Advanced Paramedic Practitioner (direct recruitment - no agencies)
Marlow Medical Group
Marlow, SL7 1DN
Salary
Negotiable
Contract
Permanent
Hours
Not specified
Closing date
1 October 2026
31 days left
Job description
The Advanced Paramedic Practitioner is an experienced autonomous clinician who provides proactive, responsive and coordinated healthcare for houseboun...
The role combines advanced clinical assessment, urgent care, long-term condition management, proactive care planning, frailty management, admission avoidance, end-of-life care support, and multidisciplinary care coordination.
The post-holder will provide a consistent clinical presence within the local community, helping reduce avoidable hospital admissions, improve continuity of care, support medicines optimisation, and improve outcomes for residents through proactive intervention and integrated working.
1. Clinical Responsibilities & Advanced Practice
Provide autonomous assessment, diagnosis, treatment and
management of housebound residents presenting with acute, chronic and complex
healthcare needs.
The post-holder will
Undertake comprehensive holistic clinical assessments.
Perform clinical examinations and advanced assessment.
Formulate differential diagnoses and management plans.
Manage acute illness and clinical deterioration.
Deliver urgent and same-day care assessments.
Assess and manage frailty syndromes.
Assess residents following falls.
Support management of long-term conditions.
Undertake home and housebound ward-round consultations.
Support end-of-life and palliative care patients.
Identify and escalate safeguarding concerns.
Request and interpret appropriate investigations.
Manage residents with multimorbidity and complex care needs.
Undertake anticipatory care planning.
Recognise and manage clinical risk and deterioration.
Coordinate onward referral where required.
Provide telephone and digital clinical consultations.
Work within professional scope of practice and competence.
2. Equity of Access to care for Housebound
The post-holder will
Participate in regular multidisciplinary housebound ward
rounds.
Support identification of residents requiring proactive
review.
Maintain and review personalised care and support plans.
Support development and review of anticipatory care plans.
Identify residents at high risk of admission or
deterioration.
Coordinate intervention plans for vulnerable residents.
Support implementation of NHS Comprehensive Geriatric
Assessment principles.
Undertake routine and responsive housebound reviews.
Reduce avoidable emergency admissions and A&E
attendances.
Support delivery of structured medication review processes
alongside Clinical Pharmacists.
Promote optimal hydration, nutrition and falls prevention
initiatives.
Support implementation of enhanced care planning processes.
Contribute to improving end-of-life care outcomes.
Participate in Gold Standards Framework discussions where
appropriate.
Support delivery of population health management approaches
for patients who are housebound.
3. Urgent Care & Admission Avoidance
Provide a rapid response clinical service to housebound
Residents. The post-holder will
Assess deterioration in housebound residents.
Undertake urgent same-day assessments.
Manage acute presentations where appropriate.
Assess residents following falls.
Support clinical decision-making regarding hospital
admission.
Implement admission avoidance strategies.
Liaise with ambulance services, community teams and
secondary care providers.
Monitor residents following acute episodes.
Support safe discharge and post-discharge review.
Reduce unnecessary hospital attendance through proactive
care delivery.
4. Frailty, Long-Term Conditions & Population Health
Provide expert management of residents living with frailty
and long-term conditions. The
Post-holder will
Support delivery of frailty pathways.
Undertake comprehensive geriatric assessments.
Manage patients with
Frailty
Dementia
Marlow Medical Group is a well-established, forward-thinking NHS GP partnership and primary care network serving the communities of Marlow, Loudwater, Lane End and Hambleden. The Group operates across four sites and is committed to delivering high-quality, patient-centred care for over 38,000 of its local population through a wide range of primary care and specialist services.
As a training practice, Marlow Medical Group supports the development of future healthcare professionals and promotes a culture of learning, innovation and continuous improvement.
The practice embraces digital healthcare solutions, including online consultations and NHS-App integration, to improve access and convenience for patients. Guided by its mission of working towards a healthier community for all by providing exceptional healthcare in a sustainable way, Marlow Medical Group is proud to hold a CQC rating of Good.
Values and Behaviours
Essential
- Patient-centred approach.
- Compassionate and respectful.
- Strong professional accountability.
- Collaborative leadership style.
- Commitment to integrated care.
- Commitment to reducing avoidable admissions.
- Commitment to continuous improvement.
- Adaptable and resilient.
- High levels of integrity and professionalism.
Clinical Skills
Essential
- Advanced history-taking and clinical assessment skills.
- Advanced clinical reasoning and diagnostic skills.
- Independent prescribing capability.
- Ability to interpret diagnostic tests and investigations.
- Ability to manage clinical risk and uncertainty.
- Excellent record keeping and clinical documentation skills.
- Ability to work autonomously within scope of practice.
- Understanding of evidence-based medicine.
- Strong communication and consultation skills.
- Ability to lead and influence multidisciplinary teams.
Qualifications
Essential
- Registered Paramedic with HCPC registration.
- Degree or Diploma in Paramedic Science.
- Level 3 Safeguarding Children and Adults.
- Enhanced DBS Clearance.
- Independent Prescriber qualification.
- Advanced Clinical Practice qualification.
- Master's Degree or equivalent advanced practice training.
Desirable
- Housebound or Frailty qualification.
- Teaching or mentorship qualification.
Experience
Essential
- Significant clinical experience managing acute and urgent presentations.
- Experience working autonomously.
- Experience undertaking home visits.
- Experience managing frailty and complex patients.
- Experience working within multidisciplinary teams.
- Understanding of primary care and community pathways.
- Experience of clinical assessment and clinical decision-making.
Desirable
- Experience working with patients who are housebound.
- Experience in General Practice.
- Experience in admission avoidance services.
- Experience leading service improvement projects.
- Experience delivering education or training.
How to apply
Applications are handled entirely by the employer on the original advert. We do not collect CVs, supporting statements or application data.
Provenance
Source
NHS Jobs
First seen
22 August 2026
Last checked
25 August 2026
Salary, closing date and description are taken from the employer's advert. The original advert always takes precedence.
About the employer
NHS organisation
This listing was structured from NHS Jobs. Vacancy details and the application process remain the responsibility of the original source.
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