This role provides high‑quality clinical care to housebound patients on behalf of their registered GP practice and the wider PCN. The Clinical Practitioner will review and support patients in their own homes, ensuring robust medical management plans are put in place to keep patients at home and avoid admission to hospital.
Responsibilities
* Review, diagnose, treat, refer, evaluate, and follow up patients referred to the Acute Visiting Service (AVS) Monday‑Friday 12:00‑20:00.
* Collaborate closely with Acute Care at Home, Virtual Ward Teams and the Community Rapid Intervention Service (2hr Urgent Community Response) across 7 day 8:00‑22:00 hours.
* Act as an independent Non‑Medical Prescriber and Registered Healthcare Professional, delivering evidence‑based prescribing and deprescribing.
* Conduct physical assessment, diagnostic testing, interpretation and formulate treatment plans that avoid hospital admission.
* Lead ward rounds, daily huddles and multidisciplinary team meetings; triage new referrals and determine level of support required.
* Perform advanced clinical procedures in the home setting, including catheterisation, venepuncture, cannulation and ECG.
* Provide acute assessment, interventions and formulation of medical management plans for individual patients.
* Communicate effectively with patients, carers and colleagues, obtaining consent and ensuring patients are fully informed.
* Support 2hr Urgent Care Response with initial visits, assessments, prescribing and admission avoidance.
* Work with the Senior Liaison Practitioner to pull patients down from ED, Emergency Portals, and specialist wards.
* Produce accurate, comprehensive documentation and patient records in line with legislation, policies and procedures.
* Plan and organise staff delegation, ensuring tasks are carried out by suitably trained staff.
* Provide advice and education to patients, families and care staff regarding treatment and management.
* Induct new staff, train pre‑registration students and deliver small‑group or one‑to‑one training sessions.
* Identify training needs and maintain an agreed level of clinical competence.
* Lead and participate in clinical audit programmes to monitor effectiveness of care.
* Drive service development, propose changes, and contribute to implementation of policies and guidelines.
* Manage time, equipment and logistics between patient locations.
* Represent the service in departmental meetings and contribute to organisational meetings as required.
* Maintain professional competence, adhere to relevant codes of conduct and practice standards.
* Ensure access to a private vehicle and hold a full driving licence to travel to patient homes.
Qualifications
* Registered Healthcare Professional with valid registration.
* Independent Non‑Medical Prescriber with experience in prescribing and deprescribing.
* Extensive experience in acute care, urgent or primary care settings.
* Valid full driving licence and reliable vehicle access.
* Demonstrated ability to lead, manage complex cases and work autonomously.
* Strong communication skills and proven teamwork ability.
Equality and Diversity
We are committed to equality of opportunity and welcome applications from everyone regardless of ethnicity, disability, gender, age, faith or sexual orientation. Appointment will be based on merit alone.
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