The Blackdown Practice

Advanced Nurse Practitioner

The closing date is 12 October 2025

Job summary

Do you want to be part of the delivery of healthcare services across the beautiful Blackdown Hills?

We have an opportunity for an Advanced Nurse Practitioner to work as part of our excellent and friendly clinical team in supporting the duty/same day service and management of long term conditions.

We want a caring healthcare professional who takes a pride in delivering a service that is of a high standard.

The post is initially for two days a week either a Tuesday, Thursday or Friday. The hourly rate will be dependent on experience.

As a member of the team, you have access to the NHS pension scheme for which the employer contributions are 23.7% and the Blue Light card, offering a wide range of exclusive discounts to public sector workers. A full-time post would have 35 days holiday, including bank holidays (pro-rata for part-time employees).

Applications are by CV, please ensure your application considers the job description and person specification for the role. This is a Primary Care Network (PCN) role based within the practice therefore the postholder must qualify for reimbursement under the Additional Role Reimbursement Scheme (ARRS).

Main duties of the job

We are looking for an advanced nurse practitioner to work autonomously in practice within the practice team to support the duty/same day service as well as providing care for patients with long term conditions.

You will be an integral part of both our practice and the wider multidisciplinary teams operating across primary care.

Candidates who are qualified as advanced care practitioners but are not yet qualified as an independent prescriber must be prepared to work towards a non-medical prescribing qualification.

About us

The organisational purpose of the Blackdown Practice is to provide high quality clinical and dispensing services to the practice population.

We aim to deliver a service that staff would wish for a family member and that staff and patients would recommend to others.

We need to meet the regulatory requirements within budget and ensure that the practice remains robust financially so partners will invest, and the practice remains viable.

We want those working in the practice to enjoy their roles and maintain the correct balance of caring for patients, caring for each other and caring for themselves.

Details

Date posted

23 September 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time

Reference number

A3608-25-0004

Job locations

The Blackdown Practice

Station Road

Hemyock

Cullompton

Devon

EX15 3SF


The Blackdown Practice

Culme Way

Dunkeswell

Honiton

Devon

EX14 4JP


The Blackdown Practice

Fairfield Green

Churchinford

Taunton

Somerset

TA3 7RR


Job description

Job responsibilities

Our Advanced Nurse Practitioner has the following key responsibilities in delivering health services to our patients:

  • Practice both independently within scope of practice and in partnership with the multidisciplinary team (MDT) under the clinical supervision of a General Practitioner, ensuring interventions and treatments are undertaken in line with best practice.
  • Work as part of the practice and wider multidisciplinary teams to support the delivery of the duty/same day service and reviewing complex patients with long term conditions and sharing expertise to improve patient care.
  • Be an independent prescriber, using prescribing and deprescribing skills to optimise the use of medicines to improve patient outcomes.
  • Undertake home visits for the practice.
  • Perform at an advanced level under the core capabilities across the four pillars of Advanced Practice (Health Education England Multi-Professional Framework 2017):

Clinical Practice - full details in the attached job description

  • Undertake clinical assessment of the patient, analysing complex clinical signs, patient history, and investigation to establish a clear care plan, including the generation of anticipatory, escalation, or admission avoidance plans, arranging rescue medicines and ensure the completion of out of hours special messages.
  • Interpret clinical results and act on findings accordingly.
  • Admit and discharge patients from the caseload appropriately, providing accurate and effective clinical handovers across professional boundaries and receiving/making referrals as appropriate.

Leadership and Management - full details in the attached job description

  • A senior clinician involved in the delivery of a responsive, proactive, duty/same day service in the practice.
  • Communicate at all levels across organisations ensuring that an effective, duty/same-day service is delivered and understood.
  • Work collaboratively and in partnership with other health care professionals, providing appropriate leadership, guidance, and supervision to colleagues.
  • Be involved in planning and implementing standards of care in the practices or PCN, practice guidelines and to continually evaluate the quality of patient care.

Education - full details in the attached job description

  • Provide supervision, advice, support and training for the clinical and non-clinical members of the practice team.
  • Where requested, take an active role in educating and developing members of the wider practice multidisciplinary teams, including students through formal and informal teaching sessions.

Research - full details in the attached job description

  • Maintain an up-to-date knowledge in the specialist field, using information to affect change in practice and ensuring the effective dissemination of new knowledge.
  • Able to critically appraise and synthesise the outcomes of relevant research, evaluations and audits and act on this information in collaboration with colleagues to continually develop the service.
  • Able to review and critically appraise new evidence to ensure that practice is evidence based and in line with current local and national guidance.
  • Identify gaps in evidence or areas of practice requiring development, undertaking audit, implementing change of practice where appropriate and evaluating outcomes

Also

  • Communicate proactively and effectively with all colleagues across the multidisciplinary team, attending and contributing to meetings as required.
  • Support in the delivery of enhanced services and other service requirements on behalf of the Practice.
  • Ensuring cost-effective use of resources, adherence to personnel policies and the achievement of service targets.
  • Participate in the management of patient complaints when requested to do so and participate in the identification of any necessary learning brought about through incidents and near-miss events.
  • Undertake all mandatory training and induction programmes.
  • Always maintain a clean, tidy, effective working area.

Job description

Job responsibilities

Our Advanced Nurse Practitioner has the following key responsibilities in delivering health services to our patients:

  • Practice both independently within scope of practice and in partnership with the multidisciplinary team (MDT) under the clinical supervision of a General Practitioner, ensuring interventions and treatments are undertaken in line with best practice.
  • Work as part of the practice and wider multidisciplinary teams to support the delivery of the duty/same day service and reviewing complex patients with long term conditions and sharing expertise to improve patient care.
  • Be an independent prescriber, using prescribing and deprescribing skills to optimise the use of medicines to improve patient outcomes.
  • Undertake home visits for the practice.
  • Perform at an advanced level under the core capabilities across the four pillars of Advanced Practice (Health Education England Multi-Professional Framework 2017):

Clinical Practice - full details in the attached job description

  • Undertake clinical assessment of the patient, analysing complex clinical signs, patient history, and investigation to establish a clear care plan, including the generation of anticipatory, escalation, or admission avoidance plans, arranging rescue medicines and ensure the completion of out of hours special messages.
  • Interpret clinical results and act on findings accordingly.
  • Admit and discharge patients from the caseload appropriately, providing accurate and effective clinical handovers across professional boundaries and receiving/making referrals as appropriate.

Leadership and Management - full details in the attached job description

  • A senior clinician involved in the delivery of a responsive, proactive, duty/same day service in the practice.
  • Communicate at all levels across organisations ensuring that an effective, duty/same-day service is delivered and understood.
  • Work collaboratively and in partnership with other health care professionals, providing appropriate leadership, guidance, and supervision to colleagues.
  • Be involved in planning and implementing standards of care in the practices or PCN, practice guidelines and to continually evaluate the quality of patient care.

Education - full details in the attached job description

  • Provide supervision, advice, support and training for the clinical and non-clinical members of the practice team.
  • Where requested, take an active role in educating and developing members of the wider practice multidisciplinary teams, including students through formal and informal teaching sessions.

Research - full details in the attached job description

  • Maintain an up-to-date knowledge in the specialist field, using information to affect change in practice and ensuring the effective dissemination of new knowledge.
  • Able to critically appraise and synthesise the outcomes of relevant research, evaluations and audits and act on this information in collaboration with colleagues to continually develop the service.
  • Able to review and critically appraise new evidence to ensure that practice is evidence based and in line with current local and national guidance.
  • Identify gaps in evidence or areas of practice requiring development, undertaking audit, implementing change of practice where appropriate and evaluating outcomes

Also

  • Communicate proactively and effectively with all colleagues across the multidisciplinary team, attending and contributing to meetings as required.
  • Support in the delivery of enhanced services and other service requirements on behalf of the Practice.
  • Ensuring cost-effective use of resources, adherence to personnel policies and the achievement of service targets.
  • Participate in the management of patient complaints when requested to do so and participate in the identification of any necessary learning brought about through incidents and near-miss events.
  • Undertake all mandatory training and induction programmes.
  • Always maintain a clean, tidy, effective working area.

Person Specification

Qualifications

Essential

  • Holds a MSc advanced practice programme qualification accredited by the Centre for Advancing Practice or has completed the Centres ePortfolio (supported) Route or is enrolled on either programme/route.
  • Holds an Advanced digital badge or is on an approved programme for which a digital badge will be awarded.
  • Is registered with the Nursing and Midwifery Council.
  • Is able to practice as an advanced nurse practitioner.
  • If not a qualified non-medical prescriber, must be prepared to obtain the non-medical prescribing qualification.

Desirable

  • Is an independent non-medical prescriber.
  • Teaching qualification.

Personal Qualities

Essential

  • Ability to use own initiative, discretion and sensitivity
  • High level of integrity and loyalty
  • Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity.
  • Ability to identify risk and assess/manage risk when working with individuals.
  • Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety.
  • Undertake a range of administrative tasks such as ensuring stock levels are maintained and securely stored and equipment is kept in good working order.

Experience

Essential

  • Experience of practice within the four pillars with portfolio/evidence or role that demonstrates ability to work as an advanced clinical practitioner.
  • Clinical experience and knowledge that is relevant to same day care and the management of long term conditions.
  • Ability to effectively assess, plan, treat and refer patients appropriately and evaluate patient care confidently.
  • In-depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare.
  • An appreciation of the nature of general practice.
  • An appreciation of the NHS landscape including the relationships. between individual practices, PCNs and the commissioners.

Desirable

  • Experience of prescribing, medication reviews and optimising treatments.

Other Requirements

Essential

  • Evidence of working autonomously or as part of a team.
  • Understanding and knowledge of healthcare provision in GP surgeries, QOF and enhanced services.
  • Knowledge of national standards that inform general practice (e.g. NICE guidelines).
  • Enhanced Disclosure Barring Service (DBS) check.
  • Occupational Health Clearance.
  • Evidence of continuing professional development commensurate with the role of an Advanced Nurse Practitioner.
  • Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own home.

Skills

Essential

  • Ability to follow clinical, legal, ethical, professional and organisational policies/procedures and codes of conduct.
  • Able to work within the parameters within skills and knowledge, to recognise the limitations of practice and to work within the boundaries of training and capability to make clear decisions with confidence.
  • Advanced communication skills to impart complex, highly sensitive, and potentially distressing information effectively with people at all levels by telephone, email and face to face.
  • Excellent interpersonal, influencing, negotiation and organisation skills with the ability to constructively challenge the view and practices of patients, managers and clinicians.
  • Problem solver with the ability to process information accurately and effectively, interpreting data as required.
  • Ability to record accurate clinical notes.
  • Knowledge of IT systems including the ability to use word processing skills, emails and the internet to create simple plans and reports.
  • Clear, polite telephone manner.
  • Good clinical system IT knowledge of EMIS/SystmOne/Vision.
  • Effective time management (planning and organising).
  • Demonstrate personal accountability, emotional resilience and work well under pressure.
Person Specification

Qualifications

Essential

  • Holds a MSc advanced practice programme qualification accredited by the Centre for Advancing Practice or has completed the Centres ePortfolio (supported) Route or is enrolled on either programme/route.
  • Holds an Advanced digital badge or is on an approved programme for which a digital badge will be awarded.
  • Is registered with the Nursing and Midwifery Council.
  • Is able to practice as an advanced nurse practitioner.
  • If not a qualified non-medical prescriber, must be prepared to obtain the non-medical prescribing qualification.

Desirable

  • Is an independent non-medical prescriber.
  • Teaching qualification.

Personal Qualities

Essential

  • Ability to use own initiative, discretion and sensitivity
  • High level of integrity and loyalty
  • Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity.
  • Ability to identify risk and assess/manage risk when working with individuals.
  • Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety.
  • Undertake a range of administrative tasks such as ensuring stock levels are maintained and securely stored and equipment is kept in good working order.

Experience

Essential

  • Experience of practice within the four pillars with portfolio/evidence or role that demonstrates ability to work as an advanced clinical practitioner.
  • Clinical experience and knowledge that is relevant to same day care and the management of long term conditions.
  • Ability to effectively assess, plan, treat and refer patients appropriately and evaluate patient care confidently.
  • In-depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare.
  • An appreciation of the nature of general practice.
  • An appreciation of the NHS landscape including the relationships. between individual practices, PCNs and the commissioners.

Desirable

  • Experience of prescribing, medication reviews and optimising treatments.

Other Requirements

Essential

  • Evidence of working autonomously or as part of a team.
  • Understanding and knowledge of healthcare provision in GP surgeries, QOF and enhanced services.
  • Knowledge of national standards that inform general practice (e.g. NICE guidelines).
  • Enhanced Disclosure Barring Service (DBS) check.
  • Occupational Health Clearance.
  • Evidence of continuing professional development commensurate with the role of an Advanced Nurse Practitioner.
  • Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own home.

Skills

Essential

  • Ability to follow clinical, legal, ethical, professional and organisational policies/procedures and codes of conduct.
  • Able to work within the parameters within skills and knowledge, to recognise the limitations of practice and to work within the boundaries of training and capability to make clear decisions with confidence.
  • Advanced communication skills to impart complex, highly sensitive, and potentially distressing information effectively with people at all levels by telephone, email and face to face.
  • Excellent interpersonal, influencing, negotiation and organisation skills with the ability to constructively challenge the view and practices of patients, managers and clinicians.
  • Problem solver with the ability to process information accurately and effectively, interpreting data as required.
  • Ability to record accurate clinical notes.
  • Knowledge of IT systems including the ability to use word processing skills, emails and the internet to create simple plans and reports.
  • Clear, polite telephone manner.
  • Good clinical system IT knowledge of EMIS/SystmOne/Vision.
  • Effective time management (planning and organising).
  • Demonstrate personal accountability, emotional resilience and work well under pressure.

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 (opens in a new window).

Additional information

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 (opens in a new window).

Employer details

Employer name

The Blackdown Practice

Address

The Blackdown Practice

Station Road

Hemyock

Cullompton

Devon

EX15 3SF


Employer's website

https://www.theblackdownpractice.co.uk/ (Opens in a new tab)

Employer details

Employer name

The Blackdown Practice

Address

The Blackdown Practice

Station Road

Hemyock

Cullompton

Devon

EX15 3SF


Employer's website

https://www.theblackdownpractice.co.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Practice Manager

Karen Button

d-icb.blackdownmanager@nhs.net

01823680206

Details

Date posted

23 September 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time

Reference number

A3608-25-0004

Job locations

The Blackdown Practice

Station Road

Hemyock

Cullompton

Devon

EX15 3SF


The Blackdown Practice

Culme Way

Dunkeswell

Honiton

Devon

EX14 4JP


The Blackdown Practice

Fairfield Green

Churchinford

Taunton

Somerset

TA3 7RR


Supporting documents

Privacy notice

The Blackdown Practice's privacy notice (opens in a new tab)