Overview
We are looking for an Advanced Care Practitioner (Advanced Nurse Practitioner / Paramedic), to join our already established Home Visiting and Care Home team. The practitioner will provide on the day acute visits for housebound patients and care home residents within the PCN, as well as delivering proactive home visits to support the ongoing health needs of our population.
The post holder will be required to provide on the day visits for housebound patients who are acutely unwell and need a clinical assessment, as well as pre-planned proactive care assessments. The practitioner will also need to visit patients living in care homes for both acute and proactive care, this will be in the form of either a ward round or an acute visit. The clinician will be responsible for prioritising visits according to clinical need and will be required to take a comprehensive history and devise a treatment plan. This could include liaison with the GP, secondary care and community colleagues to support coordination of patient care.
As part of the proactive care service delivery, the post holder will be required to complete comprehensive frailty assessments, advanced care plans, end of life care planning, and medication optimisation while working closely with a wider MDT to identify patients who require input from other services or agencies.
Main duties of the job
- Uses expert knowledge and clinical skills to deliver holistic care to housebound patients and care home residents registered with Southampton West PCN
- Provide safe, evidence-based, cost effective, individualised patient care
- Assesses diagnoses and treats patients attending primary health care services with a range of acute, non-acute, and chronic medical conditions
- Assesses diagnoses and treats patients who require acute medical attention and refer to appropriate agencies.
- Directly admits patients to secondary care hospital in acute medical need
- Refers patients, as appropriate, to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations
- Interprets a range of diagnostic tests
- Works within professional guidelines and codes of conduct
- Works within all relevant policies and procedural guidelines e.g. infection control, chaperoning, risk management
- Communicates information well and sensitively to patients and carers having due regard to confidentiality
- Contributes towards targets under the primary Care Network Enhanced service and the Quality and Outcomes Framework
- Undertake and completes quality improvement projects where necessary
- Undertake annual reviews and care plans for patients including medication reviews (with support of pharmacists where necessary).
Additional responsibilities include accurately recording clinical consultations on practice systems with SNOMED codes, understanding safeguarding protocols, developing links with frailty teams and MDTs, delivering vaccination programmes for housebound populations and care home residents, and participating in professional development and PCN activities.
About us
Southampton West Primary Care Limited
Southampton West Primary Care Network (PCN) consists of the 9 GP surgeries in the west of the City and covers 84,000 patients. Our mission is to work collaboratively to develop high quality services for our patients, so that we can improve health outcomes that enable people to live well, for longer, whilst developing resilient primary care.
The PCN hosts a multidisciplinary wellbeing team including mental health practitioners, peer support workers, social prescribers, care coordinators, Health and Wellbeing Coaches, Pharmacists, and First Contact Physiotherapists.
Details
Date posted: 22 September 2025
Pay scheme: Other
Salary: £58,000 to £61,000 a year Depending on experience
Contract: Permanent
Working pattern: Full-time
Reference number: W0004-25-0004
Job locations:
- The Shirley Health Partnership, 355 Shirley Road, Southampton, SO15 3JD
- Walnut Tree Surgery, 14 Carlton Road, Southampton, SO15 2HQ
- Atherley House Surgery, Shirley Road, Southampton, SO15 3FH
- Aldermoor Health Centre, Aldermoor Close, Southampton, SO16 5ST
- Hill Lane Surgery, 162 Hill Lane, Southampton, SO15 5DD
- Brook House Surgery, 98 Oakley Road, Southampton, SO16 4NZ
- Doctors Surgery, 34 Raymond Road, Southampton, SO15 5AL
- Cheviot Road Surgery, 1 Cheviot Road, Southampton, SO16 4AH
- Lordshill Health Centre, Lordshill District Centre, Southampton, SO16 8HY
Job responsibilities
Primary Duties
- Uses expert knowledge and clinical skills to deliver holistic care to housebound patients and care home residents registered with Southampton West PCN
- Provide safe, evidence-based, cost effective, individualised patient care
- Assesses diagnoses and treats patients attending primary health care services with a range of acute, non-acute, and chronic medical conditions
- Assesses diagnoses and treats patients who require acute medical attention and refer to appropriate agencies.
- Directly admits patients to secondary care hospital in acute medical need
- Refers patients, as appropriate, to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations
- Interprets a range of diagnostic tests
- Works within professional guidelines and codes of conduct
- Works within all relevant policies and procedural guidelines e.g. infection control, chaperoning, risk management
- Communicates information well and sensitively to patients and carers having due regard to confidentiality
- Contributes towards targets under the primary Care Network Enhanced service and the Quality and Outcomes Framework
- Undertake and completes quality improvement projects where necessary
- Undertake annual reviews and care plans for patients including medication reviews (with support of pharmacists where necessary).
- Accurately records clinical consultations on practice clinical systems ensuring the correct use of SNOMED codes and clinical templates
- Understand and implements safeguarding protocols and understand how and who to refer and escalate to when required
- Develops meaningful positive working relationships with local frailty teams and Multi Disciplinary Teams
- Helps to deliver vaccination programmes for our housebound populations and care home residents
- Professional Development
- Maintain professional registration
- Work within the latest Code of Professional Conduct of professional body
- Partakes in monthly clinical supervision with GP service lead and peer supervision.
- Actively participates in clinical PCN and Practice meetings
- Participate in any training programme implemented by Southampton West PCN Limited as part of this employment, such training to include:
- Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
- Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
Person Specification
Experience Essential
- Previous primary care experience in Advanced Clinical Practitioner role
- Own transport and driving license, in order to be able to travel regularly between sites around West Southampton
Desirable
- Previous Care Home Primary Care experience
- Experience of clinical audit, evaluation research and implementation of evidence-based practice
- Background in community nursing
Qualifications
Essential
- Advanced Care Practitioner Requirements:
- Advanced Nurse Practitioner MSc
- Current NMC Registration
- Membership of a professional body
- UK Driving license
- Paramedic Requirements:
- Educated to degree/diploma level in Paramedicine or equivalent experience
- Registered with the Health and Care Professions Council (HCPC)
- Completed two-year Consolidation of Learning period as a newly qualified paramedic
- has a further three years experience as a paramedic
- UK Driving license
Desirable
- Independent Non-Medical Prescriber Qualification
Knowledge / Skills / Training
Essential
- Communication and consultation skills
- Practising holistically
- Data gathering and interpretation
- Making a diagnosis or decision
- Managing medical complexity
- Project management and leadership
- Working in a team
- Continuous professional development
- Maintaining an ethical approach
- Fitness to practise
- Clinical examination and procedural skills
- Learning and development
- PCN Core values
- Awareness of the legal and ethical issues of the role
- Ability to work effectively in a multidisciplinary team as a key player
- Adult safeguarding level 3
Desirable
- IT experience / computer skills
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).
Employer details
Employer name: Southampton West PCN Limited
Address: The Shirley Health Partnership, 355 Shirley Road, Southampton, SO15 3JD
Employer's website: https://www.southamptonwestpcn.co.uk/ (Opens in a new tab)