Advanced Paramedic Practitioner

Gillingham Medical Practice


This job is now closed

Job summary

An exciting opportunity has arisen for an experienced Paramedic Practitioner to join our highly respected and friendly practice. Our well-established practice has a committed team and excellent performance against local and national requirements. Gillingham Medical Practice is a two-site PMS practice with six GP Partners, providing high quality primary healthcare to a geographically extensive rural population of over 12,500 patients.

This is a Band 7 position with salary negotiated depending on experience

We are seeking an autonomous practitioner working independently and in conjunction with other health care professionals within their professional boundaries to provide care for patients at Gillingham Medical Practice. To provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment, including prescribing and evaluation of their care.

Main duties of the job

The right candidate will be confident in working independently to support GP surgeries. The candidate will be able to assess, examine, diagnose and treat patients or escalate them to a GP appointment, as appropriate. The ability to undertake some home visits is desirable. The candidate will be able to manage varying workloads and be confident to adapt to the changing demands of GP Practice.

Responsible for attending to patients who wish to be seen by a health care professional; diagnosing and treating patients presenting with minor illness seeing and advising people in respect of their continuing medical and nursing needs. These patients will have booked appointments at ten-minute intervals, be a phone call or home visit. There may be a requirement to see extra or emergency patients. The practitioner will need to prioritise and triage the needs of patients accordingly making any necessary referrals for investigations in the appropriate manner.

About us

We have a thriving team of nurse practitioners, working closely with our GPs, practice nurses and HCAs, as well as our fantastic administrative support staff. We are a training practice for registrars and medical students.

Job description

Job responsibilities

Job responsibilities:

Diagnosing and treating patients presenting with minor illness.

Ensure clinical practice is safe and effective and remains within boundaries of competence and to acknowledge limitations.

  • Provide first point of contact within the practice for patients presenting with undifferentiated, undiagnosed problems, making use of advanced skills in history taking, physical examination, problem solving and clinical decision making to establish a diagnosis and management plan.
  • Instigate necessary invasive and non-invasive diagnostic tests and investigations and interpret findings and action within own competence.
  • As a non-medical prescriber, prescribe and review medication for therapeutic effectiveness, in a safe, effective and appropriate manner as defined by current legislative frameworks and local guidelines, and within scope of practice.
  • Provide safe, evidence-based cost effective individualised care to the practice population.
  • Refer patients directly to other services/agencies as appropriate.
  • Work with the multi-disciplinary team within the practice and contribute to practice targets both local and national with disease management agenda. E.g. QoF.
  • To undertake scheduled home visits for patients unable to attend the surgery as agreed with the Duty GP and within scope of practice.
  • To provide regular reviews for residents within a local care home, including:
  • Medication reviews within area of competence,
  • Monitor medication requests for compliance
  • Annual reviews for chronic ailments
  • Update QoF as appropriate for each individual
  • Refer residents to secondary care or other members of the multi-disciplinary team as needed
  • A point of contact for advice in the first instance for care home staff. Be liaison between residents own GP and care homes
  • Update admission avoidance care plans where appropriate
  • Provide patients access directly to NP via online booking (still in trial period), booked slots via reception staff and offer advice and guidance via booked telephone calls.
  • Triage and file OOH discharge notes and A&E letters on a daily basis, ensuring follow up if needed, and ensure patient own GP aware of issues arising from these contacts, including ensuring appropriate read code added if indicated, GP is made aware of safeguarding issues in a timely manner.
  • Support other healthcare professionals within the practice and offer advice and guidance within area of competence.
  • Dementia and Learning disability annual reviews

Administration and professional responsibilities

  • Participate in the administrative and professional responsibilities of the practice team
  • Ensure accurate and legible notes of all consultations and treatments are recorded in the patients notes
  • Ensure the clinical computer system is kept up to date with accurate details recorded and amended
  • Dealing appropriately with results and clinical letters for patients under your care.
  • Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator
  • Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practic
  • Ensure collection and maintenance of statistical information required for regular and ad hoc reports and audit
  • Attend and participate in practice meetings as required

Person Specification



  • Experience of providing direct patient care.
  • Experience of dealing with a wide range of people.
  • Experience with computer systems, including Microsoft Office.


  • Experience of working in a GP practice.
  • Experience with SystmOne.

Knowledge and Skills


  • Good interpersonal and communication skills.
  • Ability to provide quality care.
  • Ability to reflect on and learn from own performance.
  • Ability to work in a team.
  • Ability to show initiative and work independently.
  • Understanding of patient confidentiality and Data Protection.



  • BSc Hons Nurse Practitioner or equivalent.
  • A condition of the role is that you work toward developing Level 7 capability, within a set timeframe, by following the clinical pillar competencies of the Advanced Clinical Practice Framework. We will support you to develop, working in an environment that nurtures and develops quality.


  • Experience in General Practice would be an advantage but is not essential if you are clinically up-to-date and can show a firm understanding of the role within a Primary Care setting.

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

Gillingham Medical Practice


Barn Surgery





Employer's website

For help with your application, contact:

Dr Kathryn Mounde


Date posted

16 July 2021

Pay scheme






Working pattern

Full-time, Part-time

Reference number


Job locations

Barn Surgery





Marlott Road




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0300 330 1013

Outside UK:

+44 300 330 1013

Opening times:

Monday to Friday: 8am to 6pm

Saturday: 9am to 3pm

Closed Bank Holidays including Easter Sunday, Christmas Day, Boxing Day and New Year's Day.