KREMENA PAYOVA
London,UK
Summary
Dedicated healthcare professional with extensive expertise in patient-centred care and advanced clinical training. Proficient in managing pharmaceutical prescriptions, electronic health records, and conducting accurate patient risk assessments. Demonstrates strong communication skills with multidisciplinary teams and excels in infection prevention and control. Committed to ethical practice and cultural sensitivity, ensuring high standards of clinical excellence. Career goals include advancing leadership roles within healthcare settings to enhance patient outcomes through effective time management and interdepartmental collaboration.
Overview
8
8
years of professional experience
Work history
Advanced Nurse Practitioner (ANP)
Woodbridge Hill GP Practice
Guildford, UK
2025.08 - 2026.07
- Undertake advanced clinical nursing practice, providing holistic care to patients accessing primary care services.
- Autonomously assess, diagnose, and treat patients presenting with wide range of acute, non-acute, and chronic medical conditions.
- Utilise independent and supplementary prescribing rights to manage acute presentations and formulate definitive treatment plans.
- Refer patients to secondary care and other medical specialities for further assessment when clinically indicated.
- Support practice in achieving quality indicators for GMS contracts, QOF targets, and National Service Frameworks.
- Conduct remote triage and video consultations alongside face-to-face clinical assessments.
Advanced Nurse Practitioner (ANP) — Formerly Practice Nurse
Aqua Healthcare
London, UK
2022.11 - 2026.07
- Transitioned from Practice Nurse to Advanced Nurse Practitioner (ANP) status following the successful completion of Level 7 Independent Prescribing and Minor Illness qualifications.
- Practice exclusively as an ANP since late 2023, providing advanced clinical care across various NHS primary care facilities on an ad-hoc and locum basis.
- Conduct high-level history taking and clinical examinations to assess, diagnose, and treat acute undifferentiated presentations in patients over 16.
- Act autonomously as an Independent Prescriber to safely manage acute patient care pathways during short-notice urgent care and general practice shifts.
- Maintain active clinical competencies, ensuring rapid adaptation to diverse primary care environments and multidisciplinary teams.
- Casual / On-Call
- Conducted comprehensive patient assessments for accurate diagnosis.
- Improved patient satisfaction by providing compassionate, personalised care.
- Developed tailored care plans, resulting in improved quality of life for patients.
- Developed tailored care plans, improving the quality of life for patients.
- Developed tailored care plans, improving the quality of life for patients.
- Prioritised urgent cases effectively for enhanced patient outcomes.
- Ordered diagnostic tests accurately for correct illness detection.
- Assessed emergencies quickly, ensuring immediate attention for critical patients.
- Delivered care in line with clinical guidelines for continued practice compliance.
- Diagnosed and treated patients attending primary health care services with a range of acute and non-acute medical conditions.
- Managed patient referrals within multi-disciplinary practice teams and secondary care organisations for improved patient results.
Advanced Nurse Practitioner (ANP)
Wallington Family Practice
London, UK
2024.08 - 2025.05
- Delivered advanced clinical care to primary care patients over the age of 2, safely managing acute and chronic medical conditions.
- Conducted specialised screening and clinical procedures, including cervical screening, venepuncture, cannulation, and advanced wound management.
- Administered adult and childhood immunisations, travel health vaccinations, and family planning advice under Patient Group Directions (PGDs).
- Proactively identified safeguarding risks (child abuse, domestic violence, vulnerable adults, suicidal tendencies) and initiated local referral pathways.
- Managed acute clinical emergencies (e.g., anaphylaxis, haemorrhage, asthma attacks) and maintained up-to-date resuscitation competencies.
GP Practice Nurse
AT Medics Operosehealth
London, UK
2022.02 - 2023.02
- Assessed, diagnosed, and managed chronic respiratory diseases (Asthma and COPD), achieving positive treatment outcomes.
- Implemented, audited, and managed routine childhood and travel vaccination/immunisation programmes.
- Adapted consultation style depending on patient's needs which increased satisfaction levels.
- Maintained up-to-date knowledge in medical developments through continuous professional development activities, driving quality of service provided.
- Carried out home visits when needed, providing essential primary care support in the community setting.
- Ensured confidentiality and privacy of patient records according to regulations and protocols, maintaining trust amongst the clinic's clientele base.
- Managed a high caseload with strong organisational skills.
- Referred patients to specialists as necessary for optimal treatment outcomes.
- Devised personalised treatment plans based on individual needs and circumstances, promoting recovery and wellbeing optimisation.
- Collaborated closely with other healthcare professionals, enhancing patient care delivery.
- Delivered immunisations in accordance with local and national standards for care.
- Educated patients and community members about disease prevention and general wellness to boost awareness of public health issues.
- Monitored and enforced medical practice compliance, supporting CQC and NHS/CCG quality monitoring inspections.
- Gained consent to perform suggested treatments and interventions, following all patient advocacy measures to reduce risks.
- Kept detailed records of medical conditions and histories, providing exceptional and individualised care.
Emergency Department Assistant
Royal Free Hospital
London, UK
2019.10 - 2021.12
- Performed baseline vital signs observations using the ABCDE assessment framework in a high-pressure environment.
- Executed clinical skills including cannulation, phlebotomy, ECG recording, urinalysis, INR measurements, and VBG sampling.
- Provided emergency wound care, swabbing, limb plastering, and catheterisation, ensuring meticulous electronic documentation.
Emergency Department Assistant
UCLH
London, UK
2018.08 - 2019.09
- Maintained accurate patient records while assisting with emergency triage and acute clinical care.
- Performed vital signs monitoring, ECGs, blood glucose checks, venepuncture, and cannulation.
- Ensured infection control measures were adhered to strictly for safe environment for both staff and patients alike.
- Upheld patient confidentiality at all times whilst performing duties as per data protection norms set down by the NHS.
- Collaborated with nurses to provide comprehensive patient care, ensuring smooth recovery path.
- Monitored client health conditions and reported immediate issues to manager.
- Demonstrated consistent respect and privacy for care users, maintaining dignity irrespective of circumstance.
Education
Executive Certificate - AI and Digital Transformation in Healthcare
Imperial College Business School
06/2026 - 01/2027
Postgraduate Diploma (PgDip) - Professional Healthcare Practice (Master's-equivalent)
University of West London
4 2025 - 6 2026
Edward Jenner Programme - Leadership
NHS Leadership Academy
1 2024 - 1 2025
Postgraduate Qualification - Independent and Supplementary Prescribing (Level 7)
King's College London
1 2023 -
Advanced Practice - Advanced Skills Minor Illness
Belmatt Healthcare
LondonIR(ME)R Certificate - Ionising Radiation Medical Exposure Regulations
Bachelor of Science (Hons) - Adult Nursing
University of West London
4 2019 - 4 2022
Bachelor of Arts (BA Hons) - Social Pedagogy
Prof. Dr. Assen Zlatarov University
9 2009 - 12 2013
Postgraduate Certificate Level 7 - Diagnostic Reasoning
University of West London
1 2025 - /2025
Postgraduate Certificate Level 7 - Leadership Strategies to Improve Patient Experience (Level 7)
University of West London
London2025
Skills
- Communication with multidisciplinary teams
- Pharmaceutical prescriptions management
- Ethical practice
- Infection prevention and control
- Patient risk assessments
- Disease prevention
- Accurate record-keeping
- Advanced diagnostic abilities
- Patient-centred care
- Advanced clinical examination
- Patient treatments
- Interdepartmental referrals
- Effective time management
- Clinical excellence
- Acute condition management
- Referral management
Languages
English
Fluent
Bulgarian
Native
Serbian
Fluent
Timeline
Advanced Nurse Practitioner (ANP)
Woodbridge Hill GP Practice
2025.08 - 2026.07
Advanced Nurse Practitioner (ANP)
Wallington Family Practice
2024.08 - 2025.05
Advanced Nurse Practitioner (ANP) — Formerly Practice Nurse
Aqua Healthcare
2022.11 - 2026.07
GP Practice Nurse
AT Medics Operosehealth
2022.02 - 2023.02
Emergency Department Assistant
Royal Free Hospital
2019.10 - 2021.12
Emergency Department Assistant
UCLH
2018.08 - 2019.09
Postgraduate Certificate Level 7 - Diagnostic Reasoning
University of West London
1 2025 - /2025
Bachelor of Arts (BA Hons) - Social Pedagogy
Prof. Dr. Assen Zlatarov University
9 2009 - 12 2013
Bachelor of Science (Hons) - Adult Nursing
University of West London
4 2019 - 4 2022
IR(ME)R Certificate - Ionising Radiation Medical Exposure Regulations
Postgraduate Qualification - Independent and Supplementary Prescribing (Level 7)
King's College London
1 2023 -
Edward Jenner Programme - Leadership
NHS Leadership Academy
1 2024 - 1 2025
Postgraduate Diploma (PgDip) - Professional Healthcare Practice (Master's-equivalent)
University of West London
4 2025 - 6 2026
Executive Certificate - AI and Digital Transformation in Healthcare
Imperial College Business School
06/2026 - 01/2027
Advanced Practice - Advanced Skills Minor Illness
Belmatt Healthcare
Postgraduate Certificate Level 7 - Leadership Strategies to Improve Patient Experience (Level 7)
University of West London