Anp/Ecp/Paramedic

High Street Surgery (Lowestoft); England; On-site; GBP 45,000 - 63,000; Full time

Job summary

High Street Surgery (Lowestoft) seeks an Advanced Nurse Practitioner or Paramediic to join our expanding primary care team. The post involves autonomous face-to-face consultations, urgent care delivery, and direct referrals using locally agreed pathways.

You will manage care with clinical judgement, supported by a multidisciplinary team, including supervision for staff. Applicants must have HCPC (Paramedic) or NMC (ANP) registration and prescribing experience where possible.

Qualifications

• Evidence of independent clinical practice in primary care settings.
• Experience managing autonomous caseloads with undifferentiated presentations.
• Knowledge of triage protocols and urgent care pathways.

Responsibilities

• Act as autonomous practitioner providing face-to-face consultations.
• Deliver urgent care and high-quality emergency assessments.
• Make direct referrals to primary, secondary and social services.
• Supply and prescribe medicines via PGDs or with GP reference.
• Provide clinical advice to reception and mentor staff.
• Maintain complete, accurate documentation of patient contacts.

Skills

Autonomous practice

Clinical judgement

Triaging

Home visits

Emergency care

Education

HCPC registration

NMC registration

Job description

Job summary

As healthcare shifts closer to the community, High Street Surgery is evolving to meet the needs of our growing local population. To support our upcoming practice expansion plans, improve operational efficiency, and further support our dedicated team, we are thrilled to be increasing our workforce across both clinical and administrative roles. We are seeking a passionate ANP, ECP or Paramedic to join us someone who wants to deliver high-quality care and grow their career alongside a progressive, forward-thinking GP practice.

Main duties of the job

• Provide Autonomous Care: Undertake face-to-face consultations within the surgery, care homes, and the local community to assess, diagnose, and treat patients using your own clinical judgment.
• Deliver Urgent Care: Act as an advanced clinical practitioner to deliver high-quality, timely emergency care to patients registered at the practice.
• Manage Referrals: Make direct clinical referrals to primary, secondary, and social services using locally agreed pathways and protocols.
• Administer Medications: Supply and prescribe medicines safely to meet patient needs, working via Patient Group Directions (PGDs) or by referencing the duty GP.
• Support the Team: Provide triage and clinical advice to the reception team, and offer mentorship or supervision to other staff members when required.
• Maintain Accurate Records: Ensure complete, high-quality, and timely documentation of all patient contacts using accurate Read codes.

About us

High Street Surgery is a dynamic, forward-thinking, and fast-moving primary care practice dedicated to delivering high-quality, timely, and patient-centred clinical care. Guided by our GP Partners and supported by an experienced Practice Manager, our multidisciplinary and multi-agency team collaborates seamlessly to meet the diverse needs of our registered patient population the surgery.

Our Core Values & Culture

• Clinical Excellence & Autonomy: We empower our clinical staff to act as autonomous practitioners, utilising advanced clinical competence and independent judgment to assess, diagnose, and treat patients.
• Collaborative Teamwork: We believe that everyone plays a vital role in patient care. Our environment thrives on effective communication and strong working networks across medical, nursing, allied health, and operational reception teams.
• Commitment to Quality & Safety: A proactive approach to clinical governance, regular clinical audits, robust risk management, and strict adherence to modern infection control guidelines keep our workplace safe and effective.
• Equality, Diversity, & Inclusion: We are a culturally sensitive practice committed to reducing environmental health risks and increasing healthcare access for all, with a strong focus on assisting marginalised groups.
• Professional Growth: We actively foster an environment that facilitates learning, offering regular performance reviews, appraisals, and opportunities for staff mentoring and supervision.

Job responsibilities

Clinical Care

• Act as an emergency care practitioner, demonstrating advanced clinical competence and a knowledge base beyond those associated with conventional nursing roles.
• Undertake consultations within the surgeries or the community as an autonomous practitioner and using own clinical judgement to diagnose and treat patients.
• Make direct referrals to primary, secondary and social services within locally agreed pathways, guidance and protocols.
• Ensure that patients receive high quality clinical care, delivered in a timely manner.
• Supply and administer medicines as indicated to address patient need, where necessary working to Patient Group Directions or with reference back to registered GP as necessary.
• Ensure complete and accurate documentation of each and every patient contact.
• Provide clinical advice to Reception staff where required.
• Work as an autonomous practitioner and as part of multi-disciplinary and multiagency teams in order to ensure patients needs are met.
• Visiting patients at home or care homes where necessary

Professional

• Adhere to the HCPC Code of Professional Conduct and at all times work within scope of professional practice.
• Ensure that professional practice adheres to organisational and HCPC policies, procedures and guidelines.
• Maintain professional manner and act as a positive role model.
• Maintain confidentiality with regard to information pertaining to patients and staff.
• Ensure that the service interfaces with all other departments in a professional and productive manner, providing an effective service to partner organisations and other service providers.
• Where required provide supervision and mentoring to other staff in order to help them develop their knowledge, skills and abilities.

Qualifications

Essential

• You must be either a fully registered Paramedic - with HCPC Registration or a Advanced Nurse Practitioner - with a NMC registration

Desirable

• Independent Prescribing (V300): An independent non-medical prescribing qualification is highly required for primary care/surgery environments. This allows you to safely prescribe medications autonomously within your scope of practice.

Experience

Essential

• Primary Care & General Practice Experience:
• Autonomous Caseload Management: Proven experience working as an independent clinician managing an active caseload of patients with undifferentiated diagnoses.
• Triage & Signposting: Experience conducting initial clinical assessments, advising reception staff on triage, and directing patients to the correct care pathways.
• Home & Care Home Visiting: Experience conducting independent acute or chronic clinical visits to patients in their own homes or residential care facilities.
• Clinical Assessment & Diagnosis Experience
• Advanced Physical Assessment: Expertise in conducting comprehensive head-to-toe physical examinations on patients across all age groups (excluding infants, unless specifically trained).
• Minor Illness & Minor Injury Management: Hands-on experience diagnosing and treating common primary care presentations (e.g., respiratory tract infections, UTIs, rashes, abdominal pain, musculofascial injuries).
• Chronic Disease Awareness: Competence in identifying when a chronic or long-term condition (such as COPD, heart failure, or diabetes) has acutely exacerbated and requires intervention.

Desirable

• Prescribing & Treatment Experience
• Autonomous Prescribing/Supply: Experience safely prescribing medications as an Independent Prescriber, or supplying medicines under strict Patient Group Directions (PGDs).
• Multi-Agency Referrals: Experience working with secondary care (hospitals), social services, community nursing, and mental health teams to arrange safe, direct referrals.

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).