Job Description

Responsibilities and Duties Clinical Assessment and Patient Care Undertake comprehensive, autonomous assessments of patients presenting with undifferentiated and undiagnosed conditions. Use advanced clinical reasoning and decision-making skills to formulate differential diagnoses and treatment plans. Manage patients with acute, chronic and complex conditions within scope of practice and in line with national and local clinical guidance. Initiate, request, and interpret diagnostic investigations including pathology and imaging to support clinical decision-making.



Provide evidence-based treatment and management, ensuring safe and appropriate prescribing under V300 Independent Prescribing authority. Monitor patient response to treatment, adjust care plans accordingly, and refer to other services where appropriate. Undertake structured reviews of patients with long-term conditions, supporting disease prevention, optimisation of treatment, and personalised care planning. Provide urgent, on-the-day care for minor illness, exacerbations of chronic illness, or other time-sensitive presentations.



Recognise when escalation is required and act promptly to involve GPs or emergency services when necessary. Prescribing and Medicines Management (V300) Prescribe safely, effectively, and appropriately as a V300 Independent Prescriber in line with national frameworks, formulary guidance, and scope of competence. Undertake medication reviews, particularly for polypharmacy, high-risk drugs, or medication concordance issues. Promote safe prescribing practices, monitor for adverse drug reactions, and engage in medicines optimisation initiatives.



Work closely with clinical pharmacists and GPs to ensure continuity and safety in medicines management. Communication and Patient Education Use advanced communication skills to engage with patients, families and carers, explaining diagnoses and management plans clearly and compassionately. Support patients in shared decision-making, informed consent, and understanding of self-care strategies. Address barriers to communication, such as language, cognitive impairment, or health literacy.



Teamwork and Collaboration Work collaboratively with the wider multidisciplinary team, including GPs, nurses, pharmacists, HCAs, and external healthcare professionals. Contribute to team discussions, case reviews, and referral planning to ensure coordinated patient care. Participate in internal meetings and multidisciplinary discussions relevant to patient care and service delivery. Clinical Governance and Quality Maintain accurate, contemporaneous clinical records in accordance with legal, professional, and practice standards.



Participate in audits, service evaluations, quality improvement projects and significant event reviews. Contribute to the practices compliance with CQC standards, local safeguarding protocols, infection control, and risk management. Report incidents, concerns, and near misses promptly using the agreed reporting systems. Professional Development and Supervision Maintain active registration with the relevant professional body and comply with all requirements for revalidation and CPD.



Participate in annual appraisals, peer reviews, clinical supervision, and reflective practice activities. Take responsibility for own learning and actively maintain up-to-date knowledge and skills relevant to advanced practice and prescribing. Support the induction and supervision of students, junior staff, or colleagues new to advanced roles. Service Development and Leadership Contribute to the design, development and evaluation of care pathways and protocols within the practice.



Identify areas for service improvement and make constructive proposals to enhance efficiency and patient experience. Assist with the delivery of local and national health initiatives, including vaccination campaigns, QOF and enhanced services. Represent the practice at local forums, working groups or education events as agreed with the management team. Administrative and Operational Duties Use EMIS Web and other practice systems to manage patient care, tasks, and documentation.



Action pathology results, incoming correspondence, and administrative tasks associated with patient management as delegated. Contribute to the achievement of performance indicators, including QOF, IIF and locally commissioned services. Provide input into practice policies, clinical templates, and protocols within the scope of clinical expertise. Professional Conduct and Values Adhere at all times to the relevant Code of Conduct (e.g.



NMC, HCPC) and uphold the values of Quarry Bank Medical Centre. Act with integrity, professionalism, and accountability in all patient and team interactions. Promote equality, diversity and inclusion in patient care and workplace behaviour. Maintain patient confidentiality in accordance with GDPR and information governance regulations.