Bank Advanced Clinical Practitioner - Nurse/Paramedic - Hertfordshire

NHS; Watford, Hertford, St Albans, Stevenage; On-site; GBP 100,000 - 125,000; Part time

Job summary

A healthcare organization in Watford seeks Advanced Clinical Practitioners (Nurse/Paramedic) to provide urgent care across various locations in Hertfordshire. The role includes assessing and treating patients autonomously, managing diverse medical conditions, and offering patient education. Applicants should have relevant qualifications such as NMC registration or HCPC registration, alongside advanced clinical skills. A competitive hourly rate of £34.76 to £43.45 plus enhancements is offered, with flexible working opportunities available.

Benefits

NHS Pension Scheme

Career Growth Opportunities

Office Comforts (tea, coffee, parking)

Qualifications

• Full, unrestricted right to work in the UK.
• Experience working in Urgent Care, Emergency Department, General Practice, or Out-of-Hours services.
• Proven experience in autonomous clinical roles.

Responsibilities

• Assess, diagnose, treat, and discharge patients autonomously.
• Manage a broad spectrum of minor illnesses and injuries.
• Provide health education and tailored self-care advice.
• Initiate urgent or emergency care as needed.
• Communicate effectively with patients and families.

Skills

Autonomous clinical roles

Telephone triage

Communication

Clinical assessment

Non-Medical Prescribing

Education

NMC Registered Nurse or HCPC registered paramedic

Minor Illness Qualification

Minor Injury Qualification

Advanced Clinical Assessment Qualification

MSc in Advanced Clinical Practice or equivalent

Job description

Bank Advanced Clinical Practitioner - Nurse/Paramedic - Hertfordshire

HUC is seeking experienced Advanced Nurse/Clinical Practitioners to join our integrated urgent care services across Cambridgeshire, Bedfordshire, Hertfordshire, West Essex, and Somerset. Working in partnership with local healthcare providers, our portfolio includes Out-of-Hours (OOH) GP care, Urgent Treatment Centres (UTCs), and the Acute In Hours Visiting Service (AIHVS), with many sites co‑located in hospitals, GP surgeries, and health centres to ensure seamless patient care.

This highly autonomous role is central to delivering safe, effective, and responsive care for a diverse patient population, often managing complex and undifferentiated cases. You will operate within a dynamic multidisciplinary environment alongside GPs,Advanced and Urgent Care Practitioners, Paramedics, and non‑clinical staff, ensuring patient safety and service quality. Flexibility to work across various services, locations, and patient presentations is essential. This position offers the opportunity to contribute to service transformation, support equitable access, and help strengthen local healthcare system resilience throughout HUC's urgent care portfolio.

Main duties of the job

• Autonomously assess, diagnose, treat, and discharge patients via telephone, in Treatment Centres, UTCs, or during home visits under OOH and AIHVS models.
• Manage a broad spectrum of minor illnesses and injuries, including ENT and ophthalmic cases, using advanced clinical reasoning and evidence‑based practice.
• Provide clear health education and tailored self‑care advice to support patient understanding and management.
• Rapidly identify and manage acutely unwell patients, initiating urgent or emergency care as needed.
• Recognise safeguarding concerns and act decisively in line with HUC procedures.
• Deliver compassionate support to patients needing palliative or end‑of‑life care, including medication management.
• Adapt clinical practice to changing patient demand and service pressures, and participate in audits, service evaluations, and quality improvement.
• Prioritise patient care based on clinical risk, acuity, and urgency, ensuring safety and efficiency.
• Exercise autonomy within professional boundaries, comply with NMC/HCPC standards, maintain registration, and uphold HUC's governance, revalidation, and appraisal requirements.
• Communicate effectively with patients, families, and multidisciplinary teams, document all clinical interactions accurately, contribute to team meetings, and engage in ongoing professional development.

About us

At HUC, we're proud to invest in our people by offering a wide range of exciting benefits that support your personal, professional, and financial wellbeing:

NHS Pension Scheme:Secure your future with the NHS Pension, offering peace of mind and valuable long‑term financial benefits for all our staff.

Career Growth:Build the future you deserve with our My Academy training programs, exciting internal vacancies, and regular updates to keep you in the loop with HUC news and opportunities.

Office Comforts: Stay refreshed with unlimited tea and coffee, enjoy the ease of free parking, and recharge in our dedicated relaxation areas. Plus, join in on engaging team events that make every workday more enjoyable!

Job responsibilities

Please read full Job Description and Person Specification attached to this vacancy.

Services and operational hours in Hertfordshire are available as below:

Out of Hours (OOH) ServiceStevenage, Welwyn Garden City, Hertford, St Albans, Borehamwood, Watford, Hemel Hempstead. Operational Hours: Monday to Friday: 19:00 08:00; Weekends andBank Holidays: 24 hours a day.

Urgent Treatment Centres (UTC)St Albans Integrated Urgent Care Hub (St Albans City Hospital) Operational Hours: 7 days a week, 09:00 18:00

Acute In Hours Visiting Service (AIHVS)Welwyn Garden City Operational Hours: 7 days a week, 09:00 17:00

You must have full, unrestricted right to work in the UK. We are unable to offer visa sponsorships.

Person Specification

• NMC Registered Nurse or HCPC registered paramedic
• Minor Illness Qualification (Level 6 or Level 7) or equivalent
• Minor Injury Qualification (Level 6 or Level 7) or equivalent
• Advanced Clinical Assessment Qualification (Level 6 or Level 7) or equivalent
• Non‑Medical Prescribing Qualification (V300)
• Proven experience in autonomous clinical roles within urgent or unscheduled care settings
• MSc in Advanced Clinical Practice or equivalent (or evidence of current credentialing with HEE or RCN)
• Experience working in Urgent Care, Emergency Department, General Practice, or Out-of-Hours services
• Telephone triage and remote consultation experience

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.

£34.76 to £43.45 an hourBasic rate of £34.76 p/h plus OOH enhancements (10%-25%)

Contract

Bank

Working pattern

Reference number

4265-7700942-BHE-4

Job locations