Advanced PractitionerNHS

Job summary

Kernow Health CIC is seeking skilled and motivated Advanced Practitioners to join our Cornwall 111 Integrated Urgent Care Service (IUCS). This is an exciting opportunity for experienced Paramedics or Nurses working at an advanced level to deliver high-quality urgent care across a diverse and rewarding clinical portfolio.

Shift patterns available:

Option 1: 40 hours per month available as part of a fixed or flexible four week rolling rota working weekends.

Option 2: 15-37.5 hours per week working within a relief role with contracted hours and covering service gaps during evenings and nights. (A minimum of four weeks' notice of shifts is provided with relief working in this role)

Please can you indicate in your application the numbers of hours you are looking for and option 1 or 2 shift patterns.

Salary: £40.42 / £42.40 / £44.38 per hour base rate (Level 1 / 2 / 3 dependent on experience and qualifications) plus unsocial enhancements in line with service requirements.

Contract: Permanent

The primary base is Cudmore House, with clinical work allocated across treatment centres or home visiting cars throughout Cornwall. Advanced Practitioners must be able to attend Cudmore House and other clinical sites in line with operational need.

There are a mixture of daytime, evening and overnight shifts available however as an out-of-hours predominant service the vast majority of the rota occurs between 1830 0800 Monday Friday and 24/7 across weekends.

Main duties of the job

As an Advanced Practitioner with Kernow Health CIC, you will:

Autonomous Clinical Practice

Deliver high-quality urgent care assessment and management for patients across the 111 Clinical Assessment Service, face-to-face treatment centres and home visiting settings. Practise safely and independently within your scope of competence.

Clinical Decision-Making

Undertake comprehensive history taking, examination and clinical assessment. Formulate management plans, prescribe where appropriate, and ensure safe follow-up or onward referral.

Integrated Working

Work collaboratively with GPs, Clinical Shift Supervisors, Care Navigators and the wider multidisciplinary team to ensure safe and efficient patient flow across the IUCS pathway.

Clinical Governance & Quality

Adhere to governance processes including incident reporting, audit participation and reflective practice. Contribute to maintaining high clinical standards and service improvement initiatives.

Escalation & Risk Management

Recognise and appropriately escalate deteriorating patients or complex cases. Support system flow through sound clinical judgement and safe risk assessment.

Safeguarding & IPC

Maintain safeguarding vigilance for adults and children and adhere to Infection Prevention and Control standards across all clinical environments.

Digital & Documentation Standards

Demonstrate strong digital literacy, ensuring accurate, contemporaneous and high-quality documentation across multiple clinical systems.

Job description

My role helps deliver patient care by

The Advanced Practitioner (AP) is a frontline clinical role within Cornwalls Integrated Urgent Care Services, responsible for delivering high-quality, patient-centred care across a variety of urgent and non-urgent settings. Operating both remotely and face-to-face, the practitioner undertakes advanced clinical assessments, diagnoses, and treatments for patients presenting with acute, chronic, or undifferentiated conditions.

The APs are empowered to prescribe medications, initiate investigations, and escalate care when necessary, ensuring timely and effective interventions. In addition to clinical duties, the AP contributes to service development, quality governance, and safeguarding, while supporting integrated care pathways in collaboration with multidisciplinary teams.

They are expected to step up as Clinical Shift Supervisor when required, providing leadership and operational oversight to maintain safe and efficient service delivery.

The role also includes mentoring colleagues, promoting continuous learning, and engaging in audit and research activities to uphold evidence-based practice. This position is essential to the resilience and responsiveness of Cornwalls urgent care system.

Key Duties and Responsibilities:

• Conduct advanced clinical assessments, diagnoses, and treatment planning: Utilise enhanced clinical reasoning to manage patients with complex, undifferentiated, or multi-morbid presentations.
• Deliver care via telephone, video, face-to-face consultations, and home visits: Ensure flexible access to urgent care services, adapting approach to suit patient needs and settings.
• Prescribe medications and manage patients using clinical guidance: Apply safe prescribing practices to initiate or adjust treatment plans in line with current best practice.
• Rapidly identify and escalate deteriorating patients, initiating emergency intervention: Use clinical judgement to recognise red flags and coordinate timely escalation to emergency services.
• Step up as Clinical Shift Supervisor when required: Provide leadership and oversight during shifts, ensuring safe staffing, clinical governance, and operational continuity.
• Act as Daytime Lead Advanced Practitioner to support service coordination: Lead clinical decision-making and act as a point of escalation for complex cases during daytime operations.
• Manage Single Point of Access (SPOA) calls during clinical service: Triage incoming referrals, prioritise cases, and direct patients to appropriate care pathways efficiently.
• Collaborate with multidisciplinary teams to deliver integrated care: Work closely with GPs, nurses, social care, and other professionals to ensure joined-up patient management.
• Support safeguarding processes for vulnerable adults and children: Recognise signs of abuse or neglect and follow statutory procedures to protect patients at risk.
• Participate in clinical audits, research, and service development: Contribute to continuous improvement by evaluating outcomes and implementing evidence-based changes.
• Mentor and support colleagues, fostering a learning culture: Share expertise, supervise junior staff, and promote professional development across Maintain accurate, contemporaneous patient records: Document clinical encounters in line with legal, regulatory, and organisational standards.
• Contribute to quality governance, risk management, and infection control: Uphold safety standards and participate in initiatives to improve clinical quality and reduce risk.
• Communicate effectively with patients, carers, and professionals: Use clear, compassionate communication tailored to individual needs, including those with barriers to understanding.
• Demonstrate leadership in planning and implementing service improvements: Take initiative in developing protocols, improving workflows, and supporting workforce planning.

You will be expected to carry out any other duties that may reasonably be required in line with your main duties, as directed by your line manager.

We recognise that AI is becoming part of daily life, and you may choose to use it to help prepare your application. We welcome innovation but ask that anything you submit reflects your own abilities, experience, and voice. AI can support how you describe your skills and experience, but it should never replace your own words as we want to get to know you.

About us

Kernow Health CIC is a Community Interest Company supporting General Practice and delivering Primary Care Services at scale across Cornwall. Established in 2011 by a group of Cornwall practices, we are a GP-owned provider organisation delivering several NHS contracts, including:

• Cornwall 111 Integrated Urgent Care Service
• School Immunisation Programme
• Cornwall Primary Care Training Hub
• Special Allocation Scheme

All profits are reinvested to benefit primary care across Cornwall, supporting sustainable and locally responsive healthcare.

Our Integrated Urgent Care Service operates 24/7, providing telephone triage, clinical assessment, treatment centre appointments and home visiting services across the county.

Why Join Kernow Health CIC?

Working with us, you will benefit from:

• Shift patterns across weekdays, evenings, weekends and nights with competitive unsocial hours enhancements
• Access to NHS Pension Scheme
• Competitive sickness, maternity and paternity provisions
• Competitive annual leave, with the ability to buy and sell leave
• Employee benefit programme through Vivup
• Access to training and continuous professional development through the Cornwall Primary Care Training Hub
• The opportunity to work within a high performing, supportive, multidisciplinary and forward-thinking urgent care service

Please note, we reserve the right to close the advert early should there be a significantly high level of applications.