Advanced Paramedic Practitioner (direct recruitment - no agencies)

The Methodist Church in Britain; East Ham; On-site; GBP 52,000 - 75,000; Full time

Job summary

Marlow Medical Group is seeking an autonomous advanced paramedic practitioner to assess and manage housebound residents with acute, chronic and complex needs. You will conduct home visits and ward rounds, deliver urgent assessments, and support decisions on hospital admission within a primary care network framework.

Role requires independent prescribing, HCPC registration, and experience in frailty and long-term conditions; leadership in improving housebound care and coordinating

Qualifications

• Degree or diploma in paramedic science
• Advanced clinical practice qualification or Master’s degree or equivalent advanced practice training
• Independent prescriber qualification
• Level 3 safeguarding children and adults

Responsibilities

• Provide autonomous assessment, diagnosis, treatment and management of housebound residents with acute, chronic and complex needs
• Undertake home and housebound ward-round consultations
• Deliver urgent and same-day assessments, including after falls
• Manage acute illness and clinical deterioration, and support decisions on hospital admission
• Assess and manage frailty, long-term conditions and multimorbidity
• Support end-of-life and palliative care
• Reduce avoidable admissions and A&E attendances through proactive care planning
• Support structured medication review alongside clinical pharmacists
• Provide clinical leadership across housebound services and lead improvement projects on frailty and housebound care
• Coordinate referrals, transitions between care settings and multidisciplinary care planning
• Identify and elevate safeguarding concerns
• Teach, mentor and supervise colleagues, including paramedic students

Skills

Advanced history-taking

Clinical examination

Clinical reasoning

Multidisciplinary leadership

Education

Paramedic degree or diploma

Advanced clinical practice qualification or Master’s

Independent prescriber

Level 3 safeguarding (children and adults)

Job description

The post is within the housebound service at Marlow Medical Group, where an autonomous advanced paramedic practitioner assesses and manages housebound residents with acute, chronic and complex needs. Work centres on same-day urgent care, frailty and long-term condition management, end-of-life support and care coordination with GPs and community teams, aimed at cutting avoidable admissions. Home visits and housebound ward rounds are central, the role supports the Primary Care Network, and hours can be full-time, part-time or compressed. Independent prescribing and HCPC registration are required.

What the job involves

• Provide autonomous assessment, diagnosis, treatment and management of housebound residents with acute, chronic and complex needs
• Undertake home and housebound ward-round consultations
• Deliver urgent and same-day assessments, including after falls
• Manage acute illness and clinical deterioration, and support decisions on hospital admission
• Assess and manage frailty, long-term conditions and multimorbidity
• Support end-of-life and palliative care
• Reduce avoidable admissions and A&E attendances through proactive care planning
• Support structured medication review alongside clinical pharmacists
• Provide clinical leadership across housebound services and lead improvement projects on frailty and housebound care
• Coordinate referrals, transitions between care settings and multidisciplinary care planning
• Identify and elevate safeguarding concerns
• Teach, mentor and supervise colleagues, including paramedic students

Qualifications

• Degree or diploma in paramedic science
• Advanced clinical practice qualification or Master's degree or equivalent advanced practice training
• Independent prescriber qualification
• Level 3 safeguarding children and adults

Registration & licences

• HCPC registration as a paramedic

Experience

• Significant experience managing acute and urgent presentations
• Experience working autonomously
• Experience undertaking home visits
• Experience managing frailty and complex patients
• Experience in multidisciplinary teams and understanding of primary care and community pathways

Skills & knowledge

• Advanced history-taking, clinical examination and clinical reasoning
• Interpreting diagnostic tests and managing clinical risk and uncertainty
• Excellent record keeping and clinical documentation
• Communication, consultation and leading multidisciplinary teams

Checks & eligibility

• Enhanced DBS clearance

Other

• Patient-centred, compassionate and collaborative approach, committed to integrated care and continuous improvement

Nice to have

• Housebound or frailty qualification
• Teaching or mentorship qualification
• Experience working with housebound patients
• Experience in general practice
• Experience in admission avoidance services
• Experience leading service improvement projects
• Experience delivering education or training