Clinical Paramedic / Advanced Nurse Practitioner

• Assessing, diagnosing and managing patients presenting with acute, urgent and undifferentiated conditions, within your professional competence and scope of practice.
• Conducting face-to-face consultations in the practice, focusing primarily on acute and same-day presentations.
• Undertaking daily home visits for patients who are unable to attend the surgery.
• Recognising and managing clinical deterioration, escalating concerns and arranging appropriate onward care where necessary.
• Requesting and interpreting appropriate investigations and acting on results within your scope of practice.
• Prescribing and reviewing medication where appropriately qualified and authorised.
• Providing safety-netting advice and ensuring appropriate follow-up and continuity of care.
• Working collaboratively with GPs, practice nurses, healthcare assistants, administrative staff and other members of the wider multidisciplinary team.
• Maintaining accurate, timely and comprehensive clinical records in accordance with practice and professional requirements.
• Contributing to the ongoing development of acute-care pathways and the delivery of safe, effective and patient-centred services.

• Assess, diagnose and manage patients presenting with acute, urgent and undifferentiated medical conditions.
• Undertake face-to-face consultations and remote consultations where clinically appropriate.
• Conduct daily home visits for housebound and less mobile patients.
• Provide appropriate treatment, clinical advice, safety-netting and follow-up arrangements.
• Recognise and respond appropriately to patients who are acutely unwell or whose condition is deteriorating.
• Identify red flags and arrange appropriate escalation, referral or admission when required.
• Request, review and interpret relevant investigations within the scope of professional competence and agreed practice protocols.
• Prescribe safely and appropriately within the scope of practice and relevant prescribing authority, where applicable.
• Assess and manage common acute presentations, minor illnesses, minor injuries and acute exacerbations of long-term conditions.
• Provide appropriate clinical review and follow-up for patients requiring ongoing assessment.
• Maintain accurate, contemporaneous and comprehensive clinical records.
• Communicate effectively with patients, relatives, carers, colleagues and other healthcare professionals.
• Work collaboratively with GPs, practice nurses, healthcare assistants, PCN staff and other members of the wider multidisciplinary team.

• Practise in accordance with professional standards, relevant legislation, local policies and practice protocols.
• Maintain patient confidentiality and comply with information governance requirements.
• Recognise and respond appropriately to safeguarding concerns.
• Participate in clinical audit, significant event reviews, quality improvement and other clinical governance activities.
• Ensure appropriate documentation, referral and follow-up of clinical care.
• Maintain professional registration, indemnity arrangements and continuing professional development.
• Work within professional competence and seek advice or support where necessary.
• Contribute to the safe and effective delivery of the practices acute care service.

• Contribute positively to the development and improvement of acute care services within the practice.
• Work as part of a supportive, inclusive and collaborative team.
• Participate in practice meetings, clinical discussions, training and service development activities as appropriate.
• Support the effective use of digital systems and new ways of working.
• Share knowledge and experience with colleagues where appropriate.
• Demonstrate flexibility and contribute to the smooth and efficient running of clinical services.
• Promote the practices values of being Kind, Mindful and Proactive.

• GP Partners and salaried GPs
• Practice nurses and healthcare assistants
• Practice management and administrative teams
• Reception and care navigation staff
• PCN staff and wider multidisciplinary services
• Community and secondary care providers
• Patients, relatives and carers

Essential

• Experience working as a registered Paramedic or Registered Nurse in an urgent care, emergency care, primary care or comparable clinical setting.
• Demonstrable experience assessing, diagnosing and managing patients presenting with acute and undifferentiated medical conditions.
• Experience undertaking comprehensive clinical assessments and developing appropriate management plans.
• Experience recognising the signs of clinical deterioration and escalating care appropriately.
• Experience managing clinical risk and working within professional scope of practice.
• Experience communicating effectively with patients, relatives, carers and multidisciplinary colleagues.
• Experience maintaining accurate and contemporaneous clinical records.
• Experience working autonomously while seeking advice or support when required.
• Experience prioritising and managing a varied clinical workload.
• Experience working collaboratively as part of a multidisciplinary team.
• Experience undertaking or willingness to undertake patient home visits.

Desirable

• Previous experience working in a general practice or primary care setting.
• Experience managing same-day or urgent care presentations within general practice.
• Experience undertaking home visits and assessing housebound patients.
• Experience managing acute exacerbations of long-term conditions, such as asthma, COPD, diabetes or cardiovascular disease.
• Experience assessing and managing minor illness and minor injuries.
• Experience requesting, interpreting and acting upon clinical investigations, including blood tests and ECGs.
• Experience prescribing or working within a prescribing-led clinical service.
• Experience using EMIS Web or another primary care clinical system.
• Experience working with multidisciplinary teams, community services and secondary care providers.
• Experience contributing to clinical audit, significant event reviews, service development or quality improvement.
• Experience supporting or mentoring students, trainees or other members of the clinical team.
• Experience implementing new clinical pathways, digital systems or service improvements.

Essential

• Health and Care Professions Council (HCPC) registration as a Paramedic; or Nursing and Midwifery Council (NMC) registration as a Registered Nurse.
• Relevant clinical experience in urgent care, emergency care, primary care or a comparable clinical environment.
• Evidence of continuing professional development relevant to acute and urgent clinical assessment.
• Appropriate professional indemnity arrangements.

Desirable

• Postgraduate qualification in Advanced Clinical Practice or equivalent advanced clinical training.
• Independent prescribing qualification.
• Relevant minor illness, minor injury or acute assessment qualifications.
• Immediate Life Support or Advanced Life Support certification.
• Additional postgraduate qualifications relevant to primary, urgent or emergency care.