Nurse / Paramedic Prescriber

The post holder will deliver high-quality, patient-centred care through advanced clinical assessment, diagnosis, and management of acute and chronic conditions. Key responsibilities include:

• 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, 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. Main Duties and Responsibilities 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
Responsibility for 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. Job description, 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. Main Duties and Responsibilities 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
Responsibility for 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.

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.,
• 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
Desirable
• Experience working in general practice or primary care
• Experience managing long term conditions
• Experience working within a multidisciplinary team in an NHS setting, Registered Nurse NMC or Registered Paramedic HCPC
• MSc level qualification in Advanced Clinical Practice or working towards
• Independent Non-Medical Prescribing qualification V300
• Evidence of ongoing Continuing Professional Development CPD
• Minor illness trained
Desirable
• Advanced Clinical Practice qualification fully completed
• Teaching, mentoring, or clinical supervision training
Experience Essential
• 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
Desirable
• Experience working in general practice or primary care
• Experience managing long term conditions
• Experience working within a multidisciplinary team in an NHS setting
Person Specification Experience Essential
• 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
Desirable
• Experience working in general practice or primary care
• Experience managing long term conditions
• Experience working within a multidisciplinary team in an NHS setting, Registered Nurse NMC or Registered Paramedic HCPC
• MSc level qualification in Advanced Clinical Practice or working towards
• Independent Non-Medical Prescribing qualification V300
• Evidence of ongoing Continuing Professional Development CPD
• Minor illness trained
Desirable
• Advanced Clinical Practice qualification fully completed
• Teaching, mentoring, or clinical supervision training
Experience Essential
• 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
Desirable
• Experience working in general practice or primary care
• Experience managing long term conditions
• Experience working within a multidisciplinary team in an NHS setting
  
  Larksfield & Arlesey Medical Partnership is a patient-focused GP partnership serving just under 20,000 of the local community across two sites. We are proud of our supportive team culture, commitment to high standards of care, and ongoing investment in staff development. We work closely with our PCN colleagues and place strong emphasis on teamwork, innovation, and maintaining a positive worklife balance.