PCN Paramedic


Company:	NHS Jobs
Salary:	Negotiable
Hours:	Full-time
Location:	Swindon, SN4 7AX
Job type:	Permanent
Posting date:	16 Sept 2026
Closing date:	23 Sept 2026

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Summary

Key clinical responsibilities Assess and triage patients, including same-day and urgent presentations, and provide definitive treatment or appropriate onward referral Undertake face-to-face, telephone and, where appropriate, digital consultations in practice, patients homes, care homes and other community settings Undertake comprehensive history taking, physical examination and clinical assessment for patients with acute, chronic, complex or undifferentiated presentations Formulate differential diagnoses, identify red flags, assess clinical risk and determine the appropriate level and place of care. Initiate emergency care and escalation when required, including referral to ambulance, urgent community, secondary care or specialist services Treat minor illness and minor injury within competence and agreed local pathway Undertake and interpret appropriate investigations within competence, which may include observations, ECGs, urinalysis, blood glucose/ketones, blood tests, swabs and other point-of-care or diagnostic procedures available within the PCN Request, review and act on investigations where authorised and competent to do so, ensuring appropriate follow-up and safety-netting. Provide clear safety-netting advice, including when and how patients or carers should seek further or urgent help Provide health promotion, prevention and self-management advice and support shared decision-making 3. Home visiting, frailty and proactive care Provide an alternative model for urgent and same-day home visits across the PCN, prioritising workload according to clinical need and risk Assess housebound, frail and vulnerable patients, including those with multimorbidity, deterioration or complex health and social care needs Contribute to care home support and ward rounds where this forms part of the agreed PCN service model Support anticipatory and personalised care planning, including escalation planning and coordination with the wider multidisciplinary team Identify opportunities to prevent avoidable hospital attendance or admission while recognising promptly when escalation is clinically necessary Work with community, urgent care, virtual ward, ambulance, pharmacy, social care, voluntary sector and other services to coordinate appropriate care. 4. Medicines management and prescribing Administer medicines in accordance with legislation, local policies, Patient Group Directions (PGDs), Patient Specific Directions (PSDs) and professional scope of practice Where appropriately qualified as an independent prescriber, prescribe, review and deprescribe medicines within competence and in accordance with NICE guidance, local formularies, antimicrobial stewardship principles and PCN/practice policies Provide patients and carers with appropriate information about medicines, including purpose, adherence, side effects, interactions and when to seek further advice. Recognise personal limits in relation to medicines and seek advice from GPs, clinical pharmacists or other appropriate clinicians when required. 5. Multidisciplinary and integrated working Work as an integral member of the PCN multidisciplinary team, collaborating with GPs, nurses, pharmacists, pharmacy technicians, care coordinators, social prescribers, health and wellbeing staff, mental health practitioners and other allied health professionals Accept appropriate referrals and refer patients to other clinicians and services according to clinical need and agreed pathways. Communicate proactively and effectively with practices and partner organisations to ensure coordinated, person-centred care. Attend and contribute to PCN, practice, MDT, clinical, safeguarding, education and service-development meetings as required. Promote effective professional relationships across organisational boundaries and contribute to integrated neighbourhood working.

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