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Senior Clinical Pharmacist Team Lead (PCN)
North Wilts Border PCN Ltd Company
North East England
GBP 55,000 - 60,000 per year
Pharmacist
Job summary Senior Clinical Pharmacy Team Lead An Exciting Leadership Opportunity in a Thriving PCN Minimum 2 years of leadership experience required Are you...
13 day(s) ago
Senior Clinical Pharmacist Team Lead (PCN)
North Wilts Border PCN Ltd Company
North East England
GBP 55,000 - 60,000 per year
Pharmacist
Job summary Senior Clinical Pharmacy Team Lead An Exciting Leadership Opportunity in a Thriving PCN Minimum 2 years of leadership experience required Are you...
13 day(s) ago
PCN Paramedic
North Wilts Border PCN Ltd Company
North East England
Paramedic
Job summary An exciting opportunity to join an established and forward-thinking Paramedic Team Are you an experienced Paramedic looking for an opportunity to...
1 month(s) ago
PCN Paramedic
North Wilts Border PCN Ltd Company
North East England
Paramedic
Job summary An exciting opportunity to join an established and forward-thinking Paramedic Team Are you an experienced Paramedic looking for an opportunity to...
1 month(s) ago
Senior Clinical Pharmacist Team Lead (PCN)
North Wilts Border PCN Ltd Company View all jobs
Posted 13 day(s) ago
Reference: 2415613
Job summary
Senior Clinical Pharmacy Team Lead
An Exciting Leadership Opportunity in a Thriving PCN
Minimum 2 years of leadership experience required
Are you an experienced Clinical Pharmacist ready to step into a high-impact leadership role? Join our forward-thinking Primary Care Network as Clinical Pharmacist Team Leader and help shape the future of pharmacy services across our practices.
You will lead a skilled team of 8 Clinical Pharmacists and 3 Pharmacy Technicians, delivering high quality, patient-centred care and driving innovative medicines optimisation initiatives that improve population health outcomes.
This role combines clinical expertise with strategic leadership. You will oversee structured medication reviews, high-risk medicines monitoring, prescribing safety, quality improvement projects, and day to day rota management. You will also mentor and develop the pharmacy team while working closely with GPs, ICB colleagues, community and secondary care teams, and other allied professionals to influence PCN strategy.
Ideal for someone who thrives on autonomy, collaboration, and service improvement at scale.
What we offer:
- £55,000£60,000 WTE DOE
- Supportive, collaborative PCN culture
- Protected CPD and supervision time
- Flexible working
- 30 days annual leave pro rata
- NHS Pension
- Employee Assistance Programme
- Funded DBS and GPhC subscription reimbursement
Main duties of the job
Clinical Care and Medicines Optimisation
- Conduct structured medication reviews for patients with complex polypharmacy frailty long term conditions and post discharge needs
- Monitor and review high risk medicines to ensure safe prescribing
- Implement MHRA alerts NICE guidance and local formulary updates
- Improve repeat prescribing systems and medicines safety processes
Leadership and Team Development
- Lead and coordinate the pharmacy team across practices
- Provide clinical supervision and mentorship to 8 pharmacists 3 technicians and Independent Prescribers
- Support training induction appraisal and competency development.
- Promote professional standards and continuous learning
- Foster a positive inclusive and supportive team culture
Operational and Strategic Delivery
- Plan workforce capacity rotas and service continuity
- Support achievement of PQS QOF and PCN contractual targets
- Lead clinical audits and quality improvement projects
- Analyse prescribing data and performance metrics to drive improvement
- Strengthen shared care processes and medicines safety programmes
- Represent pharmacy services in multidisciplinary and stakeholder meetings
Education and Training
- Deliver medicines optimisation training to primary care teams
- Provide patient education and accessible medicines information
- Contribute to public health initiatives and community health campaigns
About us
North Wilts Border PCN is a collaborative NHS partnership made up of six GP surgeries, working together to deliver high-quality, patient-centred care to over 57,000 people across our local communities. We are proud to be rooted in our community and are committed to staying connected with and supporting the people we serve.
In addition to our dedication to clinical excellence, we are also a teaching and training network, supporting medical students and GP trainees from across the Southwest region.
Our diverse multidisciplinary team includes Specialist Practitioners, Social Prescribers, Health & Wellbeing Coach, Care Coordinator, and Clinical Directors. We place great value on the contributions of our Pharmacy team and are committed to supporting the personal and professional development of all staff.
Details
Date posted
09 October 2026
Pay scheme
Other
Salary
£55,000 to £60,000 a year
Contract
Permanent
Working pattern
Full-time
Reference number
W0050-26-0019
Job locations
Malmesbury Primary Care Centre
Priory Way
Malmesbury
Wiltshire
SN16 0FB
United Kingdom
Doctors Surgery
Willis Way
Purton
Swindon
SN5 4BD
United Kingdom
The Surgery
113 High Street
Cricklade
Swindon
SN6 6AE
United Kingdom
New Court Surgery
Borough Fields Shopping Centre
Royal Wootton Bassett
Swindon
Wiltshire
SN4 7AX
United Kingdom
The Tolsey Surgery
High Street
Sherston
Malmesbury
Wiltshire
SN16 0LQ
United Kingdom
Tinkers Lane Surgery
Tinkers Field
Royal Wootton Bassett
Swindon
Wiltshire
SN4 7AT
United Kingdom
Job description
Job responsibilities
The Clinical Pharmacy Team Lead will provide advanced clinical care, professional leadership, and operational oversight for the pharmacy workforce across North Wilts Border PCN. The role blends patient facing responsibilities with medicines optimisation, quality improvement, strategic service development, and workforce leadership.
The key duties and responsibilities include
- Conducting structured medication reviews for patients with complex polypharmacy, long term conditions, frailty, learning disabilities, high risk medicines, or recent hospital discharge.
- Undertaking clinical medication reviews for patients in practices, care homes, and domiciliary settings, producing clear recommendations for GPs and nurses.
- Leading on medicines reconciliation post discharge from hospital, intermediate care, and when entering care homes, identifying and resolving discrepancies.
- Providing patient facing and telephone based medicines advice, supporting adherence, answering medicine related queries, and promoting shared decision making.
- Reviewing and monitoring medicines linked with unplanned hospital admissions, implementing changes to reduce risk to vulnerable patients.
- Ensuring appropriate monitoring and safety checks are in place for medicines requiring ongoing review.
- Managing continuity of supply for high risk groups, including those using compliance aids or living in care settings.
- Supporting public health initiatives and providing medication related expertise to campaigns and community programmes.
- Contributing to multidisciplinary case conferences, collaborating to optimise care plans and medication management.
- Using practice computer searches and risk stratification tools to identify high risk patient cohorts based on clinical presentation, prescribing patterns, or both.
- Prioritising patients for review using clinical judgement and evidence based principles.
- Reducing variation and proactively addressing unsafe or inefficient prescribing.
- As the designated leader for the pharmacy workforce, the post holder will Lead and manage the Pharmacy and Pharmacy Technician Team, promoting excellence, collaboration, and a culture of high professional standards.
- Provides clinical supervision, mentorship, and support for pharmacists and pharmacy technicians, including Independent Prescribers and those in training.
- Oversees induction, competency development, and continuation of training for all new and existing team members.
- Ensures staff engage with appraisal processes, supervision, and ongoing CPD.
- Acts as a role model, demonstrating professionalism, adaptability, inclusivity, and compassionate leadership.
- Supports performance management processes and addresses issues in line with organisational policy.
- Encourages innovation and extends boundaries of service delivery within the pharmacy team.
- Leading pharmacy related projects aligned with PCN, ICB, and national priorities.
- Supporting the delivery of PQS, QOF, and additional PCN wide service requirements.
- Managing rota planning, staffing levels, and leave coordination to maintain consistent clinical coverage. Thus, contributing to operational delivery of pharmacy services.
- Representing the pharmacy service at internal and external meetings, including with GPs, ICB pharmacists, Medicines Management teams, community pharmacy, and hospital colleagues.
- Fostering strong interprofessional relationships to enhance consistency and continuity of patient care.
- Supporting the creation and implementation of prescribing policies, including repeat prescribing and safety processes.
- The post holder ensures pharmacy services maintain high standards of safety, data quality, and regulatory compliance:
- Leading clinical audits, sharing findings, and providing practical recommendations for improvement.
- Using prescribing data to identify risks, trends, and opportunities for targeted interventions.
- Implementing changes based on MHRA alerts, product withdrawals, NICE guidance, and formulary updates.
- Monitoring compliance with RAG lists, shared care protocols, and other local medicines governance frameworks.
- Supporting the development, implementation, and monitoring of Quality Improvement Plans (QIPs).
- Ensuring ongoing compliance with CQC standards, legal and ethical requirements, professional codes of conduct, and organisational governance systems.
- Producing newsletters and bulletins that disseminate important prescribing messages and safety updates.
- Enhancing medicines safety by reviewing high risk groups, triggers for hospital admission, and prescribing trends.
- Supporting practices in maintaining accurate, up to date practice formularies on clinical systems.
- Ensuring monitoring, follow up, and documentation are in place for all relevant medicines requiring ongoing review.
- Working alongside ICB colleagues to ensure consistent application of shared prescribing pathways.
- Delivering education and training sessions to the wider primary care team, including GPs, nurses, and administrative staff.
- Providing patient facing information, medication counselling, and resources to support safe and effective use of medicines.
- Ensuring the pharmacy team has access to meaningful professional development opportunities, supervision, and peer review mechanisms.
- Promoting shared learning through case discussions, reflective practice, and collaborative problem-solving.
- Building and maintaining effective working relationships with GPs, nurses, allied health professionals, community pharmacists, hospital pharmacy teams, social care teams, and wider ICB colleagues.
- Recognising personal limitations and seeking or signposting to specialist support where required.
- Working as part of a multidisciplinary team to support coordinated, patient centred care.
- Contributing to multidisciplinary projects, shared care pathways, and integrated care initiatives.
- Adhering to all health and safety requirements, including reporting incidents using organisational systems.
- Complying with the Data Protection Act, confidentiality policies, safeguarding standards, and equality and diversity requirements.
- Maintaining professional registration, CPD, immunisations, DBS status, and all mandatory training.
- Travelling independently across PCN sites and attending meetings or training as required.
Job description Job responsibilities The Clinical Pharmacy Team Lead will provide advanced clinical care, professional leadership, and operational oversight for the pharmacy workforce across North Wilts Border PCN. The role blends patient facing responsibilities with medicines optimisation, quality improvement, strategic service development, and workforce leadership.The key duties and responsibilities includeConducting structured medication reviews for patients with complex polypharmacy, long term conditions, frailty, learning disabilities, high risk medicines, or recent hospital discharge.Undertaking clinical medication reviews for patients in practices, care homes, and domiciliary settings, producing clear recommendations for GPs and nurses. Leading on medicines reconciliation post discharge from hospital, intermediate care, and when entering care homes, identifying and resolving discrepancies. Providing patient facing and telephone based medicines advice, supporting adherence, answering medicine related queries, and promoting shared decision making. Reviewing and monitoring medicines linked with unplanned hospital admissions, implementing changes to reduce risk to vulnerable patients. Ensuring appropriate monitoring and safety checks are in place for medicines requiring ongoing review. Managing continuity of supply for high risk groups, including those using compliance aids or living in care settings. Supporting public health initiatives and providing medication related expertise to campaigns and community programmes. Contributing to multidisciplinary case conferences, collaborating to optimise care plans and medication management. Using practice computer searches and risk stratification tools to identify high risk patient cohorts based on clinical presentation, prescribing patterns, or both. Prioritising patients for review using clinical judgement and evidence based principles. Reducing variation and proactively addressing unsafe or inefficient prescribing. As the designated leader for the pharmacy workforce, the post holder will Lead and manage the Pharmacy and Pharmacy Technician Team, promoting excellence, collaboration, and a culture of high professional standards. Provides clinical supervision, mentorship, and support for pharmacists and pharmacy technicians, including Independent Prescribers and those in training. Oversees induction, competency development, and continuation of training for all new and existing team members. Ensures staff engage with appraisal processes, supervision, and ongoing CPD. Acts as a role model, demonstrating professionalism, adaptability, inclusivity, and compassionate leadership. Supports performance management processes and addresses issues in line with organisational policy. Encourages innovation and extends boundaries of service delivery within the pharmacy team. Leading pharmacy related projects aligned with PCN, ICB, and national priorities. Supporting the delivery of PQS, QOF, and additional PCN wide service requirements. Managing rota planning, staffing levels, and leave coordination to maintain consistent clinical coverage. Thus, contributing to operational delivery of pharmacy services. Representing the pharmacy service at internal and external meetings, including with GPs, ICB pharmacists, Medicines Management teams, community pharmacy, and hospital colleagues. Fostering strong interprofessional relationships to enhance consistency and continuity of patient care. Supporting the creation and implementation of prescribing policies, including repeat prescribing and safety processes. The post holder ensures pharmacy services maintain high standards of safety, data quality, and regulatory compliance: Leading clinical audits, sharing findings, and providing practical recommendations for improvement. Using prescribing data to identify risks, trends, and opportunities for targeted interventions. Implementing changes based on MHRA alerts, product withdrawals, NICE guidance, and formulary updates. Monitoring compliance with RAG lists, shared care protocols, and other local medicines governance frameworks. Supporting the development, implementation, and monitoring of Quality Improvement Plans (QIPs). Ensuring ongoing compliance with CQC standards, legal and ethical requirements, professional codes of conduct, and organisational governance systems. Producing newsletters and bulletins that disseminate important prescribing messages and safety updates. Enhancing medicines safety by reviewing high risk groups, triggers for hospital admission, and prescribing trends. Supporting practices in maintaining accurate, up to date practice formularies on clinical systems. Ensuring monitoring, follow up, and documentation are in place for all relevant medicines requiring ongoing review. Working alongside ICB colleagues to ensure consistent application of shared prescribing pathways. Delivering education and training sessions to the wider primary care team, including GPs, nurses, and administrative staff. Providing patient facing information, medication counselling, and resources to support safe and effective use of medicines. Ensuring the pharmacy team has access to meaningful professional development opportunities, supervision, and peer review mechanisms. Promoting shared learning through case discussions, reflective practice, and collaborative problem-solving. Building and maintaining effective working relationships with GPs, nurses, allied health professionals, community pharmacists, hospital pharmacy teams, social care teams, and wider ICB colleagues. Recognising personal limitations and seeking or signposting to specialist support where required. Working as part of a multidisciplinary team to support coordinated, patient centred care. Contributing to multidisciplinary projects, shared care pathways, and integrated care initiatives. Adhering to all health and safety requirements, including reporting incidents using organisational systems. Complying with the Data Protection Act, confidentiality policies, safeguarding standards, and equality and diversity requirements. Maintaining professional registration, CPD, immunisations, DBS status, and all mandatory training. Travelling independently across PCN sites and attending meetings or training as required.
Person Specification
Qualifications
Essential
- Essential
- Masters degree in pharmacy (MPharm) (or equivalent)
- Completed CPPE course in Primary care pharmacy education pathway or equivalent experience
- Independent Prescribing qualification
- Mandatory registration with General Pharmaceutical Council (GPhC) which includes revalidation
- Leadership/management qualification or extensive experience
Desirable
- Minimum of 2 years of experience in a primary care setting
- A DPP (Designated Prescribing Practitioner) registered professional
- Mentoring or Coaching qualification or experience
- A member of or working towards Faculty membership of the Royal Pharmaceutical Society
- Minimum of 5 years post-registration experience
Experience
Essential
- Strong knowledge of primary care, prescribing, and medicines optimisation
- Analytical and problem-solving abilities, with experience in audits and QI initiatives
- Proficiency in clinical and management systems (e.g. Eclipse, GP IT systems)
- Understanding of CQC compliance standards and all legal, ethical, and professional regulations.
- Ability to work both independently and collaboratively in multi-disciplinary teams
- Strong sense of accountability and able to demonstrate this
- An appreciation of the nature and structure of PCNs, GPs and general practices.
Desirable
- Demonstrates accountability for delivering professional expertise and direct service provision.
- Experience of mentorship and clinical supervision of peers
- Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences
Interpersonal and Communication Skills
Essential
- Cultivates and sustains high-trust relationships across the immediate and wider PCN network, member practices, and system partners, fostering alignment with strategic priorities.
- Exemplifies professional, compassionate leadership
- Champions a supportive and inclusive culture
- Strengthens team cohesion and morale
- Champions workforce development and actively promotes a culture of support and continuous improvement
- Navigates complex and challenging conversations with diplomacy and resilience, maintaining professionalism while balancing organisational priorities and stakeholder expectations.
Desirable
- Manages challenging and high-pressure interactions with composure
- Demonstrates advanced stakeholder engagement skills, liaising effectively with multidisciplinary PCN teams, practice leadership, NHS organisations, and external agencies to align operational priorities with strategic objectives.
Person Specification Qualifications Essential Essential Masters degree in pharmacy (MPharm) (or equivalent) Completed CPPE course in Primary care pharmacy education pathway or equivalent experience Independent Prescribing qualification Mandatory registration with General Pharmaceutical Council (GPhC) which includes revalidation Leadership/management qualification or extensive experience Desirable Minimum of 2 years of experience in a primary care setting A DPP (Designated Prescribing Practitioner) registered professional Mentoring or Coaching qualification or experience A member of or working towards Faculty membership of the Royal Pharmaceutical Society Minimum of 5 years post-registration experience Experience Essential Strong knowledge of primary care, prescribing, and medicines optimisation Analytical and problem-solving abilities, with experience in audits and QI initiatives Proficiency in clinical and management systems (e.g. Eclipse, GP IT systems) Understanding of CQC compliance standards and all legal, ethical, and professional regulations. Ability to work both independently and collaboratively in multi-disciplinary teams Strong sense of accountability and able to demonstrate this An appreciation of the nature and structure of PCNs, GPs and general practices. Desirable Demonstrates accountability for delivering professional expertise and direct service provision. Experience of mentorship and clinical supervision of peers Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences Interpersonal and Communication Skills Essential Cultivates and sustains high-trust relationships across the immediate and wider PCN network, member practices, and system partners, fostering alignment with strategic priorities. Exemplifies professional, compassionate leadership Champions a supportive and inclusive culture Strengthens team cohesion and morale Champions workforce development and actively promotes a culture of support and continuous improvement Navigates complex and challenging conversations with diplomacy and resilience, maintaining professionalism while balancing organisational priorities and stakeholder expectations. Desirable Manages challenging and high-pressure interactions with composure Demonstrates advanced stakeholder engagement skills, liaising effectively with multidisciplinary PCN teams, practice leadership, NHS organisations, and external agencies to align operational priorities with strategic objectives.
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
North Wilts Border PCN Ltd Company
Address
Malmesbury Primary Care Centre
Priory Way
Malmesbury
Wiltshire
SN16 0FB
United Kingdom
Employer's website
https://northwiltsborderpcn.nhs.uk/ (Opens in a new tab)
Employer details
Employer name
North Wilts Border PCN Ltd Company
Address
Malmesbury Primary Care Centre
Priory Way
Malmesbury
Wiltshire
SN16 0FB
United Kingdom
Employer's website
https://northwiltsborderpcn.nhs.uk/ (Opens in a new tab)
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Posted 1 month(s) ago
Reference: 2345209
Job summary
An exciting opportunity to join an established and forward-thinking Paramedic Team
Are you an experienced Paramedic looking for an opportunity to develop your career within Primary Care?
North Wilts Border Primary Care Network is looking for an enthusiastic, skilled and motivated PCN Paramedic to join our dynamic multidisciplinary workforce.
You won't be working alone. You will become part of an established team of six experienced PCN Paramedics, providing the opportunity to work collaboratively, share clinical knowledge and experience, and learn from colleagues while continuing to develop your own scope of practice.
Our PCN brings together six GP practices across North Wiltshire and Swindon, and we have developed a diverse multidisciplinary workforce focused on delivering high-quality, proactive and accessible care closer to patients' homes.
This is an excellent opportunity for a Paramedic who enjoys autonomy, variety and clinical decision-making and wants to play an important role in shaping how care is delivered within Primary Care.
We are looking for a Paramedic who is clinically confident, compassionate and comfortable working autonomously while recognising when to seek advice or escalate care.
You will need current HCPC registration as a Paramedic, strong clinical assessment and decision-making skills, and experience appropriate to autonomous Primary Care practice.
Main duties of the job
As a PCN Paramedic, you will work autonomously as part of our wider multidisciplinary team, assessing and managing patients presenting with a broad range of acute, undifferentiated and complex conditions.
Your role will include same-day and urgent care, home visiting, frailty and complex care, with opportunities to work within GP practices, patients' homes, care homes and other community settings.
You will undertake comprehensive clinical assessments, formulate differential diagnoses, identify and manage clinical risk, initiate treatment and investigations within your competence, and refer or escalate patients appropriately.
A key part of the role will be supporting patients to receive the right care, in the right place, at the right time, helping to avoid unnecessary hospital attendance or admission where safe and clinically appropriate.
You will work closely with GPs and our wider PCN multidisciplinary team, including nurses, clinical pharmacists, pharmacy technicians, care coordinators, social prescribers, health and wellbeing staff, mental health practitioners and other allied health professionals.
Depending upon your experience and competence, there may also be opportunities to contribute to areas such as care-home support, ward rounds, frailty, anticipatory care, service development, quality improvement and the ongoing development of our PCN Paramedic service.
About us
North Wilts Border Primary Care Network is an ambitious and evolving organisation where our people are central to what we do.
We work collaboratively across six GP practices:
- Malmesbury Primary Care Centre,
- New Court Surgery,
- Purton Surgery,
- Cricklade Surgery,
- The Tolsey Surgery
- Tinkers Lane Surgery.
We have invested significantly in developing a broad multidisciplinary workforce to include GP, Care Coordinators, Social Prescribers, Clinical Pharmacists and Pharmacy Technicians and believe that bringing different professions, skills and perspectives together enables us to provide better care for our communities.
For this role in particular, you will have the benefit of joining an established team of six other Paramedics. We recognise the importance of peer support, clinical supervision, shared learning and professional development, particularly when working autonomously in Primary Care.
We want our clinicians to feel able to contribute ideas and help shape services rather than simply step into a fixed model of working. As our PCN continues to develop, there will be opportunities to contribute to service improvement and new ways of delivering care across our practices and communities. The role specifically includes participation in service development, quality improvement, audit and evaluation.
Details
Date posted
16 September 2026
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Full-time
Reference number
W0050-26-0018
Job locations
New Court Surgery
Borough Fields
Royal Wootton Bassett
Swindon
Wiltshire
SN4 7AX
United Kingdom
The Tolsey Surgery
High Street
Sherston
MALMESBURY
Wiltshire
SN16 0LQ
United Kingdom
Tinkers Lane Surgery
Tinkers Field
Royal Wootton Bassett
SWINDON
Wiltshire
SN4 7AT
United Kingdom
Cricklade Surgery
113 High Street
Cricklade
SWINDON
Wiltshire
SN6 6AE
United Kingdom
Malmesbury Primary Care Centre
Priory Way
MALMESBURY
Wiltshire
SN16 0FB
United Kingdom
Purton Surgery
Willis Way
Purton
SWINDON
Wiltshire
SN5 4BD
United Kingdom
Job description
Job responsibilities
Key clinical responsibilities
- Assess and triage patients, including same-day and urgent presentations, and provide definitive treatment or appropriate onward referral
- Undertake face-to-face, telephone and, where appropriate, digital consultations in practice, patients homes, care homes and other community settings
- Undertake comprehensive history taking, physical examination and clinical assessment for patients with acute, chronic, complex or undifferentiated presentations
- Formulate differential diagnoses, identify red flags, assess clinical risk and determine the appropriate level and place of care.
- Initiate emergency care and escalation when required, including referral to ambulance, urgent community, secondary care or specialist services
- Treat minor illness and minor injury within competence and agreed local pathway
- Undertake and interpret appropriate investigations within competence, which may include observations, ECGs, urinalysis, blood glucose/ketones, blood tests, swabs and other point-of-care or diagnostic procedures available within the PCN
- Request, review and act on investigations where authorised and competent to do so, ensuring appropriate follow-up and safety-netting.
- Provide health promotion, prevention and self-management advice and support shared decision-making
- 3. Home visiting, frailty and proactive care
- Provide an alternative model for urgent and same-day home visits across the PCN, prioritising workload according to clinical need and risk
- Assess housebound, frail and vulnerable patients, including those with multimorbidity, deterioration or complex health and social care needs
- Contribute to care home support and ward rounds where this forms part of the agreed PCN service model
- Support anticipatory and personalised care planning, including escalation planning and coordination with the wider multidisciplinary team
- Identify opportunities to prevent avoidable hospital attendance or admission while recognising promptly when escalation is clinically necessary
- Work with community, urgent care, virtual ward, ambulance, pharmacy, social care, voluntary sector and other services to coordinate appropriate care.
- 4. Medicines management and prescribing
- Administer medicines in accordance with legislation, local policies, Patient Group Directions (PGDs), Patient Specific Directions (PSDs) and professional scope of practice
- Where appropriately qualified as an independent prescriber, prescribe, review and deprescribe medicines within competence and in accordance with NICE guidance, local formularies, antimicrobial stewardship principles and PCN/practice policies
- Provide patients and carers with appropriate information about medicines, including purpose, adherence, side effects, interactions and when to seek further advice.
- Recognise personal limits in relation to medicines and seek advice from GPs, clinical pharmacists or other appropriate clinicians when required.
- 5. Multidisciplinary and integrated working
- Work as an integral member of the PCN multidisciplinary team, collaborating with GPs, nurses, pharmacists, pharmacy technicians, care coordinators, social prescribers, health and wellbeing staff, mental health practitioners and other allied health professionals
- Accept appropriate referrals and refer patients to other clinicians and services according to clinical need and agreed pathways.
- Communicate proactively and effectively with practices and partner organisations to ensure coordinated, person-centred care.
- Attend and contribute to PCN, practice, MDT, clinical, safeguarding, education and service-development meetings as required.
- Promote effective professional relationships across organisational boundaries and contribute to integrated neighbourhood working.
Job description
Job responsibilities
Key clinical responsibilities
- Assess and triage patients, including same-day and urgent presentations, and provide definitive treatment or appropriate onward referral
- Undertake face-to-face, telephone and, where appropriate, digital consultations in practice, patients homes, care homes and other community settings
- Undertake comprehensive history taking, physical examination and clinical assessment for patients with acute, chronic, complex or undifferentiated presentations
- Formulate differential diagnoses, identify red flags, assess clinical risk and determine the appropriate level and place of care.
- Initiate emergency care and escalation when required, including referral to ambulance, urgent community, secondary care or specialist services
- Treat minor illness and minor injury within competence and agreed local pathway
- Undertake and interpret appropriate investigations within competence, which may include observations, ECGs, urinalysis, blood glucose/ketones, blood tests, swabs and other point-of-care or diagnostic procedures available within the PCN
- Request, review and act on investigations where authorised and competent to do so, ensuring appropriate follow-up and safety-netting.
- Provide health promotion, prevention and self-management advice and support shared decision-making
- 3. Home visiting, frailty and proactive care
- Provide an alternative model for urgent and same-day home visits across the PCN, prioritising workload according to clinical need and risk
- Assess housebound, frail and vulnerable patients, including those with multimorbidity, deterioration or complex health and social care needs
- Contribute to care home support and ward rounds where this forms part of the agreed PCN service model
- Support anticipatory and personalised care planning, including escalation planning and coordination with the wider multidisciplinary team
- Identify opportunities to prevent avoidable hospital attendance or admission while recognising promptly when escalation is clinically necessary
- Work with community, urgent care, virtual ward, ambulance, pharmacy, social care, voluntary sector and other services to coordinate appropriate care.
- 4. Medicines management and prescribing
- Administer medicines in accordance with legislation, local policies, Patient Group Directions (PGDs), Patient Specific Directions (PSDs) and professional scope of practice
- Where appropriately qualified as an independent prescriber, prescribe, review and deprescribe medicines within competence and in accordance with NICE guidance, local formularies, antimicrobial stewardship principles and PCN/practice policies
- Provide patients and carers with appropriate information about medicines, including purpose, adherence, side effects, interactions and when to seek further advice.
- Recognise personal limits in relation to medicines and seek advice from GPs, clinical pharmacists or other appropriate clinicians when required.
- 5. Multidisciplinary and integrated working
- Work as an integral member of the PCN multidisciplinary team, collaborating with GPs, nurses, pharmacists, pharmacy technicians, care coordinators, social prescribers, health and wellbeing staff, mental health practitioners and other allied health professionals
- Accept appropriate referrals and refer patients to other clinicians and services according to clinical need and agreed pathways.
- Communicate proactively and effectively with practices and partner organisations to ensure coordinated, person-centred care.
- Attend and contribute to PCN, practice, MDT, clinical, safeguarding, education and service-development meetings as required.
- Promote effective professional relationships across organisational boundaries and contribute to integrated neighbourhood working.
Person Specification
Clinical knowledge & skills
Essential
- Advanced history taking, clinical examination and assessment skills
- Ability to recognise deterioration, red flags and emergencies and escalate appropriately
- Ability to formulate differential diagnoses and evidence-based management plans within competence
- Understanding of safeguarding, consent, capacity, confidentiality and information governance
- Knowledge of medicines safety and relevant legal/professional frameworks
- Ability to document clearly, code accurately and provide robust safety-netting
Desirable
- Competence in ECG interpretation, phlebotomy and relevant point-of-care diagnostics
- Knowledge of frailty, anticipatory care, personalised care and admission avoidance pathways
- Knowledge of QOF/IIF and wider PCN contractual priorities
Other requirements
Essential
- Able and willing to travel between PCN sites and undertake home/community visits
- Ability to meet the physical and practical requirements of the role, with reasonable adjustments where required
- Satisfactory DBS and occupational health clearance as required
Desirable
- Full UK driving licence and access to a suitable vehicle, subject to reasonable adjustment and organisational policy
Qualifications
Essential
- Master Level (Level 7) or working towards it.
- Has been signed off formally within the clinical pillar competencies of the paramedic FCP/AP roadmap to practice.
- Degree/diploma in Paramedic Science/Paramedicine or equivalent recognised qualification/experience
- Has a further three years experience as a band 6 (or equivalent)
- paramedic
- Current HCPC registration as a Paramedic
- Meets current eligibility requirements applicable to the role and funding route
- Evidence of relevant CPD and maintenance of professional competence
Desirable
- Independent/non-medical prescribing qualification
- Masters-level qualification or modules relevant to advanced practice
- Formal evidence of FCP/AP roadmap completion or equivalent advanced-practice recognition
Experience
Essential
- Substantial post-registration paramedic experience appropriate to autonomous primary care practice
- Experience assessing and managing a broad range of acute and undifferentiated presentations
- Experience of autonomous clinical decision-making and managing risk/uncertainty
- Experience of home/community visiting and managing patients with complex needs
- Experience of multidisciplinary working
Desirable
- Primary care/general practice experience
- Care home, frailty or urgent community response experience
- Experience of SystmOne
- Experience of audit, quality improvement, teaching or supervision
Personal attributes
Essential
- Able to work autonomously while recognising limits and seeking support appropriately
- Organised, adaptable and able to prioritise a variable workload
- Calm and effective under pressure
- Reflective, accountable and committed to continuous improvement
- Commitment to equality, diversity, inclusion and person-centred care
Desirable
- Evidence of contributing to service redesign or new models of care
Person Specification
Clinical knowledge & skills
Essential
- Advanced history taking, clinical examination and assessment skills
- Ability to recognise deterioration, red flags and emergencies and escalate appropriately
- Ability to formulate differential diagnoses and evidence-based management plans within competence
- Understanding of safeguarding, consent, capacity, confidentiality and information governance
- Knowledge of medicines safety and relevant legal/professional frameworks
- Ability to document clearly, code accurately and provide robust safety-netting
Desirable
- Competence in ECG interpretation, phlebotomy and relevant point-of-care diagnostics
- Knowledge of frailty, anticipatory care, personalised care and admission avoidance pathways
- Knowledge of QOF/IIF and wider PCN contractual priorities
Other requirements
Essential
- Able and willing to travel between PCN sites and undertake home/community visits
- Ability to meet the physical and practical requirements of the role, with reasonable adjustments where required
- Satisfactory DBS and occupational health clearance as required
Desirable
- Full UK driving licence and access to a suitable vehicle, subject to reasonable adjustment and organisational policy
Qualifications
Essential
- Master Level (Level 7) or working towards it.
- Has been signed off formally within the clinical pillar competencies of the paramedic FCP/AP roadmap to practice.
- Degree/diploma in Paramedic Science/Paramedicine or equivalent recognised qualification/experience
- Has a further three years experience as a band 6 (or equivalent)
- paramedic
- Current HCPC registration as a Paramedic
- Meets current eligibility requirements applicable to the role and funding route
- Evidence of relevant CPD and maintenance of professional competence
Desirable
- Independent/non-medical prescribing qualification
- Masters-level qualification or modules relevant to advanced practice
- Formal evidence of FCP/AP roadmap completion or equivalent advanced-practice recognition
Experience
Essential
- Substantial post-registration paramedic experience appropriate to autonomous primary care practice
- Experience assessing and managing a broad range of acute and undifferentiated presentations
- Experience of autonomous clinical decision-making and managing risk/uncertainty
- Experience of home/community visiting and managing patients with complex needs
- Experience of multidisciplinary working
Desirable
- Primary care/general practice experience
- Care home, frailty or urgent community response experience
- Experience of SystmOne
- Experience of audit, quality improvement, teaching or supervision
Personal attributes
Essential
- Able to work autonomously while recognising limits and seeking support appropriately
- Organised, adaptable and able to prioritise a variable workload
- Calm and effective under pressure
- Reflective, accountable and committed to continuous improvement
- Commitment to equality, diversity, inclusion and person-centred care
Desirable
- Evidence of contributing to service redesign or new models of 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
North Wilts Border PCN Ltd Company
Address
New Court Surgery
Borough Fields
Royal Wootton Bassett
Swindon
Wiltshire
SN4 7AX
United Kingdom
Employer's website
Employer details
Employer name
North Wilts Border PCN Ltd Company
Address
New Court Surgery
Borough Fields
Royal Wootton Bassett
Swindon
Wiltshire
SN4 7AX
United Kingdom
Employer's website
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