Nurse Practitioner

The Nurse Practitioner will deliver advanced, autonomous and person-centred care within a 24/7 integrated triage and care coordination service. The role spans both in-hours and out-of-hours provision and operates across three key work streams: the Oncology and Haematology Helpline;
Powys Care Coordination Centre (CCC), including the Single Point of Access (SPA); and Integrated Urgent Care (IUC) services for Powys.

The postholder will deliver expert clinical assessment, care planning, and make independent clinical decisions to ensure the best possible outcomes for patients and referring clinicians. Working within an extended scope of practice, the Nurse Practitioner will act as a senior clinical anchor across acute, primary, community and voluntary sector services, with a particular focus on supporting people living with cancer, individuals with complex needs, and those requiring urgent care navigation.

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Shropdoc is a not-for-profit company established in 1996. We provide 24/7 urgent primary care services for patients across Powys, in addition to providing an Oncology and Haematology service for patients receiving treatment from the Royal Shrewsbury and Telford Hospitals, and also across Lancashire.

KEY TASKS AND RESPONSIBILITIES

The Nurse Practitioner will provide advanced, autonomous, and person-centred care within a 24/7 integrated triage and coordination service. Working across in hours and out-of-hours provision, Nurses will work on three work streams;

Oncology and Haematology Helpline, Powys Care Co-ordination (CCC) including

Single Point of Access (SPA) and Integrated Urgent care (IUC) for Powys. Thepostholder will deliver expert clinical assessment, care planning and autonomousdecision making to achieve the best outcome for patients and the referring

Clinicians. They will operate within an extended scope of practice and act as aclinical anchor across acute, primary, community, and voluntary sectors,particularly supporting patients with cancer, complex needs, and those requiringurgent care navigation.

CLINICAL AND PROFESSIONAL RESPONSIBILITIES

• Deliver safe and effective triage and clinical assessment services via telephone and digital platforms both in-hours and out-of-hours, accurately collatinginformation using electronic clinical systems and determining the most appropriate care response or escalation.
• Independently assess, interpret, and synthesise clinical information from a rangeof sources (including directly from patients or via call handlers) to makeprofessionally autonomous decisions, avoiding unnecessary onward referralwhere safe to do so.
• Provide an evidence-based, nurse-led Oncology and Haematology Helplinemanaging chemotherapy-related toxicities, treatment side effects, and life threatening symptoms, with a strong emphasis on holistic support.
• Act as a Care Coordination Centre clinician, liaising with referring GPs, healthand social care teams, and third-party providers to agree and implement careplans, ensuring safe and timely navigation through complex care pathways. Thisis or both local DGHs and Northwest area OOH for Oncology Patients.
• Provide health promotion, self-management education, and personalised care planning, working in partnership with patients and carers to support autonomy,wellbeing, and prevention of deterioration.
• Support clinical safeguarding responsibilities by identifying and escalatingconcerns in line with organisational policy, and by placing vulnerable adults orchildren at the centre of all risk-based decisions.
• Document all patient contact, interventions, and clinical risk decisionsaccurately using the appropriate electronic systems. Ensure adherence to professional, legal, and organisational documentation standards.
• Always uphold professional standards and ethical practice, maintainingregistration, engaging in revalidation processes, and working within the scope of practice defined by the NMC or other relevant regulatory body.
• Maintain and promote dignity, respect, and inclusivity for all patients and carers,particularly addressing cultural, language, age, disability, or other barriers tohealth equity.
• Participate in and receive regular clinical supervision and mentorship to supportsafe practice, reflective development, and emotional resilience in high-pressureenvironments.
• Communicate and collaborate effectively with other health professionals,ensuring smooth handovers, continuity of care, and coordinatedmultidisciplinary responses

SERVICE IMPROVEMENT DEVELOPMENT AND IMPLEMENTATION

• Contribute to the development and continuous improvement of a 24/7 integratedunscheduled care service, proactively identifying system gaps, inefficiencies, or opportunities for innovation.
• Participate in the creation and review of clinical protocols, care pathways, and operating procedures to align service delivery with evidence-based practice…