Trowbridge Health Centre

Emergency Care Practitioner

The closing date is 05 October 2025

Job summary

This role encompasses both face to face and telephone on the day appointments, alongside home visits for patients who are housebound and unable to visit the surgery. The post holder will make decisions and apply appropriate clinical interventions to the presenting patient in the surgery or their own home. This included initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.

The post holder will work autonomously, within the Practices policies, protocols and guidelines and to demonstrate safe clinical decision making. The post holder will have access to the duty team at all times, during both clinics and home visits for advice and support.

The role is for 37.5 hours a week (Monday, Wednesday, Thursday and Friday) with at least one evening Extended Access session per week.

Main duties of the job

To undertake consultations with patients both within the surgery and on home visits. To use own clinical judgement to diagnose, treat, refer and/or discharge patients. To ensure accurate records of all consultations. Please see JD for further information.

About us

Trowbridge Health Centre has approximately 100 staff and is a happy place to work. There is a strong team spirit throughout the organisation. We work together to produce the most efficient processes possible, and every individual is encouraged to be the best that they can.

Details

Date posted

19 September 2025

Pay scheme

Other

Salary

Depending on experience Depending on skills and qualifications

Contract

Permanent

Working pattern

Full-time

Reference number

A0240-25-0016

Job locations

Trowbridge Health Centre

Hammersmith Fields

Trowbridge

Wiltshire

BA14 8LW


Trowbridge Health Centre

72 Wingfield Road

Trowbridge

Wiltshire

BA14 9EN


Job description

Job responsibilities

Job Summary

This role encompasses both face to face and telephone on the day appointments, alongside home visits for patients who are housebound and unable to visit the surgery. The post holder will make decisions and apply appropriate clinical interventions to the presenting patient in the surgery or their own home. This included initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.

The post holder will work autonomously, within the Practices policies, protocols and guidelines and to demonstrate safe clinical decision making. The post holder will have access to the duty team at all times, during both clinics and home visits for advice and support.

Main responsibilities:

Undertake consultations with patients as an autonomous practitioner and using own clinical judgement to diagnose, treat, refer and/or discharge patients.

Maintain accurate clinical records, in an efficient manner.

Make direct referrals to primary, secondary and social services within locally agreed pathways, guidance and protocols.

Support and continue the development of an on the day emergency patient service in the Practice.

Work as part of the ECP team, sharing best practice.

Be a part of the practices response to emergency clinical situations within the practice.

Work as part of an MDT across the practice.

Promote health and well-being through the use of health promotion and health education.

Where the post holder is an independent prescriber: to prescribe safe, effective and appropriate medication as defined by current legislative framework

Ensure all mandatory training is completed, alongside relevant CPD for the role, including keeping up to date with any changes.

The above constitutes the main responsibilities of the post and may be subject to change, to meet the needs of the Practice. Any changes will be discussed prior to implementation, wherever possible.

Confidentiality

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential

Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

A Disclosure and Barring Service (DBS) check (previously CRB check) will be undertaken as a matter of course.

Equality and Diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to

include:

Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner which is welcoming, non-judgmental and respects the individuals circumstances, feelings priorities and rights.

Personal/Professional Development

The post-holder will participate in any training programme implemented by the Practice as part of

this employment, such training to include:

Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Undertake mandatory and statutory training as required.

Quality

The post-holder will strive to maintain quality within the Practice, and will:

Alert other team members to issues of quality and risk

Assess own performance and take accountability for own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload, and resources.

Portray a professional image at all times.

Communication

The post-holder should recognize the importance of effective communication within the team and

will strive to:

Communicate effectively with other team members

Communicate effectively with patients and carers

Communicate effectively with other service providers

Recognize peoples needs for alternative methods of communication and respond accordingly.

Contribution to the Implementation of Services

The post-holder will:

Apply Practice policies, standards and guidance

Discuss with other members of the team how the policies, standards and guidelines will affect own work

Participate in audit where appropriate.

Changes to this Job Description

The duties and responsibilities outlined in this list are neither definitive nor restrictive and

may change in details from time to time as the post develops to meet the changing needs of

the surgery.

Job description

Job responsibilities

Job Summary

This role encompasses both face to face and telephone on the day appointments, alongside home visits for patients who are housebound and unable to visit the surgery. The post holder will make decisions and apply appropriate clinical interventions to the presenting patient in the surgery or their own home. This included initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.

The post holder will work autonomously, within the Practices policies, protocols and guidelines and to demonstrate safe clinical decision making. The post holder will have access to the duty team at all times, during both clinics and home visits for advice and support.

Main responsibilities:

Undertake consultations with patients as an autonomous practitioner and using own clinical judgement to diagnose, treat, refer and/or discharge patients.

Maintain accurate clinical records, in an efficient manner.

Make direct referrals to primary, secondary and social services within locally agreed pathways, guidance and protocols.

Support and continue the development of an on the day emergency patient service in the Practice.

Work as part of the ECP team, sharing best practice.

Be a part of the practices response to emergency clinical situations within the practice.

Work as part of an MDT across the practice.

Promote health and well-being through the use of health promotion and health education.

Where the post holder is an independent prescriber: to prescribe safe, effective and appropriate medication as defined by current legislative framework

Ensure all mandatory training is completed, alongside relevant CPD for the role, including keeping up to date with any changes.

The above constitutes the main responsibilities of the post and may be subject to change, to meet the needs of the Practice. Any changes will be discussed prior to implementation, wherever possible.

Confidentiality

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential

Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

A Disclosure and Barring Service (DBS) check (previously CRB check) will be undertaken as a matter of course.

Equality and Diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to

include:

Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner which is welcoming, non-judgmental and respects the individuals circumstances, feelings priorities and rights.

Personal/Professional Development

The post-holder will participate in any training programme implemented by the Practice as part of

this employment, such training to include:

Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Undertake mandatory and statutory training as required.

Quality

The post-holder will strive to maintain quality within the Practice, and will:

Alert other team members to issues of quality and risk

Assess own performance and take accountability for own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload, and resources.

Portray a professional image at all times.

Communication

The post-holder should recognize the importance of effective communication within the team and

will strive to:

Communicate effectively with other team members

Communicate effectively with patients and carers

Communicate effectively with other service providers

Recognize peoples needs for alternative methods of communication and respond accordingly.

Contribution to the Implementation of Services

The post-holder will:

Apply Practice policies, standards and guidance

Discuss with other members of the team how the policies, standards and guidelines will affect own work

Participate in audit where appropriate.

Changes to this Job Description

The duties and responsibilities outlined in this list are neither definitive nor restrictive and

may change in details from time to time as the post develops to meet the changing needs of

the surgery.

Person Specification

Experience

Essential

  • To be able to effectively and safely assess, plan and refer patients appropriately and evaluate patient care confidently.
  • Experience of dealing with vulnerable patients
  • Can demonstrate a broad and sound knowledge of common conditions in primary care, for both adults and children.

Desirable

  • Independent prescribing
  • Experience of working in a GP practice

Qualifications

Essential

  • Be a registered paramedic with HCPC registration
  • Minimum of 3 years post registration experience

Desirable

  • Independent prescribing qualification
  • Post qualification training in minor illness and injuries
Person Specification

Experience

Essential

  • To be able to effectively and safely assess, plan and refer patients appropriately and evaluate patient care confidently.
  • Experience of dealing with vulnerable patients
  • Can demonstrate a broad and sound knowledge of common conditions in primary care, for both adults and children.

Desirable

  • Independent prescribing
  • Experience of working in a GP practice

Qualifications

Essential

  • Be a registered paramedic with HCPC registration
  • Minimum of 3 years post registration experience

Desirable

  • Independent prescribing qualification
  • Post qualification training in minor illness and injuries

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

Trowbridge Health Centre

Address

Trowbridge Health Centre

Hammersmith Fields

Trowbridge

Wiltshire

BA14 8LW


Employer's website

https://www.trowbridgehealthcentre.co.uk/ (Opens in a new tab)

Employer details

Employer name

Trowbridge Health Centre

Address

Trowbridge Health Centre

Hammersmith Fields

Trowbridge

Wiltshire

BA14 8LW


Employer's website

https://www.trowbridgehealthcentre.co.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Practice Manager

Jessica Ackland

jess.ackland1@nhs.net

Details

Date posted

19 September 2025

Pay scheme

Other

Salary

Depending on experience Depending on skills and qualifications

Contract

Permanent

Working pattern

Full-time

Reference number

A0240-25-0016

Job locations

Trowbridge Health Centre

Hammersmith Fields

Trowbridge

Wiltshire

BA14 8LW


Trowbridge Health Centre

72 Wingfield Road

Trowbridge

Wiltshire

BA14 9EN


Supporting documents

Privacy notice

Trowbridge Health Centre's privacy notice (opens in a new tab)