The post-holder is a Paramedic who acts within their professional boundaries.
Paramedics work independently within their scope of practice in the community, using their enhanced clinical assessment and treatment skills to assess and manage patients presenting with acute presentations which include minor illness or injury, abdominal pains, chest pains and headaches.
Main duties of the job
The Paramedic will work as part of a multidisciplinary team delivering high quality primary care services. Assess and manage patients including same day presentations providing appropriate treatment prescribing within policy and local and national clinical guidance or referring to other members of the primary care team. Advise patients on general health and promote self management including signposting to social prescribing and community services. Undertake specialist health checks, reviews and investigations within scope including specimen collection. Support anticipatory care planning and provide an alternative model to urgent home visiting. Communicate effectively with patients, carers and colleagues ensuring a person centred approach. Maintain accurate contemporaneous clinical records in line with legislation. Receive and manage referrals from triage services and clinicians. Actively signpost patients to appropriate healthcare professionals. Review and apply current guidance including NICE and CQC requirements. Adhere to safeguarding policies and organisational procedures. Support enhanced services clinical governance and public health initiatives. Participate in training, supervision, appraisal and service development. Contribute to complaint management learning from incidents and continuous improvement. Maintain a safe, clean and effective working environment and undertake additional duties as required to meet service needs.
Primary responsibilities of the Paramedic
The Paramedic will work as an integral member of the multidisciplinary primary care team, delivering safe, effective, and person-centred healthcare services. The role includes assessing and managing patients presenting through a range of pathways, including same day triage, providing appropriate clinical treatment within scope of practice, and prescribing in accordance with organisational policy, patient group directives, and national and local clinical guidelines. Where appropriate, the post-holder will refer patients to other members of the primary care team or external services. The Paramedic will provide health advice, promote self‑management, and signpost patients to social prescribing, community, and voluntary services as appropriate. The role includes undertaking specialist health checks, reviews and investigations, including specimen collection, within scope of practice and relevant guidance. The post-holder will support anticipatory care planning, contribute to proactive services, and provide an alternative model to urgent and same‑day GP home visiting. Effective communication with patients, carers, colleagues, and partner organisations is essential to ensure coordinated, person‑centred care. Accurate and timely clinical record keeping is a core responsibility, ensuring documentation complies with legal and professional standards. The Paramedic will receive and manage referrals, participate in clinical supervision and service redesign, adhere to safeguarding responsibilities, support enhanced services, contribute to clinical governance, participate in complaint management and incident learning, attend appraisals, and contribute to public health initiatives. The post-holder is expected to maintain a safe, clean, and effective working environment and undertake additional duties as required to meet service needs.
Wider Responsibilities
In addition to core duties, the Paramedic will support the delivery of quality and performance initiatives, including incentive schemes and cost‑effectiveness programmes. The role includes providing training, mentoring, and guidance to colleagues, supporting medical emergency preparedness, and contributing to a range of consultation models, including virtual, remote, and home visiting services. The post‑holder may be required to undertake additional tasks consistent with the level and scope of the role. Duties may vary in response to service demands without altering the overall nature or responsibility of the post.
Qualifications
* Educated to degree level in paramedicine or equivalent experience. Working towards developing Level 7 capability in paramedic areas of practice and, within six months of the commencement of reimbursement for that individual (or a longer time period as agreed with the commissioner) Registered with the Health and Care Professions Council (HCPC) as a Paramedic. Is working towards developing Masters level or equivalent capability in paramedic areas of practice and has completed and been signed off formally within the clinical pillar competencies of the NHS E Paramedic FCP/AP Roadmap to practice. Completed and been signed off formally within the clinical pillar competencies of the Advanced Clinical Practice Framework.
* Essential criteria: Effective time management (planning and organising). Ability to listen, empathise with people and provide person‑centred support in a non‑judgemental way. Ability to follow legal, ethical and professional policies/local policies/procedures and codes of conduct. Ability to use own initiative, discretion and sensitivity. Ability to identify risk and assess/manage risk. Ability to deal with non‑routine and unpredictable nature of the workload and individual patient contact. Demonstrate personal accountability, emotional resilience and work well under pressure. Knowledge of IT systems including the ability to use word processing skills, emails and the internet. Problem solving and analytical skills. Able to support people in a way that inspires trust and confidence, motivating others to reach their potential. High level of written and oral communication skills. Knowledge of and ability to work to key policies and procedures. Ability to work as a team member and autonomously. High levels of integrity and loyalty. Ability to take part in reflective practice and clinical supervision activities. Ability to maintain effective working relationships and to promote collaborative practice with all colleagues. Commitment to ongoing professional development. Good interpersonal and organisational skills. Sensitive and empathetic in distressing situations. Effectively utilise resources. Clear, polite telephone manner.
Experience
* Completed their two-year Consolidation of Learning period when a newly qualified paramedic. Completed a further three years experience as a band 6 (or equivalent) paramedic. Attained Level 7 capability in paramedic areas of practice. An appreciation of the new NHS landscape, including the relationships between individual practices, PCNs and the commissioners. Experience of working autonomously.
* Essential criteria: Ability to communicate complex and sensitive information effectively with people by telephone, email and face to face. Excellent interpersonal, influencing, negotiation and organisational skills with the ability to constructively challenge the views and practices of managers and clinicians. Good clinical system IT knowledge. Understanding of safeguarding adults and children. Commitment to reducing health inequalities and proactively working to reach people from all communities. Ability to work within own scope of practice and understanding when to refer to another healthcare professional. Ability to record accurate clinical notes. Broad knowledge of clinical governance.
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.
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