• Registered Nurse (Adult) with current NMC registration.
• MSc in Advanced Clinical Practice or relevant postgraduate clinical certificate with equivalent experience.
• Postgraduate qualifications in frailty, dementia, or long-term condition management.
• Physical assessment and clinical diagnostics training at Level 7.
• Mentorship, supervision or teaching qualification (e.g., Practice Assessor/Practice Supervisor).

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.