Clinical Paramedic / Advanced Nurse Practitioner

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Knoll Medical Practice Clinical Paramedic / Advanced Nurse Practitioner

The closing date is 12 October 2026

Apply for this job

Job summary

Knoll Medical Practice is looking to recruit an enthusiastic, experienced and patient-focused Clinical Paramedic or Advanced Nurse Practitioner to join our friendly and supportive practice team.

This is an exciting opportunity for a clinician with a strong interest in acute and same-day care to play a key role in the assessment and management of patients presenting with a range of urgent and undifferentiated conditions. The role will combine face-to-face clinical consultations within the practice with daily home visits, supporting the delivery of responsive, high-quality care to our patient population.

You will work closely with our GP team and wider multidisciplinary practice team, with full clinical support available whenever required. We are committed to fostering a collaborative environment where clinicians feel valued, supported and able to develop their skills.

Main duties of the job

• Assessing, diagnosing and managing patients presenting with acute, urgent and undifferentiated conditions, within your professional competence and scope of practice.
• Conducting face-to-face consultations in the practice, focusing primarily on acute and same-day presentations.
• Undertaking daily home visits for patients who are unable to attend the surgery.
• Recognising and managing clinical deterioration, escalating concerns and arranging appropriate onward care where necessary.
• Requesting and interpreting appropriate investigations and acting on results within your scope of practice.
• Prescribing and reviewing medication where appropriately qualified and authorised.
• Providing safety-netting advice and ensuring appropriate follow-up and continuity of care.
• Working collaboratively with GPs, practice nurses, healthcare assistants, administrative staff and other members of the wider multidisciplinary team.
• Maintaining accurate, timely and comprehensive clinical records in accordance with practice and professional requirements.
• Contributing to the ongoing development of acute-care pathways and the delivery of safe, effective and patient-centred services.

About us

Knoll Medical Practice is a forward-thinking GP practice caring for approximately 14,600 patients, supported by a team of just over 40 staff across our clinical, administrative and wider practice services.

We are a cohesive and collaborative team that values mutual support, open communication and a strong work ethic. We aim to create an environment where colleagues feel valued, supported and able to deliver their best work. We are also digitally forward-thinking and proactive, embracing new ways of working and using technology to improve access, efficiency and patient experience.

We want Knoll Medical Practice to be a place where patients receive compassionate, timely and effective care, and where staff feel proud to work. We are committed to embracing innovation, continuous improvement and a shared commitment to excellent patient care.

Joining Knoll Medical Practice means becoming part of a supportive team that values collaboration, professional development and continuous improvement. We offer the opportunity to work in a practice where your contribution matters and where there is a shared commitment to delivering excellent patient care.

Details

Date posted

14 September 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£26 to £28 an hour

Contract

Permanent

Working pattern

Part-time

Reference number

A2256-26-0003

Job locations

Orpington Health & Wellbeing Centre

19 Homefield Rise

Orpington

Kent

BR6 0FE

United Kingdom

Job description

Job responsibilities

To provide high-quality, patient-centred clinical assessment, diagnosis, treatment and management for patients presenting with acute and urgent medical problems within a general practice setting.

The postholder will work closely with the GP team and wider multidisciplinary team, providing safe and effective care to patients both within the practice and in their own homes. The role requires an experienced clinician who is able to work autonomously within their scope of practice, while recognising when further clinical support, escalation or referral is required.

Main Duties and Responsibilities

Clinical Responsibilities

• Assess, diagnose and manage patients presenting with acute, urgent and undifferentiated medical conditions.
• Undertake face-to-face consultations and remote consultations where clinically appropriate.
• Conduct daily home visits for housebound and less mobile patients.
• Provide appropriate treatment, clinical advice, safety-netting and follow-up arrangements.
• Recognise and respond appropriately to patients who are acutely unwell or whose condition is deteriorating.
• Identify red flags and arrange appropriate escalation, referral or admission when required.
• Request, review and interpret relevant investigations within the scope of professional competence and agreed practice protocols.
• Prescribe safely and appropriately within the scope of practice and relevant prescribing authority, where applicable.
• Assess and manage common acute presentations, minor illnesses, minor injuries and acute exacerbations of long-term conditions.
• Provide appropriate clinical review and follow-up for patients requiring ongoing assessment.
• Maintain accurate, contemporaneous and comprehensive clinical records.
• Communicate effectively with patients, relatives, carers, colleagues and other healthcare professionals.
• Work collaboratively with GPs, practice nurses, healthcare assistants, PCN staff and other members of the wider multidisciplinary team.

Clinical Governance and Patient Safety

• Practise in accordance with professional standards, relevant legislation, local policies and practice protocols.
• Maintain patient confidentiality and comply with information governance requirements.
• Recognise and respond appropriately to safeguarding concerns.
• Participate in clinical audit, significant event reviews, quality improvement and other clinical governance activities.
• Ensure appropriate documentation, referral and follow-up of clinical care.
• Maintain professional registration, indemnity arrangements and continuing professional development.
• Work within professional competence and seek advice or support where necessary.
• Contribute to the safe and effective delivery of the practices acute care service.

Teamwork and Service Development

• Contribute positively to the development and improvement of acute care services within the practice.
• Work as part of a supportive, inclusive and collaborative team.
• Participate in practice meetings, clinical discussions, training and service development activities as appropriate.
• Support the effective use of digital systems and new ways of working.
• Share knowledge and experience with colleagues where appropriate.
• Demonstrate flexibility and contribute to the smooth and efficient running of clinical services.
• Promote the practices values of being Kind, Mindful and Proactive.

Communication and Working Relationships

The postholder will work closely with:

• GP Partners and salaried GPs
• Practice nurses and healthcare assistants
• Practice management and administrative teams
• Reception and care navigation staff
• PCN staff and wider multidisciplinary services
• Community and secondary care providers
• Patients, relatives and carers

Job description

Job responsibilities

To provide high-quality, patient-centred clinical assessment, diagnosis, treatment and management for patients presenting with acute and urgent medical problems within a general practice setting.

The postholder will work closely with the GP team and wider multidisciplinary team, providing safe and effective care to patients both within the practice and in their own homes. The role requires an experienced clinician who is able to work autonomously within their scope of practice, while recognising when further clinical support, escalation or referral is required.

Main Duties and Responsibilities

Clinical Responsibilities

• Assess, diagnose and manage patients presenting with acute, urgent and undifferentiated medical conditions.
• Undertake face-to-face consultations and remote consultations where clinically appropriate.
• Conduct daily home visits for housebound and less mobile patients.
• Provide appropriate treatment, clinical advice, safety-netting and follow-up arrangements.
• Recognise and respond appropriately to patients who are acutely unwell or whose condition is deteriorating.
• Identify red flags and arrange appropriate escalation, referral or admission when required.
• Request, review and interpret relevant investigations within the scope of professional competence and agreed practice protocols.
• Prescribe safely and appropriately within the scope of practice and relevant prescribing authority, where applicable.
• Assess and manage common acute presentations, minor illnesses, minor injuries and acute exacerbations of long-term conditions.
• Provide appropriate clinical review and follow-up for patients requiring ongoing assessment.
• Maintain accurate, contemporaneous and comprehensive clinical records.
• Communicate effectively with patients, relatives, carers, colleagues and other healthcare professionals.
• Work collaboratively with GPs, practice nurses, healthcare assistants, PCN staff and other members of the wider multidisciplinary team.

Clinical Governance and Patient Safety

• Practise in accordance with professional standards, relevant legislation, local policies and practice protocols.
• Maintain patient confidentiality and comply with information governance requirements.
• Recognise and respond appropriately to safeguarding concerns.
• Participate in clinical audit, significant event reviews, quality improvement and other clinical governance activities.
• Ensure appropriate documentation, referral and follow-up of clinical care.
• Maintain professional registration, indemnity arrangements and continuing professional development.
• Work within professional competence and seek advice or support where necessary.
• Contribute to the safe and effective delivery of the practices acute care service.

Teamwork and Service Development

• Contribute positively to the development and improvement of acute care services within the practice.
• Work as part of a supportive, inclusive and collaborative team.
• Participate in practice meetings, clinical discussions, training and service development activities as appropriate.
• Support the effective use of digital systems and new ways of working.
• Share knowledge and experience with colleagues where appropriate.
• Demonstrate flexibility and contribute to the smooth and efficient running of clinical services.
• Promote the practices values of being Kind, Mindful and Proactive.

Communication and Working Relationships

The postholder will work closely with:

• GP Partners and salaried GPs
• Practice nurses and healthcare assistants
• Practice management and administrative teams
• Reception and care navigation staff
• PCN staff and wider multidisciplinary services
• Community and secondary care providers
• Patients, relatives and carers

Person Specification

Experience

Essential

• Experience working as a registered Paramedic or Registered Nurse in an urgent care, emergency care, primary care or comparable clinical setting.
• Demonstrable experience assessing, diagnosing and managing patients presenting with acute and undifferentiated medical conditions.
• Experience undertaking comprehensive clinical assessments and developing appropriate management plans.
• Experience recognising the signs of clinical deterioration and escalating care appropriately.
• Experience managing clinical risk and working within professional scope of practice.
• Experience communicating effectively with patients, relatives, carers and multidisciplinary colleagues.
• Experience maintaining accurate and contemporaneous clinical records.
• Experience working autonomously while seeking advice or support when required.
• Experience prioritising and managing a varied clinical workload.
• Experience working collaboratively as part of a multidisciplinary team.
• Experience undertaking or willingness to undertake patient home visits.

Desirable

• Previous experience working in a general practice or primary care setting.
• Experience managing same-day or urgent care presentations within general practice.
• Experience undertaking home visits and assessing housebound patients.
• Experience managing acute exacerbations of long-term conditions, such as asthma, COPD, diabetes or cardiovascular disease.
• Experience assessing and managing minor illness and minor injuries.
• Experience requesting, interpreting and acting upon clinical investigations, including blood tests and ECGs.
• Experience prescribing or working within a prescribing-led clinical service.
• Experience using EMIS Web or another primary care clinical system.
• Experience working with multidisciplinary teams, community services and secondary care providers.
• Experience contributing to clinical audit, significant event reviews, service development or quality improvement.
• Experience supporting or mentoring students, trainees or other members of the clinical team.
• Experience implementing new clinical pathways, digital systems or service improvements.

Qualifications

Essential

• Health and Care Professions Council (HCPC) registration as a Paramedic; or Nursing and Midwifery Council (NMC) registration as a Registered Nurse.
• Relevant clinical experience in urgent care, emergency care, primary care or a comparable clinical environment.
• Evidence of continuing professional development relevant to acute and urgent clinical assessment.
• Appropriate professional indemnity arrangements.

Desirable

• Postgraduate qualification in Advanced Clinical Practice or equivalent advanced clinical training.
• Independent prescribing qualification.
• Relevant minor illness, minor injury or acute assessment qualifications.
• Immediate Life Support or Advanced Life Support certification.
• Additional postgraduate qualifications relevant to primary, urgent or emergency care.

Person Specification

Experience

Essential

• Experience working as a registered Paramedic or Registered Nurse in an urgent care, emergency care, primary care or comparable clinical setting.
• Demonstrable experience assessing, diagnosing and managing patients presenting with acute and undifferentiated medical conditions.
• Experience undertaking comprehensive clinical assessments and developing appropriate management plans.
• Experience recognising the signs of clinical deterioration and escalating care appropriately.
• Experience managing clinical risk and working within professional scope of practice.
• Experience communicating effectively with patients, relatives, carers and multidisciplinary colleagues.
• Experience maintaining accurate and contemporaneous clinical records.
• Experience working autonomously while seeking advice or support when required.
• Experience prioritising and managing a varied clinical workload.
• Experience working collaboratively as part of a multidisciplinary team.
• Experience undertaking or willingness to undertake patient home visits.

Desirable

• Previous experience working in a general practice or primary care setting.
• Experience managing same-day or urgent care presentations within general practice.
• Experience undertaking home visits and assessing housebound patients.
• Experience managing acute exacerbations of long-term conditions, such as asthma, COPD, diabetes or cardiovascular disease.
• Experience assessing and managing minor illness and minor injuries.
• Experience requesting, interpreting and acting upon clinical investigations, including blood tests and ECGs.
• Experience prescribing or working within a prescribing-led clinical service.
• Experience using EMIS Web or another primary care clinical system.
• Experience working with multidisciplinary teams, community services and secondary care providers.
• Experience contributing to clinical audit, significant event reviews, service development or quality improvement.
• Experience supporting or mentoring students, trainees or other members of the clinical team.
• Experience implementing new clinical pathways, digital systems or service improvements.

Qualifications

Essential

• Health and Care Professions Council (HCPC) registration as a Paramedic; or Nursing and Midwifery Council (NMC) registration as a Registered Nurse.
• Relevant clinical experience in urgent care, emergency care, primary care or a comparable clinical environment.
• Evidence of continuing professional development relevant to acute and urgent clinical assessment.
• Appropriate professional indemnity arrangements.

Desirable

• Postgraduate qualification in Advanced Clinical Practice or equivalent advanced clinical training.
• Independent prescribing qualification.
• Relevant minor illness, minor injury or acute assessment qualifications.
• Immediate Life Support or Advanced Life Support certification.
• Additional postgraduate qualifications relevant to primary, urgent or emergency care.

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Knoll Medical Practice

Address

Orpington Health & Wellbeing Centre

19 Homefield Rise

Orpington

Kent

BR6 0FE

United Kingdom

Employer's website

https://knollmedicalpractice.co.uk/ (Opens in a new tab)

Employer details

Employer name

Knoll Medical Practice

Address

Orpington Health & Wellbeing Centre

19 Homefield Rise

Orpington

Kent

BR6 0FE

United Kingdom

Employer's website

https://knollmedicalpractice.co.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Practice Manager

Callum McQue

[email protected]

Details

Date posted

14 September 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£26 to £28 an hour

Contract

Permanent

Working pattern

Part-time

Reference number

A2256-26-0003

Job locations

Orpington Health & Wellbeing Centre

19 Homefield Rise

Orpington

Kent

BR6 0FE

United Kingdom

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Knoll Medical Practice CQC Result

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