Prescribing Paramedic Practitioner
| Company: | NHS Jobs |
|---|---|
| Salary: | Negotiable |
| Hours: | Full-time |
| Location: | Bolton, BL4 8EP |
| Job type: | Permanent |
| Posting date: | 10 Nov 2026 |
| Closing date: | 16 Nov 2026 |
Summary
Clinical assessment and management Undertake comprehensive, person centred assessments of patients presenting with undifferentiated illness, acute presentations, minor injury and exacerbations of long term conditions, within individual competence. Take and interpret relevant clinical histories, perform physical examinations and use appropriate clinical reasoning to develop differential diagnoses and management plans. Recognise red flags, clinical deterioration and situations requiring urgent escalation, emergency services, GP review or referral to secondary care. Initiate, request and interpret appropriate investigations, including pathology and other diagnostic tests, and act on results in a timely manner. Provide appropriate treatment, safety-netting, follow up and referral, ensuring patients understand their management plan and when to seek further help. Undertake home visits and care-home visits for acute and urgent episodes of care, where clinically appropriate and in line with practice arrangements. Support continuity of care and work collaboratively with GPs, nurses, ACPs, pharmacists, reception triage teams and external services. Independent prescribing and medicines management Prescribe medicines as an HCPC annotated independent prescriber, within relevant legislation, the practitioner's demonstrated competence, the agreed scope of practice and local medicines governance arrangements. Undertake clinical assessment before prescribing, establish and document a working or confirmed diagnosis, consider relevant contraindications, allergies, interactions, comorbidities and patient preferences, and agree treatment through shared decision making. Prescribe, review, amend and stop medicines where appropriate; provide clear advice on dose, duration, administration, potential adverse effects, monitoring and follow up. Use current evidence and recognised resources, including the British National Formulary, relevant NICE guidance, local formulary and Greater Manchester and Bolton prescribing guidance. Undertake medication reviews and medicines optimisation within competence, identifying polypharmacy, interactions, adherence issues, medicines-related risks and opportunities for deprescribing or referral. Maintain accurate prescribing records and ensure prescriptions are issued securely and in accordance with practice policy and applicable legal requirements. Report and manage suspected adverse drug reactions, prescribing incidents and near misses through the appropriate reporting and governance processes. Work within the limits of the prescriber's competence; seek advice or refer to an appropriate clinician when a presentation or prescribing decision falls outside that scope. Participate in prescribing audit, review of prescribing practice and continuing professional development to maintain safe and effective prescribing. Primary care and team working Work with the Total Triage service as required, prioritising patients according to clinical need and risk. Provide clinical advice and support to colleagues within professional competence, escalating concerns and supporting safe patient pathways. Contribute to the development, review and implementation of clinical protocols, pathways and standard operating procedures. Support health promotion, prevention, patient education and self-management, including signposting to appropriate community and voluntary sector services. Undertake clinical procedures and collect pathological specimens, including venepuncture and swabs, where trained and competent. Maintain effective working relationships with community, urgent care, secondary care and other relevant health and social care providers. Clinical records, quality and team working Maintain complete, contemporaneous and accurate patient records using the practice clinical system, including assessment findings, clinical reasoning, diagnosis, prescribing decisions, advice, safety netting and follow up arrangements. Maintain confidentiality and comply with data protection legislation, information governance requirements and practice policies. Work in accordance with HCPC standards, the professional code of conduct, relevant legislation, national guidance and Kearsley Medical Centre policies and procedures. Identify and report clinical risks, safeguarding concerns, significant events, complaints and incidents in accordance with practice procedures. Participate in clinical audit, quality improvement, service evaluation and learning from incidents to improve patient outcomes and service delivery. Ensure appropriate arrangements are in place for test results, referrals, clinical correspondence and follow up of patients under the post holder's care. Professional responsibilities Maintain current HCPC registration as a paramedic and comply with the HCPC Standards of Conduct, Performance and Ethics and Standards of Proficiency. Maintain the HCPC prescribing annotation required for the prescribing responsibilities of this post and practise only within the medicines entitlements recorded on the Register. Maintain a portfolio of continuing professional development, reflective practice, supervision and evidence of ongoing competence in both paramedic and prescribing practice. Participate in annual appraisal, clinical supervision, peer review and agreed performance development processes. Take responsibility for personal workload, recognising professional limits and seeking support where required. Support the learning and development of colleagues and students where appropriately experienced and trained. Communication, equality and patient experience Communicate clearly, sensitively and effectively with patients, carers, colleagues and partner organisations, adapting communication to individual needs. Respect patients' privacy, dignity, values, beliefs, rights and preferences, and promote equality, diversity and inclusion. Use shared decision making and ensure patients are involved in decisions about their care and treatment. Provide information in an accessible format and use interpretation or other communication support where required. Act professionally, compassionately and without judgement, maintaining appropriate boundaries at all times. Safeguarding The post-holder must understand and fulfil their responsibilities in relation to safeguarding children and adults at risk, complete mandatory safeguarding training at the level required for the role, recognise and act on concerns, make appropriate referrals and document actions in accordance with local and practice safeguarding procedures. Clinical supervision and prescribing governance The post-holder will have access to an identified GP clinical supervisor and appropriate peer support. The practice will ensure that the prescribing role is supported by appropriate clinical governance, including an agreed scope of practice, access to current formularies and prescribing guidance, suitable clinical systems, processes for results and follow-up, prescribing audit, incident reporting and access to advice when required. The post-holder remains professionally accountable for their own clinical and prescribing decisions. Any supervision arrangements do not remove that individual accountability.