This home visiting post sits within Cramlington & Seaton Valley PCN, serving registered patients too unwell to attend their practice. The postholder assesses, diagnoses and treats acute, complex and long-term conditions in patients' homes, aiming to avoid admission where it is clinically safe. The role works autonomously and includes independent prescribing, with close working alongside GPs, nurses and community services. Applicants need current NMC or HCPC registration and a business-insured vehicle with a valid UK driving licence.
What the job involves
- Undertake planned and urgent home visits for patients who need care at home
- Independently assess and diagnose complex undifferentiated illness, requesting and interpreting investigations where authorised
- Initiate treatment, including medicines, within prescribing qualifications and professional competence
- Assess acute illness and deterioration to decide the appropriate level and setting of care
- Treat and monitor patients at home where safe, rather than arranging hospital admission
- Recognise serious illness and arrange urgent hospital or ambulance escalation without delay
- Assess frail patients and those with multiple comorbidities, including after falls
- Support palliative and end-of-life care, anticipatory care planning and future care preferences
- Coordinate care with the duty GP, MDT, community nursing, social care, care homes and pharmacists, promoting continuity
- Arrange follow-up and referrals, including follow-up for patients recently discharged from hospital
- Keep accurate SystmOne records with SNOMED CT coding, and report significant findings to the responsible GP
- Give safety-netting advice to patients, relatives and carers, and respond to capacity, consent, safeguarding and carer concerns
Qualifications
- Advanced practice master's-level qualification or recognised equivalent evidence of advanced practice capability
Registration & licences
- Current NMC or HCPC registration, or other appropriate statutory professional registration
Experience
- Experience assessing and managing undifferentiated illness
- Experience working in primary care, urgent care or community healthcare
- Significant post-registration clinical experience
Skills & knowledge
- Advanced clinical assessment and diagnostic skills
- Ability to make autonomous clinical decisions and manage clinical risk
- Strong understanding of safeguarding adults and children
- Excellent communication, documentation and interpersonal skills
- Ability to work independently and collaboratively within a multidisciplinary team
Checks & eligibility
- Valid UK driving licence and access to a vehicle insured for business use
Nice to have
- Independent prescribing qualification
- Experience of undertaking home visits
- Experience managing frailty, complex comorbidities and palliative care
- Experience using SystmOne
- Experience of clinical audit, teaching or service improvement