The Advanced Paramedic role will support primarycare to deliver patient services as part of an established practice-based team of paramedics in North and West Herefordshire PCN.
To work within our practices as an autonomous, accountable Paramedic providing holistic care for individuals including clinical assessment, diagnosis, management and treatment.
They will work collaboratively as part of a general practice multidisciplinary team to meet the needs of patients, supporting the delivery of the PCN priorities for improved health and care across our geographical area.
The role will exist within a team and will be both varied and diverse with clinical support and mentorship provided to allow the successful recruit to flourish. The workload will consist of a mixture of urgent home visit assessments, pro‑active assessments as part of our well‑being team and duty day cover with opportunity to then follow up the patients seen.
* Interviews are expected to be held on Thursday 13th November 2025*
Main duties of the job
Key responsibilities will include:
* Assessing and treating patients in their own place of residence and those attending surgery.
* Triage and treat patients, making any necessary referrals to other members of the primary health care team and MDT and/or organise admission to hospital if required.
* Ensure clinical practice is safe and effective and remains within boundaries of competence and acknowledges practitioners own limitations.
* Advise patients on maintaining health and wellbeing, and refer to other team members as need arises.
* Communicate at all levels within the multidisciplinary team ensuring effective service is delivered.
* Maintain accurate, contemporaneous healthcare records appropriate to the consultation.
* Ensure evidence‑based care is delivered at the highest standards ensuring delivery of high‑quality patient care.
* Work within local policies and procedures.
* Participate in the audit process, evaluation and implementing plans and practice change in order to meet patient need.
* Take responsibility for safeguarding children and vulnerable adults and work with other team members to ensure they are protected.
For an informal chat about the role before applying please email helen.southwell@taurushealthcare.co.uk
See full JD and specification attached.
About us
This beautiful part of the country borders Worcestershire, Shropshire, and Wales. We serve both rural and market town communities, responding to the wide‑ranging health needs of our population. Our Primary Care Network (PCN) is highly organised and forward‑looking, with strong, collaborative relationships between practices and community providers.
Our network includes:
* Kington Medical Practice
* Ryeland Surgery, Leominster
* Mortimer Medical Practice
* Tenbury Wells Surgery
* Weobley and Staunton‑on‑Wye Surgeries
Herefordshire General Practice and Primary Care Networks are supported by the GP Federation, Taurus Healthcare, enabling us to deliver the best of local services while benefiting from the advantages of working at scale.
Employee benefits
* 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.
Due to current licence limitations, visa sponsorship is not available for this position. Applicants must already hold the right to work in the UK.
Job responsibilities
Applicants should be experienced – minimum 5 years post qualified. Paramedics who, acting within their professional boundaries, will provide care for patients from initial history taking, clinical assessment, diagnosis, treatment, and appropriate follow up and evaluation of care.
The role will include working as part of the duty team and playing a vital part in performing urgent assessments predominantly in the patients' home but may be remotely or at the Practice.
The post holder will demonstrate critical thinking in the clinical decision‑making process, with the ability to prioritise and triage the needs of patients, accordingly, instigating appropriate investigations or referrals to colleagues and other care providers.
They will be able to follow local and national guidelines and pathways, working to the latest evidence base, and will practise in a reflective manner, completing significant event analyses and audits to evaluate the effectiveness of the care they provide.
The post holder will work collaboratively as part of the general practice multidisciplinary team to meet the needs of patients, supporting the delivery of the Primary Care Network priorities for improved health and care across our geographical area. The role will exist within a team and will be both varied and diverse with clinical support and mentorship provided to allow the successful recruit to flourish. The workload will consist of a mixture of urgent home visit assessments, pro‑active assessments as part of our well‑being team and duty day cover with opportunity to then follow up the patients seen.
The role is varied and diverse with clinical support and mentorship provided; there will be a strong focus on self‑development and team engagement. In turn, the post holder will be expected to contribute to the teaching and training of more junior and less experienced colleagues.
Main Responsibilities
T to be an integral part of a Network‑wide team of clinicians, including GPs, ACPs/ECPs, nurses and paramedics, delivering acute and planned care to the population.
To work within the community, as an autonomous, accountable, Paramedic Practitioner, in the provision of a holistic approach for individuals including assessment, diagnosis and treatment, to deliver high quality patient services.
To assess, investigate, diagnose, treat, refer, or signpost patients/service users who present with undifferentiated or undiagnosed condition relating to minor illness, minor injury, or urgent problems.
The post holder will use advanced clinical skills to provide education to service users, promoting self‑care and empowering them to make informed choices about their treatment.
The post holder must have access to a vehicle for home visits with mileage expenses remunerated by submission of a monthly mileage form. (Please note it is the post holder's responsibility to ensure that their car insurance is covered for business use).
Diagnosing and treating patients presenting with minor illness and/or minor injury.
Works from the surgery as an autonomous practitioner caring for patients and families.
Triage and treat acutely unwell patients wishing to see a health care professional, making any necessary referrals to other members of the primary health care team. Consulting at 15 minutes once competent within the practice clinical system.
Support assessment and care of patients accessing the Practice using telephony or an online consultation platform after training if necessary.
Triage and treat appropriate patients in the practice or on home visits and discuss with patients GP after assessment.
Maybe required to help with avoiding unplanned admissions.
Maybe required to help with care home provision.
Will also review patient documents and pathology results and assist in maintaining patient records where appropriate.
Assist with the annual flu and other immunisation programmes.
Advise patients on general health care and minor ailments, with referral to other members of the primary and secondary health care team as necessary.
Undertake assessment for patients within their place of residence including care homes and those attending the surgery, using diagnostic skills, initiation of investigations and feeding back to the patients GP where appropriate.
Prescribe/issue medication as appropriate following policy, patient group directives and local pathways. Independent Prescriber qualifications desirable; where not available, candidates will be supported to undertake this as part of their future development.
To impart knowledge and skills to colleagues, both formally and informally by promoting peer review and best practice within the work environment.
To communicate at all levels within the team ensuring an effective service is delivered.
Ensure evidence‑based care is delivered at the highest standards ensuring delivery of high‑quality patient care.
Work with local and national evidence‑based policies and procedures.
Contribute to teaching and training of colleagues within the Network.
* A full Job Description & Person Specification is attached to this advert*
Person Specification
Personal Qualities and Attributes
* Reliable, conscientious and flexible approach to work.
* Commitment to reducing health inequalities and proactively working to reach people from diverse communities.
* To be able to work independently on own initiative.
* Ability to maintain confidentiality.
Other Job Requirements
* Understanding of confidentiality and Data Protection.
Qualifications
* Health and Care Professions Council - HCPC registration.
* Undergraduate attainment at minimum of Framework for Higher Education Qualification - FHEQ- Dip.He. in relevant subject
* Able to operate at an advanced level of practice within Level 7 capabilities as defined by NHE/I PCN DES and HEE
* Full UK driving licence and access to a vehicle
* Safeguarding training children and adults level 2, or willing to complete.
* College of Paramedics Diploma in Primary & Urgent Care.
Experience
* Experience in managing the care of patients with undifferentiated undiagnosed conditions or a designated caseload.
* Practical experience of completing examinations and assessments, care planning, implementing interventions and evaluation of outcomes.
* Proven ability to recognise and manage risk.
* Ability to understand scope of own practice and competence and to maintain learning to ensure safe, competent, and confident practice.
* Experience of partnership/collaborative working and of building relationships across a variety of organisations.
* Awareness of GDPR and confidentiality, mandatory training will be required at induction.
* Experience of working in the primary and/or urgent care sectors.
* Experience of telephone (remote) clinical triage.
* Leadership or mentorship experience.
* Experience of using IT systems such as EMIS.
* Working towards or willing to work towards FCP Roadmap Stage 1 and 2, and Independent Prescribing status.
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.
£44,366.84 to £48,695.31 a year, dependent on experience.
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