I'm now an advanced nurse practitioner with prescribing rights


Sian Rees is an Advanced Nurse Practitioner with Cwm Taf University Health Board's Primary Care Nursing Service team, which provides a variety of roles to GP surgeries and other services such as the Nurse-led Aural Care clinic and the Home Oxygen Service.

"Returning to my job after a four-year secondment as an Epilepsy Specialist Nurse, I realised I needed a new challenge.

I decided to enrol on the MSc Advanced Clinical Practitioner as I had a wealth of knowledge and expertise from my existing role that would complement the role of the Advanced Nurse Practitioner in Primary Care.

The most enjoyable part of the course was gaining the knowledge and clinical skills to enable me to work as an advanced nurse practitioner in Primary Care, and to start putting it into practice during my weekly clinical sessions with my mentor in practice.

Secondly, it was meeting and making new friends from a huge variety of clinical backgrounds, and supporting each other through the course especially when it came to practicing our clinical skills.

The hardest part was trying to balance work, home and study, but my children are now grown up and I have a very supportive and understanding family who kept me sane - and were good models on which to practice my OSCEs!  I also found going to the gym, walking and yoga helped a lot.

The new skills I learnt and took back to practice included:

  • To take a thorough clinical history
  • To carry out a clinical examination
  • To think far more broadly regarding a possible diagnosis/differential diagnosis
  • Improved observational skills of a patient’s possible condition

Finally, my consultation skills with patients developed considerably over the last three year. Together with my Independent Prescribing qualification the consultation I can now provide to my patients is a more complete and holistic one."