Advanced Practitioner (AP1)

Mereside Medical; Ely, Soham; Remote; GBP 47,000 - 53,000; Full time

Job summary

Mereside Medical Practices (Staploe Medical Centre, Cathedral Medical Centre, Haddenham Surgery) is hiring for a permanent, flexible role in primary care. The post involves triage, urgent and long-term care management with NICE-guided practice, and close collaboration across Mereside sites to deliver high-quality patient care.

You should be a qualified Paramedic or Nurse with registration, ideally with 2+ years post-registration experience and related minor illness qualifications.

Qualifications

• Qualified Paramedic or Nurse with current registration.
• Ideally 2 years post-registration experience.
• Advantage: Minor Illness assessment and management qualification.
• Experience delivering holistic care in the community.

Responsibilities

• Triage urgent care requests and manage patient flow.
• Provide holistic care, assessment, diagnosis, and treatment per NICE guidelines.
• Collaborate with care homes and families, and coordinate with multi-disciplinary teams.
• Lead in quality governance, self and peer review and continuous improvement.
• Support lead GPs with routine reviews and chronic condition management.

Skills

Communication

Clinical decision-making

Triage

Team collaboration

Education

Qualified Paramedic or Nurse (registered)

Job description

Based: Mereside Medical Practices (Staploe Medical Centre, Cathedral Medical Centre, Haddenham Surgery)

Basis: Permanent, full-time or part-time (minimum of 27.75 hours over 3 days a week)

Salary: £46,630 – £53,365 FTE

Eligibility: You must be eligible to work in the UK

About Us

Mereside Medical is a flourishing group of three East Cambridgeshire practices in Ely, Haddenham and Soham, together serving c.45,000 patients. As a group, we’ve grown rapidly and now employ more than 170 people across the three practices. We are people-centred in our approach to work and believe that every contact that a patient has with our staff is as valuable as the next in the patient journey. We believe in clinical excellence, and that general practice is the cornerstone of well-being in our community. We are innovative and forward-looking, and we embrace technology to enable more effective, efficient, and connected ways of working to deliver ever better outcomes for our patients.

Our goal is to deliver on the ambitions laid out in the NHS 10 year Health Plan for England in a way that is locally relevant, valued by patients, and satisfying for our staff. In addition to our core general practice work we run a large clinical research trials unit and we work closely with the ICB to develop innovative ways to improve local service provision. We are the lead practice for one of the two local PCNs and are represented in both.

We are proud to be the host organisation for the NIHR Greater Cambridge & Suffolk Commercial Research Delivery Centre (Primary Care), one of only 14 in England. This prestigious designation recognises our commitment to accelerating commercial clinical research delivery for health and economic benefit across our region.

The Role

Reporting to the Advanced Practitioner Lead Manager, you will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. You will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for patients presenting on the day with urgent care needs, and supporting patients with long-term conditions.

Your Responsibilities

Clinical Practice and Quality

• Practice in compliance with your respective code of professional conduct and scope of practice, being responsible and accountable for your decisions, actions, and omissions at this level of practice

• Demonstrate a critical understanding of your level of responsibility and autonomy, and the limits of your own competence and scope of practice, including when working with complexity, risk, uncertainty, and incomplete information

• Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change

• Actively contribute to implementing the quality governance systems and processes across the organisation, demonstrating receptiveness to challenge and learn, and preparedness to constructively challenge others, in doing so. This includes but is not limited to healthcare records, learning points, and significant events

• Adopt a solutions and improvement mindset to proactively assess the effectiveness of your care delivery through self and peer review, benchmarking and formal evaluation.

Clinical Assessment and Patient Care

• Participate in and undertake triage of urgent care requests to ensure the smooth progress of patients through the system on a daily basis

• Work in partnership with patients, families and carers (including care homes), using a range of assessment methods, your expertise, and your clinical reasoning to adopt an evidence-based approach compliant with NICE guidelines to:

• Assess, examine, diagnose, plan, implement and evaluate holistic treatment/interventions and care for patients presenting with an undifferentiated diagnosis

• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of emergency care

• 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

• Support Lead GPs to provide routine reviews of patients living in care homes, demonstrating understanding in the management of chronic long-term conditions, and increasing frailty in older people

• Demonstrate effective communication skills to optimise patient satisfaction while managing their expectations and supporting them to make decisions, plan care, or make positive change, including:

• To work with patients to ensure that individual medication regimes meet their needs and are aligned with relevant guidelines and regulations for prescribed treatments

• To ensure appropriate use of prescribed and over-the-counter medication, and understanding of medication regimens, side-effects and interactions

• When dealing with sensitive matters that may also have legal or ethical considerations, for example, safeguarding, substance abuse, sexual orientation and gender identity, racial and ethnic diversity, mental illness, disabilities, etc

• To support patients to adopt health promotion strategies, and apply principles of self-care, including referring or sign-posting to other services that may support their wider well-being, e.g. Social Prescribers, Health & Well-being coaches, etc

• Work collaboratively with your colleagues within Mereside practices and across the local health economy to manage risks and issues, and integrate effectively with health and social care providers, ensuring consistency of care across settings and practices.

Learning, Development, and Education

• Critically assess, and take responsibility for, your own learning and professional development plan that reflects the breadth of the needs of advanced clinical practice in primary care

• Proactively share learning, information, and good practice insights across the practice and wider organisation to facilitate individual and team learning

• Advocate for, and positively contribute to, a cohesive culture of organisational learning and collaboration both within and between teams, to ensure the best patient experience throughout their entire journey.

Leadership and Teamwork

• Contribute positively to a sense of cohesion, and foster a culture of wider collaboration, across the organisation, engaging effectively with collaboration tools such as MS Teams to improve communication and information sharing across sites and teams, including remote workers

• Work as an effective, responsible, and supportive member of the Duty Team, collaborating well with diverse colleagues and constantly seeking to improve ways of working both within the team and throughout the patient journey to ensure efficient and effective delivery of care

• Prioritise own workload and ensure effective time management strategies are embedded within the culture of the team to ensure that cases are appropriately triaged, handled by the most clinically appropriate member of the team, and completed in a timely manner.

You should have or be:

• A qualified Paramedic or Nurse (including District Nurse) with current registration of a relevant professional body.

• Ideally a minimum of two years post-registration experience

It would be an advantage if you also:

• Appropriate qualification in Minor Illness assessment and management

• Experience in delivering holistic care in the community

This is not meant to be an exhaustive list of duties. The need for flexibility is required and the post holder is expected to carry out any other related duties that are within the employee’s skills and abilities whenever reasonably instructed.

Closing date: 30 October 2026 – Please note we reserve the right to close this vacancy early. Please note that if you do not receive a response within 2 weeks of the closing date then please consider your application unsuccessful on this occasion.