Nurse Practitioner

The Advanced Nurse

Practitioner (ANP) will use specialist knowledge and skills to provide

healthcare autonomously to at least 8 housebound frailty patients per day

across the whole Lewisham borough, in peoples homes. The ANP is accountable

for independent clinical assessment, diagnosis, and treatment of patients with

undiagnosed and undifferentiated conditions and for appropriately referring

patients to relevant colleagues or specialities for any necessary follow-up,

inpatient or outpatient review and/or investigations. Ability to drive and

access to own vehicle is essential.

Main duties of the job

Clinical responsibilities

Use highly

developed clinical knowledge to independently assess, diagnose, plan, implement

and evaluate treatments and interventions for patients presenting frequently

with complex undifferentiated or undefined presentations. Presenting this

information to senior medical staff for advice when scope of practice is

exceeded.

Recommend

investigations such as blood, urine and other laboratory tests,

electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography

(CT) scans in accordance with IR(ME)R regulations and as local policy allows.

Prioritise health

problems and intervene appropriately in complex, urgent and emergency

situations.

Provide clinical

cover across OHL services, according to patient and staffing needs.

Prescribe and

review medication as an independent prescriber, for therapeutic effectiveness

appropriate to patient need and in accordance with best/evidence-based practice

and national and local protocols and within the roles scope of practice and

legal framework. Integrates both pharmacological and non-pharmacological

treatment in patient care/management plans

Communicate

effectively with patients, carers, colleagues, and others using appropriate

communication styles. Anticipates barriers to communication and ensures

patients and significant others are kept fully informed and consent to

treatment.

About us

One Health Lewisham (OHL) is the integrated community provider working across SEL, delivering a variety of innovative services for patients supporting practices and PCNs. We are a forward-thinking innovation partner, striving to develop streamlined and transformative pathways which support the wider integrated care system. We are passionate about our mission to provide the best possible care for our patients, and we work hard to support and develop our team to strive for excellence.

We are a fast-growing organisation, providing a range of services which are fully integrated into primary care. We deliver specialist support to some of the most complex patients in the system through our Special Allocation Service contract across all boroughs in South-East London and North-East London ICSs, as well as the Enhanced Care Home Service in Lambeth. We also provide a range of services across Lewisham:

• NHS Health Checks Programme;
• Home Visiting Service, led by our experienced team of paramedics;
• High Intensity User Service;
• Enhanced Care Home Service Lewisham;
• Digital Transformation (Change Management and embedding digital technologies and pathways across our services);
• Population Health improvement services, e.g., Vaccination uptake, LTC reviews, HIV screening etc.;
• Long Covid Service - we are a local pioneer in developing this service in the community for our local populations;
• Weight loss - Tirzepatide pilot (Mounjaro weight loss injection).

Details

Date posted

05 October 2026

Pay scheme

Other

Salary

£65,000 a year

Contract

Permanent

Working pattern

Full-time

Reference number

U0036-26-0005

Job locations

The Jenner Practice

201 Stanstead Road

London

SE23 1HU

United Kingdom

Job responsibilities

Job

Summary:

The Advanced Nurse

Practitioner (ANP) will use specialist knowledge and skills to provide

healthcare autonomously to at least 8 housebound frailty patients per day

across the whole Lewisham borough, in peoples homes. The ANP is accountable

for independent clinical assessment, diagnosis, and treatment of patients with

undiagnosed and undifferentiated conditions and for appropriately referring

patients to relevant colleagues or specialities for any necessary follow-up,

inpatient or outpatient review and/or investigations. Ability to drive and

access to own vehicle is essential.

Key

Responsibilities

Clinical responsibilities

Use highly

developed clinical knowledge to independently assess, diagnose, plan, implement

and evaluate treatments and interventions for patients presenting frequently

with complex undifferentiated or undefined presentations. Presenting this

information to senior medical staff for advice when scope of practice is

exceeded.

Recommend

investigations such as blood, urine and other laboratory tests,

electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography

(CT) scans in accordance with IR(ME)R regulations and as local policy allows.

Prioritise health

problems and intervene appropriately in complex, urgent and emergency

situations.

Provide clinical

cover across OHL services, according to patient and staffing needs.

Prescribe and

review medication as an independent prescriber, for therapeutic effectiveness

appropriate to patient need and in accordance with best/evidence-based practice

and national and local protocols and within the roles scope of practice and

legal framework. Integrates both pharmacological and non-pharmacological

treatment in patient care/management plans

Communicate

effectively with patients, carers, colleagues, and others using appropriate

communication styles. Anticipates barriers to communication and ensures

patients and significant others are kept fully informed and consent to

treatment.

Leadership/ Management

Work in

partnership with the existing senior medical, nursing and AHP teams in driving

development and change.

Support patients,

carers and staff during difficult situations that arise e.g. breaking bad news

or following an unexpected event.

Education Training and Development:

Take

responsibility for their own learning and performance including the

participation in clinical supervision and maintaining an awareness of relevant

research evidence.

Works with the

multi-professional team to further develop appropriate clinical pathways and

care approaches. Disseminates their own learning and good practice to other

team members.

Participate in

own annual NHS appraisal, annual OHL appraisal, the revalidation process as

required by the NMC and support others as required.

Additional

Responsibilities

Facilitate pro-active links and relationships between the

Team & the wider community giving advice & guidance to fellow

professionals, carers, voluntary organisations & the public.

Foster collaborative working relationships with the whole

system.

Ensure appropriate and timely transfer of care between

services.

Observe all policies relating to health and safety, confidentiality

and data protection, equality and diversity. All applicable policies are

available in the Employee Handbook, which will be shared prior to starting

employment.

Job responsibilities

Job

Summary:

The Advanced Nurse

Practitioner (ANP) will use specialist knowledge and skills to provide

healthcare autonomously to at least 8 housebound frailty patients per day

across the whole Lewisham borough, in peoples homes. The ANP is accountable

for independent clinical assessment, diagnosis, and treatment of patients with

undiagnosed and undifferentiated conditions and for appropriately referring

patients to relevant colleagues or specialities for any necessary follow-up,

inpatient or outpatient review and/or investigations. Ability to drive and

access to own vehicle is essential.

Key

Responsibilities

Clinical responsibilities

Use highly

developed clinical knowledge to independently assess, diagnose, plan, implement

and evaluate treatments and interventions for patients presenting frequently

with complex undifferentiated or undefined presentations. Presenting this

information to senior medical staff for advice when scope of practice is

exceeded.

Recommend

investigations such as blood, urine and other laboratory tests,

electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography

(CT) scans in accordance with IR(ME)R regulations and as local policy allows.

Prioritise health

problems and intervene appropriately in complex, urgent and emergency

situations.

Provide clinical

cover across OHL services, according to patient and staffing needs.

Prescribe and

review medication as an independent prescriber, for therapeutic effectiveness

appropriate to patient need and in accordance with best/evidence-based practice

and national and local protocols and within the roles scope of practice and

legal framework. Integrates both pharmacological and non-pharmacological

treatment in patient care/management plans

Communicate

effectively with patients, carers, colleagues, and others using appropriate

communication styles. Anticipates barriers to communication and ensures

patients and significant others are kept fully informed and consent to

treatment.

Leadership/ Management

Work in

partnership with the existing senior medical, nursing and AHP teams in driving

development and change.

Support patients,

carers and staff during difficult situations that arise e.g. breaking bad news

or following an unexpected event.

Education Training and Development:

Take

responsibility for their own learning and performance including the

participation in clinical supervision and maintaining an awareness of relevant

research evidence.

Works with the

multi-professional team to further develop appropriate clinical pathways and

care approaches. Disseminates their own learning and good practice to other

team members.

Participate in

own annual NHS appraisal, annual OHL appraisal, the revalidation process as

required by the NMC and support others as required.

Additional

Responsibilities

Facilitate pro-active links and relationships between the

Team & the wider community giving advice & guidance to fellow

professionals, carers, voluntary organisations & the public.

Foster collaborative working relationships with the whole

system.

Ensure appropriate and timely transfer of care between

services.

Observe all policies relating to health and safety, confidentiality

and data protection, equality and diversity. All applicable policies are

available in the Employee Handbook, which will be shared prior to starting

employment.

Person Specification

Qualifications

Essential

• Full registration with the NMC.
• Appropriate qualification to practice in the UK.
• Not suspended or disqualified from practice or on any conditional inclusion list with any ICS.
• Prescribing qualification

Qualities/Attributes

Essential

• Car owner with full clean driving licence and business insurance.
• Good verbal and written communication skills.
• Ability to motivate self and others.
• Ability to lead and work within a team.
• Excellent interpersonal and relationship skills.
• Ensure professional values and ethics are upheld.

Experience

Essential

• Minimum 2+ years post-graduation experience working in general practice.
• EMIS Clinical System use.

Desirable

• Work in an organisation that has impacted on care delivery in Lewisham.
• Experience in leading a service or clinical team.
• Have worked with digital technology.
• Carried out clinical audit and quality improvement projects showing significant changes within healthcare services.

Knowledge/ Skills

Essential

• Able to use computers for recording clinical data, data analysis, administrative purposes and communication.
• Ability to take the lead clinically.
• Able to engage effectively with a wide range of stakeholders, ensuring effective two-way communication with the member practices.
• Ability to identify barriers and find solutions to support best-practice across all local practices.

Desirable

• Understanding of digital health systems outside of NHS.

Person Specification

Qualifications

Essential

• Full registration with the NMC.
• Appropriate qualification to practice in the UK.
• Not suspended or disqualified from practice or on any conditional inclusion list with any ICS.
• Prescribing qualification

Qualities/Attributes

Essential

• Car owner with full clean driving licence and business insurance.
• Good verbal and written communication skills.
• Ability to motivate self and others.
• Ability to lead and work within a team.
• Excellent interpersonal and relationship skills.
• Ensure professional values and ethics are upheld.

Experience

Essential

• Minimum 2+ years post-graduation experience working in general practice.
• EMIS Clinical System use.

Desirable

• Work in an organisation that has impacted on care delivery in Lewisham.
• Experience in leading a service or clinical team.
• Have worked with digital technology.
• Carried out clinical audit and quality improvement projects showing significant changes within healthcare services.

Knowledge/ Skills

Essential

• Able to use computers for recording clinical data, data analysis, administrative purposes and communication.
• Ability to take the lead clinically.
• Able to engage effectively with a wide range of stakeholders, ensuring effective two-way communication with the member practices.
• Ability to identify barriers and find solutions to support best-practice across all local practices.

Desirable

• Understanding of digital health systems outside of NHS.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see

NHS Careers website .

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see

NHS Careers website .

Employer details

Employer name

One Health Lewisham

Address

The Jenner Practice

201 Stanstead Road

London

SE23 1HU

United Kingdom

Employer's website

https://onehealthlewisham.co.uk/ (Opens in a new tab)

Employer details

Employer name

One Health Lewisham

Address

The Jenner Practice

201 Stanstead Road

London

SE23 1HU

United Kingdom

Employer's website

https://onehealthlewisham.co.uk/ (Opens in a new tab)

Job responsibilities

Job

Summary:

The Advanced Nurse

Practitioner (ANP) will use specialist knowledge and skills to provide

healthcare autonomously to at least 8 housebound frailty patients per day

across the whole Lewisham borough, in peoples homes. The ANP is accountable

for independent clinical assessment, diagnosis, and treatment of patients with

undiagnosed and undifferentiated conditions and for appropriately referring

patients to relevant colleagues or specialities for any necessary follow-up,

inpatient or outpatient review and/or investigations. Ability to drive and

access to own vehicle is essential.

Key

Responsibilities

Clinical responsibilities

Use highly

developed clinical knowledge to independently assess, diagnose, plan, implement

and evaluate treatments and interventions for patients presenting frequently

with complex undifferentiated or undefined presentations. Presenting this

information to senior medical staff for advice when scope of practice is

exceeded.

Recommend

investigations such as blood, urine and other laboratory tests,

electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography

(CT) scans in accordance with IR(ME)R regulations and as local policy allows.

Prioritise health

problems and intervene appropriately in complex, urgent and emergency

situations.

Provide clinical

cover across OHL services, according to patient and staffing needs.

Prescribe and

review medication as an independent prescriber, for therapeutic effectiveness

appropriate to patient need and in accordance with best/evidence-based practice

and national and local protocols and within the roles scope of practice and

legal framework. Integrates both pharmacological and non-pharmacological

treatment in patient care/management plans

Communicate

effectively with patients, carers, colleagues, and others using appropriate

communication styles. Anticipates barriers to communication and ensures

patients and significant others are kept fully informed and consent to

treatment.

Leadership/ Management

Work in

partnership with the existing senior medical, nursing and AHP teams in driving

development and change.

Support patients,

carers and staff during difficult situations that arise e.g. breaking bad news

or following an unexpected event.

Education Training and Development:

Take

responsibility for their own learning and performance including the

participation in clinical supervision and maintaining an awareness of relevant

research evidence.

Works with the

multi-professional team to further develop appropriate clinical pathways and

care approaches. Disseminates their own learning and good practice to other

team members.

Participate in

own annual NHS appraisal, annual OHL appraisal, the revalidation process as

required by the NMC and support others as required.

Additional

Responsibilities

Facilitate pro-active links and relationships between the

Team & the wider community giving advice & guidance to fellow

professionals, carers, voluntary organisations & the public.

Foster collaborative working relationships with the whole

system.

Ensure appropriate and timely transfer of care between

services.

Observe all policies relating to health and safety, confidentiality

and data protection, equality and diversity. All applicable policies are

available in the Employee Handbook, which will be shared prior to starting

employment.

Qualifications

Essential

• Full registration with the NMC.
• Appropriate qualification to practice in the UK.
• Not suspended or disqualified from practice or on any conditional inclusion list with any ICS.
• Prescribing qualification

Qualities/Attributes

Essential

• Car owner with full clean driving licence and business insurance.
• Good verbal and written communication skills.
• Ability to motivate self and others.
• Ability to lead and work within a team.
• Excellent interpersonal and relationship skills.
• Ensure professional values and ethics are upheld.

Experience

Essential

• Minimum 2+ years post-graduation experience working in general practice.
• EMIS Clinical System use.

Desirable

• Work in an organisation that has impacted on care delivery in Lewisham.
• Experience in leading a service or clinical team.
• Have worked with digital technology.
• Carried out clinical audit and quality improvement projects showing significant changes within healthcare services.

Knowledge/ Skills

Essential

• Able to use computers for recording clinical data, data analysis, administrative purposes and communication.
• Ability to take the lead clinically.
• Able to engage effectively with a wide range of stakeholders, ensuring effective two-way communication with the member practices.
• Ability to identify barriers and find solutions to support best-practice across all local practices.

Desirable

• Understanding of digital health systems outside of NHS.