Enhanced Care Practitioner (ECP) – Hospital at Home
We have an exciting opportunity for an Enhanced Care Practitioner (ECP) to join our Wiltshire West Locality Hospital at Home service. The service is currently undergoing an exciting period of transformation, making this an excellent time to become part of a dynamic and innovative team.
You will be working across Wiltshire West bases but work within the integrated community health & care services and people's homes. Service hours run from 8 am‑8 pm, 7 days a week.
As an ECP, you will play a pivotal role in providing expert clinical assessment, diagnosis, treatment, and management of patients within your area of specialty. You will lead by example, supporting colleagues, championing best practice, and helping drive forward innovation in patient pathways.
Main duties of the job
As an Enhanced Care Practitioner reporting to the Advanced Clinical Practitioner, you will deliver enhanced clinical assessment, diagnosis, treatment and ongoing management for patients receiving acute level care at home, in line with agreed pathways and protocols. You will manage a defined caseload, taking accountability for safe, effective and person‑centred care from referral through to discharge.
You will work as a key clinical member of the Hospital at Home multidisciplinary team, collaborating with care coordination, nursing, therapies, ACPs and support staff across BaNES, Swindon and Wiltshire. The role supports StepUp and Step Down models of care, with a focus on the 2‑hour Urgent Community Response pathway to enable admission avoidance and timely supported discharge.
You will undertake advanced clinical decision making, including risk assessment and escalation, ensuring patients receive the right care, in the right place, at the right time. Working closely with BSW Care Coordination Centres, NHS 111 and 999, you will help optimise capacity and reduce unnecessary hospital conveyance.
You will coordinate care across primary, secondary, community and social care, maintain accurate clinical documentation, contribute to service development and quality improvement, support governance and act as a role model for enhanced clinical practice.
About us
About the Company
We change lives by transforming health and care.
Established in 2006, we are one of the UK’s leading independent providers of community health and care services, working with health and care commissioners and communities to transform services with a focus on experience, efficiency and improved outcomes. We deliver and transform adult and children community health services, primary care services including urgent care, sexual health, dermatology and MSK services as well as adult social care and wellbeing services. Across England, we support communities of many millions and directly help more than half a million people each year – guided by our simple values: we care, we think, we do.
We’re committed to equal opportunities and welcome applications from a broad, diverse range of people who want to join our team. We’re a Disability Confident Company, so we work to provide facilities, work environment adjustments and technical solutions to be as inclusive of everyone.
To find out more about HCRG Care Group, visit https://www.hcrgcaregroup.com/about-us-2.
Job responsibilities
As an Enhanced Care Practitioner (ECP), you’ll be part of our valued team in our Wiltshire West Locality Hospital at Home service.
Benefits
* Band 7 AfC Salary with NHS Pension and full Agenda for Change terms and conditions.
* Membership of My Reward Hub, giving you access to discounts on everyday purchases such as grocery shopping as well as cashback and voucher offers for treats for you and those special to you.
* Access to your wages as you earn them to help cover life's emergencies and avoid overdraft fees or high interest rates.
* Online and face‑to‑face help with your mental and physical wellbeing from healthy recipes and activity challenges through to post‑trauma support, legal, debt and life management help, as well as career coaching and counselling.
* Access to eLearning, bespoke career pathways and opportunities for continuing professional development through our Outstanding learning and development team, The Learning Enterprise.
* An open, just culture where you’re encouraged to have and implement ideas which can help us deliver our purpose: changing lives through transforming health and care backed up by at least £100,000 of ringfenced innovation funding each year.
* The pride of working for an organisation committed to the highest clinical and quality standards, with a majority of our rated services holding good or outstanding ratings from the Care Quality Commission.
* Free tea, coffee and milk at your base location.
Qualifications and experience
The ideal candidate for this role will:
* Current professional registration with the NMC or HCPC.
* Degree educated with relevant postgraduate learning or equivalent experience in enhanced clinical practice.
* Recognised qualification in enhanced/advanced clinical assessment and diagnostic reasoning (e.g. PADRAP / PACR or equivalent).
* Significant post‑registration experience in elderly care, frailty, community services, or a relevant acute specialty.
* Strong experience in urgent and/or acute clinical assessment, including undifferentiated and complex presentations.
* Proven ability to independently manage complex caseloads and make autonomous clinical decisions.
* Experience working within multidisciplinary and multi‑agency teams.
* Leadership experience, including clinical supervision and supporting service or practice development.
* Excellent communication skills and strong clinical judgement.
* Ability to work autonomously in a dynamic clinical environment.
* Confident IT skills and experience using electronic clinical systems.
* Commitment to safe practice, professional accountability, and clinical governance.
* Current full driving licence and use of a car during working hours.
* Recognised teaching, mentorship or practice assessor qualification.
* Current Independent Prescribing qualification, or demonstrable progression toward qualification, with experience supporting prescribing and treatment of frail older adults and patients with complex needs.
* Involvement in relevant clinical interest or professional groups.
* Experience of clinical audit, service evaluation, research and/or quality improvement.
* Understanding of quality, safety and governance frameworks within community or urgent care services.
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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