Enhance Clinical Practitioner (ECP) - Wiltshire in Chippenham

As an Enhance Clinical Practitioner (ECP), you'll be part of our valued team in the Hospital at Home service based across community bases within Swindon or Wiltshire (North, East, South or West). You will feel valued as an Enhance Clinical Practitioner (ECP) within HCRG Care Group, receiving access to exclusive rewards and benefits including:

• 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 like 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

We have an exciting opportunity for an Enhance Clinical Practitioner (ECP) to join our team based across community bases within Swindon or Wiltshire (North, East, South or West) 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 delivering high-quality, acute-level care to patients across West Wiltshire directly in their own homes. Working within a Step Up and Step Down model, you will play a vital role in both preventing unnecessary hospital admissions and supporting early, safe discharge from acute settings. You'll care for patients who would traditionally require an inpatient stay, using your clinical expertise to assess, treat, and manage complex health needs in a flexible and rewarding community-based environment. As a key member of a dynamic multidisciplinary team, you'll work alongside innovative, forward-thinking colleagues who are passionate about delivering compassionate, person-centred care. Our Hospital at Home service champions professional autonomy, collaborative working, and advanced clinical decision-making allowing you to make a real difference to patient outcomes while shaping the future of healthcare closer to home.

Main Responsibilities:

• As an Enhanced Clinical Practitioner (ECP) you will report to the Advanced Clinical Practitioner you will deliver high-quality, evidence-based enhanced clinical care, using advanced assessment, clinical reasoning, diagnosis, and treatment planning to manage patients with acute and complex needs.
• Maintain oversight of patient care, identifying and responding to deterioration, escalating appropriately, and documenting in line with clinical governance.
• Provide clinical leadership within the multidisciplinary team, supporting safe decision-making, care prioritisation, and collaborative working across services.
• Act as a professional role model, coordinating enhanced clinical input to optimise patient outcomes.
• Contribute to supervision, education, and workforce development, supporting a positive learning culture.
• Participate in audit, quality improvement, and service development, helping to refine clinical pathways and support continuous improvement within the Hospital at Home service.

The Ideal Candidate:

• Essential: 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 license and use of a car during working hours.

Desirable:

• 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

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 Committed company, so we work to provide facilities, work environment adjustments and technical solutions to be as inclusive of everyone.