Job summary ACP/Specialist Paramedic/Nurse Practitioner for Primary Care Urgent Care Team Working alongside practice teams and another PCN based ACP/paramedic, we are looking for team members that can bring the skills and experience to help us continue to provide a high-quality service. Alongside practice-based clinics, the role will include home visits so you will need to have access to a car and have a clean driving license. We are looking for ad-hoc cover for February and March 2025 plus a maternity cover post from May 2025 (apprx 10 months). For ad-hoc locum sessions, the main focus is more likely to be on home visits. We are keen to recruit someone that can bring a strong level of experience in clinical care, is a strong multitasker and remains calm under pressure. Job Summary The post holder will be an experienced ACP, Specialist Paramedic or Nurse Practitioner who, acting within their professional boundaries, will provide assessment, differential diagnosis and treatments of acute episodes of minor health and minor injury conditions alongside a home visiting service for appropriate patients. We are keen to recruit someone that can bring a strong level of experience in clinical care, is a strong multitasker and remains calm under pressure. To apply, please email your cv and covering letter. Main duties of the job The post holder will be an experienced clinician who, acting within their professional boundaries, will provide assessment, differential diagnosis and treatments of acute episodes of minor health and minor injury conditions alongside a home visiting service for appropriate patients. The post holder is expected to see patients autonomously providing both face- to- face appointments, home visits and telephone consultations for patients within the Practice and within the patients residence and demonstrate the use of critical thinking in the clinical decision-making process About us Minerva Primary Care Network (PCN) is a group of 4 GP practices located in Bath consisting of Combe Down Surgery, Newbridge Surgery, Rush Hill & Weston Surgery and St Michaels Surgery. We have a combined list size of nearly 40,000 patients and we continue to grow. We have a strong, happy and successful history of working collaboratively and have a number of staff successfully working across all our practices. Collectively we have a strong focus on high quality patient care. Date posted 15 January 2025 Pay scheme Other Salary Depending on experience Competitive Contract Fixed term Duration 10 months Working pattern Full-time, Part-time, Job share Reference number A4638-25-0000 Job locations Combe Down Surgery The Avenue Combe Down Bath BA2 5EG Newbridge Surgery 129 Newbridge Hill Bath BA1 3PT Rush Hill Doctors Surgery 20 Rush Hill Bath BA2 2QH St. Michaels Surgery Walwyn Close Bath BA2 1ER Job description Job responsibilities The post holder is expected to see patients autonomously providing both face- to- face appointments, home visits and telephone consultations for patients within the Practice and within the patients residence and demonstrate the use of critical thinking in the clinical decision-making process. The post-holder will operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence. The Practitioner will need to prioritize and triage the needs of patients, accordingly, making any necessary referrals for investigations in the appropriate manner. The post-holder will use skills, knowledge and competencies as a qualified Practitioner in order to be responsible and accountable for managing patient caseloads for treatments, referral, admission and discharging patients as appropriate. The post-holder will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures. Promoting self-care, in order that patients are empowered to manage their own healthcare needs. Support from the supervising doctor will be available if needed. Clinical Practice Assess, diagnose, plan, implement care for patients presenting with an undifferentiated diagnosis. Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly. Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan. Provide specific evidence based practical skills and knowledge in the following: Coughs, colds and flu Sore throats Earache Skin rashes Diarrhoea / vomiting Soft tissue and ligament injuries Wound toileting and closure Abdominal pain Urine infection / vaginal discharges Sexual health assessments and investigations Emergency contraception Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs, within the post holders knowledge and skills and in accordance with National and Local Guidelines. Prevent inappropriate hospital admissions or attendances to the emergency department by providing/co-coordinating the provision of specialist care by other agencies for the patient in the most appropriate and agreed environment. Demonstrate the ability to work independently and perform comprehensive patient assessments based upon the patients clinical record and physical examination. Work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions. Prioritize health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care. Support and manage health needs of men and women presenting for family planning or sexual health consultations. Liaise with patients, carers and colleagues to assess the safety of a patients home environment, acting quickly to protect patients and staff from potential risk. Participate in audits and inspections as appropriate. Work closely with the doctors and managers / admin in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets. Job description Job responsibilities The post holder is expected to see patients autonomously providing both face- to- face appointments, home visits and telephone consultations for patients within the Practice and within the patients residence and demonstrate the use of critical thinking in the clinical decision-making process. The post-holder will operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence. The Practitioner will need to prioritize and triage the needs of patients, accordingly, making any necessary referrals for investigations in the appropriate manner. The post-holder will use skills, knowledge and competencies as a qualified Practitioner in order to be responsible and accountable for managing patient caseloads for treatments, referral, admission and discharging patients as appropriate. The post-holder will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures. Promoting self-care, in order that patients are empowered to manage their own healthcare needs. Support from the supervising doctor will be available if needed. Clinical Practice Assess, diagnose, plan, implement care for patients presenting with an undifferentiated diagnosis. Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly. Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan. Provide specific evidence based practical skills and knowledge in the following: Coughs, colds and flu Sore throats Earache Skin rashes Diarrhoea / vomiting Soft tissue and ligament injuries Wound toileting and closure Abdominal pain Urine infection / vaginal discharges Sexual health assessments and investigations Emergency contraception Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs, within the post holders knowledge and skills and in accordance with National and Local Guidelines. Prevent inappropriate hospital admissions or attendances to the emergency department by providing/co-coordinating the provision of specialist care by other agencies for the patient in the most appropriate and agreed environment. Demonstrate the ability to work independently and perform comprehensive patient assessments based upon the patients clinical record and physical examination. Work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions. Prioritize health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care. Support and manage health needs of men and women presenting for family planning or sexual health consultations. Liaise with patients, carers and colleagues to assess the safety of a patients home environment, acting quickly to protect patients and staff from potential risk. Participate in audits and inspections as appropriate. Work closely with the doctors and managers / admin in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets. Person Specification Qualifications Essential Hold a relevant Bachelors degree in a training programme approved by the College of Paramedics. Registration with the Health & Care Professions Council (HCPC). Hold a full UK driving license. Desirable Hold or working towards a non-medical prescribing qualification. Hold or working towards masters level capability in paramedic areas of practice/paramedic roadmap. Experience Essential Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans. Demonstrates accountability for delivering professional expertise and direct service provision. Exercise a critical understanding of personal scope of practice and to identify when a patient needs referring on. Through patient assessment and working in partnership with patients and their carers, make decisions about the best pathways of care, informed by the urgency and severity of patient need, patient acuity and dependency, and the most appropriate deployment of resources. Manage risk in unpredictable, uncertain situations to uphold patient safety, including by referring on to other primary care team members and to specialist services. Able to follow legal, ethical, professional and organisational policies / procedures and codes of conduct. Involves patients in decision making and supporting adherence as per NICE guidance. Able to write comprehensive clinical notes and use clinical coding. Desirable Experience of working in primary care. Attributes Essential Contribute to the development of primary care teams, including through contributing to others learning. Demonstrate excellent interpersonal and communication skills, to build effective relationships with colleagues and patients. Able to co-ordinate and prioritise workloads. Strong leadership qualities. Person Specification Qualifications Essential Hold a relevant Bachelors degree in a training programme approved by the College of Paramedics. Registration with the Health & Care Professions Council (HCPC). Hold a full UK driving license. Desirable Hold or working towards a non-medical prescribing qualification. Hold or working towards masters level capability in paramedic areas of practice/paramedic roadmap. Experience Essential Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans. Demonstrates accountability for delivering professional expertise and direct service provision. Exercise a critical understanding of personal scope of practice and to identify when a patient needs referring on. Through patient assessment and working in partnership with patients and their carers, make decisions about the best pathways of care, informed by the urgency and severity of patient need, patient acuity and dependency, and the most appropriate deployment of resources. Manage risk in unpredictable, uncertain situations to uphold patient safety, including by referring on to other primary care team members and to specialist services. Able to follow legal, ethical, professional and organisational policies / procedures and codes of conduct. Involves patients in decision making and supporting adherence as per NICE guidance. Able to write comprehensive clinical notes and use clinical coding. Desirable Experience of working in primary care. Attributes Essential Contribute to the development of primary care teams, including through contributing to others learning. Demonstrate excellent interpersonal and communication skills, to build effective relationships with colleagues and patients. Able to co-ordinate and prioritise workloads. Strong leadership qualities. Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Minerva Primary Care Network Address Combe Down Surgery The Avenue Combe Down Bath BA2 5EG Employer's website https://minervapcn.nhs.uk/ (Opens in a new tab)