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Advanced Clinical Practitioner - Nurse or ParamedicNHS

Portsmouth, PO1 4JT Permanent
Posted 15 October 2026 Closing date 5 November 2026
Checked 18 hours ago · still listed on NHS Jobs Closes in 11 days · 5 Nov 2026
Fratton Rail Station (0.6 miles, direct) Smallbrook Junction (Isle of Wight Steam Railway (7.3 miles, direct) The Hard Interchange (1.3 miles, direct)

Job summary

The Job and Background

In recent years the role of General Practice and Community Care has expanded at an exponential rate. Traditionally GPs with a small team were able to meet their patients needs. Over time societal change, population increases and role expansion has changed the face of General Practice forever. We are seeing ever more complex patient care needs and targets. It is very clear that Nurse and Paramedic Practitioners are a highly valuable addition to the General Practice Team. Island City Network wishes to further expand our Practitioner team. It is an opportunity to work in a highly organised, friendly and progressive team.

Main duties of the job

Personal Specification

Essential

Completion of undergraduate degree/diploma in Nursing or Paramedicine

Registration with NMC/HCPC

Completion of two-year Consolidation Of learning period as a newly qualified nurse or paramedic

Has a further three years experience as a band 6 (or equivalent) paramedic

Desirable

Completed or working towards developing level 7 advanced practice

Independent prescriber Qualification or steps towards this

Further Post Graduate Qualifications or Diplomas

ACP - training may be considered for the right candidate

Experience

Essential

Five years or longer post qualification including 3 or more years at band 6 level

Desirable

Working knowledge of General Practice

Prior General Practice Experience

Experience of Primary Care IT Systems

Job description

Key Job Role Requirements

1) Ability to independently deliver care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.

2) Deliver safe, clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the General Practice.

3) To take on solve and reduce GP workload directly within the scope of their clinical practice.

Job Description

1) Assess patients presenting with acute illness or for review of chronic disease conditions.

2) Skills and ability to consult face to face, triage by phone and electronically an home visit.

3) Diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.

4) Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.

5) Assess diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs.

6) Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).

7) Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan.

8) Fully participate in the clinical administration within the practice and when suitably qualified to help signing prescriptions, reviewing medication, and Electronic Prescribing

9) Prescribe (subject to completion of prescribing course) and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols and formularies.

10) Work with patients and their carers in order to support compliance with and adherence to prescribed treatments.

11) Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions

12) Full engagement with appropriate educational and additional qualification pathways in line with NHS England Network specification for The Practitioner Role and accessing this via approved channels. This will include engagement with an Island City Network Clinical mentor.

13) The role holder(s) will communicate clearly and effectively with the network team (both clinical and non-clinical roles) and patients.

14) Completion of high quality clinical notes and plans in the electronic patient records that can easily be understood and referenced by others.

15) The post holder must work independently to manage cases within their clinical competency to include onward referral to suitable community and secondary care services within the scope of their practice.

16) Practitioners in Island City Network should happy to consult via interpreters (in person and via phone).

17) The position holder will seek to guide and encourage patient self-management where appropriate, share resources for this across the network and promote this within Island City Network

18) Use of a wide range of clinical skills (within current scope of experience) relevant to treatment and assessment of patients.

19) While independent working is required the post holder must also be happy to work collaboratively with other members of Island City Network and broader MDT teams where appropriate.

20) Practitioners must ensure they remain up to date with the latest clinical developments relevant to their scope of practice and must ensure they maintain all relevant competencies for practice.

21) A willingness and flexibility to develop and refine the role over time is essential and in line with the ethos of island City Network.

22) The Practitioner will see and manage patients within reasonable agreed timescales consistent with the activity levels required to meet patient demand within a General Practice setting.

23) Engagement with Audit Work, Quality Outcomes Framework targets, and other relevant Island City Network projects.

24) To assist or lead relevant teaching within role scope to both clinical and non-clinical Island City Network staff.

25) Practitioners should be able to prioritize their own workload and demonstrate effective time-management.

About us

Island City Network is an innovative, friendly and forward thinking healthcare group. We are located in the fascinating Historic Naval City of Portsmouth on the South Coast. Where we lead others follow. General Practice is changing at pace and we see this as a positive and opportunistic challenge.

Island City Network includes Derby Road Group Practice, and Island City Practice. Our combined list size is c.53,000 patients. Island City Network is proud and enthusiastic to be an inventive front runner in the new era of The Primary Care Network.

*****Previous applicants need not apply*****

Interview date : Thursday 12th November

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