Advanced Nurse Practitioner / Paramedic Practitioner
Fairfield Medical Centre
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Job summary
Fairfield Medical Centre in Leatherhead is seeking an Advanced Nurse Practitioner / Paramedic Practitioner to support the clinical team for scheduled and unscheduled care. The role is permanent, with options for 4–5 days per week and a competitive salary and NHS pension.
You will conduct full assessments, diagnose minor injuries or health problems, and develop patient management plans in partnership with patients, while promoting self-care and timely referrals when needed.
Qualifications
- Registered General Nurse (1st level) with current UK registration.
- Nurse prescriber / Non medical prescriber qualification.
- Post-registration diploma or equivalent in a relevant field.
Responsibilities
- Provide autonomous consultations for minor injuries and health problems.
- Prescribe within scope of practice and national/local guidelines.
- Lead and support nursing team and coordinate patient care.
- Contribute to development of clinical guidelines and service delivery.
Skills
Education
Tools
Job description
We are looking for a full-time or part-time trained Advanced Nurse or Paramedic Practitioner (with a prescribing qualification) to support our clinical team to provide patient access to both scheduled and unscheduled care provision. The aim of the role is to :
- deliver convenient accessible care
- provide assessment, differential diagnosis and treatments of acute episodes of minor health and minor injury conditions
- work in partnership with patients in agreeing management plans
- promote self care in order that patients are empowered to manage their own health needs
- Permanent role
- 4 to 5 days a week (32 to 37.5 hours)
- Competitive salary and package
- NHS pension
- To conduct patient consultations using specialist knowledge in relation to minor injuries and health problems. Full assessments, history and differential diagnosis to be made in order that a management plan can be agreed with the patient.
- Interventions are timely, and may include provision of urgent care in an emergency.
- To contribute to the ongoing development of clinical guidelines reflecting best evidence based practice.
- To ensure that referrals to other primary and secondary services are made in line with agreed guidelines.
- To utilise diagnostic and clinical skills, developing new skills where appropriate.
- To prescribe according to and within scope of practice.
- Supply and administer medications in accordance with legislation and practice policies.
- To utilise clinical judgement, providing care and treatment within agreed guidelines where the need arises and within scope of practice.
- To have a working knowledge of child protection, the abuse of older people and domestic violence and refer to services as necessary.
Our GP practice:
- GMS training practice. CQC good & high QOF achieving
- 10,000 patients
- Well-organised practice with very good staff retention across all levels including 5 GP Partners, 2 GPs, 1 Nurse Practitioner, 1 Nurses and 2 HCAs
- Remote clinical pharmacists and pharmacy technicians for medication support
- EMIS Web & Docman clinical systems and remote access available
- Daily coffee meetings and approachable friendly team
- GP Extended Hours clinics in the area provided by an external provider
Date posted: 12 October 2026
Pay scheme: Other
Salary: Depending on experience
Contract: Permanent
Working pattern: Full-time, Part-time
Reference number: A2608-26-0002
Job locations: Lower Road, Bookham, Leatherhead, Surrey, KT23 4DH, United Kingdom
Role
Post Title: Advanced nurse practitioner / paramedic practitioner
Location: Fairfield Medical Centre
(i) Reporting/Accountable to:
- Clinically : GP partners
- Administratively : practice manager
(ii) Responsible for: Scheduled & unscheduled patient care
To provide the local practice community with access to both scheduled and unscheduled care provision. The aim of the role is to :
- deliver convenient accessible care
- provide assessment, differential diagnosis and treatments of acute episodes of minor health and minor injury conditions
- work in partnership with patients in agreeing management plans
- promote self care in order that patients are empowered to manage their own health needs
- work as an autonomous practitioner, providing completed episodes of care to individuals
- work within agreed guidelines and protocols where they exist and make autonomous decisions in the absence of guidelines
- prescribe within knowledge and skills and in accordance with National and Local Guidelines
- work within scope of practice and draw on relevant experience to deliver quality patient care
- work in partnership with other health and social care providers
- provide patients with the opportunity to contribute to the ongoing development of the service
- manage the nursing team
- To conduct patient consultations using specialist knowledge in relation to minor injuries and health problems. Full assessments, history and differential diagnosis to be made in order that a management plan can be agreed with the patient.
- Interventions are timely, and may include provision of urgent care in an emergency.
- To contribute to the ongoing development of clinical guidelines reflecting best evidence based practice.
- To ensure that referrals to other primary and secondary services are made in line with agreed guidelines.
- To utilise diagnostic and clinical skills, developing new skills where appropriate.
- To prescribe according to and within scope of practice.
- Supply and administer medications in accordance with legislation and practice policies.
- To utilise clinical judgement, providing care and treatment within agreed guidelines where the need arises and within scope of practice.
- To have a working knowledge of child protection, the abuse of older people and domestic violence and refer to services as necessary.
- To manage the nursing team on a day to day basis
- Ensure you are up to date with decisions made by the practice that might affect the care and support you give to patients.
- Share all major issues and new developments with the clinical team so that the practice can develop policies to make sure that all patients received the same standard and quality of care.
- Ensure effective communication with patients offering informed choice. Recognise and address patients anxieties and behaviours when managing acute health problems.
- Maintain effective communication with other team members ensuring all team members are kept involved and informed in the delivery and continued development of the practice.
- Patients are referred to primary and secondary providers with clear contemporaneous notes which accurately reflect the consultation and reasons for referral.
- Caldicott Guardianship is effective. Consent and Confidentiality is maintained in line with data protection and consent policies.
- Quality controls and risk assessments are performed and forwarded for action.
- Awareness of health and safety for self and others and attend mandatory training. Give due consideration to the daily exposure to bodily fluids. All health and safety incidents are managed accordingly through the appropriate reporting mechanism.
- Medicines are managed safely in accordance with practice policy.
- Demonstrate awareness of own professional development and training needs in accordance with service needs.
- Promote and support the development and provision of work based learning to other clinical staff members.
- Act as a mentor for other clinical staff members.
- Continued professional development through reflective practice is integral to practice, clinical supervision is regularly undertaken.
- Ensure service is efficient by monitoring and exploring opportunities for savings.
- Undertake clinical audit to review practice and service, reporting results of audits.
- Explore opportunities in line with National Health plans to support effective health care for patients.
- to be friendly, helpful and welcoming
- to introduce ourselves by name and role, and explain what we do
- to listen and respond promptly to what patients really want or need
- to do what we have promised
- to offer to help not wait to be asked
- to find someone to help if we arent able to
- to deliver the best possible care / service at all times
- to provide an environment that is tidy and clean
To be aware of and work in line with all the practice protocols and procedures.
To carry out any other tasks that are commensurate with the grade in discussion with the post holder
- Registered General Nurse 1st level (or equivalent)
- Post registration/graduate diploma or equivalent in a specific field
- ALS or willingness to undertake
- Evidence of continuing professional development
- Nurse prescriber / Non medical prescriber
- Previous experience of management of nursing team
- A minimum of 4 years post registration experience in community, A & E or minor injury or walk in centre
- Experience of multi-disciplinary working
- Evidence of professional development
- Experience of working in primary care
- Experience of working in a GP practice
- Proven track record in relation to research based practice
- Experience with audit
- Ability to provide quality care
- Organisational skills
- Excellent communication and interpersonal skills
- Broad range of excellent clinical skills
- Ability to organise the work load, able to prioritise
- Good knowledge of health and safety and risk management
- Computer literate
- Effective written and verbal communication skills
- Home visiting
- Team management experience
- Good understanding of current nursing / practitioner workforce issues
- Clear understanding of current health service objectives
- Good sense of humour
- Self-motivated
- Reliable and flexible
- Ability to work well in stressful situations
- Innovative
- Assertive
- Committed and hard working
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.
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer name: Fairfield Medical Centre
Address: Lower Road, Bookham, Leatherhead, Surrey, KT23 4DH, United Kingdom
Employer's website: https://fairfieldmedical.nhs.uk/
For questions about the job, contact: Manager Audrey Lynas, audrey.lynas1@nhs.net, 01372455460
Fairfield Medical Centre website
Fairfield Medical Centre's privacy notice
The closing date is 30 November 2026.
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