Advanced Clinical Practitioner - Nurse Or Paramedic

Island City Network Pcn; Plymouth; On-site; GBP 45,000 - 65,000; Full time

Job summary

Island City Network PCN is seeking an experienced Nurse/Paramedic Practitioner to join a progressive Primary Care Network. The role focuses on delivering high-quality patient care, triage, diagnosis, and treatment within General Practice, while supporting GPs and extending clinical capacity across the network.

The post requires UK registration (NMC/HCPC), an undergraduate degree in nursing or paramedicine, and experience at band 6 level or higher.

Qualifications

• Completion of undergraduate degree/diploma in Nursing or Paramedicine.
• Registration with NMC/HCPC.
• Two-year Consolidation Of learning period as a newly qualified nurse or paramedic.
• Five years post-qualification experience including 3+ years at band 6.

Responsibilities

• Ability to independently deliver care from history taking to evaluation of care.
• Deliver safe clinical decision-making and expert care within General Practice.
• Reduce GP workload within scope of clinical practice.
• Communicate clearly with the network team and patients.
• Maintain high-quality clinical notes in electronic patient records.

Skills

Nursing or Paramedicine degree

NMC/HCPC registration

Consolidation period

Band 6 experience

Education

Undergraduate degree/diploma in Nursing or Paramedicine

Tools

General Practice IT Systems

Job description

Job summary

The Job and Background
In recent years the role of General Practice and Community Care has expanded at an exponential rate. Traditionally GPs with a small team were able to meet their patients needs. Over time societal change, population increases and role expansion has changed the face of General Practice forever. We are seeing ever more complex patient care needs and targets. It is very clear that Nurse and Paramedic Practitioners are a highly valuable addition to the General Practice Team. Island City Network wishes to further expand our Practitioner team. It is an opportunity to work in a highly organised, friendly and progressive team.

Main duties of the job

Personal Specification

Essential

• Completion of undergraduate degree/diploma in Nursing or Paramedicine
• Registration with NMC/HCPC
• Completion of two-year Consolidation Of learning period as a newly qualified nurse or paramedic
• Has a further three years experience as a band 6 (or equivalent) paramedic

Desirable

• Completed or working towards developing level 7 advanced practice
• Independent prescriber Qualification or steps towards this
• Further Post Graduate Qualifications or Diplomas
• ACP - training may be considered for the right candidate

Experience

• Essential: Five years or longer post qualification including 3 or more years at band 6 level
• Desirable: Working knowledge of General Practice; Prior General Practice Experience; Experience of Primary Care IT Systems

About us

Island City Network is an innovative, friendly and forward thinking healthcare group. We are located in the fascinating Historic Naval City of Portsmouth on the South Coast. Where we lead others follow. General Practice is changing at pace and we see this as a positive and opportunistic challenge.
Island City Network includes Derby Road Group Practice, and Island City Practice. Our combined list size is c.53,000 patients. Island City Network is proud and enthusiastic to be an inventive front runner in the new era of The Primary Care Network.

Previous applicants need not apply

Interview date:

Thursday 12th November

Details

Date posted: 15 October 2026
Pay scheme: Other
Salary: Depending on experience
Contract: Permanent
Working pattern: Full-time, Part-time
Reference number: A5530-26-0006

Job responsibilities

Key Job Role Requirements

• Ability to independently deliver care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.
• Deliver safe, clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the General Practice.
• To take on solve and reduce GP workload directly within the scope of their clinical practice.

Job Description

• Assess patients presenting with acute illness or for review of chronic disease conditions.
• Skills and ability to consult face to face, triage by phone and electronically an home visit.
• Diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.
• Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
• Assess diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs.
• Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).
• Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan.
• Fully participate in the clinical administration within the practice and when suitably qualified to help signing prescriptions, reviewing medication, and Electronic Prescribing
• Prescribe (subject to completion of prescribing course) and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols and formularies.
• Work with patients and their carers in order to support compliance with and adherence to prescribed treatments.
• Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions
• Full engagement with appropriate educational and additional qualification pathways in line with NHS England Network specification for The Practitioner Role and accessing this via approved channels. This will include engagement with an Island City Network Clinical mentor.
• The role holder(s) will communicate clearly and effectively with the network team (both clinical and non-clinical roles) and patients.
• Completion of high quality clinical notes and plans in the electronic patient records that can easily be understood and referenced by others.
• The post holder must work independently to manage cases within their clinical competency to include onward referral to suitable community and secondary care services within the scope of their practice.
• Practitioners in Island City Network should happy to consult via interpreters (in person and via phone).
• The position holder will seek to guide and encourage patient self-management where appropriate, share resources for this across the network and promote this within Island City Network
• Use of a wide range of clinical skills (within current scope of experience) relevant to treatment and assessment of patients.
• While independent working is required the post holder must also be happy to work collaboratively with other members of Island City Network and broader MDT teams where appropriate.
• Practitioners must ensure they remain up to date with the latest clinical developments relevant to their scope of practice and must ensure they maintain all relevant competencies for practice.
• A willingness and flexibility to develop and refine the role over time is essential and in line with the ethos of island City Network.
• The Practitioner will see and manage patients within reasonable agreed timescales consistent with the activity levels required to meet patient demand within a General Practice setting.
• Engagement with Audit Work, Quality Outcomes Framework targets, and other relevant Island City Network projects.
• To assist or lead relevant teaching within role scope to both clinical and non-clinical Island City Network staff.
• Practitioners should be able to prioritise their own workload and demonstrate effective time-management.

Person Specification

Desirable Skills and Knowledge

• Ability to work independently within a Primary Care Network team.
• A knowledge and understanding of General Practice that empowers the Practitioner to understand how to take on and reduce workload from other clinicians.
• To organise and prioritise own work
• Good communication and networking skills
• Ability to problem solve variable situations and variables
• Good IT skills
• Understanding of the wider primary care health care and social aspects

Job Specific Personal Attributes may include

• Enthusiastic and dynamic approach
• Good communication that inspires trust and confidence, good listening skills and empathic approach, high levels of motivation and professionality
• Good time keeping skills, reliability, ability to work under pressure
• Emotional resilience, innovative spirit
• A sense of humour

Generic Responsibilities

• Health and Safety / Risk Management: The post holder will be trained in and expected to use the personal security systems available within the practice. To identify any risks involved in their work activities and undertake them in a way that manages the risks. The post holder must comply at all times with the practices Health and Safety policies, in particular by following agreed safe working procedures and reporting clinical incidents using Significant Event Reporting system. To use computers safely and appropriately.
• Information Governance: The practice is registered under the Data Protection Act 1984. The post holder will comply with the Data Protection Act and the Access to Health Records Act, the General Data Protection Regulations 2018 and the practice policies regarding information governance at all times. You must not at any time use the personal data held by the practice for a purpose not described in the Register entry or disclose such data to a third party. If you are in any doubt regarding what you should and should not do in connection with the Data Protection Act, then you must contact your line manager.
• Confidentiality: All dealings within the Practice remain strictly confidential and the post holder would be expected to maintain this confidentiality at all times. You will have access to confidential information relating to Practice business and to individuals. You are required to exercise due consideration in the way you use such information when carrying out your duties. Should you have any doubts regarding the use of information in carrying out your duties, you should seek advice from your line manager.
• Equality and diversity: The post holder must co-operate with all policies and procedures designed to ensure equality of employment and treatment in line the Practice Equal Opportunities Policy. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation or religion. Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity. Support people who need assistance in exercising their rights. Monitor and evaluate adherence to local chaperoning policies.

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.

Employer details

• Employer name: Island City Network PCN
• Address: Island City Practice, Nutfield Place, Portsmouth, PO1 4JT, United Kingdom
• Address: Derby Road Group Practice, 27-29 Derby Road, Portsmouth, PO2 8HP, United Kingdom
• Employer's website: https://www.islandcitypractice.nhs.uk/

For questions about the job, contact:

PCN Manager, Leigh Spurling, [e-mail]

Job locations

Island City Practice, Nutfield Place, Portsmouth, PO1 4JT, United Kingdom
Derby Road Group Practice, 27-29 Derby Road, Portsmouth, PO2 8HP, United Kingdom

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