Advanced Nurse/Clinical Practitioner (Paramedic)


Company:	NHS Jobs
Salary:	Negotiable
Hours:	Full-time
Location:	St Helens, WA9 3PN
Job type:	Permanent
Posting date:	21 Sept 2026
Closing date:	16 Oct 2026

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Summary

General Practice ANP/ ACP(Paramedic) Job summary The post holder will have primary responsibility for triaging our home-visits, offering face to face, same day and urgent home visits for housebound/care home residents, frail elderly or palliative patients, alongside assessing and managing acute presentations within the practice environment. The successful candidate will work both autonomously and collaboratively within the multidisciplinary team, using advanced clinical assessment and decision-making skills to deliver safe, high quality, patient centred care. Main duties of the job Key responsibilities include: Completing home visits for acute, chronic, frail housebound patients Undertaking clinical sessions within the surgery as and when needed Managing patients with complex health needs using advanced clinical assessment and diagnostic skills Supporting palliative and end-of-life care planning, including Gold Standards Framework (GSF) reviews and ReSPECT documentation. Prescribing and reviewing palliative and end-of-life medications in line with national and local guidance. Undertaking weekly ward rounds within care homes Working proactively with patients, relatives, carers and community teams to ensure high-quality care. Providing holistic assessment, diagnosis, treatment and management plans Prescribing medication appropriately and safely within scope of practice Preventing avoidable hospital admissions through proactive management and early intervention. Maintaining accurate and contemporaneous clinical records using EMIS Participating in multidisciplinary meetings, safeguarding processes, significant event reviews and clinical audits. Supporting quality improvement initiative and QOF targets where appropriate. Job responsibilities Main Duties & Responsibilities Undertake regular home visits for acute, chronic, frail, palliative, and housebound patients Carry out weekly ward rounds within nursing and residential care homes Assess, diagnose, treat, and manage patients with complex and undifferentiated conditions Undertake proactive frailty assessments and care planning Support palliative and end-of-life care management, including Gold Standards Framework (GSF) reviews Complete and review ReSPECT forms and advance care planning documentation Prescribe and review medications safely and effectively, including anticipatory and palliative care medications Work collaboratively with GPs, PNs, district nurses, pharmacists, hospice teams, community matrons, social care, and secondary care services. Prevent avoidable hospital admissions through proactive management and early intervention Support continuity of care for vulnerable and high-risk patients Undertake urgent same-day clinical assessments where required Maintain accurate, contemporaneous, and legally compliant patient records using EMIS Participate in multidisciplinary team meetings, safeguarding reviews, clinical audits, and quality improvement initiatives Support the practice in achieving QOF, enhanced service, and CQC quality standards Provide support, supervision, and advice to colleagues, trainees, and students where appropriate Support surgery clinics and practice-based appointments as and when required to maintain safe service delivery Carry out duties requested by the GP Partners and management team in a professional and timely manner Clinical Responsibilities Work autonomously within professional scope of practice to assess, diagnose, plan, implement, and evaluate treatment for patients presenting with acute, chronic, complex, and undifferentiated conditions Conduct advanced clinical assessments within patients homes, care homes, and surgery settings where required Perform physical and psychological assessments and interpret findings to support clinical decision-making Diagnose and manage acute illness, chronic disease, frailty syndromes, and palliative care needs Develop holistic, evidence-based treatment and management plans tailored to individual patient needs Prescribe medications appropriately and safely within professional scope of practice and national/local prescribing guidance Prescribe and review palliative and anticipatory medications for end-of-life patients Identify deteriorating patients and escalate care appropriately Support admission avoidance and facilitate safe community management Order, interpret, and act upon diagnostic investigations where appropriate Support patients with medication adherence, lifestyle advice, self-management, and preventative healthcare Deliver care aligned with NICE guidance, local pathways, and evidence-based practice Recognise and respond appropriately to safeguarding concerns for children and vulnerable adults Work within professional boundaries and escalate appropriately outside own competence Multidisciplinary Working Work collaboratively with GP Partners, nursing staff, pharmacists, care coordinators, social prescribers, district nurses, hospice teams, community services, and external agencies Participate in MDT meetings including frailty and Gold Standards Framework meetings Liaise effectively with secondary care and community providers to ensure continuity of care Support discharge planning and coordinated patient management Contribute to service development and quality improvement initiatives Professional Responsibilities Maintain accurate and contemporaneous clinical records and documentation Participate in annual appraisal, clinical supervision, and continuing professional development Maintain up-to-date knowledge of evidence-based practice and clinical guidance Participate in audit, reflective practice, and benchmarking activities Raise and document significant events, incidents, and near misses appropriately Support practice governance, patient safety, and quality improvement processes Maintain confidentiality in accordance with GDPR, Caldicott principles, and practice policies Comply with infection prevention and control procedures and safe clinical waste disposal Maintain professional registration and revalidation requirements Support the practice in maintaining high CQC standards and compliance Extra Duties & Responsibilities Participate in rota cover during periods of annual leave or sickness absence Support the reception and administration team with clinical queries where appropriate Maintain a professional appearance and conduct at all times Ensure patient identifiable information is stored securely in accordance with data protection legislation Attend mandatory training and complete updates as required Participate in local and national CPD relevant to the role Support students, trainees, and colleagues within the practice as appropriate Contribute to clinical audits, research projects, and service improvement initiatives Organisational & Statutory Requirements The post holder must comply with the Health & Safety at Work Act 1974 and all practice policies relating to: Confidentiality and data protection Equality and diversity Safeguarding children and vulnerable adults Infection prevention and control Complaints handling procedures Fire safety and emergency procedures Health and safety policies and protocols

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