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

NHS Jobs; Hastings; On-site; GBP 45,000 - 60,000; Full time

Job summary

NHS Jobs in Hastings is seeking an Extended Scope Practitioner for the Enhanced Care Team (Paramedic/Nurse) to provide clinical leadership, specialist assessment, and autonomous patient care for frail and palliative individuals in the community.

You will undertake home visits, clinics, triage, and ward rounds, review RESPECT forms, manage memory loss patients, and coordinate investigations, ensuring safe, evidence-based practice and thorough documentation.

Qualifications

• Leadership in clinical care for frail/palliative patients.
• Autonomous assessment and decision-making within scope.
• Non-Medical Prescribing and memory loss management.
• Home visits, clinics, triage and multi-disciplinary coordination.

Responsibilities

• Lead care for frail and palliative patients with advanced clinical reasoning.
• Undertake home visits, face-to-face clinics and triage activities.
• Review RESPECT forms with patients and carers; coordinate memory loss assessments.
• Prescribe within scope and arrange necessary investigations or input.
• Maintain documentation, governance, and continuing professional development.

Skills

Clinical leadership

Autonomous practice

Non-Medical Prescribing

Memory loss management

Home visits

Education

Level 7 physical assessment

Job description

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

Clinical leadership & specialist role Work closely with the Palliative and End of Life Care Team to support patients through the Gold Standards Framework. Completion, review, and audit of patient-centred RESPECT forms in partnership with patients and carers. Undertake home visits, face to face clinics, telephone consultations, care home ward rounds, and over-75s triage as part of the supported triage team. Specialist assessments & long-term condition management Manage MAS referrals and associated investigations and treatments relating to memory loss. Undertake Dementia and Learning Disability reviews in line with QOF requirements. Manage patients with complex co-morbidities commonly seen in frail and elderly populations e.g. cardiovascular disease, respiratory disease, dementia. Autonomous clinical practice Independently assess, diagnose, and manage patients using advanced clinical reasoning and physical assessment skills. To form accurate diagnoses, prognosis and care plans using a best current clinical and evidence based practice to, include a systematic formulation and advice on evidence based therapeutic interventions Independently decide on and carry out treatments, including the prescribing of medicines,within scope of practice and professional competence. Refer patients for investigations and specialist input as appropriate. Review test results such as bloods and X-Ray as clinically appropriate. Ensure continuity of care through follow-up consultations and review of outcomes. Be responsible for your own administration relevant to the role Person-centred care & communication Communicate effectively with patients, carers, and the multidisciplinary team to support shared decision-making. Promote self-management, health promotion, and healthy lifestyle strategies, adapting approaches to cognitive or motivational barriers. Signpost and coordinate care with internal and external services to ensure seamless transitions of care. Work effectively with outside agencies such as the District Nurse team, Hospice, Adult Social Care, SOAHMS etc. Governance, quality & safety Deliver care in accordance with NICE guidance, NSF standards, GSF Framework, and evidence-based practice. Maintain accurate, timely clinical documentation and ensure appropriate coding and claims. Participate in audit, quality improvement, peer review, and governance processes. Recognise safeguarding responsibilities and act in accordance with statutory and professional requirements. Professional responsibilities Maintain professional registration and undertake required statutory, mandatory, and continuing professional development. Work within professional codes of conduct and recognise the limits of own competence. Manage workload effectively, prioritising care to maintain quality and safety. Contribute to team effectiveness, shared learning, and service improvement. Undertake other duties appropriate to the grade of the post. To provide an extended nursing or paramedic role and take a lead role in the care of the practice frail and palliative patients. To undertake training appropriate for the role namely, but not exclusively Level 7 physical assessment skills, Level 7 module in frailty and Non-Medical Prescribing.