Symphony Healthcare Services Limited

Emergency Care Practitioner - Nurse or Paramedic - Crewkerne

The closing date is 29 March 2026

Job summary

Symphony Healthcare Services are recruiting for an experienced and motivated Emergency Care Practitioner (Nurse or Paramedic) to join our friendly and forward-thinking Primary Care team at Crewkerne Health Centre in Crewkerne, Somerset.

This is an excellent opportunity for a highly skilled clinician to work autonomously within a supportive multidisciplinary environment, delivering high-quality urgent and same-day care to patients within a busy medical centre.

This is a permanent, part time opportunity of between 25 and 30 hours per week.

Competitive salary plus the option to join the NHS or NEST pension scheme and other great benefits.

Main duties of the job

Role Summary:

Dedicated home visiting service (MonFri): complete an average of 3-4 home visits per day for housebound patients and those unable to attend the practice, including assessment, management plans, safety-netting, documentation, and onward referral/escalation as needed.

Urgent same-day face-to-face capacity (ad-hoc): run occasional on-the-day urgent appointments in practice (within agreed scope of practice/skill mix) to support GP capacity and patient access.

Learning Disability (LD) reviews: undertake and/or support LD reviews in-practice across the year, helping to create protected capacity, improve completion, and provide consistent follow-up and care planning.

Clinical coordination: triage and prioritise workload appropriately; liaise with GPs, nursing team, community services, and families/carers to ensure joined-up care.

Safe prescribing and investigations (within competence): request/interpret relevant observations and investigations, contribute to treatment plans, and escalate clinical concerns appropriately.

High-quality record keeping: ensure timely, accurate clinical documentation, coding, and communication of outcomes to the wider team.

Support for vulnerable cohorts: provide proactive, patient-centred care for complex patients, including frailty, long-term conditions, and multi-morbidity, with clear escalation pathways.

About us

Established in 2016, Symphony Healthcare Services (Symphony) provides NHS primary care provision across 21 sites within Somerset, linked to 14 general practice contracts. The organisation cares for approximately 132,000 patients and employs around 600 staff.

Symphony is a subsidiary of Somerset NHS Foundation Trust and manages its services through the support of a central team (including HR, finance, corporate and operational governance).

Providing NHS services is at the heart of what we do. Specifically, our vision is to be at the forefront of sustainable, high quality general practice, collaborating with our communities to improve experiences and health outcomes. We work closely with our practice teams to grow, enhance, and transform our services for the benefit of patients and staff.

Symphony welcomes applications from people of all backgrounds and underrepresented groups. When undertaking recruitment and selection for our services, Symphony is committed to equality opportunity for all.

Symphony offers an NHS or NEST Pension, a fantastic range of employee benefits and salary sacrifice schemes (see attached poster), along with flexible working from day of employment and an agile approach to hybrid working (where applicable).

We look forward to hearing from you and receiving your application.

Details

Date posted

13 March 2026

Pay scheme

Other

Salary

£55,450 to £64,046 a year - starting salary will be offered based on previous experience.

Contract

Permanent

Working pattern

Part-time, Job share, Flexible working

Reference number

E0215-ECPCHC03-2026

Job locations

Crewkerne Health Centre

Middle Path

Crewkerne

Somerset

TA18 8BX


Job description

Job responsibilities

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Please read the attached job description in full before applying.

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Job description

Job responsibilities

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Please read the attached job description in full before applying.

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Person Specification

Experience

Essential

  • Minimum 5 years post-registration experience
  • At least 2 years recent primary / community nursing experience
  • Non-medical prescribing
  • Autonomous management of minor illness, minor ailments and injuries
  • Clinician-led triage
  • Compiling protocols and clinical guidelines
  • Audit
  • Research
  • QI
  • Evidence of appropriate continuing professional development activity
  • Ability to assess and manage patient risk effectively and safely

Desirable

  • Health-needs assessment

Knowledge and Skills

Essential

  • Advanced clinical practice skills
  • Management of patients with long-term conditions
  • Management of patients with complex needs
  • Clinical examination skills
  • Local and national health policy
  • Clinical governance issues in primary care
  • Patient group directives and associated policy
  • Communication skills, both written and verbal
  • Communication of difficult messages to patients and families
  • Negotiation and conflict management skills
  • Change management
  • Resource management
  • Excellent interpersonal and communication skills
  • Knowledge of primary care operating environment
  • Excellent analytical skills, including analysis of data
  • Time management skills and the ability to prioritise workload
  • Demonstrable commitment to and focus on quality and safety
  • Strong IT skills
  • Ability to collaborate constructively with internal and external partners to create the conditions for successful partnership working
  • Understanding of the South Somerset Symphony Programme and New Models of Care
  • Understanding of the NHS GP Contract
  • Use of EMIS searches and protocols
  • Able to multi-task and cope with an unpredictable work pattern.

Desirable

  • Knowledge of public health
  • issues
  • Able to identify determinants on health in the area

Qualifications

Essential

  • Registered nurse, paramedic or ACP
  • MSc or equivalent Non-medical prescribing qualification
  • Relevant health degree
  • Clinical supervision training and experience
  • GCSE or equivalent in English and Mathematics
  • A Level qualifications or equivalent
  • Evidence of continual professional development.

Desirable

  • Mentor/teaching qualification
Person Specification

Experience

Essential

  • Minimum 5 years post-registration experience
  • At least 2 years recent primary / community nursing experience
  • Non-medical prescribing
  • Autonomous management of minor illness, minor ailments and injuries
  • Clinician-led triage
  • Compiling protocols and clinical guidelines
  • Audit
  • Research
  • QI
  • Evidence of appropriate continuing professional development activity
  • Ability to assess and manage patient risk effectively and safely

Desirable

  • Health-needs assessment

Knowledge and Skills

Essential

  • Advanced clinical practice skills
  • Management of patients with long-term conditions
  • Management of patients with complex needs
  • Clinical examination skills
  • Local and national health policy
  • Clinical governance issues in primary care
  • Patient group directives and associated policy
  • Communication skills, both written and verbal
  • Communication of difficult messages to patients and families
  • Negotiation and conflict management skills
  • Change management
  • Resource management
  • Excellent interpersonal and communication skills
  • Knowledge of primary care operating environment
  • Excellent analytical skills, including analysis of data
  • Time management skills and the ability to prioritise workload
  • Demonstrable commitment to and focus on quality and safety
  • Strong IT skills
  • Ability to collaborate constructively with internal and external partners to create the conditions for successful partnership working
  • Understanding of the South Somerset Symphony Programme and New Models of Care
  • Understanding of the NHS GP Contract
  • Use of EMIS searches and protocols
  • Able to multi-task and cope with an unpredictable work pattern.

Desirable

  • Knowledge of public health
  • issues
  • Able to identify determinants on health in the area

Qualifications

Essential

  • Registered nurse, paramedic or ACP
  • MSc or equivalent Non-medical prescribing qualification
  • Relevant health degree
  • Clinical supervision training and experience
  • GCSE or equivalent in English and Mathematics
  • A Level qualifications or equivalent
  • Evidence of continual professional development.

Desirable

  • Mentor/teaching qualification

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

Symphony Healthcare Services Limited

Address

Crewkerne Health Centre

Middle Path

Crewkerne

Somerset

TA18 8BX


Employer's website

https://www.symphonyhealthcareservices.com/ (Opens in a new tab)


Employer details

Employer name

Symphony Healthcare Services Limited

Address

Crewkerne Health Centre

Middle Path

Crewkerne

Somerset

TA18 8BX


Employer's website

https://www.symphonyhealthcareservices.com/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Practice Manager

Sarah Rogers

sarah.rogers67@nhs.net

Details

Date posted

13 March 2026

Pay scheme

Other

Salary

£55,450 to £64,046 a year - starting salary will be offered based on previous experience.

Contract

Permanent

Working pattern

Part-time, Job share, Flexible working

Reference number

E0215-ECPCHC03-2026

Job locations

Crewkerne Health Centre

Middle Path

Crewkerne

Somerset

TA18 8BX


Supporting documents

Privacy notice

Symphony Healthcare Services Limited's privacy notice (opens in a new tab)