Senior Advanced Nurse Practitioner

Job overview

We are seeking an experienced and motivated Senior Advanced Nurse Practitioner (ANP) to provide expert clinical leadership and advanced practice within our multidisciplinary team. This is a senior role with a strong emphasis on autonomous clinical decision-making, service development, and supporting high-quality, patient-centred care.

You will work alongside our Ward 4 team while also contributing strategically to service improvement, education, and leadership across the team.

For an informal discussion, please contact Natalie Larvin, Clinical Director at [email protected]

Main duties of the job

The Senior Advanced Nurse Practitioner (SANP) will provide strong, visible clinical leadership for practitioner-led care within the ward and wider directorate, with a clear focus on promoting, maintaining, and continuously improving the quality and safety of care delivered to patients and their families. The post holder will be a highly skilled autonomous practitioner, operating at an advanced level of clinical practice, and will play a pivotal role in shaping the delivery of services for older people with complex physical health needs and organic illness.

Working collaboratively with the multidisciplinary team (MDT), the SANP will have the authority, credibility, and professional freedom to lead the development of advanced clinical practice, education, and research within the ward and across the directorate. The role combines a substantial clinical commitment with strategic leadership responsibilities. The post holder will spend a minimum of 75% of their time in direct clinical practice, delivering expert patient care in response to service need, with the remaining 25% dedicated to leading the development, delivery, and implementation of a sustainable strategy for the Advanced Clinical Practice workforce.

Detailed job description and main responsibilities

• Acts as an expert practitioner demonstrating advanced knowledge and skills, including the integration of research evidence into practice by expert clinical reasoning and decision-making
• Assesses, examines, investigates, diagnoses and treats any patient, resulting in the safe management and appropriate admission, referral and/or discharge of patients with undifferentiated and undiagnosed presentations
• Makes independent clinical decisions and initiates invasive and/or non-invasive investigations, care/treatments and technological interventions
• Can plan, order, interpret and act upon the results of tests and investigations
• Can interpret and act upon other clinical and non-clinical information
• Uses expert theoretical and practical knowledge to refer to other departments/colleagues within or outside the Trust as necessary relying on own interpretation of clinical information, and expert clinical decision-making
• Undertakes independent prescribing
• Ensures that accurate documentation and records of patient care are maintained
• Provides expert advice related to area of practice
• Acts as a resource providing expert advice and clinical opinion to colleagues
• Works alongside those in advanced clinical practice roles to provide opportunities for development and supervision
• Undertake advanced practitioner-level holistic assessment, planning, implementation and evaluation of patients’ care needs in line with those associated with an advanced MSc qualification
• Have the expertise to use complex dexterity and manipulation skills in the care of vascular and urinary catheters, syringe drivers and complex wound care.
• Undertake advanced clinical practitioner-level physical assessment examination of patients requiring complex medical disease-management and resolution or containment of disease complications. This will include the safe management of infectious body fluids or outbreak situations.

Undertake initial assessment to determine differential diagnoses, utilising advanced critical-thinking and decision-making skills, deciding when necessary to refer to senior medical colleagues

• On a daily basis, act autonomously to provide expert clinical/technical care, which contributes to the diagnosis, specialist care and treatment plans for these highly complex patients
• In the absence of medical staff and within predetermined parameters, using advanced clinical reasoning skills the post holder will initiate treatment plans and support to ensure the ongoing safety of the patient
• Demonstrate continual evaluation of practice within the care of older people with complex physical health needs and an organic illness, taking responsibility for making agreed changes where appropriate
• Request and arrange necessary investigations, interpreting within scope of professional practice and reporting findings to appropriate clinicians
• Discuss and agree assessment outcomes with patients, carers and other healthcare professionals, to enable them to make informed decisions regarding treatment
• Authorise the decision to admit patients and/or proactively initiate discharge
• Ensure that accurate, essential and appropriate written and verbal information is relayed to staff, ensuring adequate facilities are in place to maintain safety in the environment, ensuring effective management of this group of patients
• Ensure that patients are referred to appropriate practitioner when needs and risks are not within own scope of practice
• Effectively communicate with GPs and other members of the Primary Care Team
• Proactively participate in the development of care pathways, guidelines and protocols as appropriate
• Ensure dignity, privacy, and cultural and religious beliefs are respected at all times