Advanced Nurse Practitioner


Company:	NHS Jobs
Salary:	£52,000 to £65,000 a year
Hours:	Full-time
Location:	Barrow in Furness, LA14 2HG
Job type:	Contract
Posting date:	29 Aug 2026
Closing date:	13 Sept 2026

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Summary

Post: Advanced Nurse Practitioner or Advanced Clinical Practitioner with relevant experience Service: MBPCC Enable Service Accountable to: Service & Clinical Lead Responsible to: Service Lead Hours: 37.5 per week Salary: £52,000 £65,000 (30% enhanced hourly rate for Saturday working) Contract Type Fixed term 12 months. Secondment applications welcome. Base: Hybrid and flexible with home working occasional Barrow and Mid Furness PCN sites MAIN DUTIES AND RESPONSIBILITIES Clinical practice Advanced assessment and clinical decision making Undertake advanced, autonomous work and health assessments for patients referred into the pilot, employing an extended scope of practice including advanced consultation, history taking and, where within the post holders assessed competence, physical assessment. Assess undifferentiated presentations in the context of work, applying systematic clinical reasoning to distinguish between patients whose needs can be met by a Workability Plan, those requiring parallel clinical management, and those requiring urgent escalation. Formulate and co-produce personalised Workability Plans focused on functional capability, phased return, adjustments and the practical support required to sustain work. Exercise independent judgement in determining whether a period away from work is clinically appropriate and articulate that judgement in terms that withstand challenge from patients, employers, referring clinicians and, potentially, an employment tribunal. Recognise deteriorating or high risk presentations, including physical deterioration, mental health crisis, safeguarding concern and undisclosed serious pathology, and escalate without delay through agreed routes. Issue fit notes for patients Request, review and interpret investigations where clinically indicated and within agreed pilot scope, communicating and acting on findings appropriately. Complex casework and clinical consultancy Hold the most clinically complex, contested and high risk cases within the service, including multiple comorbidity, mental health presentations, contested employer relationships and cases with potential legal exposure. Act as the definitive clinical point of reference for colleagues, providing case advice, joint assessment and decision support, and taking clinical handover of cases beyond their scope. Provide specialist advice on reasonable adjustments, graduated return, workplace modification, redeployment and ill health capability, informed by the Equality Act 2010 and relevant health and safety legislation. Assess mental capacity where relevant, obtain and record valid informed consent, and work within the applicable legal framework. Acknowledge the limits of personal competence and of the pilot service, and accept responsibility only for activity where competence can be assured. Leadership and management Provide senior clinical leadership to the assessment function, setting and modelling the standard of practice for the service. Own, develop and maintain the clinical assessment protocols, triage criteria, escalation thresholds, business rules, assessment templates and standard operating procedures, ensuring they are version controlled and approved through the agreed governance route in collaboration with other team members. Exercise professional judgement to create precedent and resolve ambiguous or novel clinical problems where no protocol exists, and ensure those decisions are subsequently reflected in protocol. Provide clinical supervision to clinical staff within the service, and clinical oversight to non-clinical work and health coaches, ensuring they operate within safe boundaries and escalate appropriately. Deputise for the Clinical Lead in their absence on clinical matters, escalating to the Clinical Lead where a decision falls outside delegated authority. Lead the clinical governance arrangements for the assessment function, including clinical audit, incident and complaint investigation, and the clinical risk register. Advise on the clinical implications of proposed operational changes, including capacity, appointment length, skill mix and caseload distribution, and contribute to the workforce model for any successor service. Contribute to recruitment, induction, competency assessment and development planning for clinical members of the team, and identify and address unwarranted variation in practice. Support the wellbeing of the clinical team in a service dealing with distressed patients and emotionally demanding material. Education Act as the clinical educational resource for the service, building capability in workability assessment across clinical and non-clinical colleagues. Design and deliver training, briefings and awareness sessions for primary care colleagues, work and health coaches, employers and partner organisations. Provide mentorship, coaching and reflective supervision, and support the development of any trainee or developmental posts within the service. Build constructive relationships with referring GPs, providing feedback that improves referral quality and sustains clinical confidence in the pilot model. Take responsibility for personal continuing professional development, maintain registration and revalidation requirements, and arrange personal clinical and professional supervision. Contribute to the wider dissemination of learning from the pilot, including written outputs, case studies, presentations and contributions to professional networks. Research and evaluation Design and lead clinical audit and case note review, report findings and ensure recommendations are implemented and re-audited. Lead clinical test-and-learn cycles, proposing, testing and evaluating changes to the assessment model during the pilot period. Act as a clinical point of contact for the national evaluation, including interviews, case note review and data queries, within the limits of patient confidentiality 5. FREEDOM TO ACT The post holder practises competently and autonomously without direct clinical supervision, in accordance with the NMC Code and local policy. The post holder assumes clinical accountability for patients referred into a non-medically led pathway. The post holder exercises professional judgement and expertise to create precedent and deal with ambiguous or novel problems, applying evidence-based practice and rigorous analytical judgement in the absence of specific guidance. The post holder holds delegated authority to determine clinical assessment practice within the service, subject to ratification by the Clinical Lead Matters with implications for patient safety, service scope, contractual obligation or the national pilot design are escalated to the Clinical Lead WORKING ARRANGEMENTS This is a fixed term post for 12 months, funded through the national pilot. Continuation beyond the pilot period cannot be guaranteed and is subject to national decisions on the future of the model. A flexible and agile approach to working is expected. The service operates a blended model of face to face clinics, remote consultation and home working, and the balance between these will vary with service demand and patient need. Home working is supported for remote assessment, report writing, supervision and administrative activity, subject to a suitable, confidential home working environment and compliance with information governance requirements. Home working is an operational arrangement, not a contractual entitlement, and does not remove the requirement to attend sites. The leadership, supervisory and educational elements of the role require a regular on-site presence sufficient to maintain visibility, support the team and sustain relationships with referring practices. Regular travel across Barrow and Mid Furness is required. Access to a vehicle and a full UK driving licence, or an equivalent means of meeting the travel requirements of the post, is necessary. Some flexibility over working hours may be needed to accommodate patients who are in work and employers who are only available outside core hours such as Saturday working. The post holder will be expected to work in a rapidly evolving service where processes, systems and documentation change during the pilot period, and to lead others through that change. Please see full Job Description and Person Specification

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