Paramedic PractitionerNHS

Job summary

To provide high-quality, patient-centred care as part of a multidisciplinary team, contributing to the delivery of safe, efficient, and proactive healthcare services. This includes diagnosing and managing acute and chronic conditions, and supporting health promotion and prevention initiatives.

Working as part of the On the day acute care team managing presentations of acute illness with support of the duty GP.

The post holder contributes to the delivery of safe, effective urgent care by providing informed clinical assessment, supporting clinical decision making, and managing a defined range of presentations in general practice and community settings.

Working with increasing autonomy but within agreed clinical boundaries, the role applies developed knowledge of minor illness, minor injury, and urgent presentations to support timely patient management.

The practitioner enhances service capacity by undertaking structured assessment, escalating appropriately, and contributing to patient flow, continuity, and a positive care experience.

Main duties of the job

Key Contributions:

1. Clinical Excellence:

• Deliver safe, effective, and evidence-based care through autonomous clinical decision-making, including assessment, diagnosis, and treatment for a wide range of conditions.
• Support patients with acute and chronic conditions, creating personalised care and treatment plans that integrate drug and non-drug-based therapies.

2. Health Promotion and Prevention:

• Actively engage with patients to promote healthy lifestyles, delivering targeted advice on disease prevention and management.
• Facilitate referrals to community and specialist services to ensure patients receive holistic, ongoing care.

3. Collaborative Teamwork:

• Work closely with GPs, nurses, and other healthcare professionals to deliver integrated care within defined healthcare pathways.
• Provide enhanced clinical advice to internal stakeholders and external partners, such as the ambulance service and district nurses.

4. Training and Development:

• Participate in the structured development program, progressing towards qualifications such as a Level 7 (Masters).
• Engage in reflective practice and continuous professional development, attending clinical meetings and contributing to the development of best practices.

5. Organisational Impact:

• Support the Practices administrative workload, including handling pathology results and electronic records.
• Contribute to clinical audits, risk assessments, and service evaluations, ensuring alignment with organisational objectives.

Job description

Role Accountabilities

Clinical Assessment & Early Clinical Decision Support

• Apply developed clinical judgement to assess patients presenting with undifferentiated or same day concerns within defined competence.
• Contribute meaningfully to clinical decision making by identifying relevant symptoms, recognising red flags, and determining appropriate escalation or management pathways.
• Support safe prioritisation of patients, helping clinicians manage demand effectively.

Delivery of Safe Care Within Defined Clinical Boundaries

• Provide safe and structured care for a range of minor illness and/or minor injury presentations, working within established guidelines and urgent care protocols.
• Use clinical understanding to guide appropriate next steps, ensuring care aligns with best practice and organisational governance.
• Work with a level of independence appropriate to experience, while recognising limitations and seeking senior input when required.

Contribution to Patient Flow & Operational Efficiency

• Enhance capacity in urgent care sessions by managing appropriate patients directly and supporting clinicians with timely information, assessment findings, and escalation.
• Contribute to an efficient, well organised clinical environment that supports rapid access and responsive care.
• Engage proactively in service processes that reduce delay, improve throughput, and maintain safe patient flow.

Communication, Patient Engagement & Experience

• Communicate sensitively with patients to support understanding of symptoms, care options, and next steps.
• Provide consistent, clear advice in line with clinical guidance and safety netting principles.
• Contribute to a reassuring and supportive experience for patients seeking urgent or same day care.

Clinical Governance, Documentation & Risk Management

• Maintain accurate, timely, and high quality clinical documentation to support continuity of care and clinical safety.
• Apply an understanding of risk, safeguarding, red flags, and clinical deterioration to ensure timely escalation.
• Contribute to quality improvement, clinical audit, and governance processes as part of safe practice.

Team Collaboration & Multidisciplinary Working

• Work closely with GPs, nurses, ANPs/ACPs, paramedics, and other community practitioners to ensure coordinated, integrated care.
• Share clinical insights appropriately to support safe handover and collaborative decision making.
• Contribute to a positive, supportive team culture within fast paced urgent care settings.

Professional Development & Supporting Others

• Continue building clinical expertise through training, supervision, and reflective practice.
• Support junior or developing practitioners by sharing knowledge and demonstrating good clinical and professional behaviours.
• Contribute to continuous service improvement through feedback, insight, and participation in development initiatives.

About us

Banbury Cross Health Centre is owned and operated by Principal Medical Limited (PML), which works in partnership with the NHS to deliver primary care services in GP practices and community settings.

Founded in 2004 as a not-for-profit organisation by local GPs, PML was established to enable healthcare professionals to develop and deliver innovative services at scale. Today, 70% of GP practices in Oxfordshire and 22% in Northamptonshire are associated with the Federation.

PML is the largest GP Federation in Oxfordshire and South Northamptonshire, serving nearly 800,000 patients. We believe local providers are best placed to deliver high-quality, cost-effective care that meets community needs.

With over 20 years of experience, PML has a strong track record of delivering NHS, ICB and Public Health services. Our work is guided by five core values: being Compassionate, Competent, Courteous, Collaborative and Committed. We welcome applicants from diverse backgrounds and those with protected characteristics under the Equality Act 2010.