Job summary
Enhanced Practitioner
Cornwall 111 Integrated Urgent Care Service Kernow Health CIC
Kernow Health CIC is seeking motivated and experienced Enhanced Practitioners to join our Cornwall 111 Integrated Urgent Care Service (IUCS). This is an excellent opportunity for Nurses or Paramedics looking to develop and apply advanced clinical reasoning within a supportive and progressive urgent care environment.
If you are passionate about delivering safe, responsive, autonomous and patient-centred care across multiple settings, we would welcome your application.
Hours: 18.75 hours per week minimum
Salary: £30.68 £37.70 per hour (depending on grade) plus unsocial enhancements in line with service requirements.
Contract: Permanent
The primary base is Cudmore House, with clinical work allocated across treatment centres or home visiting cars throughout Cornwall. Enhanced Practitioners must be able to attend Cudmore House and other clinical sites in line with operational need.
There are a mixture of daytime, evening and overnight shifts available however as an out-of-hours predominant service the vast majority of the rota occurs between 1830 0800 Monday Friday and 24/7 across weekends.
This is a permanent post and subject to an Enhanced DBS check.
Please note, we reserve the right to close the advert early should there be a significantly high level of applications.
Main duties of the job
As an Enhanced Practitioner with Kernow Health CIC, you will:
Advanced Clinical Assessment
Undertake structured history taking, clinical examination and assessment to diagnose and manage a wide range of acute, chronic and undifferentiated conditions.
Multi-Setting Care Delivery
Provide high-quality care across telephone triage, video consultations, face-to-face appointments and home visits, ensuring timely access and continuity for patients.
Treatment Planning & Prescribing
Initiate and manage evidence-based treatment plans, working within clinical guidelines and Patient Group Directions where appropriate.
Autonomous Practice with Escalation
Work independently within your scope of practice while recognising complexity and escalating appropriately to Advanced Practitioners, GPs or senior clinicians.
Recognition of Deterioration
Identify signs of clinical deterioration early and coordinate emergency care or onward referral where required.
Safeguarding & Governance
Maintain vigilance for safeguarding concerns involving adults and children, ensuring appropriate documentation and referral. Participate in incident reporting, audit and quality improvement processes.
Clinical Documentation & Digital Working
Maintain accurate, contemporaneous clinical records across multiple digital systems, demonstrating high levels of digital literacy and professional accountability.
About us
Kernow Health CIC is a Community Interest Company supporting General Practice and delivering Primary Care Services at scale across Cornwall. Established in 2011 by a group of Cornwall practices, we are a GP-owned provider organisation delivering several NHS contracts, including:
- Cornwall 111 Integrated Urgent Care Service
- School Immunisation Programme
- Children's Eating Disorder Service
- Cornwall Primary Care Training Hub
- Special Allocation Scheme
All profits are reinvested to benefit primary care across Cornwall, supporting sustainable and locally responsive healthcare.
Our Integrated Urgent Care Service operates 24/7, delivering telephone triage, clinical assessment, treatment centre appointments and home visiting services across the county.
Why Join Kernow Health CIC?
Working with us, you will benefit from:
- Shift patterns across weekdays, evenings, weekends and nights with competitive unsocial hours enhancement
- Opportunities to progress into Advanced Practitioner and/or leadership pathways
- Access to NHS Pension Scheme
- Competitive sickness, maternity and paternity provisions
- Competitive annual leave, with the ability to buy and sell leave
- Employee benefit programme through Vivup
- Access to training and continuous professional development through the Cornwall Primary Care Training Hub
- The opportunity to work within a high performing, supportive, multidisciplinary and forward-thinking urgent care service
Job description
Job responsibilities
My role helps deliver patient care by
The Enhanced Practitioner plays a vital role in delivering responsive, high-quality care within Cornwalls Integrated Urgent Care Services. Building on clinical experience gained as a nurse in acute care or as a paramedic, the role enables practitioners to apply advanced clinical reasoning to assess, diagnose, and manage a wide range of acute and chronic conditions.
Working across telephone, video, face-to-face, and home visit settings, Enhanced Practitioners ensure timely interventions and continuity of care. They operate autonomously within their scope of practice, escalating complex cases to senior clinicians when appropriate. Their contribution to safeguarding, clinical governance, and evidence-based practice supports safe and effective care delivery.
Enhanced Practitioners also play a key role in mentoring colleagues, promoting shared learning, and supporting service development. By integrating clinical expertise with leadership and collaboration, theystrengthen urgent care pathways and improve patient outcomes across the community.
Key Duties and Responsibilities:
- Conduct advanced clinical assessments and diagnoses: Use structured history taking, physical examination, and clinical reasoning to identify and manage a wide range of patient presentations, including undifferentiated and complex conditions.
- Deliver care across multiple settings: Provide responsive care via telephone, video consultations, face-to-face appointments, and home visits, ensuring accessibility and continuity for patients in urgent care.
- Initiate and manage treatment plans: Apply clinical guidelines and Patient Group Directions to prescribe medications and implement evidence-based interventions tailored to individual patient needs.
- Recognise and escalate deteriorating patients: Identify signs of clinical deterioration early and coordinate emergency care or escalation to senior clinicians or secondary services as appropriate.
- Work autonomously within scope of practice: Independently manage cases within professional boundaries, while recognising when to escalate to Advanced Practitioners, GPs, or other senior clinicians.
- Support safeguarding processes: Identify and respond to safeguarding concerns involving vulnerable adults and children, ensuring appropriate documentation and referral in line with statutory guidance.
- Contribute to clinical governance and quality improvement: Participate in audits, peer reviews, and service evaluations to maintain high standards of care and support continuous improvement.
- Maintain accurate clinical documentation: Record patient encounters clearly and contemporaneously, ensuring compliance with legal, regulatory, and organisational standards.
- Collaborate with multidisciplinary teams: Work effectively with colleagues across health and social care to deliver integrated, patient-centred care and support shared decision-making.
- Mentor and support colleagues: Provide guidance, share clinical knowledge, and contribute to the development of less experienced team members through supervision and informal teaching.
You will be expected to carry out any other duties that may reasonably be required in line with your main duties, as directed by your line manager.
We recognise that AI is becoming part of daily life, and you may choose to use it to help prepare your application. We welcome innovation but ask that anything you submit reflects your own abilities, experience, and voice. AI can support how you describe your skills and experience, but it should never replace your own words as we want to get to know you.
Job description
Job responsibilities
My role helps deliver patient care by
The Enhanced Practitioner plays a vital role in delivering responsive, high-quality care within Cornwalls Integrated Urgent Care Services. Building on clinical experience gained as a nurse in acute care or as a paramedic, the role enables practitioners to apply advanced clinical reasoning to assess, diagnose, and manage a wide range of acute and chronic conditions.
Working across telephone, video, face-to-face, and home visit settings, Enhanced Practitioners ensure timely interventions and continuity of care. They operate autonomously within their scope of practice, escalating complex cases to senior clinicians when appropriate. Their contribution to safeguarding, clinical governance, and evidence-based practice supports safe and effective care delivery.
Enhanced Practitioners also play a key role in mentoring colleagues, promoting shared learning, and supporting service development. By integrating clinical expertise with leadership and collaboration, theystrengthen urgent care pathways and improve patient outcomes across the community.
Key Duties and Responsibilities:
- Conduct advanced clinical assessments and diagnoses: Use structured history taking, physical examination, and clinical reasoning to identify and manage a wide range of patient presentations, including undifferentiated and complex conditions.
- Deliver care across multiple settings: Provide responsive care via telephone, video consultations, face-to-face appointments, and home visits, ensuring accessibility and continuity for patients in urgent care.
- Initiate and manage treatment plans: Apply clinical guidelines and Patient Group Directions to prescribe medications and implement evidence-based interventions tailored to individual patient needs.
- Recognise and escalate deteriorating patients: Identify signs of clinical deterioration early and coordinate emergency care or escalation to senior clinicians or secondary services as appropriate.
- Work autonomously within scope of practice: Independently manage cases within professional boundaries, while recognising when to escalate to Advanced Practitioners, GPs, or other senior clinicians.
- Support safeguarding processes: Identify and respond to safeguarding concerns involving vulnerable adults and children, ensuring appropriate documentation and referral in line with statutory guidance.
- Contribute to clinical governance and quality improvement: Participate in audits, peer reviews, and service evaluations to maintain high standards of care and support continuous improvement.
- Maintain accurate clinical documentation: Record patient encounters clearly and contemporaneously, ensuring compliance with legal, regulatory, and organisational standards.
- Collaborate with multidisciplinary teams: Work effectively with colleagues across health and social care to deliver integrated, patient-centred care and support shared decision-making.
- Mentor and support colleagues: Provide guidance, share clinical knowledge, and contribute to the development of less experienced team members through supervision and informal teaching.
You will be expected to carry out any other duties that may reasonably be required in line with your main duties, as directed by your line manager.
We recognise that AI is becoming part of daily life, and you may choose to use it to help prepare your application. We welcome innovation but ask that anything you submit reflects your own abilities, experience, and voice. AI can support how you describe your skills and experience, but it should never replace your own words as we want to get to know you.
Person Specification
Qualifications
Essential
- 20 Academic Credits of relevant Level 7 Study in urgent and/or primary care or can demonstrate relevant experience and/ or accreditation to the above level.
- Can demonstrate the ability to undertake clinical system assessments and advanced decision making through relevant experience within primary and/or urgent care, or with relevant level 7 study.
- Can demonstrate relevant experience of working with and supply of prescription only medications under legal exemptions and patient group directions.
Desirable
- 40 Academic Credits of relevant Level 7 Study in urgent and/or primary care and/ or can demonstrate relevant experience or accreditation to the above level.
- Non-Medical Independent Prescribing Accreditation
Person Specification
Qualifications
Essential
- 20 Academic Credits of relevant Level 7 Study in urgent and/or primary care or can demonstrate relevant experience and/ or accreditation to the above level.
- Can demonstrate the ability to undertake clinical system assessments and advanced decision making through relevant experience within primary and/or urgent care, or with relevant level 7 study.
- Can demonstrate relevant experience of working with and supply of prescription only medications under legal exemptions and patient group directions.
Desirable
- 40 Academic Credits of relevant Level 7 Study in urgent and/or primary care and/ or can demonstrate relevant experience or accreditation to the above level.
- Non-Medical Independent Prescribing Accreditation
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).
