Worcestershire Acute Hospitals NHS Trust
Senior Advanced Neonatal Nurse Practitioner
Worcestershire Acute Hospitals NHS Trust, Baltimore, Maryland, United States
Worcestershire Acute Hospitals NHS Trust
Senior Advanced Neonatal Nurse Practitioner
The closing date is 12 October 2025 We are seeking an experienced Senior ANNP with advanced neonatal clinical practice skills to join our Neonatal Services team. This role involves working at a middle grade level, equivalent to ST3 to ST8 Registrar, providing senior medical cover for 5 of 7 days per week, including 1 weekend every three weeks initially- later providing cover on Tier 2 medical rota once Tier 2 rota is split. The successful candidate will deliver holistic care across the Neonatal Unit, Delivery Suite, Postnatal Ward, and Meadow Birth Centre, ensuring continuity through patient and family communication, discharge planning, and leadership of junior doctors and ANNPs. Main duties of the job
Provide urgent and non-urgent senior medical review, high-risk deliveries, and emergency care. Lead clinical assessments, differential diagnoses, and management of complex neonatal conditions. Perform advanced practical procedures (e.g., intubation, ventilation, lumbar puncture) and interpret investigations, supervise ANNP students, and contribute to multidisciplinary team development. Engage in quality improvement, research, and evidence-based practice initiatives. Maintain NMC registration, revalidation, and non-medical prescribing qualifications. Person Specification: Experience: Proven expertise in advanced neonatal clinical practice, with training to masters level and experience as a ST3-ST8 Registrar equivalent. Skills: Strong clinical judgment, leadership, and delegation skills; ability to perform complex procedures and interpret diagnostics. Qualifications:NMC-registered with non-medical prescribing qualification; adherence to BAPM (2021) Clinical, Leadership, Education, and Research Capabilities Frameworks at Senior/Expert level. Attributes: Excellent communication, teamwork, and reflective practice; ability to work under pressure and foster a positive learning culture. Conditions: Willingness to work varied shifts, maintain close patient contact, and comply with the Working Time Regulations 1998. This is an exciting opportunity to lead and innovate within neonatal care. Please contact Clinical Director for more information. About us
Worcestershire Acute Hospitals NHS Trust is a largeacute and specialised hospital trust that provides a range of local acuteservices to the residents of Worcestershire and more specialised services to alarger population in Herefordshire and beyond. The Trust operates hospital-based services fromthree sites in Kidderminster, Redditch and Worcester Our workforce is more than 7,000 strong, and ourcaring staff are recognised as providing good and outstanding patient-centredcare. You could be one of them. We are committed to recruiting the best people towork with us. Our values, which we ask all staff to demonstrate, underpin oureveryday work and remain firmly at the heart of all we do. Being open and honest Ensuring people feel cared for Showing respect to everyone We are proud to have achieved Timewiseaccreditation - this means we are committed to embedding flexible workingwithin our organisation as a flex positive employer. DBS Checks and Costs Any applicants who are offered posts requiring aDBS check as part of their employment check will have the cost of this check(at the current rate) deducted from their salary. Please see link in SupportingInformation section for more details on DBS checks and costs. Job responsibilities
WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST JOB DESCRIPTION Post Title:Senior Advanced Neonatal Nurse Practitioner Pay Band:8b Hours:Full time 37.5 hours per week Contract:Permanent Location / Department:Neonatal Services, Paediatric Directorate Accountable to:Divisional Director of Nursing (Professionally) Reports to:Neonatal Consultant Lead Ref: Key Working Relationships: Chief Nurse/Deputy Chief Nurses/Divisional Director/Divisional Director of Operations/Divisional Director of Nursing/Director of Midwifery/Deputy Divisional Directors/ Directorate Manager/Clinical Leads of Service/Matrons/Ward Managers/Consultants/Medical Staff/ All Nurses/AHPs and support workers/Clinical Governance team/Parents and families, Neonatal ODN and any other relevant external Agencies. Risk Assessment: Works with display screen equipment Manual handling activities and exposure to body fluids and chemicals Individual may be exposed to violence and aggression. Job Purpose: The postholder is an experienced Advanced Neonatal Nurse Practitioner (ANNP) and an integrated member of the neonatal multidisciplinary team. They will practise with a high degree of professional and personal autonomy, working independently with an agreed scope of practice, with clinical supervision from a Consultant Neonatologist, when required. Care delivery will be evidence-based, underpinned by advanced clinical skills and sound clinical reasoning. The postholder will work on the Tier 2 (middle grade) medical rota, holding the neonatal registrar bleep and will work to an agreed job plan. Key responsibilities: Exercise independent judgement to assess, investigate, diagnose, plan, implement and evaluate the care of premature, sick newborns. Make judgements involving complex information, using analysis and interpretation to ensure safe, effective, and family centred care. Manage and coordinate care in complex clinical situations when a neonatal consultant is not immediately available, escalating appropriately when required. Act as an independent non-medical prescriber in line with NMC and professional standards. Provide supervision, teaching, and educational support to members of the neonatal team within the clinical environment. Participate in relevant research activity to inform and improve clinical care. Key Duties: The post holder will: Provide continuity of care by sharing patient and family information effectively with the rotating neonatal services team. Coordinate discharge planning including arranging medical follow up for complex and/or long-term neonatal patients. Provides day-to-day clinical leadership, guidance, and mentorship to junior doctors and junior ANNPs on the Tier 1 rota under the supervision of the Neonatal Consultants. Support the supervision and professional development of junior ANNPs in clinical practice, including participation in annual personal development reviews in collaboration with the neonatal lead consultant. Undertake medical reviews of babies in the Neonatal Unit (NNU), Delivery Suite, Transitional Care Unit, Postnatal ward, and Meadow Birth Centre. Work collaboratively with the multidisciplinary team including paediatrics, nursing, midwifery, obstetrics, and allied healthcare professionals to deliver high quality, family integrated care within neonatal services. Practices within neonatal guidelines, exercising advanced clinical judgement to assess, diagnose, plan, implement and evaluate the care of premature and sick babies and their families. Demonstrates expertise in advanced neonatal skills and knowledge in clinical practice. Supports the education and skills development of medical, nursing, and allied health professional staff within the neonatal service. Contributes to neonatal service improvement by engaging in audit, quality improvement and guideline development activities. Asses the medical need for admission and transfer, including stabilisation for transport, of preterm or critically ill neonate. Maintains Nursing and Midwifery Council (NMC) registration and revalidation requirements. Works in line with the British Association of Perinatal Medicine (BAPM) ANNP Capabilities Framework at Senior/Expert level (2021). Holds non-medical prescribing qualification and practise within NMC and Royal Pharmaceutical Society standards for prescribers. Main Duties and Responsibilities Local Delegated Clinical Responsibilities Undertakes daily responsibilities of a registrar on tier 2 medical rota, including holding registrar bleep. Participates in daily neonatal ward rounds, engaging with parents/caregivers, medical and nursing team members to provide holistic assessment, formulate differential diagnosis, plan care and evaluate outcomes. Provide timely senior review for junior medical staff, ANNPs on the Tier 1 rota, nursing/midwifery staff as required. Attend high-risk deliveries and emergency calls to leading the immediate management of sick or premature infants in line with local protocols. Use advanced knowledge and skills to manage emergency situations within neonatal clinical areas, escalating to the consultant as appropriate. Apply clinical reasoning underpinned by a comprehensive understanding of neonatal physiology and pathophysiology to plan and manage care episodes from birth to discharge. Assess the health status of through physical examination, medical history, and social assessment to establish differential diagnosis. Plan, implement and evaluate care in accordance with best evidence, national guidance, and local protocols. Provide senior clinical advice regarding admission, transfer, and discharge from neonatal services to optimise patient safety, acuity management and cot capacity. Request and interpret clinical investigations, acting on results appropriately within scope of practice. Refer to specialist healthcare professionals and centres, seeking guidance from the neonatal consultant when required. Liaise with medical and transport teams for neonates requiring transfer to other neonatal or childrens hospitals. Coordinate the stabilisation of sick and/or extremely preterm neonates for urgent transfer to tertiary centres in collaboration with the local consultant and tertiary / transport teams. Work with families, neonatal consultants, the multidisciplinary team, community outreach services and relevant community organisations to facilitate safe and effective discharge planning. Lead discharge planning for complex and/or long-term neonatal patients in partnership with the neonatal community outreach service and neonatal consultants. Identify and document the psychosocial needs of each family and baby in collaboration with the multidisciplinary team. Promote family centred care through regular communication with parents about their babys progress and by encouraging active involvement in care planning and delivery. Ensure all aspects of care and communication are documented accurately and contemporaneously in both written and electronic records. Practical Procedures The senior ANNP will perform advanced practical and diagnostic procedures, seeking advice and support from a consultant as required and in accordance with local and national clinical guidelines. Procedures will include, but are not limited to: Initiation and ongoing management of neonates receiving mechanical ventilation, including intubation and insertion of alternative airway devices. Application of ventilation strategies appropriate to clinical conditions, adjustment of ventilation settings and extubation. Administration of surfactant via endotracheal tube (ETT) or alternative less invasive techniques. Investigation and management of suspected pneumothorax, including needle aspiration, chest drain placement and removal. Initiation and prescribing of treatment, intravenous fluids, and parenteral nutrition within local and national guidance. Advanced resuscitation including emergency drug administration in line with local neonatal guidelines. Blood sampling via capillary, venous, arterial, and indwelling arterial/venous catheters. Insertion and removal of intravenous cannulas and longlines (percutaneous central venous lines). Insertion and removal of peripheral arterial line, umbilical venous lines, and umbilical arterial lines. Lumbar puncture with interpretation and action of results. Insertion and removal of urinary catheters and suprapubic aspiration of the bladder when clinically indicated. Clinical examination and assessment including examination of the newborn. Ordering, interpretation and acting upon laboratory tests, radiological imaging, and other investigations. Diagnosis pathophysiology conditions and undertaking dilution and/or exchange transfusion as appropriate. Performance and interpretation of cranial ultrasound. Electrocardiogram (ECG) and cerebral function monitoring (CFM) recording and interpretation. Person Specification
Qualifications
Registered Nurse, RSCN, RN Child ENB 405 MSc in Advanced Clinical Practice (Neonatal Pathway) Recognised mentor/assessor or teaching qualification. Independent non-medical prescriber Accredited New-born Infant Physical Examination Current NLS certification NLS Instructor Counselling/ Bereavement training Qualification in leadership/management Skills/Attributes
Strong clinical leadership and role modelling with a positive, supportive style Effective management, organisational, and interpersonal skills Highly organised with excellent time management abilities Emotionally resilient and able to manage complex, sensitive situations Open, honest, and acts with integrity in all professional practice Open to constructive challenge and committed to continuous improvement Flexible and adaptable to meet changing clinical and service priorities Builds collaborative relationships across multidisciplinary and partner services Empathetic, supportive, and committed to family-centred neonatal care Experience
Extensive ANNP experience (Tier 1 rota or equivalent) Expert knowledge of neonatal pathophysiology, diagnostics, and evidence-based care Advanced clinical decision-making and autonomous practice in complex neonatal cases Proficient in advanced neonatal clinical skills (e.g. Intubation, lumber puncture) Proven experience implementing evidence-based practice and service improvements Active participation in clinical audit, governance, and quality improvement initiatives Experience delivering and assessing Neonatal Life Support Teaching, mentorship, and supervision of colleagues and trainees Clinical leadership with ability to coordinate, influence and support multi-disciplinary teams Non- medical prescribing experience Ongoing professional development and maintenance of advanced practice Cranial Ultrasound competence Intubation Research 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. Worcestershire Acute Hospitals NHS Trust
#J-18808-Ljbffr
The closing date is 12 October 2025 We are seeking an experienced Senior ANNP with advanced neonatal clinical practice skills to join our Neonatal Services team. This role involves working at a middle grade level, equivalent to ST3 to ST8 Registrar, providing senior medical cover for 5 of 7 days per week, including 1 weekend every three weeks initially- later providing cover on Tier 2 medical rota once Tier 2 rota is split. The successful candidate will deliver holistic care across the Neonatal Unit, Delivery Suite, Postnatal Ward, and Meadow Birth Centre, ensuring continuity through patient and family communication, discharge planning, and leadership of junior doctors and ANNPs. Main duties of the job
Provide urgent and non-urgent senior medical review, high-risk deliveries, and emergency care. Lead clinical assessments, differential diagnoses, and management of complex neonatal conditions. Perform advanced practical procedures (e.g., intubation, ventilation, lumbar puncture) and interpret investigations, supervise ANNP students, and contribute to multidisciplinary team development. Engage in quality improvement, research, and evidence-based practice initiatives. Maintain NMC registration, revalidation, and non-medical prescribing qualifications. Person Specification: Experience: Proven expertise in advanced neonatal clinical practice, with training to masters level and experience as a ST3-ST8 Registrar equivalent. Skills: Strong clinical judgment, leadership, and delegation skills; ability to perform complex procedures and interpret diagnostics. Qualifications:NMC-registered with non-medical prescribing qualification; adherence to BAPM (2021) Clinical, Leadership, Education, and Research Capabilities Frameworks at Senior/Expert level. Attributes: Excellent communication, teamwork, and reflective practice; ability to work under pressure and foster a positive learning culture. Conditions: Willingness to work varied shifts, maintain close patient contact, and comply with the Working Time Regulations 1998. This is an exciting opportunity to lead and innovate within neonatal care. Please contact Clinical Director for more information. About us
Worcestershire Acute Hospitals NHS Trust is a largeacute and specialised hospital trust that provides a range of local acuteservices to the residents of Worcestershire and more specialised services to alarger population in Herefordshire and beyond. The Trust operates hospital-based services fromthree sites in Kidderminster, Redditch and Worcester Our workforce is more than 7,000 strong, and ourcaring staff are recognised as providing good and outstanding patient-centredcare. You could be one of them. We are committed to recruiting the best people towork with us. Our values, which we ask all staff to demonstrate, underpin oureveryday work and remain firmly at the heart of all we do. Being open and honest Ensuring people feel cared for Showing respect to everyone We are proud to have achieved Timewiseaccreditation - this means we are committed to embedding flexible workingwithin our organisation as a flex positive employer. DBS Checks and Costs Any applicants who are offered posts requiring aDBS check as part of their employment check will have the cost of this check(at the current rate) deducted from their salary. Please see link in SupportingInformation section for more details on DBS checks and costs. Job responsibilities
WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST JOB DESCRIPTION Post Title:Senior Advanced Neonatal Nurse Practitioner Pay Band:8b Hours:Full time 37.5 hours per week Contract:Permanent Location / Department:Neonatal Services, Paediatric Directorate Accountable to:Divisional Director of Nursing (Professionally) Reports to:Neonatal Consultant Lead Ref: Key Working Relationships: Chief Nurse/Deputy Chief Nurses/Divisional Director/Divisional Director of Operations/Divisional Director of Nursing/Director of Midwifery/Deputy Divisional Directors/ Directorate Manager/Clinical Leads of Service/Matrons/Ward Managers/Consultants/Medical Staff/ All Nurses/AHPs and support workers/Clinical Governance team/Parents and families, Neonatal ODN and any other relevant external Agencies. Risk Assessment: Works with display screen equipment Manual handling activities and exposure to body fluids and chemicals Individual may be exposed to violence and aggression. Job Purpose: The postholder is an experienced Advanced Neonatal Nurse Practitioner (ANNP) and an integrated member of the neonatal multidisciplinary team. They will practise with a high degree of professional and personal autonomy, working independently with an agreed scope of practice, with clinical supervision from a Consultant Neonatologist, when required. Care delivery will be evidence-based, underpinned by advanced clinical skills and sound clinical reasoning. The postholder will work on the Tier 2 (middle grade) medical rota, holding the neonatal registrar bleep and will work to an agreed job plan. Key responsibilities: Exercise independent judgement to assess, investigate, diagnose, plan, implement and evaluate the care of premature, sick newborns. Make judgements involving complex information, using analysis and interpretation to ensure safe, effective, and family centred care. Manage and coordinate care in complex clinical situations when a neonatal consultant is not immediately available, escalating appropriately when required. Act as an independent non-medical prescriber in line with NMC and professional standards. Provide supervision, teaching, and educational support to members of the neonatal team within the clinical environment. Participate in relevant research activity to inform and improve clinical care. Key Duties: The post holder will: Provide continuity of care by sharing patient and family information effectively with the rotating neonatal services team. Coordinate discharge planning including arranging medical follow up for complex and/or long-term neonatal patients. Provides day-to-day clinical leadership, guidance, and mentorship to junior doctors and junior ANNPs on the Tier 1 rota under the supervision of the Neonatal Consultants. Support the supervision and professional development of junior ANNPs in clinical practice, including participation in annual personal development reviews in collaboration with the neonatal lead consultant. Undertake medical reviews of babies in the Neonatal Unit (NNU), Delivery Suite, Transitional Care Unit, Postnatal ward, and Meadow Birth Centre. Work collaboratively with the multidisciplinary team including paediatrics, nursing, midwifery, obstetrics, and allied healthcare professionals to deliver high quality, family integrated care within neonatal services. Practices within neonatal guidelines, exercising advanced clinical judgement to assess, diagnose, plan, implement and evaluate the care of premature and sick babies and their families. Demonstrates expertise in advanced neonatal skills and knowledge in clinical practice. Supports the education and skills development of medical, nursing, and allied health professional staff within the neonatal service. Contributes to neonatal service improvement by engaging in audit, quality improvement and guideline development activities. Asses the medical need for admission and transfer, including stabilisation for transport, of preterm or critically ill neonate. Maintains Nursing and Midwifery Council (NMC) registration and revalidation requirements. Works in line with the British Association of Perinatal Medicine (BAPM) ANNP Capabilities Framework at Senior/Expert level (2021). Holds non-medical prescribing qualification and practise within NMC and Royal Pharmaceutical Society standards for prescribers. Main Duties and Responsibilities Local Delegated Clinical Responsibilities Undertakes daily responsibilities of a registrar on tier 2 medical rota, including holding registrar bleep. Participates in daily neonatal ward rounds, engaging with parents/caregivers, medical and nursing team members to provide holistic assessment, formulate differential diagnosis, plan care and evaluate outcomes. Provide timely senior review for junior medical staff, ANNPs on the Tier 1 rota, nursing/midwifery staff as required. Attend high-risk deliveries and emergency calls to leading the immediate management of sick or premature infants in line with local protocols. Use advanced knowledge and skills to manage emergency situations within neonatal clinical areas, escalating to the consultant as appropriate. Apply clinical reasoning underpinned by a comprehensive understanding of neonatal physiology and pathophysiology to plan and manage care episodes from birth to discharge. Assess the health status of through physical examination, medical history, and social assessment to establish differential diagnosis. Plan, implement and evaluate care in accordance with best evidence, national guidance, and local protocols. Provide senior clinical advice regarding admission, transfer, and discharge from neonatal services to optimise patient safety, acuity management and cot capacity. Request and interpret clinical investigations, acting on results appropriately within scope of practice. Refer to specialist healthcare professionals and centres, seeking guidance from the neonatal consultant when required. Liaise with medical and transport teams for neonates requiring transfer to other neonatal or childrens hospitals. Coordinate the stabilisation of sick and/or extremely preterm neonates for urgent transfer to tertiary centres in collaboration with the local consultant and tertiary / transport teams. Work with families, neonatal consultants, the multidisciplinary team, community outreach services and relevant community organisations to facilitate safe and effective discharge planning. Lead discharge planning for complex and/or long-term neonatal patients in partnership with the neonatal community outreach service and neonatal consultants. Identify and document the psychosocial needs of each family and baby in collaboration with the multidisciplinary team. Promote family centred care through regular communication with parents about their babys progress and by encouraging active involvement in care planning and delivery. Ensure all aspects of care and communication are documented accurately and contemporaneously in both written and electronic records. Practical Procedures The senior ANNP will perform advanced practical and diagnostic procedures, seeking advice and support from a consultant as required and in accordance with local and national clinical guidelines. Procedures will include, but are not limited to: Initiation and ongoing management of neonates receiving mechanical ventilation, including intubation and insertion of alternative airway devices. Application of ventilation strategies appropriate to clinical conditions, adjustment of ventilation settings and extubation. Administration of surfactant via endotracheal tube (ETT) or alternative less invasive techniques. Investigation and management of suspected pneumothorax, including needle aspiration, chest drain placement and removal. Initiation and prescribing of treatment, intravenous fluids, and parenteral nutrition within local and national guidance. Advanced resuscitation including emergency drug administration in line with local neonatal guidelines. Blood sampling via capillary, venous, arterial, and indwelling arterial/venous catheters. Insertion and removal of intravenous cannulas and longlines (percutaneous central venous lines). Insertion and removal of peripheral arterial line, umbilical venous lines, and umbilical arterial lines. Lumbar puncture with interpretation and action of results. Insertion and removal of urinary catheters and suprapubic aspiration of the bladder when clinically indicated. Clinical examination and assessment including examination of the newborn. Ordering, interpretation and acting upon laboratory tests, radiological imaging, and other investigations. Diagnosis pathophysiology conditions and undertaking dilution and/or exchange transfusion as appropriate. Performance and interpretation of cranial ultrasound. Electrocardiogram (ECG) and cerebral function monitoring (CFM) recording and interpretation. Person Specification
Qualifications
Registered Nurse, RSCN, RN Child ENB 405 MSc in Advanced Clinical Practice (Neonatal Pathway) Recognised mentor/assessor or teaching qualification. Independent non-medical prescriber Accredited New-born Infant Physical Examination Current NLS certification NLS Instructor Counselling/ Bereavement training Qualification in leadership/management Skills/Attributes
Strong clinical leadership and role modelling with a positive, supportive style Effective management, organisational, and interpersonal skills Highly organised with excellent time management abilities Emotionally resilient and able to manage complex, sensitive situations Open, honest, and acts with integrity in all professional practice Open to constructive challenge and committed to continuous improvement Flexible and adaptable to meet changing clinical and service priorities Builds collaborative relationships across multidisciplinary and partner services Empathetic, supportive, and committed to family-centred neonatal care Experience
Extensive ANNP experience (Tier 1 rota or equivalent) Expert knowledge of neonatal pathophysiology, diagnostics, and evidence-based care Advanced clinical decision-making and autonomous practice in complex neonatal cases Proficient in advanced neonatal clinical skills (e.g. Intubation, lumber puncture) Proven experience implementing evidence-based practice and service improvements Active participation in clinical audit, governance, and quality improvement initiatives Experience delivering and assessing Neonatal Life Support Teaching, mentorship, and supervision of colleagues and trainees Clinical leadership with ability to coordinate, influence and support multi-disciplinary teams Non- medical prescribing experience Ongoing professional development and maintenance of advanced practice Cranial Ultrasound competence Intubation Research 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. Worcestershire Acute Hospitals NHS Trust
#J-18808-Ljbffr