The Elms Medical Practice

Paramedic or Nurse Practitioner

The closing date is 27 May 2025

Job summary

We have an exciting opportunity at The Elms Medical Practice for an experienced Paramedic or Nurse Practitioner to join our team.

Working part time 12-16 hours per week. Salary will be very competitive and based on experience and ability. We really hope to have captured your interest, as we are truly a great practice to work with.

The post includes membership of the NHS pension scheme.

Main duties of the job

The successful candidate will become an integral part of our multidisciplinary team. The role will include individual care planning and an acute response service. The paramedic or nurse will also run their own clinics providing care for all presenting patients from initial history taking and clinical assessment through to the diagnosis, treatment and evaluation of care. The paramedic or nurse will provide a holistic clinical service, by working collaboratively with the healthcare team and with support from GPs as required, meeting the needs of the patients, implementing agreed management plans and following approved protocols as appropriate. The paramedic or nurse will be expected to carry out home visits and consult with patients who present on the day via booked appointments. The paramedic or nurse will also review and act appropriately on blood results and referrals/correspondence regarding their patients. Mentorship will be provided by the GP team.

Full job description available upon request.

About us

We are a forward thinking, enthusiastic Partnership who enjoy working with a team of 3 Nurses, Paramedics, Minor illness clinicians, Physician Associates, a Health Care Assistant, Clinical Pharmacists, Social Prescribers, First Contact Physiotherapists, Dietician, Health and Wellbeing Life Coach and a team of highly trained and motivated staff.

We also have a dedicated admin team who ensure we run an effective recall system. We have regular clinical meetings for learning, sharing and discussion with committed clinical leads. We pride ourselves on our friendly supportive staff. We are well organised, high achieving and adapt to an ever-changing working environment. We provide general medical services to c17,000 patients in a desirable commuter belt suburb and are looking for a qualified, experienced Paramedic or Nurse Practitioner.

Details

Date posted

07 May 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time

Reference number

A2212-25-0000

Job locations

5 Stewart Road

Harpenden

Hertfordshire

AL5 4QA


Job description

Job responsibilities

The post holder will be an experienced Nurse Practitioner or Paramedic. Ideally the candidate will be an Independent Prescriber. They will ideally have experience of Primary Care and must be confident working autonomously and independently within their professional boundaries and as part of a team, whilst carrying out clinical assessment, triage, and consultations, providing diagnosis, treatment, evaluation of care and prescribing. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary General Practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing support to GPs and Practice Team as required.

The post holder must maintain registration, maintaining its Code of Conduct to protect the public through professional standards. Fulfil its learning requirements.

Main Duties and Responsibilities

  • Provide a first point of contact within the practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.
  • Provide assistance to GPs seeing and treating patients referred to you as appropriate, minor illness, chronic conditions management.
  • Provide the choice of direct access to an Enhanced Nurse Practitioner, both in the practice and over the telephone, for the general practice population.
  • Make home visits to those who are too unwell to come into the clinic in person.
  • Make professionally autonomous decisions for which he/she is accountable.
  • Prescribe safe, effective, and appropriate medication as defined by current legislative framework in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate.
  • Promote health and well-being through the use of health promotion, health education, screening, and therapeutic communication skills.
  • Refer patients directly to other services / agencies as appropriate.
  • Work with multi-disciplinary team within the practice, and across the wider NHS, to promote integrated and seamless pathways of care.
  • Provide integrated, pro-active care for people identified as frail, including those in care homes, with multiple complex long-term conditions who required more intensive support and care in our community.
  • To support the reduction of avoidable hospital admissions/readmissions or A&E attendances.
  • Perform any other tasks within the skills of the post holder. We see this role evolving and developing with input from the candidate to make this role interesting and effective.

Confidentiality

  • In the performance of the duties outlined in this job description, the post-holder will 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

Job description

Job responsibilities

The post holder will be an experienced Nurse Practitioner or Paramedic. Ideally the candidate will be an Independent Prescriber. They will ideally have experience of Primary Care and must be confident working autonomously and independently within their professional boundaries and as part of a team, whilst carrying out clinical assessment, triage, and consultations, providing diagnosis, treatment, evaluation of care and prescribing. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary General Practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing support to GPs and Practice Team as required.

The post holder must maintain registration, maintaining its Code of Conduct to protect the public through professional standards. Fulfil its learning requirements.

Main Duties and Responsibilities

  • Provide a first point of contact within the practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.
  • Provide assistance to GPs seeing and treating patients referred to you as appropriate, minor illness, chronic conditions management.
  • Provide the choice of direct access to an Enhanced Nurse Practitioner, both in the practice and over the telephone, for the general practice population.
  • Make home visits to those who are too unwell to come into the clinic in person.
  • Make professionally autonomous decisions for which he/she is accountable.
  • Prescribe safe, effective, and appropriate medication as defined by current legislative framework in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate.
  • Promote health and well-being through the use of health promotion, health education, screening, and therapeutic communication skills.
  • Refer patients directly to other services / agencies as appropriate.
  • Work with multi-disciplinary team within the practice, and across the wider NHS, to promote integrated and seamless pathways of care.
  • Provide integrated, pro-active care for people identified as frail, including those in care homes, with multiple complex long-term conditions who required more intensive support and care in our community.
  • To support the reduction of avoidable hospital admissions/readmissions or A&E attendances.
  • Perform any other tasks within the skills of the post holder. We see this role evolving and developing with input from the candidate to make this role interesting and effective.

Confidentiality

  • In the performance of the duties outlined in this job description, the post-holder will 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

Person Specification

Qualifications

Essential

  • Registered with the professional body
  • Qualification at minimum of degree level or equivalent
  • Hepatitis B immunity certificate
  • IT basic computer literacy
  • Good telephone manner; clear speech
  • Good record keeping
  • Communication and listening skills
  • Ability to work in a multi-professional team

Desirable

  • Independent prescribing

Experience

Essential

  • Primary care home visiting
  • Triage
  • Face to face consultations
  • Minimum of 5 years post registration experience
  • Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on going competence in all aspects of the role
  • Experience in management of long term conditions eg. asthma, COPD, diabetes, CHD
  • Evidence of working autonomously and as part of a team
  • Proven ability to evaluate the safety and effectiveness of their own clinical practice
Person Specification

Qualifications

Essential

  • Registered with the professional body
  • Qualification at minimum of degree level or equivalent
  • Hepatitis B immunity certificate
  • IT basic computer literacy
  • Good telephone manner; clear speech
  • Good record keeping
  • Communication and listening skills
  • Ability to work in a multi-professional team

Desirable

  • Independent prescribing

Experience

Essential

  • Primary care home visiting
  • Triage
  • Face to face consultations
  • Minimum of 5 years post registration experience
  • Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on going competence in all aspects of the role
  • Experience in management of long term conditions eg. asthma, COPD, diabetes, CHD
  • Evidence of working autonomously and as part of a team
  • Proven ability to evaluate the safety and effectiveness of their own clinical practice

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

The Elms Medical Practice

Address

5 Stewart Road

Harpenden

Hertfordshire

AL5 4QA


Employer's website

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

Employer details

Employer name

The Elms Medical Practice

Address

5 Stewart Road

Harpenden

Hertfordshire

AL5 4QA


Employer's website

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

Employer contact details

For questions about the job, contact:

Practice Manager

Emma Heaton

01582767444

Details

Date posted

07 May 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time

Reference number

A2212-25-0000

Job locations

5 Stewart Road

Harpenden

Hertfordshire

AL5 4QA


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