Advanced Practitioner (ACP/ANP/Specialist Paramedic)

Job summary

We are looking for part time and (0 hours) experienced Advanced Practitioners to join our expanding Out of Hours service.

Contracted hours available

• Sunday and Monday overnights
• Saturday and Sunday days

• 0 hours casual worker agreements

This is an exciting opportunity to become part of a supportive multidisciplinary team delivering urgent primary care across Herefordshire. We welcome applications from

• Experienced Advanced Clinical Practitioners
• Advanced Nurse Practitioners
• Specialist/Advanced Paramedics

who are confident working autonomously with patients presenting with undifferentiated urgent care needs.

Working across our Out of Hours service in Hereford, you will provide telephone triage, face-to-face consultations within our treatment centres and home visiting, supported by experienced GPs and a multidisciplinary clinical team. You will independently assess, diagnose, treat and prescribe for patients of all ages, helping deliver safe, high-quality urgent primary care when patients need it most.

Due to current licence limitations, visa sponsorship is not available for this position. Applicants must already hold the right to work in the UK.

Closing Date: We reserve the right to close this vacancy early if we receive a sufficient number of applications and encourage early applications.

We welcome informal enquiries about these opportunities. To arrange a conversation with a recruiting manager, please contact [email protected].

Main duties of the job

• Provide advanced clinical assessment, diagnosis and treatment for patients of all ages.
• Manage undifferentiated and complex presentations in an urgent care setting
• Prescribe medications independently and implement treatment plans
• Request and interpret diagnostic investigations
• Work collaboratively with GPs, nurses and the operational team
• Support service development and contribute to quality improvement initiatives
• Provide clinical leadership, mentorship, and education to junior staff

About us

Taurus Healthcare was established in 2012, as the provider arm of the GP Federation serving 185,000 patients in Herefordshire.

Founded and owned by the partners of the entire Herefordshire Primary Care community, Taurus is focused on providing excellent out of hospital services for patients. Our ethos is to provide high quality and cost-effective health outcomes that are delivered as close as possible to the patients home, whilst ensuring that patients who do require in hospital services are seen as quickly and effectively as possible.

At Taurus Healthcare we strive to create a diverse, inclusive workplace, and welcome applications from candidates from all backgrounds including those from Military Veterans and family members of serving personnel.

• Taurus Healthcare offer many employee benefits, such as:
• Access to a generous NHS pension scheme with 23.78% employer contribution.
• 33 to 38 days annual leave entitlement, including bank holidays, depending on service (pro rata for part-time staff).
• Access to an extensive Employee Benefits Programme (Vivup) offering:

• 24/7 access to counselling services

• Salary sacrifice scheme for cars and bikes

• Access to a wide range of discounts from national retailers

• Access to the Blue Light extensive discount scheme.

Job responsibilities

JOB PURPOSE:

The Advanced Clinical Practitioner (ACP) is a senior autonomous clinician who delivers high quality, evidence based care across Taurus Healthcare's integrated primary care and urgent care services, supporting the organisations vision of accessible, 24/7 general practice.

The post holder will assess, diagnose, treat and manage patients with undifferentiated, acute and complex conditions, while contributing to service development, clinical leadership, education and quality improvement across the system.

Main Responsibilities

1. Clinical Practice

• Practice as an independent and autonomous clinician, managing patients with undifferentiated, acute and chronic conditions across face to face, home visiting, remote and digital consultation models

• Undertake comprehensive clinical assessment, diagnosis and management, demonstrating advanced clinical reasoning, risk assessment and safety netting

• Initiate, interpret and act on appropriate investigations and referrals in line with local and national pathways

• Prescribe and manage medications safely and effectively in accordance with national guidance, local formularies and EMIS decision support tools

• Contribute to flow, continuity and demand management across integrated services, including prevention of unnecessary hospital admissions

• Respond confidently to complex, urgent and emergency presentations, initiating immediate care as required

• Safeguard children, young people and adults, recognising risk, acting within statutory frameworks and escalating concerns appropriately

2. Integrated & Multidisciplinary Working

• Work collaboratively with GPs, nurses, paramedics, pharmacists, operational teams and external partners to deliver seamless, patient-centred care

• Support system wide working by ensuring patients receive the right care, in the right place, at the right time

• Contribute to the development of new models of care that enhance access, quality and patient experience

3. Leadership & Service Development

• Act as a senior clinical decision maker within the multidisciplinary team

• Provide visible clinical leadership, supporting safe practice, innovation and continuous improvement

• Contribute to service redesign, pathway development and quality assurance activity

• Support the investigation and learning from clinical incidents, audits and significant events

• Promote a positive learning culture, role modelling professionalism and reflective practice

Person specification

Personal Qualities or attributes

Essential

• Commitment to integrated, patient-centred care and service innovation

Qualifications

Essential

• Relevant postgraduate clinical qualification at Level 7 (or working towards) qualification or equivalent
• Registered Nurse (NMC) or Paramedic (HCPC)

Skills

Essential

• Proven ability to work autonomously while recognising professional limits
• Excellent communication, clinical reasoning and decision-making skills
• Driver with clean licence

Experience

Essential

• Minimum 5 years post-registration experience, including significant autonomous practice.
• Demonstrable experience managing undifferentiated and complex clinical presentations.

Desirable

• Experience working across primary care and urgent care settings.
• Experience of EMIS and remote consultation platforms.
• Leadership or service development experience.
• Experience of supporting education, supervision or mentoring

Skills

Essential

• Proven ability to work autonomously while recognising professional limits
• Excellent communication, clinical reasoning and decision-making skills
• Driver with clean licence