Advanced Nurse Practitioner / Paramedic for Frailty team

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Carnon Downs Surgery Advanced Nurse Practitioner / Paramedic for Frailty team

The closing date is 25 November 2026

Apply for this job

Job summary

We are seeking an experienced and motivated Advanced Nurse Practitioner and/or Paramedic Practitioner to join our Integrated Neighbourhood Frailty Team.

The post-holder will work autonomously within a supportive GP practice environment while being fully integrated into the wider community multidisciplinary team. The role supports the INT Frailty team objectives by improving the care of our frailty patients, reducing hospital admissions and stay at home care to deliver highquality, patientcentred care.

The role includes undertaking home visits, managing urgent and sameday demand, and supporting patients our over 65 population with acute and longterm conditions. The post-holder will also be responsible for managing their own clinical workload, including referrals and results.

Please note that we reserve the right to close this vacancy early should a sufficient number of suitable applications be received. We therefore encourage interested applicants to submit their application as soon as possible.

Main duties of the job

• Undertake advanced clinical assessment, diagnosis, treatment and management of patients from primary care
• Support delivery of PCN priorities and improved access in line with PCN DES requirements
• Carry out planned and urgent home visits across the PCN population
• Prescribe independently and safely within scope of practice and competence
• Initiate, manage and follow up referrals, ensuring appropriate onward care
• Review, action and communicate investigation results in a timely and clinically appropriate manner
• Manage acute, urgent and complex clinical presentations autonomously
• Work collaboratively with GPs, nurses, pharmacists and other ARRSfunded roles
• Maintain accurate, timely and highquality clinical records
• Contribute to service development, transformation and continuous improvement

Please note that we reserve the right to close this vacancy early should a sufficient number of suitable applications be received. We therefore encourage interested applicants to submit their application as soon as possible.

About us

Coastal Primary Care Network (PCN) is a partnership of four practices: Carnon Downs Surgery, Chacewater Surgery, Perranporth Surgery and St Agnes Surgery. Together, we provide high-quality, patient-centred care to our local population and are committed to developing innovative services that deliver the right care, in the right place, at the right time.

We are excited to be establishing a new Integrated Neighbourhood Team Frailty Service, created to provide proactive, coordinated support for people living with frailty across our communities. Working closely with GPs, community services, social care and voluntary sector partners, the service will focus on improving patient outcomes, supporting independence, reducing avoidable hospital admissions and helping people remain well in their own homes for longer.

This is a unique opportunity to join a brand-new service. The successful candidate will be involved in establishing and shaping the Frailty Team from the outset, helping to develop pathways, processes and ways of working that will support the long-term success of the service. As part of a MDT, you will contribute to service innovation, collaborative working and the delivery of high-quality care for some of the most vulnerable people. The post is offered on a fixed-term basis for and would suit an individual who thrives in a developing environment, enjoys building new services and is passionate about improving care for older people and those living with frailty.

Details

Date posted

05 November 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Fixed term

Duration

18 months

Working pattern

Full-time, Part-time, Compressed hours

Reference number

A3328-26-0014

Job locations

The Surgery

Coastal Primary Care Network

Coastal PCN

Cornwall

TR3 6JD

United Kingdom

Job description

Job responsibilities

Key Responsibilities

• Undertake advanced clinical assessment, diagnosis, treatment and management of patients from primary care
• Support delivery of PCN priorities and improved access in line with PCN DES requirements
• Carry out planned and urgent home visits across the PCN population
• Prescribe independently and safely within scope of practice and competence
• Initiate, manage and follow up referrals, ensuring appropriate onward care
• Review, action and communicate investigation results in a timely and clinically appropriate manner
• Manage acute, urgent and complex clinical presentations autonomously
• Work collaboratively with GPs, nurses, pharmacists and other ARRSfunded roles
• Maintain accurate, timely and highquality clinical records
• Contribute to service development, transformation and continuous improvement

If you wish to apply for this role please send your CV and covering letter to [email protected]

Job description

Job responsibilities

Key Responsibilities

• Undertake advanced clinical assessment, diagnosis, treatment and management of patients from primary care
• Support delivery of PCN priorities and improved access in line with PCN DES requirements
• Carry out planned and urgent home visits across the PCN population
• Prescribe independently and safely within scope of practice and competence
• Initiate, manage and follow up referrals, ensuring appropriate onward care
• Review, action and communicate investigation results in a timely and clinically appropriate manner
• Manage acute, urgent and complex clinical presentations autonomously
• Work collaboratively with GPs, nurses, pharmacists and other ARRSfunded roles
• Maintain accurate, timely and highquality clinical records
• Contribute to service development, transformation and continuous improvement

If you wish to apply for this role please send your CV and covering letter to [email protected]

Person Specification

Knowledge and Abilities

Essential

• Advanced clinical assessment, examination and diagnostic skills
• Ability to manage acute and long-term conditions
• Safe and effective independent prescribing within scope of practice
• Ability to initiate, follow up and appropriately manage referrals
• Ability to review, action and communicate investigation results
• Excellent verbal and written communication skills
• Strong organisational skills and ability to manage own workload
• Knowledge of clinical governance, safeguarding and risk management
• Understanding of referral pathways and escalation processes
• Awareness of patient safety and duty of candour
• Understanding of the role of PCNs and multidisciplinary working

Desirable

• Leadership or service development skills
• Ability to contribute to quality improvement or service transformation
• Knowledge of PCN DES priorities
• Awareness of local community services and care pathways

Personal Qualities

Essential

• Professional, accountable and reflective practitioner
• Patient centred approach to care
• Flexible and adaptable to service needs
• Ability to work collaboratively within a team
• Commitment to equality, diversity and inclusion

Desirable

• Evidence of resilience and adaptability in a changing healthcare environment

Experience

Essential

• Experience working at an advanced clinical practice level
• Ability to work autonomously, making safe, effective clinical decisions
• Experience managing undifferentiated presentations
• Experience of managing own referrals, investigations and clinical results
• Experience managing acute, urgent and complex clinical presentations

Desirable

• Experience working in primary care, community or PCN settings
• Experience working within a multidisciplinary team
• Previous experience in an ARRS-funded role

Other Requirements

Essential

• Willing and able to undertake home visits
• Ability to work across PCN/practice systems as required
• Right to work in the UK

Desirable

• Experience using primary care clinical systems (SystmOne)

Qualifications

Essential

• Registered Nurse (NMC) or Registered Paramedic (HCPC)
• Independent Prescriber qualification and annotation on professional register
• Meets NHS England ARRS eligibility criteria for the relevant role
• MSc in Advanced Clinical Practice (or equivalent) or demonstrable advanced practice experience (including working towards qualification where appropriate)

Desirable

• Additional relevant postgraduate qualifications (e.g. minor illness, urgent care, long term conditions)
• Evidence of recent and relevant CPD

Person Specification

Knowledge and Abilities

Essential

• Advanced clinical assessment, examination and diagnostic skills
• Ability to manage acute and long-term conditions
• Safe and effective independent prescribing within scope of practice
• Ability to initiate, follow up and appropriately manage referrals
• Ability to review, action and communicate investigation results
• Excellent verbal and written communication skills
• Strong organisational skills and ability to manage own workload
• Knowledge of clinical governance, safeguarding and risk management
• Understanding of referral pathways and escalation processes
• Awareness of patient safety and duty of candour
• Understanding of the role of PCNs and multidisciplinary working

Desirable

• Leadership or service development skills
• Ability to contribute to quality improvement or service transformation
• Knowledge of PCN DES priorities
• Awareness of local community services and care pathways

Personal Qualities

Essential

• Professional, accountable and reflective practitioner
• Patient centred approach to care
• Flexible and adaptable to service needs
• Ability to work collaboratively within a team
• Commitment to equality, diversity and inclusion

Desirable

• Evidence of resilience and adaptability in a changing healthcare environment

Experience

Essential

• Experience working at an advanced clinical practice level
• Ability to work autonomously, making safe, effective clinical decisions
• Experience managing undifferentiated presentations
• Experience of managing own referrals, investigations and clinical results
• Experience managing acute, urgent and complex clinical presentations

Desirable

• Experience working in primary care, community or PCN settings
• Experience working within a multidisciplinary team
• Previous experience in an ARRS-funded role

Other Requirements

Essential

• Willing and able to undertake home visits
• Ability to work across PCN/practice systems as required
• Right to work in the UK

Desirable

• Experience using primary care clinical systems (SystmOne)

Qualifications

Essential

• Registered Nurse (NMC) or Registered Paramedic (HCPC)
• Independent Prescriber qualification and annotation on professional register
• Meets NHS England ARRS eligibility criteria for the relevant role
• MSc in Advanced Clinical Practice (or equivalent) or demonstrable advanced practice experience (including working towards qualification where appropriate)

Desirable

• Additional relevant postgraduate qualifications (e.g. minor illness, urgent care, long term conditions)
• Evidence of recent and relevant CPD

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

Carnon Downs Surgery

Address

The Surgery

Coastal Primary Care Network

Coastal PCN

Cornwall

TR3 6JD

United Kingdom

Employer's website

https://www.carnondownssurgery.co.uk/index.aspx (Opens in a new tab)

Employer details

Employer name

Carnon Downs Surgery

Address

The Surgery

Coastal Primary Care Network

Coastal PCN

Cornwall

TR3 6JD

United Kingdom

Employer's website

https://www.carnondownssurgery.co.uk/index.aspx (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Operations Lead

Helen Perkin

[email protected]

Details

Date posted

05 November 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Fixed term

Duration

18 months

Working pattern

Full-time, Part-time, Compressed hours

Reference number

A3328-26-0014

Job locations

The Surgery

Coastal Primary Care Network

Coastal PCN

Cornwall

TR3 6JD

United Kingdom

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