Advanced nurse practitioner/paramedic practitionerNHS

Leatherhead, KT23 4DH Permanent

Posted 12 October 2026 Closing date 30 November 2026

Checked 15 hours ago · still listed on NHS Jobs Closes in 37 days · 30 Nov 2026

Bookham Rail Station (0.8 miles, direct) Morden Underground Station (11.6 miles, direct) Railway Station (3.4 miles, direct)

Job summary

We are looking for a full-time or part-time trained Advanced Nurse or Paramedic Practitioner (with a prescribing qualification) to support our clinical team to provide patient access to both scheduled and unscheduled care provision. The aim of the role is to :

deliver convenient accessible care
provide assessment, differential diagnosis and treatments of acute episodes of minor health and minor injury conditions
work in partnership with patients in agreeing management plans
promote self care in order that patients are empowered to manage their own health needs

The role:

Permanent role
4 to 5 days a week (32 to 37.5 hours)
Competitive salary and package
NHS pension

Main duties of the job

To conduct patient consultations using specialist knowledge in relation to minor injuries and health problems. Full assessments, history and differential diagnosis to be made in order that a management plan can be agreed with the patient.
Interventions are timely, and may include provision of urgent care in an emergency.
To contribute to the ongoing development of clinical guidelines reflecting best evidence based practice.
To ensure that referrals to other primary and secondary services are made in line with agreed guidelines.
To utilise diagnostic and clinical skills, developing new skills where appropriate.
To prescribe according to and within scope of practice.
Supply and administer medications in accordance with legislation and practice policies.
To utilise clinical judgement, providing care and treatment within agreed guidelines where the need arises and within scope of practice.
To have a working knowledge of child protection, the abuse of older people and domestic violence and refer to services as necessary.

Job description

Role

Post Title: Advanced nurse practitioner / paramedic practitioner

Location: Fairfield Medical Centre

Organisational arrangements

(i) Reporting/Accountable to:

Clinically : GP partners
Administratively : practice manager

(ii) Responsible for:

Scheduled & unscheduled patient care

1. Main purpose of the role

To provide the local practice community with access to both scheduled and unscheduled care provision. The aim of the role is to :

deliver convenient accessible care
provide assessment, differential diagnosis and treatments of acute episodes of minor health and minor injury conditions
work in partnership with patients in agreeing management plans
promote self care in order that patients are empowered to manage their own health needs

2. Main responsibilities of the role

work as an autonomous practitioner, providing completed episodes of care to individuals
work within agreed guidelines and protocols where they exist and make autonomous decisions in the absence of guidelines
prescribe within knowledge and skills and in accordance with National and Local Guidelines
work within scope of practice and draw on relevant experience to deliver quality patient care
work in partnership with other health and social care providers
provide patients with the opportunity to contribute to the ongoing development of the service
manage the nursing team

3. Key areas accountable for

3.1 Clinical

To conduct patient consultations using specialist knowledge in relation to minor injuries and health problems. Full assessments, history and differential diagnosis to be made in order that a management plan can be agreed with the patient.
Interventions are timely, and may include provision of urgent care in an emergency.
To contribute to the ongoing development of clinical guidelines reflecting best evidence based practice.
To ensure that referrals to other primary and secondary services are made in line with agreed guidelines.
To utilise diagnostic and clinical skills, developing new skills where appropriate.
To prescribe according to and within scope of practice.
Supply and administer medications in accordance with legislation and practice policies.
To utilise clinical judgement, providing care and treatment within agreed guidelines where the need arises and within scope of practice.
To have a working knowledge of child protection, the abuse of older people and domestic violence and refer to services as necessary.

3.2 Team work

To manage the nursing team on a day to day basis
Ensure you are up to date with decisions made by the practice that might affect the care and support you give to patients.
Share all major issues and new developments with the clinical team so that the practice can develop policies to make sure that all patients received the same standard and quality of care.

3.3 Communications

Ensure effective communication with patients offering informed choice. Recognise and address patients anxieties and behaviours when managing acute health problems.
Maintain effective communication with other team members ensuring all team members are kept involved and informed in the delivery and continued development of the practice.
Patients are referred to primary and secondary providers with clear contemporaneous notes which accurately reflect the consultation and reasons for referral.
Caldicott Guardianship is effective. Consent and Confidentiality is maintained in line with data protection and consent policies.

3.4 Clinical governance

Quality controls and risk assessments are performed and forwarded for action.
Awareness of health and safety for self and others and attend mandatory training. Give due consideration to the daily exposure to bodily fluids. All health and safety incidents are managed accordingly through the appropriate reporting mechanism.
Medicines are managed safely in accordance with practice policy.

3.5 Education training

Demonstrate awareness of own professional development and training needs in accordance with service needs.

Promote and support the development and provision of work based learning to other clinical staff members.

Act as a mentor for other clinical staff members.

Continued professional development through reflective practice is integral to practice, clinical supervision is regularly undertaken.

3.6 Service development

Ensure service is efficient by monitoring and exploring opportunities for savings.

Undertake clinical audit to review practice and service, reporting results of audits.

Explore opportunities in line with National Health plans to support effective health care for patients.

4. Fairfield Medical Centre standards

We expect all staff to demonstrate the following standards within their job roles, and to be reviewed against them in their appraisals / development reviews:

to be friendly, helpful and welcoming
to introduce ourselves by name and role, and explain what we do
to listen and respond promptly to what patients really want or need
to do what we have promised
to offer to help not wait to be asked
to find someone to help if we arent able to
to deliver the best possible care / service at all times
to provide an environment that is tidy and clean

5. Other

To be aware of and work in line with all the practice protocols and procedures.

To carry out any other tasks that are commensurate with the grade in discussion with the post holder

About us

Our GP practice:

GMS training practice. CQC good & high QOF achieving
10,000 patients
Well-organised practice with very good staff retention across all levels including 5 GP Partners, 2 GPs, 1 Nurse Practitioner, 1 Nurses and 2 HCAs
Remote clinical pharmacists and pharmacy technicians for medication support
EMIS Web & Docman clinical systems and remote access available
Daily coffee meetings and approachable friendly team
GP Extended Hours clinics in the area provided by an external provider

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