Nurse Practitioner / Paramedic Acute Home Visiting Service

Job description

Job responsibilities

About the Service

Our Primary Care Network is developing an Acute Home Visiting Service (HVS) to strengthen urgent same-day care within the community, reduce avoidable hospital admissions, and increase capacity within General Practice. Evidence shows that up to 75% of acute medical admissions come directly via ambulance or self-presentation without prior primary care triage. This service aims to change that by providing a rapid, senior clinical response in the patients home, enabling earlier intervention, improved patient safety, and reduced pressure on acute hospitals.

The service is part of a broader strategy to:

• Increase planned appointment capacity in GP practices
• Reduce emergency and zero-day admissions
• Improve system flow by enabling earlier-in-the-day clinical decisions
• Expand and diversify the primary care workforce
• Strengthen multidisciplinary, community-based models of care
• Support GP practice resilience

Role Summary

As a core clinician within the Acute Home Visiting Service, you will provide timely clinical assessment and intervention for patients who are unable to attend their GP practice and require urgent (but not life-threatening) care at home. Working across the PCN footprint, you will respond to on-the-day referrals from a central triage point and deliver face-to-face assessments, making safe and effective clinical decisions within your professional boundaries. You will work autonomously while being supported by a multidisciplinary team including GPs, paramedics, nurses and allied health professionals.

Your clinical expertise will directly support:

• Early assessment and management to avoid unnecessary admissions
• Rapid interventions that reduce conveyance rates
• Earlier-in-the-day home visits, enabling improved patient outcomes and improved system flow
• Improved resilience and sustainability across member GP practices

This role is additional to core GMS provision and designed to strengthen primary care capacity at scale.

Key Responsibilities

Clinical Duties

• Provide autonomous, senior clinical assessments for patients at home who have been triaged as requiring urgent same-day care.
• Undertake comprehensive physical and clinical assessments, formulate differential diagnoses, and deliver evidence-based treatment plans.
• Facilitate early interventions to prevent avoidable admission, reduce re-attendance, and support effective management of acute episodes in the community.
• Escalate concerns or refer to GP/secondary care where clinically indicated.
• Prescribe within scope (if qualified) and follow best practice prescribing standards.

Operational Responsibilities

• Respond to referrals from a PCN-wide central point of contact.
• Document all consultations within the patient record, ensuring clinical information is available to the patients registered practice.
• Work within PCN Data Sharing Agreements and follow Data Protection Act requirements.
• Contribute to maintaining a robust, multi-professional visiting rota from 08:0018:30.
• Support practices to process home visit requests earlier in the day to maximise system benefit.

Service Improvement & Collaboration

• Work collaboratively with GPs, pharmacists, HCAs, district nurses, and community teams.
• Promote integrated neighbourhood working and multidisciplinary care models.
• Participate in PCN reporting requirements including visit volumes, outcomes, admission prevention data, patient experience (FFT), and quarterly workforce/activity reporting.
• Contribute to service promotion across practices, NHS 111, urgent care services and community partners.
• Support evaluation and quality improvement initiatives to inform future investment.

Governance & Professional Standards

• Adhere to PCN clinical governance processes, business continuity plans, and safety protocols.
• Ensure safe lone working practices.
• Maintain up-to-date clinical competencies, CPD, and professional registration.

Person Specification

Qualifications

Essential

• Qualifications & Registration
• Appropriate professional qualification RGN, or Paramedic
• Professional UK registration e.g. NMC / HCPC
• Advanced assessment skills
• Level 6 or 7 advanced history taking and physical examination
• Level 6 or 7 diagnostics and decision making or evidence of autonomous decision making in practice

Desirable

• Non-medical prescribing; MSc ACP

Knowledge

Essential

• Primary/urgent care models;
• Governance
• Safeguarding

Desirable

• Integrated neighbourhood working knowledge
• EMIS

Experience

Essential

• Experience in urgent, primary, community or emergency care;
• Senior autonomous practice

Desirable

• PCN experience;
• Admission avoidance work

Clinical Skills

Essential

• Advanced assessment;
• Acute management;
• Lone working capability

Desirable

• Home visiting experience

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

Winchester Rural South Primary Care Network

Address

Twyford Surgery

Hazeley Road

Winchester

SO21 1QY

Employer's website

https://www.bishopswalthamsurgery.nhs.uk/ (Opens in a new tab)