Nurse Practitioner

We are seeking a skilled and experienced Advanced Nurse Practitioner (ANP) to join our multidisciplinary team at The Mandeville Practice, Aylesbury, on a part-time basis. This is an excellent opportunity for an autonomous clinician to play a key role in delivering high-quality, patient-centred care within a busy and supportive GP practice.

The successful candidate will provide advanced clinical assessments, diagnose and manage acute and chronic conditions, prescribe independently where appropriate, and deliver evidence-based care to patients across all age groups. The role also includes supporting the management of long-term conditions, promoting health and wellbeing, contributing to disease prevention initiatives, and working collaboratively with GPs and the wider multidisciplinary team to ensure the highest standards of clinical care. The ANP will also contribute to service development and help enhance the quality and efficiency of patient care within the practice.

Main duties of the job

As an Advanced Nurse Practitioner, you will work autonomously within your scope of practice to deliver high-quality, patient-centred care. Key responsibilities include managing acute and chronic conditions, conducting health assessments, running specialist clinics, prescribing medications, and promoting health and disease prevention. You will also contribute to clinical policy development, support safeguarding, and play an active role in clinical audits and service improvement across the practice.

About us

The Mandeville Practice is a well-established NHS GP surgery based in Aylesbury, Buckinghamshire, providing comprehensive, high-quality primary care services to the local community. Operated by Primary Care Management Solutions (PCMS) Ltd, the practice is committed to delivering safe, compassionate, and patient-centred healthcare in a modern, purpose-built facility.

Our multidisciplinary team includes GPs, Advanced Nurse Practitioners, Practice Nurses, Healthcare Assistants, Clinical Pharmacists, and administrative professionals who work collaboratively to provide a wide range of services, from acute and chronic disease management to preventative healthcare and health promotion. We are dedicated to continuous service improvement, embracing innovation and digital healthcare solutions to enhance patient access and outcomes.

At The Mandeville Practice, we foster a supportive and inclusive working environment where teamwork, professional development, and high clinical standards are valued. This is an exciting opportunity to join a forward-thinking practice committed to delivering outstanding care to our diverse patient population.

Details

Date posted

24 September 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

Depending on experience

Depending on experience

Contract

Permanent

Working pattern

Part-time,

Flexible working

Reference number

E0054-26-0124TMP

Job locations

The Mandeville Surgery

Hannon Road

AYLESBURY

Buckinghamshire

HP21 8TR

United Kingdom

Job responsibilities

Clinical

Responsibilities:

In accordance with the practice timetable, the ANP will work

autonomously, delivering care within their scope of practice to the patient

population. Contributing towards clinical areas such as health promotion,

chronic disease management, health prevention, well-women and well man clinics

as well as supporting the management team in the reviewing of clinical policy

and procedure.

• Manage patients presenting with a range of acute

and chronic medical conditions, providing subject matter expert advice to

patients

• Implement and evaluate individual specialised

treatment plans for chronic disease patients

• Identify, manage and support patients as risk of

developing long-term conditions, preventing adverse effects on the patients

health

• Provide advanced, specialist nursing care to

patients as required in accordance with clinical based evidence, NICE and the

NSF

• Provide wound care (ulcer /Doppler etc.) to

patients

• Provide specialist clinics such as ear

syringing, contraception etc.

• Undertake the collection of pathological

specimens

• Provide travel medicine services

• Request pathology services as necessary

• Process and interpret pathology and other test

results as required

• Provide chronic disease clinics, delivering

patient care as necessary, referring patients to secondary / specialist care as

required

• Maintain accurate clinical records in

conjunction with extant legislation

• Ensure read codes are used effectively

• Maintain chronic disease registers

• Prioritise health issues and intervene

appropriately

• Support the team in dealing with clinical

emergencies

• Recognise, assess and refer patients presenting

with mental health needs

• Implement vaccination programmes for adults and

children

• Delegate clinical responsibilities appropriately

(ensuring safe practice and the task is within the scope of practice of the

individual)

• Support the clinical team with all safeguarding

matters, in accordance with local and national policies

• Understand practice and local policies for

substance abuse and addictive behaviour, referring patients appropriately

• Deliver opportunistic health promotion where

appropriate

• Extended and supplementary prescriber, adhering

to extant guidance

• Support patients in the use of their prescribed

medicines or over the counter medicines (within own scope of practice),

reviewing annually as required

• Contribute to practice targets (QOF etc.),

complying with local and regional guidance

• Liaise with external services / agencies to

ensure the patient is supported appropriately (vulnerable patients etc.)

Other responsibilities

within the organisation:

• Awareness of and compliance with all relevant

practice policies/guidelines, e.g. prescribing, confidentiality, data

protection, health and safety.

• A commitment to life-long learning and audit to

ensure evidence-based best practice.

• Contributing to evaluation/audit and clinical

standard setting within the organisation.

• Participate in local initiatives to enhance

service deliver and patient care.

• Participate in the review of significant and

near-miss events applying a structured approach i.e. root cause analysis (RCA).

• Drives the development of nursing services

within the practice, liaising with external agencies and professional

organisations are required

• Attending training and events organised by the

practice or other agencies, where appropriate.

Job responsibilities

Clinical

Responsibilities:

In accordance with the practice timetable, the ANP will work

autonomously, delivering care within their scope of practice to the patient

population. Contributing towards clinical areas such as health promotion,

chronic disease management, health prevention, well-women and well man clinics

as well as supporting the management team in the reviewing of clinical policy

and procedure.

• Manage patients presenting with a range of acute

and chronic medical conditions, providing subject matter expert advice to

patients

• Implement and evaluate individual specialised

treatment plans for chronic disease patients

• Identify, manage and support patients as risk of

developing long-term conditions, preventing adverse effects on the patients

health

• Provide advanced, specialist nursing care to

patients as required in accordance with clinical based evidence, NICE and the

NSF

• Provide wound care (ulcer /Doppler etc.) to

patients

• Provide specialist clinics such as ear

syringing, contraception etc.

• Undertake the collection of pathological

specimens

• Provide travel medicine services

• Request pathology services as necessary

• Process and interpret pathology and other test

results as required

• Provide chronic disease clinics, delivering

patient care as necessary, referring patients to secondary / specialist care as

required

• Maintain accurate clinical records in

conjunction with extant legislation

• Ensure read codes are used effectively

• Maintain chronic disease registers

• Prioritise health issues and intervene

appropriately

• Support the team in dealing with clinical

emergencies

• Recognise, assess and refer patients presenting

with mental health needs

• Implement vaccination programmes for adults and

children

• Delegate clinical responsibilities appropriately

(ensuring safe practice and the task is within the scope of practice of the

individual)

• Support the clinical team with all safeguarding

matters, in accordance with local and national policies

• Understand practice and local policies for

substance abuse and addictive behaviour, referring patients appropriately

• Deliver opportunistic health promotion where

appropriate

• Extended and supplementary prescriber, adhering

to extant guidance

• Support patients in the use of their prescribed

medicines or over the counter medicines (within own scope of practice),

reviewing annually as required

• Contribute to practice targets (QOF etc.),

complying with local and regional guidance

• Liaise with external services / agencies to

ensure the patient is supported appropriately (vulnerable patients etc.)

Other responsibilities

within the organisation:

• Awareness of and compliance with all relevant

practice policies/guidelines, e.g. prescribing, confidentiality, data

protection, health and safety.

• A commitment to life-long learning and audit to

ensure evidence-based best practice.

• Contributing to evaluation/audit and clinical

standard setting within the organisation.

• Participate in local initiatives to enhance

service deliver and patient care.

• Participate in the review of significant and

near-miss events applying a structured approach i.e. root cause analysis (RCA).

• Drives the development of nursing services

within the practice, liaising with external agencies and professional

organisations are required

• Attending training and events organised by the

practice or other agencies, where appropriate.

Person Specification

Qualifications

Essential

• Registered Nurse;
• Post graduate diploma or degree (Advanced Practice Qualification);
• Qualified Nurse Prescriber;
• Qualified Triage Nurse;

Desirable

• Minor Illness Qualification;
• Teaching Qualification;
• ALS, PALS;

Experience

Essential

• Experience working in a primary care environment;
• Experience in chronic disease management;
• Experience in prescribing and undertaking medication reviews;

Desirable

• Experience working as a practice nurse or community nurse

Clinical Knowledge

Essential

• Wound Care / Removal of sutures & staples
• ECGs
• Venepuncture
• New patient medicals
• Chaperone procedure
• Requesting pathology tests and processing the results, advising patients accordingly
• Travel medicine
• Diabetes
• Hypertension
• Asthma
• Spirometry
• CHD
• Immunisations (routine, childhood and travel)
• Womens health (Cervical cytology, contraception, etc.)
• Understands the importance of evidence based practice
• Broad knowledge of clinical governance
• Ability to record accurate clinical notes
• Ability to work within own scope of practice and understanding when to refer to GPs
• Knowledge of health promotion strategies
• Understands the requirement for PGDs and associated policy

Desirable

• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena

Person Specification

Qualifications

Essential

• Registered Nurse;
• Post graduate diploma or degree (Advanced Practice Qualification);
• Qualified Nurse Prescriber;
• Qualified Triage Nurse;

Desirable

• Minor Illness Qualification;
• Teaching Qualification;
• ALS, PALS;

Experience

Essential

• Experience working in a primary care environment;
• Experience in chronic disease management;
• Experience in prescribing and undertaking medication reviews;

Desirable

• Experience working as a practice nurse or community nurse

Clinical Knowledge

Essential

• Wound Care / Removal of sutures & staples
• ECGs
• Venepuncture
• New patient medicals
• Chaperone procedure
• Requesting pathology tests and processing the results, advising patients accordingly
• Travel medicine
• Diabetes
• Hypertension
• Asthma
• Spirometry
• CHD
• Immunisations (routine, childhood and travel)
• Womens health (Cervical cytology, contraception, etc.)
• Understands the importance of evidence based practice
• Broad knowledge of clinical governance
• Ability to record accurate clinical notes
• Ability to work within own scope of practice and understanding when to refer to GPs
• Knowledge of health promotion strategies
• Understands the requirement for PGDs and associated policy

Desirable

• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena

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

Primary Care Management Solutions Ltd

Address

The Mandeville Surgery

Hannon Road

AYLESBURY

Buckinghamshire

HP21 8TR

United Kingdom

Employer's website

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

Employer details

Employer name

Primary Care Management Solutions Ltd

Address

The Mandeville Surgery

Hannon Road

AYLESBURY

Buckinghamshire

HP21 8TR

United Kingdom

Employer's website

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

Job responsibilities

Clinical

Responsibilities:

In accordance with the practice timetable, the ANP will work

autonomously, delivering care within their scope of practice to the patient

population. Contributing towards clinical areas such as health promotion,

chronic disease management, health prevention, well-women and well man clinics

as well as supporting the management team in the reviewing of clinical policy

and procedure.

• Manage patients presenting with a range of acute

and chronic medical conditions, providing subject matter expert advice to

patients

• Implement and evaluate individual specialised

treatment plans for chronic disease patients

• Identify, manage and support patients as risk of

developing long-term conditions, preventing adverse effects on the patients

health

• Provide advanced, specialist nursing care to

patients as required in accordance with clinical based evidence, NICE and the

NSF

• Provide wound care (ulcer /Doppler etc.) to

patients

• Provide specialist clinics such as ear

syringing, contraception etc.

• Undertake the collection of pathological

specimens

• Provide travel medicine services

• Request pathology services as necessary

• Process and interpret pathology and other test

results as required

• Provide chronic disease clinics, delivering

patient care as necessary, referring patients to secondary / specialist care as

required

• Maintain accurate clinical records in

conjunction with extant legislation

• Ensure read codes are used effectively

• Maintain chronic disease registers

• Prioritise health issues and intervene

appropriately

• Support the team in dealing with clinical

emergencies

• Recognise, assess and refer patients presenting

with mental health needs

• Implement vaccination programmes for adults and

children

• Delegate clinical responsibilities appropriately

(ensuring safe practice and the task is within the scope of practice of the

individual)

• Support the clinical team with all safeguarding

matters, in accordance with local and national policies

• Understand practice and local policies for

substance abuse and addictive behaviour, referring patients appropriately

• Deliver opportunistic health promotion where

appropriate

• Extended and supplementary prescriber, adhering

to extant guidance

• Support patients in the use of their prescribed

medicines or over the counter medicines (within own scope of practice),

reviewing annually as required

• Contribute to practice targets (QOF etc.),

complying with local and regional guidance

• Liaise with external services / agencies to

ensure the patient is supported appropriately (vulnerable patients etc.)

Other responsibilities

within the organisation:

• Awareness of and compliance with all relevant

practice policies/guidelines, e.g. prescribing, confidentiality, data

protection, health and safety.

• A commitment to life-long learning and audit to

ensure evidence-based best practice.

• Contributing to evaluation/audit and clinical

standard setting within the organisation.

• Participate in local initiatives to enhance

service deliver and patient care.

• Participate in the review of significant and

near-miss events applying a structured approach i.e. root cause analysis (RCA).

• Drives the development of nursing services

within the practice, liaising with external agencies and professional

organisations are required

• Attending training and events organised by the

practice or other agencies, where appropriate.

Qualifications

Essential

• Registered Nurse;
• Post graduate diploma or degree (Advanced Practice Qualification);
• Qualified Nurse Prescriber;
• Qualified Triage Nurse;

Desirable

• Minor Illness Qualification;
• Teaching Qualification;
• ALS, PALS;

Experience

Essential

• Experience working in a primary care environment;
• Experience in chronic disease management;
• Experience in prescribing and undertaking medication reviews;

Desirable

• Experience working as a practice nurse or community nurse

Clinical Knowledge

Essential

• Wound Care / Removal of sutures & staples
• ECGs
• Venepuncture
• New patient medicals
• Chaperone procedure
• Requesting pathology tests and processing the results, advising patients accordingly
• Travel medicine
• Diabetes
• Hypertension
• Asthma
• Spirometry
• CHD
• Immunisations (routine, childhood and travel)
• Womens health (Cervical cytology, contraception, etc.)
• Understands the importance of evidence based practice
• Broad knowledge of clinical governance
• Ability to record accurate clinical notes
• Ability to work within own scope of practice and understanding when to refer to GPs
• Knowledge of health promotion strategies
• Understands the requirement for PGDs and associated policy

Desirable

• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena