Job Description

Hours

: 22.5 Hrs per Week (3 days) - Fixed Term until the end of March 2026.

Salary:

Dependant on experience and qualifications

Location:

Under One Roof, Norwich

Service Overview:

The Vulnerable Adult Service (VAS) provides enhanced primary medical support to individuals facing severe and multiple disadvantages. The service operates Monday to Friday, 9 AM to 5 PM, from Under One Roof in Norwich, supporting individuals who are:

Homeless or at risk of losing their home Living in temporary accommodation Rough sleepers or staying in hostels Recently released from prison Asylum seekers and refugees Sex workers Gypsies, Travellers, and Roma populations (excluding settled communities)
Eligible service users must be 18 years or older and reside within the Norwich Primary Care Network (PCN) catchment area.

Norfolk Primary Care Overview:

Norfolk Primary Care Ltd is a Community Interest Company. It is established to:

Support and strengthen primary care and to promote and assist practices to improve quality by working with and on behalf of primary care in Norfolk. Help with challenges identified by practices - workload, GP recruitment, sharing best practice. Recognise the changing nature of primary care and assist to ensure that the right level of service is provided to address the needs of the local population. Provide benefit to patients of primary care, the clinicians and administrators who work in it and practice organisations in Norfolk. Work within health systems to provide patient care in innovative and solution-focussed ways.

Job Summary

As an Advanced Nurse Practitioner (ANP) within the Vulnerable Adult Service, you will work as part of a multidisciplinary team to provide both in-reach and outreach clinical support. Your role will involve proactive and person-centered care for marginalised populations, ensuring their complex health and social care needs are met.

You will act within your professional boundaries and competencies, delivering expert clinical assessment, diagnosis, treatment, and referral. This role requires an understanding of trauma-informed care, health inequalities, and safeguarding practices.

Key Responsibilities:

Conduct comprehensive physical, psychological, and social assessments for service users. Diagnose and manage acute and chronic conditions, prescribing medications as an Independent Non-Medical Prescriber (or working towards). Provide opportunistic and proactive health interventions, including vaccinations, wound care, and sexual health services. Support continuity of care through follow-ups and collaboration with local healthcare and support services. Prioritise safeguarding concerns and liaise with relevant agencies to ensure the safety and well-being of vulnerable individuals. Deliver outreach clinical support to service users in hostels, temporary accommodations, and community settings. Facilitate access to primary and secondary care services, reducing barriers for marginalised populations. Educate and empower service users regarding self-care and long-term health management. Participate in clinical audits, quality improvement initiatives, and service evaluations. Maintain accurate clinical documentation in line with governance policies. Work collaboratively with a multidisciplinary team, including GPs, mental health specialists, social workers, and voluntary sector organisations.

Person Specification:

Qualifications:

Registered Nurse with NMC registration or equivalent qualification. MSc Advanced Clinical Practice or equivalent qualification. Independent Non-Medical Prescriber (or working towards). Evidence of continued professional development in primary care, homelessness healthcare, or health inclusion.

Experience:

Experience working in primary care, outreach healthcare, or similar settings. Experience providing care to patients with complex health and social needs. Experience in prescribing and managing medication for vulnerable populations. Understanding of safeguarding, trauma-informed care, and risk management.

Skills & Attributes:

Advanced clinical assessment and diagnostic skills. Strong understanding of health inequalities and social determinants of health. Excellent communication and interpersonal skills to engage with diverse and vulnerable populations. Ability to work flexibly and autonomously within a multidisciplinary team. Commitment to improving health access and reducing inequalities.

Other Requirements:

Full driving license with access to a vehicle for outreach work. Willingness to undertake training in trauma-informed care, safeguarding, and harm reduction approaches. Ability to work with external stakeholders, including social services, housing providers, and criminal justice agencies.

Safeguarding Responsibilities:

Recognise and act on safeguarding concerns for vulnerable adults. Follow local and national safeguarding policies and procedures. Attend safeguarding training and contribute to multi-agency safeguarding discussions.
This is an opportunity to make a meaningful impact on the lives of vulnerable individuals by providing accessible, compassionate, and person-centered healthcare. If you are passionate about reducing health inequalities and working with marginalised communities, we encourage you to apply.

Norfolk Primary Care - Generic Areas

Communication

Utilise and demonstrate sensitive communication styles. Communicate effectively with stakeholders, patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating. Anticipate barriers to communication and take action to improve communication. Maintain effective communication within the office environment and with external stakeholders. Ensure awareness of sources of support and guidance (eg PALS) and provide information in an acceptable format to service users, recognising any difficulties and referring for further support where appropriate.

Delivering a quality service

Prioritise, organise and manage own workload in a manner that maintains and promotes quality. Participate in quality assurance and safety processes across the organisation and its activities. Participate in shared learning across the organisation and wider health and social care system. Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from complaints, clinical incidents and near-miss events. Assess the impact of policy implementation on care delivery. Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance.

Leadership - personal and people development

Take responsibility for own learning and performance including participating in coaching/supervision and acting as a positive role mode. Support staff development in order to maximise potential. Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice. Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services. Critically evaluate and review innovations and developments that are relevant to the area of work. Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services. Contribute to planning and implementing changes within the area of care and responsibility. Contribute to the development of local guidelines, protocols and standards.

Team working

Understand own role and scope and identify how this may develop over time. Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working. Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence. Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team. Work effectively with others to clearly define values, direction and policies impacting upon care delivery. Discuss, highlight and work with the team to create opportunities to improve patient care and employee satisfaction. Agree plans and outcomes by which to measure success.

Management of risk

Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and service users. Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines. Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. Complete mandatory and statutory training requirements. Apply infection-control measures within the organisation according to local and national guidelines. Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of the organisation.

Managing information

Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information. Review and process data in order to ensure easy and accurate information retrieval for monitoring and audit processes. Manage information searches using the internet and local library databases. Understand responsibility of self and others to the organisation regarding Data Protection (Data Protection Act 1998, General Data Protection Regulations, 2018 and Freedom and Information Act, 2000).

Learning and development

Undertake mentorship for team members. Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (eg courses and conferences). Assess own learning needs and undertake learning as appropriate.

Equality and diversity

Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity. Enable others to promote equality and diversity in a non-discriminatory culture. Support people who need assistance in exercising their rights. Monitor and evaluate adherence to local chaperoning policies. Act as a role model in the observance of equality and diversity good practice. Accept the rights of individuals to choose their care providers, participate in care and refuse care. Assist patients from marginalised groups to access quality care.

Infection Control

NNPC staff are responsible for protecting themselves and others against infection risks. All staff, regardless of whether or not they deliver a clinical role, are expected to comply with current infection control policies and procedures.

Sustainability and Carbon Reduction

All staff are expected to work in a sustainable manner, demonstrating consideration for environmental issues and the adoption of alternative working practices where possible to contribute to carbon reduction
Job Types: Part-time, Fixed term contract
Contract length: 10 months

Expected hours: 22.5 per week

Benefits:

Company pension
Work Location: In person

Application deadline: 08/05/2025
Reference ID: 1036