Extended Scope Practitioner for Enhanced Care Team (Paramedic/Nurse)

The Methodist Church in Britain; East Kilbride; On-site; GBP 45,000 - 65,000; Full time

Benefits offered by this job

Flexible working patterns

NHS pension

Excellent remuneration

Career development

Supportive clinical working enviroment

Job summary

Hastings & Rother Healthcare is seeking a full-time Extended Scope Practitioner to join the Enhanced Care Team, covering frailty, palliative care, care homes and dementia. The work centres on home visits, clinics and telephone triage, with independent assessment, diagnosis, prescribing and end-of-life care coordination.

You will lead ward rounds in care homes, support over-75s triage and contribute to a wider multidisciplinary primary care team.

Qualifications

• Registration as an NMC (UK) or HCPC professional, with annual renewal.
• Post-graduate study including a Level 6 or 7 mentorship module.
• Experience as an extended-role clinician in a primary care setting.

Responsibilities

• Lead home visits, face-to-face clinics and telephone consultations for patients with medical and social needs.
• Assess, diagnose and manage patients independently from history-taking to evaluation of care.
• Triage patients (including over-75s) and refer for investigations and specialist input as appropriate.
• Prescribe medicines and carry out treatments independently, within scope of practice.
• Coordinate holistic assessment and end-of-life care for palliative patients.
• Provide care for frail and elderly patients in care and nursing homes, including weekly ward rounds.
• Manage dementia, learning disability and long-term conditions, including complex comorbidities and QOF reviews.
• Manage memory loss referrals to MAS and related investigations and treatment.
• Complete, review and audit RESPECT forms with patients and carers.
• Coordinate care with District Nurse team, hospice, social care and SOAHMS.
• Keep accurate clinical records and participate in audit, quality improvement and safeguarding.
• Complete training in Level 7 physical assessment, a Level 7 frailty module and non-medical prescribing.

Skills

Prioritisation

Communication

Leadership

Resilience

Teamwork

Data handling

NHS legislation

Clinical governance

Education

RN or paramedic degree

Post-graduate study (Level 6/7 mentorship)

Tools

EMIS Web

Job description

This full-time Extended Scope Practitioner post sits within the Enhanced Care Team at Hastings & Rother Healthcare, covering frailty, palliative care, care homes and dementia. The work centres on home visits, clinics and telephone triage, with independent assessment, diagnosis, prescribing and end-of-life care coordination. It stands out for its care-home ward rounds, over-75s triage and work within a wider multi-disciplinary primary care team. Applicants need NMC or HCPC registration, post-graduate study and two-plus years as an extended-role clinician.

What the job involves

• Lead home visits, face-to-face clinics and telephone consultations for patients with medical and social needs, including urgent and same-day requests
• Assess, diagnose and manage patients independently from history-taking to evaluation of care, reviewing results such as bloods and X-rays
• Triage patients, including over-75s, and refer for investigations and specialist input as appropriate
• Prescribe medicines and carry out treatments independently, within scope of practice
• Coordinate holistic assessment and end-of-life care for palliative patients, working with the palliative care team and Gold Standards Framework
• Provide care for frail and elderly patients in care and nursing homes, including weekly ward rounds
• Manage dementia, learning disability and long-term conditions, including complex comorbidities and QOF reviews
• Manage memory loss referrals to MAS and the associated investigations and treatment
• Complete, review and audit RESPECT forms with patients and carers
• Coordinate care with the District Nurse team, hospice, adult social care and SOAHMS
• Keep accurate clinical records and take part in audit, quality improvement and safeguarding
• Complete training in Level 7 physical assessment, a Level 7 frailty module and non-medical prescribing

Qualifications

• RGN or paramedic degree or equivalent
• Post-graduate study including a mentorship module at Level 6 or 7

Registration & licences

• Full and unrestricted NMC (UK) or HCPC registration, maintained annually

Experience

• Two-plus years as an extended-role nurse managing a wide range of medical presentations
• Working with frail, palliative and end-of-life patients
• Physical assessment of patients, including recognising the acutely ill
• Managing undifferentiated and undiagnosed conditions
• Giving specialist advice on care
• Standard setting, audit and clinical governance

Skills & knowledge

• Excellent prioritisation and organisation, managing multiple tasks and workload
• Excellent verbal and written communication with patients and colleagues
• Leadership and ability to work as a team member
• Resilience to adapt to change, stay calm under pressure and work in challenging settings
• In-depth knowledge of recent NHS legislation and the specialist area
• Working confidently and accurately with data and information

Other

• Evidence of continuing professional development

Nice to have

• Prescribing qualification
• Qualification in frailty care
• Qualification in physical assessment skills
• Previous experience in general practice
• Knowledge of EMIS Web

What's offered

• Flexible working patterns
• Employee Assistance Programme
• NHS pension
• Excellent remuneration
• Career development
• Supportive clinical working environment