Advanced Nurse Practitioner


Company:	NHS Jobs
Salary:	from £27 an hour
Hours:	Full-time
Location:	Bristol, BS16 3TD
Job type:	Permanent
Posting date:	29 Sept 2026
Closing date:	14 Oct 2026

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Summary

Provide advanced, person-centred clinical care for registered patients, with a planned mix of minor illness and acute assessment alongside long-term-condition management. Work as an autonomous nurse prescriber within a documented scope of practice, using the wider clinical team for discussion, referral and escalation. The exact caseload, age range, home visiting contribution and diabetes responsibilities will be agreed according to competence and service need. Clinical assessment and minor illness Assess patients presenting with minor illness and appropriate undifferentiated symptoms through face-to-face or telephone consultations as agreed. Take histories, examine, form differential diagnoses and identify red flags, deterioration and emergencies. Request and interpret appropriate tests, agree evidence based treatment and safety netting, arrange follow-up, and refer or escalate to GPs, urgent care, community services or secondary care as needed. Prescribe independently within competence, current legislation and practice policy. Review treatment effectiveness, adverse effects and medicine safety. Take responsibility for results, prescriptions, correspondence, referrals and other clinical administration generated by own consultations, ensuring clear handover when absent. Long-term conditions and diabetes Deliver structured reviews and care planning for long term conditions within agreed competencies. Contribute to diabetes reviews and follow-up where competent. Assess cardiovascular and other risks, interpret monitoring results, review treatment and identify complications or need for specialist input.Experience with type 2 diabetes is especially valuable. Work with the nursing, GP and pharmacy teams to coordinate recalls, follow-up and continuity, and support relevant QOF and local service requirements without treating targets as a substitute for individual clinical need. Teamwork and quality Work constructively with GPs, nurses, paramedics, pharmacy staff, care coordinators and community colleagues. Contribute to clinical meetings, case discussion, supervision or teaching appropriate to experience, and development of evidence based pathways. Participate in audit, incident learning and quality improvement, including review of prescribing and long term condition care. Professional and organisational responsibilities Maintain NMC registration, prescribing annotation, revalidation, mandatory training and continuing professional development. Participate in appraisal and clinical supervision. Maintain accurate, timely clinical records and coding in EMIS. Use practice systems safely and protect confidential information. Apply safeguarding, consent, capacity, infection prevention and control, information governance, equality and health and safety requirements. Recognise the limits of personal competence, maintain an agreed scope of practice and escalate concerns promptly. This description will be reviewed with the postholder as the role and service develop. Changes to clinical scope will require suitable competence, support and agreement.

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