Primary Integrated Community Services

Acute Home Visiting Practitioner

The closing date is 25 January 2026

Job summary

To work as part of the established team of Advanced clinical Practitioners to provide a Home Visiting service across the Mid Notts Locality.

To work alongside the Primary Care Teams to support reducing inappropriate admissions to hospital.

To facilitate additional support in the patient usual place of residence to maintain appropriate care.

To confidently make autonomous decisions following assessments.

Main duties of the job

KEY RESPONSIBILITIES

To act as an autonomous advanced practitioner working independently and in conjunction with other health care professionals to assess, diagnose and treat the conditions of patients.

To avoid inappropriate admissions and maintain patients in their home environments with a safe package of care and referral to other agencies as necessary, including directly admitting patients to hospital when necessary.

To respond to GP triage for home visiting both in the patients home and in care homes.
KEY REQUIREMENTS
Registered Professional Qualification minimum 3years experience
Evidence of continued professional development
APACS course at level 6/7 or equivalent
Independent Non-Medical Prescriber

About us

PICS is the employer for this role. We collaborate with patients and partners to design and deliver clinically robust health and social care solution through Community Services, Out of Hospital Services, GP Practices, and Primary Care Networks. Find out more about us: http://picsnhs.org.uk/.

Benefits of working for PICS

We offer a comprehensive package which includes:

NHS Pension 2015 Scheme (subject to eligibility)
Alternative government-based scheme (subject to eligibility)
Competitive leave entitlement that includes maternity, paternity and adoption leave, study leave allowance, and sickness provisions
Access to education and training opportunities, depending on your role (CPPE Pharmacy, NHS England Roadmap for First Contact Practitioners, apprenticeship schemes, support professional development)
Working in a multi-disciplinary team with support from a wide variety of professionals
A flexible approach to a work-life balance
Cycle to work scheme (subject to eligibility)
Access to Blue Light Card scheme
All staff events and conferences
Staff engagement (Wellbeing Group, EDI Network, Staff Focus group)
Free parking across many sites
Personalised induction into the company and job role

Date posted

15 January 2026

Pay scheme

Other

Salary

Depending on experience £53,754 - £60,503 pro rata

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

E0220-26-0000COM

Job locations

Primary Integrated Community Services

Unit H3, Ash Tree Court, Nottingham Business Park

Nottingham

NG8 6PY

Job description

Job responsibilities

KEY RESPONSIBILITIES

To act as an autonomous advanced practitioner working independently and in conjunction with other health care professionals to assess, diagnose and treat the conditions of patients.

To avoid inappropriate admissions and maintain patients in their home environments with a safe package of care and referral to other agencies as necessary, including directly admitting patients to hospital when necessary.

To respond to GP triage for home visiting both in the patients home and in care homes.

Provide evidence based professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence and a proactive approach to care.

To develop and lead new and innovative concepts, models, methods and practices to deliver new and improved primary care services to meet the needs of the practice population.

To provide education and training to other staff and students.

To undertake research and audit as part of the role.

Advanced Clinical Practice

The Advanced clinical Practitioner works autonomously and is accountable for own professional actions.

Undertakes clinical practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing primary health care services.

Utilises the four pillars of Advanced practice: clinical practice, leadership, facilitating learning and evidence, research and development.

Assesses diagnoses and treats patients in own home who require acute/none acute medical attention and set up a package of care and/or refer to appropriate agencies if appropriate

Prescribes appropriate treatment in line with Local/National prescribing guidelines according to assessment.

Assesses diagnoses and treats patients who require medical care

Telephone Consultations

Refers patients to other medical specialities for assessment if deemed appropriate.

Refers patients as appropriate toother members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for further clinical investigations including but not limited to ECHO, ECG, Bloods, X-ray

Ability to interpret a range of diagnostic tests and routine clinical procedures.

Makes critical judgements of the highest order to satisfy the expectations and demands of the job e.g. first contact with patients presenting acutely and manages care in the presence and absence of protocols.

Makes decisions where precedents do not exist, where appropriate without recourse to others e.g. direct referral of patients to Hospital Consultants without prior reference to other medical colleagues.

Advises and supports others where standard protocols do not apply.

Works within professional guidelines and codes of conduct.

Works within all relevant practice policies and procedural guidelines e.g. infection control, chaperoning, risk management.

Communicates highly sensitive condition related information to patients, relatives and carers.

Initiates the process of diagnosis with patients suspected to have a chronic disease eg: Diabetes, COPD, Asthma, IHD referring onto other clinical staff as appropriate.

Audits outcomes of care against standards and initiate changes as necessary.

Refers to other members of the extended primary health care team as appropriate.

Professional Development

To be responsible for maintaining own competency to practice through Continuing Professional Development activities and to participate in the review and appraisal process.

To always adhere to the individual Professional Code of Conduct and practice.

To reflect on own practice individually and/or through regular clinical supervision.

To participate in any relevant training/course/conferences to maintain own professional development

Participate in the education, induction programmes and support meetings for other professional staff.

To participate in peer review, attend team meetings and periodically attend Federation meetings.

Maintain up to date mandatory training records.

To maintain, develop and disseminate specialist knowledge of evidence-based practice.

To critically evaluate own work using evidence-based projects, audits and outcome measures.

To work autonomously as a Home Visiting Practitioner within professional and PICS guidelines, policies and procedure

Communication and Relationship Skills

Ensure close liaison with Line Manager and Clinical Lead in communicating with regards to clinical issues. Organise and attend regular MDT / Supervision

Provides and receives highly complex, sensitive or contentious information and frequently deals with situations which are hostile or emotive.

Uses developed communication, negotiation, conflict management skills which require empathy, reassurance and persuasive skills where there can be significant barriers to acceptance which need to be overcome.

Regularly communicates service-related information to GPs, Practice Manager, Nursing and Administrative staff, patients, relatives and carers.

Makes operational judgements, manages conflicting views and reconciles inter and intra professional differences of opinion.

Builds and communicates therapeutic working relationships with a wide array of statutory and voluntary organisations for the benefit of patient care and facilitates good working relationships.

Develops and delivers presentations to large groups e.g. local and national conferences, clinical meetings, empowers staff to develop presentation skills to promote good practice.

Information Resources

To maintain accurate and comprehensive documentation in line with legal, professional and organisational requirements.

Ensure all information regarding each patient related contact is recorded within SystmOne records.

The nature of mobile working can sometimes lead to difficulties with IT/Telephone systems. There is a requirement that initiative is used in this circumstance to ensure a quality service is still provided.

Clinical Governance

Identify risk issues that impact on the patients health or social are needs

Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedure

Demonstrate effective team working inclusive of all relevant professionals

Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers.

Contribute towards audit and data collection as required.

Job description

Job responsibilities

KEY RESPONSIBILITIES

To act as an autonomous advanced practitioner working independently and in conjunction with other health care professionals to assess, diagnose and treat the conditions of patients.

To avoid inappropriate admissions and maintain patients in their home environments with a safe package of care and referral to other agencies as necessary, including directly admitting patients to hospital when necessary.

To respond to GP triage for home visiting both in the patients home and in care homes.

Provide evidence based professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence and a proactive approach to care.

To develop and lead new and innovative concepts, models, methods and practices to deliver new and improved primary care services to meet the needs of the practice population.

To provide education and training to other staff and students.

To undertake research and audit as part of the role.

Advanced Clinical Practice

The Advanced clinical Practitioner works autonomously and is accountable for own professional actions.

Undertakes clinical practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing primary health care services.

Utilises the four pillars of Advanced practice: clinical practice, leadership, facilitating learning and evidence, research and development.

Assesses diagnoses and treats patients in own home who require acute/none acute medical attention and set up a package of care and/or refer to appropriate agencies if appropriate

Prescribes appropriate treatment in line with Local/National prescribing guidelines according to assessment.

Assesses diagnoses and treats patients who require medical care

Telephone Consultations

Refers patients to other medical specialities for assessment if deemed appropriate.

Refers patients as appropriate toother members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for further clinical investigations including but not limited to ECHO, ECG, Bloods, X-ray

Ability to interpret a range of diagnostic tests and routine clinical procedures.

Makes critical judgements of the highest order to satisfy the expectations and demands of the job e.g. first contact with patients presenting acutely and manages care in the presence and absence of protocols.

Makes decisions where precedents do not exist, where appropriate without recourse to others e.g. direct referral of patients to Hospital Consultants without prior reference to other medical colleagues.

Advises and supports others where standard protocols do not apply.

Works within professional guidelines and codes of conduct.

Works within all relevant practice policies and procedural guidelines e.g. infection control, chaperoning, risk management.

Communicates highly sensitive condition related information to patients, relatives and carers.

Initiates the process of diagnosis with patients suspected to have a chronic disease eg: Diabetes, COPD, Asthma, IHD referring onto other clinical staff as appropriate.

Audits outcomes of care against standards and initiate changes as necessary.

Refers to other members of the extended primary health care team as appropriate.

Professional Development

To be responsible for maintaining own competency to practice through Continuing Professional Development activities and to participate in the review and appraisal process.

To always adhere to the individual Professional Code of Conduct and practice.

To reflect on own practice individually and/or through regular clinical supervision.

To participate in any relevant training/course/conferences to maintain own professional development

Participate in the education, induction programmes and support meetings for other professional staff.

To participate in peer review, attend team meetings and periodically attend Federation meetings.

Maintain up to date mandatory training records.

To maintain, develop and disseminate specialist knowledge of evidence-based practice.

To critically evaluate own work using evidence-based projects, audits and outcome measures.

To work autonomously as a Home Visiting Practitioner within professional and PICS guidelines, policies and procedure

Communication and Relationship Skills

Ensure close liaison with Line Manager and Clinical Lead in communicating with regards to clinical issues. Organise and attend regular MDT / Supervision

Provides and receives highly complex, sensitive or contentious information and frequently deals with situations which are hostile or emotive.

Uses developed communication, negotiation, conflict management skills which require empathy, reassurance and persuasive skills where there can be significant barriers to acceptance which need to be overcome.

Regularly communicates service-related information to GPs, Practice Manager, Nursing and Administrative staff, patients, relatives and carers.

Makes operational judgements, manages conflicting views and reconciles inter and intra professional differences of opinion.

Builds and communicates therapeutic working relationships with a wide array of statutory and voluntary organisations for the benefit of patient care and facilitates good working relationships.

Develops and delivers presentations to large groups e.g. local and national conferences, clinical meetings, empowers staff to develop presentation skills to promote good practice.

Information Resources

To maintain accurate and comprehensive documentation in line with legal, professional and organisational requirements.

Ensure all information regarding each patient related contact is recorded within SystmOne records.

The nature of mobile working can sometimes lead to difficulties with IT/Telephone systems. There is a requirement that initiative is used in this circumstance to ensure a quality service is still provided.

Clinical Governance

Identify risk issues that impact on the patients health or social are needs

Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedure

Demonstrate effective team working inclusive of all relevant professionals

Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers.

Contribute towards audit and data collection as required.

Person Specification

Knowledge and skills

Essential

Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Experience

Essential

Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Qualifications

Essential

Please provide details of your CPD, using examples where necessary.
Please provide your registration number of your NMC professional registration.

Personal Qualities

Essential

Please provide details for why you would be a great fit for this role and why you have decided to apply.

Person Specification

Knowledge and skills

Essential

Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Experience

Essential

Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Qualifications

Essential

Please provide details of your CPD, using examples where necessary.
Please provide your registration number of your NMC professional registration.

Personal Qualities

Essential

Please provide details for why you would be a great fit for this role and why you have decided to apply.

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

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

Primary Integrated Community Services

Address

Primary Integrated Community Services

Unit H3, Ash Tree Court, Nottingham Business Park

Nottingham

NG8 6PY

Employer's website

http://picsnhs.org.uk/ (Opens in a new tab)

Employer details

Employer name

Primary Integrated Community Services

Address

Primary Integrated Community Services

Unit H3, Ash Tree Court, Nottingham Business Park

Nottingham

NG8 6PY

Employer's website

http://picsnhs.org.uk/ (Opens in a new tab)