PCN Paramedic/Emergency Care Practitioner
Closing date: 24 May 2026
Hours: 30–37.5 hours per week
Interviews: Tuesday 2 June 2026
Main duties of the job
The role is based within the PCN Paramedic Team supporting the wider PCN and member practices with the PCN's acute home visiting service and on the day acute care in practices. This includes clinical triage, telephone consultations, home visits and face to face consultations in practices for patients accessing acute/on the day care.
The role will incorporate supporting digital initiatives and coordinating the patient journey through primary care with focused work, where needed, around the delivery of the Network Contract Directed Enhanced Service (DES) specifications.
About us
The Barnstaple Alliance PCN is a proactive and supportive network of four General Practitioner surgeries: Brannam, Fremington, Litchdon and Queens Medical Centres. Between us we provide care to over 55,000 patients in the Barnstaple area. Whilst retaining our independent surgeries, we are working together on collaborative projects to improve and develop the healthcare services we offer to patients.
Job responsibilities
Core Responsibilities of the Role
* Management of Patient Health and Illness: Provide a point of contact within the PCN for patients residing at home or within CareHomes or generally with acute care needs who present with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan. Priority work daily is acute home visits and then when time allows providing on the day acute care support to the PCN practices.
* Work closely with and in partnership with community providers, care home staff and other partner organisations to help improve patient outcomes, ensure better access to healthcare and help manage general practice workload. The role has the potential to significantly improve the quality of care and safety for patients.
* Evaluate clinical information from examination and history taking. Initiate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports, liaising and sharing information with the MDT. Arrange hospital admission for patients where clinically needed.
* Support the Clinical Director and member practices in the delivery of the DES specifications.
* Prioritise health problems and intervene appropriately, including initiation of effective emergency care.
* Provide coordination and navigation with the aid of digital tools for patients and their carers across health and care services.
* Provide safe, evidence-based, cost effective, individualised patient care.
* Maintain accurate and contemporaneous records, utilising computer systems where appropriate and consider the Caldecott Principles and GDPR Regulations in relation to all data handling.
Professional Role
* Promote personal development and clinical excellence.
* Work with the MDT and others in developing new roles, responding to changing healthcare needs.
* Facilitate and participate in multi-disciplinary education and clinical supervision.
* Work within the Paramedic Code of Professional Conduct.
* Participate in organisational decision making, interpret variations in outcomes and use data from information systems to improve practice.
* Maintain own professional development in line with professional Regulations.
* Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.
* Monitor the effectiveness of their clinical practice through the quality assurance strategies as the use of audit and peer review.
* Participate in continuing professional development opportunities to ensure up-to-date evidence-based knowledge and competence in all aspects of the role is maintained.
* Keep up to date with relevant health-related policy and work with the MDT to consider the impact and strategies for implementation.
* Play an active role in the development of PCN development plans and new services.
* Demonstrate team leadership, resilience and determination, managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others.
Team Role
* Liaise with all members of the PCN Team, Practices and other agencies local authority, social services, secondary care and voluntary sector in order to assure appropriate care is provided.
* Participate as a key member of the MDT team through the development of collaborative and innovative practice.
* Value all team members.
* Be able to recognise personal limitations and refer to more appropriate colleague(s) when necessary.
* Delegate appropriate tasks to the other team members whilst still maintaining responsibility for this area.
* Support the delivery of health and safety guidance as agreed within the PCN.
* Support the writing of, maintenance and delivery of CQC guidance within the PCN.
Organisational
* Be confident in the use of computer systems, creating searches, completing records, audits, reports and responding to appropriate questions and requests.
* Attend meetings as requested.
* Support effective communication channels between the whole team.
* Work according to Clinical Governance and support the Clinical Governance Agenda.
* Understand the role of Risk Management within the PCN contributing to risk assessment and Significant Event Audit and the importance of Infection Control.
* Actively participate in the delivery of QOF targets and other statutory care requirements as needed.
Mission, Values and Strategic Direction
* Ensure that patient centred care and safety is central to culture, philosophy and organisation of the PCN.
* Develop a culture of ongoing review, taking into account new methods of working.
Effective Communication and Collaboration
* Communicate effectively with other team members.
* Communicate effectively with outside agencies and other stakeholders.
* Recognise people's needs for alternative methods of communication and respond accordingly.
* Recognise the significance of collaborative working and ensure they communicate in a way, which enables the sharing of information in an appropriate manner.
UNDERPINNING POLICIES
Confidentiality
* Adhere to the General Data Protection Regulations (GDPR) 2018.
* In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the member practice as a business organization and to the Network. All such information from any source is to be regarded as strictly confidential.
* Information relating to patients, carers, colleagues, other healthcare workers or the business of the member practices or Network may only be divulged to authorised persons in accordance with the Network policies and procedures relating to confidentiality and the protection of personal and sensitive data.
Health & Safety
* Comply with any safety instructions. Use in a proper and safe manner the equipment and facilities provided.
* Refrain from the wilful misuse or interference with anything provided in the interest of health and safety.
* Report as soon as practical accidents and untoward occurrences and ensure that accident forms are completed.
* The post holder is required to travel independently between practice sites, patient and/or Care Homes and to attend meetings etc hosted by other agencies.
* The post-holder will have contact with body fluids i.e. wound exudates, urine etc while in clinical practice.
* The PCN operates some extended hours on a rota basis and the post-holder may be required to work some extended hours shifts as detailed in your Employment Contract.
Safeguarding
* The PCN is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expect all staff to share its commitment.
* Vigorous recruitment checks are carried out on successful applicants who will be required to undertake Enhanced Disclosure via the Criminal Records Bureau (CRB).
Equality and Diversity
* Act in a way that recognises the importance of people's rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
* Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Personal/Professional Development
* Participate in any training programme implemented by the practice as part of this employment, including:
* Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
* Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
Quality and Continuous Improvement
* Preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work.
* The network continually strives to improve work processes, which deliver healthcare with improved results across all areas of our service. We promote a culture of continuous improvement, where everyone counts and staff will be permitted to make suggestions and contributions to improve our service delivery and enhance patient care.
Person Specification
Qualifications
* Registered Paramedic
* Post registration qualification to evidence autonomous clinical practice relevant to Urgent Care Prescribing qualification or desire to achieve a prescribing qualification
* Further professional qualifications e.g.
* Masters Level Aware covering and assessing all 4 pillars of advanced clinical practice (clinical practice, leadership and management, education and research)
Experience
* Post registration experience to evidence autonomous clinical practice relevant to Urgent Care and General Practice
* Experience of working within a multi-disciplinary team in an acute or Primary Care Setting
* Highly developed specialist knowledge underpinned by theory and experience
* Experience of working under pressure and managing varying workloads and changing demands
* Sound knowledge of local primary care services including key players
* Demonstrate experience of CPD and desire to actively engage in ongoing learning of self and others
* Demonstrable experience of advanced clinical knowledge in all age groups, without limitation in scope
* Able to evidence safe prescribing practice and is either an Independent Prescriber or willing to train as one
Personal Qualities
* Committed and Enthusiastic to service and personal development
* Team Player
* Flexibility of working hours
* Willing to embrace change that will enhance the quality of the service and contribute to developing patient quality audits and pathways
Skills & Abilities
* Ability to support and manage a case-load of patients including assessment, planning, monitoring and evaluation, including providing health promotion and education to patients and carers
* Working autonomously and within professional boundaries when ordering tests, requesting investigations and developing interventions. Minimal supervision and support required
* Able to seek support from peers when faced with patients with presenting conditions outside of their clinical knowledge
* The ability to exercise a high level of personal/professional autonomy and make critical judgments to meet the expectations and demands of the role and service
* Ability to liaise effectively with members from other Health Care Providers within Primary and Secondary Care and external agencies as required
* Ability to work on own initiative and prioritise own work and work within a team
* To use advanced health assessment, examination, diagnosis and treatment within an agreed scope of practice
* Ability to demonstrate effective written and verbal communication skills and excellent interpersonal and counselling skills
* Direct responsibility for the management of patients within own caseload and supervision/development of junior members of the multidisciplinary team
* Able to participate with clinical audit
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.
Salary
£40,000 to £59,000 a year depending on experience and qualifications
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