Visa sponsorshipHome Office sponsor register · Skilled Worker route
This role is listed by an employer that holds a live Home Office sponsor licence on the Skilled Worker route.
Salary for this role£66,582 – £77,368 a year
Health and Care route minimum£25,000 a year
Pay basisNational pay scales (NHS bands)
This occupation falls under the Health and Care Worker route. Salaries set by national pay scales (NHS bands) at or above the relevant band rate typically meet the occupation's requirement.
Closest occupation match: SOC 2234, Registered nurse practitioners. Pay for this occupation is set by national pay scales (NHS bands), so no single Home Office going rate applies.
Individual eligibility depends on personal circumstances. These figures are public reference information, not advice or a verdict on this job.
Role description
Job summary
An exciting opportunity has arisen for an experienced, ambitious
Senior Advanced Neonatal Nurse Practitioner (ANNP) to join our neonatal team at
Worcestershire Royal Hospital and play a key role in shaping the future of
neonatal care.
We are looking for an accomplished ANNP who combines expert
neonatal clinical practice with compassionate leadership. You will practise
with a high degree of professional autonomy as an integral member of the
neonatal multidisciplinary team, working on the middle-grade rota and providing
advanced assessment, diagnosis and management for premature and sick newborn
babies.
Our Neonatal Unit provides
intensive, high-dependency and special care, alongside a 9-cot Transitional
Care Unit co-located in the postnatal ward. Our Neonatal Outreach team
supports babies and families following discharge, including those requiring
ongoing care in the community. We are proud of our multidisciplinary approach,
with dedicated family integrated care, education and allied health professional
support.
This is an exciting time to join our service. We are developing
our ANNP workforce to strengthen senior neonatal clinical cover and support our
ambition for a sustainable 7 day ANNP rota. This role offers the
opportunity to make a visible contribution to clinical care, workforce
development, education, research and service improvement while working within a
supportive and forward-looking neonatal team.
Main duties of the job
As Senior Advanced Neonatal Nurse Practitioner (ANNP), you will:
Provide autonomous,
evidence-based assessment and management of premature and sick newborn
babies across the neonatal pathway.
Work as part of the
middle-grade rota and provide senior clinical leadership within the
neonatal multidisciplinary team.
Support safe, effective
and family-centred care across the Neonatal Unit, delivery areas,
Transitional Care and postnatal services.
Provide supervision,
education and mentorship to ANNPs, junior medical colleagues, nurses and
other members of the multidisciplinary team.
Contribute to clinical
governance, audit, quality improvement, guideline development and
research.
Lead and influence
service development, helping to embed innovation and evidence-based
practice across neonatal services.
This is an exciting
time to join our service. We are developing our ANNP workforce to strengthen
senior neonatal clinical cover and support our ambition for a sustainable
seven-day ANNP rota. This role offers the opportunity to make a visible
contribution to clinical care, workforce development, education, research and
service improvement while working within a supportive and forward-looking
neonatal team.
About us
Worcestershire Acute Hospitals NHS Trust is a large
acute and specialised hospital trust that provides a range of local acute
services to the residents of Worcestershire and more specialised services to a
larger population in Herefordshire and beyond.
The Trust operates hospital-based services from
three sites in Kidderminster, Redditch and Worcester
Our workforce is more than 7,000 strong, and our
caring staff are recognised as providing good and outstanding patient-centred
care. You could be one of them.
We are committed to recruiting the best people to
work with us. Our values, which we ask all staff to demonstrate, underpin our
everyday 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 committed to developing a culture of continuous improvement by embedding the principles of our Improvement System.
We are proud to have achieved Timewise
accreditation - this means we are committed to embedding flexible working
within our organisation as a flex positive employer.
DBS Checks and Costs
Any applicants who are offered posts requiring a
DBS 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 Supporting
Information section for more details on DBS checks and costs.
Details
Date posted
23 October 2026
Pay scheme
Agenda for change
Band
Band 8b
Salary
£66,582 to £77,368 a year
Contract
Permanent
Working pattern
Full-time,
Flexible working
Reference number
C9365-26-0841
Job locations
Charles Hastings Way
Worcester
Worcestershire
WR5 1DD
United Kingdom
Job description
Job responsibilities
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.
In addition to advanced clinical practice
responsibilities, the post holder will lead a designated service portfolio,
assuming accountability for the development, implementation, monitoring and
reporting of associated objectives, standards and service improvement
initiatives across the neonatal service.
The postholder will work on the middle grade rota,
holding the neonatal 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 medical staff and ANNPs 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 clinical review of babies in the Neonatal
Unit (NNU), Delivery Suite, Transitional Care Unit, Postnatal ward, and Meadow
Birth Centre under the supervision of the Neonatal Consultant.
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.
Assess the clinical 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 ResponsibilitiesClinical
Practice AreasNeonatal
Unit and Transitional Care UnitDelivery
Suite including obstetric theatres.Post
Natal Ward and Meadow Birth Centre
Local
Delegated Clinical Responsibilities
The
postholder will:
Undertakes
daily responsibilities on the middle grade rota, including holding the 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, 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 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.
Leadership/Management
The
senior ANNP fulfils BAPM (2021) Leadership and Management Capabilities
Framework while working on the middle grade rota providing clinical leadership under
the supervision of the Neonatal Consultants.
Person Specification
Personal Qualities
Essential
Demonstrates emotional resilience and composure under pressure
Acts with openness, honesty, and integrity in all professional practice
Constructive and receptive to challenge; committed to continuous improvement
Flexible and adaptable to changing priorities and service needs
Builds and sustains positive, collaborative relationships across teams and services
Demonstrates empathy, compassion, and support for colleagues, families, and service users
Qualifications
Essential
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
Desirable
NLS Instructor
ARNI qualification
Counselling/
Bereavement training
Qualification in leadership/management
Experience
Essential
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 portfolio
Desirable
Neonatal transport experience
Cranial Ultrasound competence
Intubation
Research
Skills and Attributes
Essential
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
Desirable
Neonatal transport experience
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.
