Emily Francischelli
Wooburn Green,Buckinghamshire
Summary
Advanced Nurse Practitioner and clinical leader with 10 years' experience across A&E, urgent care and primary care, specialising in same-day urgent care and improving access to services. Experienced in leading multidisciplinary teams and delivering urgent care at scale, including within a 40,000-patient practice.
Passionate about breaking down barriers to care and designing smarter, more responsive services. Led a team of 10 practitioners and developed a clinical triage pathway to ensure patients reached the right professional, at the right time, first time - improving access, reducing unnecessary hand-offs and making better use of multidisciplinary capacity.
Overview
10
10
years of professional experience
Work History
12-1900
12-1900
12-1900, 12-1900
11.2025 - Current
12-1900
Rapid Access Clinic Lead/ ANP
Marlow Medical Group
Marlow, Buckinghamshire
07.2018 - 11.2025
- Led a team of 10 Advanced Nurse Practitioners and paramedics delivering a high-volume same-day urgent care service for a practice population of 40,000 patients, providing clinical leadership, operational oversight and support with complex and undifferentiated presentations.
- Designed and implemented a new clinical triage pathway to improve access and ensure patients reached the right professional, in the right timeframe, first time. Embedded multidisciplinary working and alternative pathways to reduce unnecessary GP demand while maintaining safe, responsive care.
- Managed daily clinical capacity and patient flow within a fast-paced and unpredictable environment, responding dynamically to changing demand, staffing pressures and clinical risk to maintain safe and effective service delivery.
- Took on line management of the reception and care navigation team, recognising their critical role as the first point of access to urgent care. Worked closely with the Reception Manager to build confidence in managing difficult conversations and conflict, strengthen care navigation skills and develop a more responsive team culture—empowering staff to use initiative and dynamically redeploy across access channels in response to real-time patient demand.
- Led the development of the clinical team through mentorship, teaching and professional development, supporting practitioners undertaking independent prescribing, advanced clinical practice and research while promoting autonomous decision-making and high clinical standards.
- Championed a responsive, patient-centred approach to same-day care, creating an open team culture where feedback, ideas and constructive challenge were actively encouraged. Empowered colleagues to problem-solve, challenge existing ways of working and contribute to service improvement, with a shared focus on removing barriers to access and meeting patient need.
Advanced Nurse Practitioner
Fedbucks
High Wycombe, Buckinghamshire
02.2020 - 04.2022
- Independently assessed, diagnosed and managed patients presenting with a broad range of urgent and undifferentiated conditions within an Urgent Care Centre, including patients referred through NHS 111, exercising autonomous clinical decision-making and risk management.
- Worked autonomously within the out-of-hours service, including shifts as the sole clinician responsible for a clinical base, independently prioritising and managing urgent presentations alongside undertaking home visits for patients whose clinical condition prevented them from safely attending the centre.
- Triaged and clinically assessed incoming cases, providing remote clinical advice, robust safety-netting and appropriate onward referral or signposting to ensure patients accessed the right level of care within an appropriate timeframe.
Staff Nurse
Frimley Health NHS Foundation Trust
Slough
02.2018 - 09.2018
- Made a deliberate career move outside the Trust in which I trained and began my nursing career, seeking a new clinical environment that would challenge me and broaden my emergency care experience beyond the trauma-focused setting of King’s College Hospital.
- Strengthened rapid assessment and clinical decision-making skills across a broad range of acute medical presentations, with particular experience in the early recognition and escalation of time-critical conditions including sepsis and acute coronary syndromes.
- Developed an early interest in improving access to urgent and primary care, recognising through frontline ED experience that timely access to appropriate community-based care could prevent avoidable deterioration, Emergency Department attendance and hospital admission.
Staff Nurse
Kings College Hospital
London
10.2016 - 02.2018
- Began my nursing career within the Emergency Department at King’s College Hospital, developing strong clinical foundations in a fast-paced major trauma and emergency care environment.
- Completed a structured emergency nursing preceptorship, consolidating assessment, prioritisation and clinical skills across minors, majors and resuscitation while caring for patients with a diverse range of acute illness and injury.
- Developed resilience, adaptability and confidence in recognising deterioration, escalating concerns and contributing effectively within multidisciplinary teams during time-critical situations.
Education
Master of Science - Advanced Clinical Practice
University of Reading
Reading03.2025
Peak 3 Senior Leaders Programme -
Buckinghamshire Health And Social Care Academy
08.2024
Post Graduate Certificate - Advanced History Taking and Assessment
Oxford Brookes University
Oxford09.2021
Post Graduate Certificate - Independent Prescribing (V300)
University of Reading
Reading03.2020
Post Graduate Certificate - Respiratory Care
City University of London
London08.2019
Diploma of Higher Education - Minor Illness Management
National Minor Illness Centre
Luton03.2019
Bachelor of Science - Adult Nursing
King's College London
London08.2016
Skills
- Clinical Leadership & Line Management
- Same-Day Urgent Care
- Advanced Clinical Practice
- Clinical Triage & Care Navigation
- Service Redesign & Pathway Development
- Independent Prescribing (V300)
- Workforce Development & Mentorship
- Autonomous Clinical Decision-Making
- Population Health & Proactive Care
- Multidisciplinary & Cross-Organisational Working
Hobbies and interests
- Keen hiker with a love of exploring challenging landscapes, particularly across Canada, the USA and Abruzzo, Italy.
- Enjoy travelling and exploring new places with my husband and dog, from coastal walks and forests to discovering new towns and local cultures.
- Avid reader with a particular weakness for psychological thrillers and anything with an unexpected twist.
- Enjoy sketching and painting as a creative contrast to a busy clinical career.
Timeline
12-1900
12-1900
11.2025 - Current
Advanced Nurse Practitioner
Fedbucks
02.2020 - 04.2022
Rapid Access Clinic Lead/ ANP
Marlow Medical Group
07.2018 - 11.2025
Staff Nurse
Frimley Health NHS Foundation Trust
02.2018 - 09.2018
Staff Nurse
Kings College Hospital
10.2016 - 02.2018
Master of Science - Advanced Clinical Practice
University of Reading
Peak 3 Senior Leaders Programme -
Buckinghamshire Health And Social Care Academy
Post Graduate Certificate - Advanced History Taking and Assessment
Oxford Brookes University
Post Graduate Certificate - Independent Prescribing (V300)
University of Reading
Post Graduate Certificate - Respiratory Care
City University of London
Diploma of Higher Education - Minor Illness Management
National Minor Illness Centre
Bachelor of Science - Adult Nursing
King's College London