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Advanced nurse practitioner (anp) primary care

Preston (Lancashire)
NHS
Advanced nurse practitioner
€50,000 a year
Posted: 15 June
The role

Advanced Nurse Practitioner (ANP) Primary Care

We are delighted to be recruiting an Advanced Nurse Practitioner to join us one day a week on Wednesdays, supporting frailty and care home residents across the network. This is a rewarding opportunity for an experienced ANP who is passionate about improving outcomes for older adults with complex needs.

In this role, you’ll use your advanced clinical skills to deliver proactive, person‑centred care for care home residents, providing expert assessment, diagnosis, prescribing and management planning. You will work closely with GPs, pharmacists, district nurses, palliative care teams and care home staff to ensure residents receive timely, coordinated and compassionate care.

This position offers the chance to make a meaningful impact on a highly vulnerable population, helping to prevent avoidable hospital admissions, support personalised care planning and enhance quality of life for residents living with frailty and long‑term conditions.

As part of Promni Health, you will be joining an award‑winning organisation recognised nationally for clinical quality, innovation and partnership working. You will be supported by a friendly, collaborative team and work within a culture that values professional development, autonomy and evidence based practice.

Main duties of the job

In this role, you will provide advanced clinical support to care home residents across the PCN, focusing on frailty, complex care and long‑term condition management. You will carry out comprehensive assessments, make autonomous clinical decisions, prescribe safely and manage undifferentiated presentations, ensuring residents receive timely, person‑centred care.

You will work closely with GPs, pharmacists, district nurses, palliative care teams and care home staff, contributing to regular MDT meetings, structured care home rounds and proactive reviews. A key part of the role is helping to prevent avoidable hospital admissions by identifying deterioration early, supporting personalised care plans and ensuring continuity for residents with complex needs.

Alongside clinical work, you will provide leadership within the MDT, support quality improvement activity and help strengthen frailty and care home pathways across the PCN. You will also contribute to staff development, promote evidence based practice and ensure high quality documentation and governance.

This role is ideal for an experienced ANP who thrives in a collaborative environment and wants to make a meaningful impact on the care of older adults living in care homes.

About us

Promni Health is one of the UK’s leading primary care workforce and service support partners, working with over 1,000 GP practices and supporting a patient population of more than 9 million. Our teams are known for their clinical quality, collaborative approach and commitment to improving access and outcomes across primary and community care.

We are a fast‑growing, award‑winning organisation with a strong reputation for innovation and partnership working. Our culture is supportive, friendly and purpose‑driven – we bring together clinicians, operational teams and PCN partners who share a passion for delivering high‑quality, person‑centred care.

With more than 400 clinicians across advanced practice, FCP, nursing, podiatry, occupational therapy and mental health, we create an environment where people feel valued, trusted and able to grow. We invest in professional development, offer clear progression pathways and ensure our teams have the support they need to deliver safe, effective care.

Joining Promni Health means being part of a team that genuinely cares about making a difference, celebrates good work and works collaboratively to improve services for patients, practices and local communities.

Job responsibilities

Role: Advanced Nurse Practitioner (ANP) Frailty & Care Home Support (PCN Embedded)

Hours: Initially Part Time 8 hours per week, with potential to increase.

Contract Type: Permanent

Supporting high‑quality frailty care within primary care and care home environments.

As an ANP, you will work as part of a primary care network multidisciplinary team to support the delivery of proactive, responsive and person‑centred care to care home residents with frailty, complex health needs and long‑term conditions.

Key tasks include:

  • Undertake advanced clinical assessment of care home residents with complex healthcare needs.
  • Assess and triage patients, including urgent presentations where appropriate.
  • Manage undifferentiated and undiagnosed presentations within scope of practice.
  • Identify red flags and underlying serious pathology and take appropriate action.
  • Undertake diagnosis, investigation and management planning.
  • Prescribe safely and appropriately in accordance with national guidance, local policies and agreed care pathways.
  • Request and interpret investigations relevant to scope of practice.
  • Refer appropriately into local services and specialist pathways.
  • Use advanced clinical decision‑making to support patient management.
  • Undertake structured care home clinical review sessions.
  • Participate in regular MDT meetings and care home reviews.
  • Support comprehensive assessments following admission, readmission or clinical deterioration.
  • Contribute to the development, implementation and review of personalised care and support plans.
  • Support advance care planning discussions and associated documentation.
  • Provide proactive clinical input to frailty pathways.
  • Support admission avoidance and early intervention initiatives.
  • Work collaboratively with care home staff, families and carers.
  • Support continuity of care for residents with complex health needs.
  • Provide clinical leadership within the MDT.
  • Support education and development of care home staff where appropriate.
  • Contribute to quality improvement initiatives.
  • Support development of integrated frailty and care home pathways.
  • Promote evidence‑based practice.
  • Maintain accurate clinical records within PCN clinical systems.
  • Ensure timely and accurate documentation.
  • Participate in clinical governance activities.
  • Work within agreed policies, protocols and escalation pathways.
  • Maintain appropriate professional registration and CPD requirements.
  • Travel between care homes and GP practice locations across the PCN footprint.

Essential qualifications and experience

  • Registered Nurse with current NMC registration.
  • Evidence of recognised preparation for Advanced Practice in line with NHS England Centre for Advancing Practice standards through one of the following:
    • Graduated from a Centre for Advancing Practice accredited MSc Advanced Practice programme; or
    • Completed the Centre for Advancing Practice ePortfolio (Supported) Route; or
    • Currently enrolled on a Centre for Advancing Practice accredited MSc Advanced Practice programme; or
    • Currently enrolled on and progressed beyond the Learning Needs Analysis stage of the Centre for Advancing Practice ePortfolio (Supported) Route.
  • Independent Prescribing Qualification (V300).
  • Working at master’s level or equivalent.
  • Advanced clinical assessment skills.
  • Advanced clinical decision‑making skills.
  • Experience managing frailty and complex care patients.
  • Experience working with care home residents.
  • Experience managing undifferentiated presentations.
  • Ability to identify red flags and serious pathology.
  • Ability to work effectively within multidisciplinary teams.
  • Ability to work within agreed governance frameworks.
  • Desirable experience:
    • Experience working within Primary Care Networks.
    • Experience working in General Practice.
    • Experience of Enhanced Health in Care Homes (EHCH) models.
    • Experience of admission avoidance services.
    • Experience of Advance Care Planning and End of Life Care.
    • Experience supporting supervision and development of other clinical staff.

General terms and EEO statement

The postholder will adhere to all Promni Health policies and procedures, maintain professional registration and mandatory training, safeguard children and adults at risk, work in accordance with professional standards and codes of conduct, and support equality, diversity and inclusion in all aspects of practice. This role profile is not exhaustive and the postholder may be required to undertake other duties consistent with the scope and seniority of the role.

Promni Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, colour, national origin, religion, gender, sexual orientation, age, disability or veteran status.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and requires a Disclosure to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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