Advanced Nurse/Clinical Practitioner (Paramedic)NHS

Job summary

Advanced Nurse Practitioner or Advanced Clinical Practitioner (Paramedic) Full Time/Part Time Considered

Rainbow Medical Centre have a vacancy for an additional Advanced Nurse Practitioner or Advanced Clinical Practitioner (Paramedic) role, as part of our ongoing commitment to expanding and enhancing the services we provide to our patients. This is an excellent opportunity for an experienced advanced practitioner to join a well-established large training practice with a growing list size of approximately 14,850 patients.

Our clinical team include 13 Doctors, 1 ANP, 9 other members of our nursing team (including a Nurse Manager, specialist nurses and HCAs) all supported by a comprehensive admin/reception team.

We are seeking an experienced and motivated clinician to join our friendly and supportive team, combining home visiting with clinical work within the practice.The successful candidate would ideally be able to work on Mondays but if Mondays are problematic than definately Tuesdays

Main duties of the job

The successful candidate will have primary responsibility for triaging our home-visits, offering face to face, same day and urgent home visits for housebound/care home residents, frail elderly or palliative patients, alongside assessing and managing acute presentations within the practice environment.

The role offers an excellent opportunity to work autonomously, delivering comprehensive, patient-centred care to those with complex health needs including proactive frailty management and gold standard framework reviews. The successful candidate will be confident in making independent clinical decisions while recognising when escalation or multidisciplinary input is required.

We are looking for an Independent Prescriber, ideally with experience in general practice, frailty, community or urgent care. The role would suit someone who enjoys variety & is keen to work across both the practice environment and patients' homes.

This is an excellent opportunity for a clinician who values autonomous practice, continuity of care and delivering high-quality care to patients within both the practice and community setting.

Salary will be commensurate with experience but is expected to be A4C 8a equivalent.

Job description

General Practice ANP/ ACP(Paramedic)

Job summary

The post holder will have primary responsibility for triaging our home-visits, offering face to face, same day and urgent home visits for housebound/care home residents, frail elderly or palliative patients, alongside assessing and managing acute presentations within the practice environment.

The successful candidate will work both autonomously and collaboratively within the multidisciplinary team, using advanced clinical assessment and decision-making skills to deliver safe, high quality, patient centred care.

Main duties of the job

Key responsibilities include:

Completing home visits for acute, chronic, frail housebound patients

Undertaking clinical sessions within the surgery as and when needed

Managing patients with complex health needs using advanced clinical assessment and diagnostic skills

Supporting palliative and end-of-life care planning, including Gold Standards Framework (GSF) reviews and ReSPECT documentation.

Prescribing and reviewing palliative and end-of-life medications in line with national and local guidance.

Undertaking weekly ward rounds within care homes

Working proactively with patients, relatives, carers and community teams to ensure high-quality care.

Providing holistic assessment, diagnosis, treatment and management plans

Prescribing medication appropriately and safely within scope of practice

Preventing avoidable hospital admissions through proactive management and early intervention.

Maintaining accurate and contemporaneous clinical records using EMIS

Participating in multidisciplinary meetings, safeguarding processes, significant event reviews and clinical audits.

Supporting quality improvement initiative and QOF targets where appropriate.

Job responsibilities

Main Duties & Responsibilities

• Undertake regular home visits for acute, chronic, frail, palliative, and housebound patients
• Carry out weekly ward rounds within nursing and residential care homes
• Assess, diagnose, treat, and manage patients with complex and undifferentiated conditions
• Undertake proactive frailty assessments and care planning
• Support palliative and end-of-life care management, including Gold Standards Framework (GSF) reviews
• Complete and review ReSPECT forms and advance care planning documentation
• Prescribe and review medications safely and effectively, including anticipatory and palliative care medications
• Work collaboratively with GPs, PNs, district nurses, pharmacists, hospice teams, community matrons, social care, and secondary care services.
• Prevent avoidable hospital admissions through proactive management and early intervention
• Support continuity of care for vulnerable and high-risk patients
• Undertake urgent same-day clinical assessments where required
• Maintain accurate, contemporaneous, and legally compliant patient records using EMIS
• Participate in multidisciplinary team meetings, safeguarding reviews, clinical audits, and quality improvement initiatives
• Support the practice in achieving QOF, enhanced service, and CQC quality standards
• Provide support, supervision, and advice to colleagues, trainees, and students where appropriate
• Support surgery clinics and practice-based appointments as and when required to maintain safe service delivery
• Carry out duties requested by the GP Partners and management team in a professional and timely manner
• Clinical Responsibilities
• Work autonomously within professional scope of practice to assess, diagnose, plan, implement, and evaluate treatment for patients presenting with acute, chronic, complex, and undifferentiated conditions
• Conduct advanced clinical assessments within patients homes, care homes, and surgery settings where required
• Perform physical and psychological assessments and interpret findings to support clinical decision-making
• Diagnose and manage acute illness, chronic disease, frailty syndromes, and palliative care needs
• Develop holistic, evidence-based treatment and management plans tailored to individual patient needs
• Prescribe medications appropriately and safely within professional scope of practice and national/local prescribing guidance
• Prescribe and review palliative and anticipatory medications for end-of-life patients
• Identify deteriorating patients and escalate care appropriately
• Support admission avoidance and facilitate safe community management
• Order, interpret, and act upon diagnostic investigations where appropriate
• Support patients with medication adherence, lifestyle advice, self-management, and preventative healthcare
• Deliver care aligned with NICE guidance, local pathways, and evidence-based practice
• Recognise and respond appropriately to safeguarding concerns for children and vulnerable adults
• Work within professional boundaries and escalate appropriately outside own competence
• Multidisciplinary Working
• Work collaboratively with GP Partners, nursing staff, pharmacists, care coordinators, social prescribers, district nurses, hospice teams, community services, and external agencies
• Participate in MDT meetings including frailty and Gold Standards Framework meetings
• Liaise effectively with secondary care and community providers to ensure continuity of care
• Support discharge planning and coordinated patient management
• Contribute to service development and quality improvement initiatives
• Professional Responsibilities
• Maintain accurate and contemporaneous clinical records and documentation
• Participate in annual appraisal, clinical supervision, and continuing professional development
• Maintain up-to-date knowledge of evidence-based practice and clinical guidance
• Participate in audit, reflective practice, and benchmarking activities
• Raise and document significant events, incidents, and near misses appropriately
• Support practice governance, patient safety, and quality improvement processes
• Maintain confidentiality in accordance with GDPR, Caldicott principles, and practice policies
• Comply with infection prevention and control procedures and safe clinical waste disposal
• Maintain professional registration and revalidation requirements
• Support the practice in maintaining high CQC standards and compliance
• Extra Duties & Responsibilities
• Participate in rota cover during periods of annual leave or sickness absence
• Support the reception and administration team with clinical queries where appropriate
• Maintain a professional appearance and conduct at all times
• Ensure patient identifiable information is stored securely in accordance with data protection legislation
• Attend mandatory training and complete updates as required
• Participate in local and national CPD relevant to the role
• Support students, trainees, and colleagues within the practice as appropriate
• Contribute to clinical audits, research projects, and service improvement initiatives
• Organisational & Statutory Requirements
• The post holder must comply with the Health & Safety at Work Act 1974 and all practice policies relating to:
• Confidentiality and data protection
• Equality and diversity
• Safeguarding children and vulnerable adults
• Infection prevention and control
• Complaints handling procedures
• Fire safety and emergency procedures
• Health and safety policies and protocols

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About us

As stated; we are a large training practice, with an established clinical and admin team. The practice has worked hard to develop a team/team approach and as a result does benefit from having a low staff turn over. We are committed to providing a welcoming and supportive working environment and are looking for someone who will enjoy being part of our friendly multidisciplinary team. Training, professional development and opportunities to broaden clinical skills will be available for the right candidate.