Bramblehaies Surgery

Advanced Nurse/Paramedic Practitioner

The closing date is 23 September 2025

Job summary

Advanced Nurse Practitioner/Advanced Paramedic Practitioner to join the triage team working up to three days/week, Wednesday to Friday.

We are looking for an enthusiastic, skilled and motivated individual to join our cohesive team where humour, mutual support and work life balance are valued. The registered ANP/ACP will provide a service to our patients presenting with minor illness/conditions through our triage service. Applicants must be registered on the equivalent professional register, NMC or HCPC, educated to Masters level in Advanced Practice or equivalent which encompasses the four pillars of clinical practice, hold the digital badge and be an Independent Prescriber. We offer pleasant working conditions, a competitive salary, access to the NHS Pension Scheme, clinical support, attendance at our daily lunchtime clinical huddle and we encourage further training and professional development.

Main duties of the job

The Advanced Clinical Nurse Practitioner/Paramedic Practitioner will:

  1. Work as part of a multi-disciplinary team (MDT) within Bramblehaies Surgery and as part of the wider PCN clinical team.
  2. Assess and triage patients including same day triage and, as appropriate, provide definitive treatment (including prescribing medications, following policy, patient group directives, national e.g. NICE and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.
  3. Manage undifferentiated undiagnosed conditions and identify red flags and underlying serious pathology and take appropriate action.
  4. Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice.
  5. Actively take a personalised care approach and population-centred care approach to enable shared decision making with the presenting person.
  6. Undertake home visits as required
  7. Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to the PCNs social prescribing service and, where appropriate, other community or voluntary services.

The full job description is an attachment to this advertisement.

About us

Bramblehaies Surgery is a semi-rural practice in the heart of Devon serving a population of 7,500 patients, providing high standards of care (CQC rating of Good) from a partner owned modern, purpose-built building.

Our team currently consists of four GP partners, two salaried GPs, Nurse Practitioner, Practice Manager, Patient Services Manager, Data Quality Administrator, Clinical Pharmacist and Pharmacy Technician, a team of three Practice Nurses headed up by a Lead Nurse, three HCAs, a General Practice Assistant, a committed admin/reception team and our much-needed housekeeping team.

We are a member practice of Culm Valley Primary Care Network and supported with Social Prescribers, Health and Wellbeing Coach, First Contact Physio, Mental Health Worker, and a Care Home Team consisting of a Nurse Practitioner and an Occupational Therapist.

We are a training practice and a Visa-sponsoring practice hosting GP Registrars and medical students.

Our clinical system is SystmOne.

Details

Date posted

08 September 2025

Pay scheme

Other

Salary

Depending on experience Competitive rate of pay

Contract

Permanent

Working pattern

Part-time

Reference number

A1872-25-0004

Job locations

College Road

Cullompton

Devon

EX15 1TZ


Job description

Job responsibilities

The Advanced Nurse Practitioner/Paramedic Practitioner will:

a.Work as part of a multi-disciplinary team (MDT) within Bramblehaies Surgery and as part of the wider PCN clinical team.

b.Assess and triage patients including same day triage and, as appropriate, provide definitive treatment (including prescribing medications, following policy, patient group directives, national e.g. NICE and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.

c. Manage undifferentiated undiagnosed conditions and identify red flags and underlying serious pathology and take appropriate action.

d.Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice.

e.Actively take a personalised care approach and population-centred care approach to enable shared decision making with the presenting person.

f.Be able to perform specialist health checks and reviews within their scope of practice and in line with local and national guidance;

g.Support the delivery of anticipatory care plans and provide an alternative model to urgent and same day GP home visit for the Practice/PCN.

h. Complete the relevant training to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example Practice Nurses and the personalised care roles.

i.Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to the PCNs social prescribing service and, where appropriate, other community or voluntary services.

j.Communicate at all levels across organisations ensuring that an effective, person-centred service is delivered.

k.Communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required.

l.Maintain accurate and contemporaneous health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associated with patient health care and registration with the practice.

m.Communicate effectively with patients, and where appropriate family members and their carers, where applicable, complex and sensitive information regarding their physical health needs, results, findings, and treatment choices.

Job description

Job responsibilities

The Advanced Nurse Practitioner/Paramedic Practitioner will:

a.Work as part of a multi-disciplinary team (MDT) within Bramblehaies Surgery and as part of the wider PCN clinical team.

b.Assess and triage patients including same day triage and, as appropriate, provide definitive treatment (including prescribing medications, following policy, patient group directives, national e.g. NICE and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.

c. Manage undifferentiated undiagnosed conditions and identify red flags and underlying serious pathology and take appropriate action.

d.Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice.

e.Actively take a personalised care approach and population-centred care approach to enable shared decision making with the presenting person.

f.Be able to perform specialist health checks and reviews within their scope of practice and in line with local and national guidance;

g.Support the delivery of anticipatory care plans and provide an alternative model to urgent and same day GP home visit for the Practice/PCN.

h. Complete the relevant training to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example Practice Nurses and the personalised care roles.

i.Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to the PCNs social prescribing service and, where appropriate, other community or voluntary services.

j.Communicate at all levels across organisations ensuring that an effective, person-centred service is delivered.

k.Communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required.

l.Maintain accurate and contemporaneous health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associated with patient health care and registration with the practice.

m.Communicate effectively with patients, and where appropriate family members and their carers, where applicable, complex and sensitive information regarding their physical health needs, results, findings, and treatment choices.

Person Specification

Experience

Essential

  • Minimum of 5 years' post registration
  • Experience of chronic disease management
  • Management of minor illnesses or ailments
  • Experience of prescribing and undertaking medication reviews
  • Experience of working in a GP practice

Qualifications

Essential

  • Registered on the relevant professional register NMC or HCPC
  • Hold a masters award and achieved all 4 pillars of advanced clinical practice, including a digital badge
  • Independent prescriber

Desirable

  • Experience in a senior clinical nurse/paramedic role

Qualities/Attributes

Essential

  • Ability to listen, empathise with people and provide person centred support in a non-judgemental way
  • Courteous, respectful and helpful at all times and has the ability to use own initiative, discretion and sensitivity.
  • Demonstrate personal accountability, emotional resilience and work well under pressure
  • Punctual and committed to supporting the team effort

Knowledge and skills

Essential

  • Has the ability to assess and triage patients, provide definitive treatment following policy, and local care pathways, or make necessary referrals to other members of the primary care team
  • Has the ability to manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action.
Person Specification

Experience

Essential

  • Minimum of 5 years' post registration
  • Experience of chronic disease management
  • Management of minor illnesses or ailments
  • Experience of prescribing and undertaking medication reviews
  • Experience of working in a GP practice

Qualifications

Essential

  • Registered on the relevant professional register NMC or HCPC
  • Hold a masters award and achieved all 4 pillars of advanced clinical practice, including a digital badge
  • Independent prescriber

Desirable

  • Experience in a senior clinical nurse/paramedic role

Qualities/Attributes

Essential

  • Ability to listen, empathise with people and provide person centred support in a non-judgemental way
  • Courteous, respectful and helpful at all times and has the ability to use own initiative, discretion and sensitivity.
  • Demonstrate personal accountability, emotional resilience and work well under pressure
  • Punctual and committed to supporting the team effort

Knowledge and skills

Essential

  • Has the ability to assess and triage patients, provide definitive treatment following policy, and local care pathways, or make necessary referrals to other members of the primary care team
  • Has the ability to manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action.

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

Bramblehaies Surgery

Address

College Road

Cullompton

Devon

EX15 1TZ


Employer's website

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

Employer details

Employer name

Bramblehaies Surgery

Address

College Road

Cullompton

Devon

EX15 1TZ


Employer's website

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

Employer contact details

For questions about the job, contact:

Practice Manager

Tracey Worley

traceyworley@nhs.net

0188433536

Details

Date posted

08 September 2025

Pay scheme

Other

Salary

Depending on experience Competitive rate of pay

Contract

Permanent

Working pattern

Part-time

Reference number

A1872-25-0004

Job locations

College Road

Cullompton

Devon

EX15 1TZ


Supporting documents

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