Paramedic Practitioner (Frailty, Care Homes & Acute Care) in Lewes

We are seeking a motivated and compassionate Paramedic Practitioner to join our single practice PCN team on a part-time basis. This is an exciting opportunity to play a key role in delivering high-quality, patient‑centred care with a particular focus on frailty management and supporting residents in care homes, alongside providing acute care support for the wider practice population.

Main duties of the job:

• Frailty & Proactive Care
• Care Home & Domiciliary Care
• Acute & Same‑Day Care
• Clinical Practice & Procedures
• MDT & System Working
• Quality, Governance and Professional Practice
• General Duties

This is a frailty‑led paramedic role within an innovative single practice Primary Care Network, focused on delivering proactive, preventative and patient‑centred care to frail and vulnerable patients, particularly those in care homes or at risk of deterioration. The postholder will play a central role in reducing avoidable hospital admissions, supporting patients to remain in their usual place of residence and delivering anticipatory and coordinated care across the system. Alongside this, the role will contribute to acute and same‑day demand, providing responsive clinical assessment and triage for the wider practice population. The role requires a clinician who is comfortable working autonomously, while also contributing meaningfully within a multidisciplinary team environment.

Job responsibilities:

• Frailty & Proactive Care (Primary Focus)
  • Lead on the identification, assessment, and management of frailty
  • Deliver holistic, person‑centred assessments including physical, psychological, and social needs
  • Develop and implement personalised care and support plans, including anticipatory and end‑of‑life care planning
  • Manage a defined caseload of frail and complex patients, including those with dementia
  • Support admission avoidance and early intervention strategies
  • Work closely with MDT colleagues to coordinate care and improve outcomes
• Care Home & Domiciliary Care
  • Provide regular clinical reviews and acute assessments for care home residents
  • Undertake home visits for housebound and vulnerable patients
  • Support care home staff with clinical decision‑making and escalation
  • Contribute to care home MDT meetings and ward rounds
  • Support medication optimisation and care planning alongside pharmacy and nursing teams
• Acute & Same‑Day Care
  • Undertake urgent clinical assessments, including triage and same‑day demand
  • Assess and manage minor illness, injury, and exacerbations of long‑term conditions
  • Coordinate and deliver telephone triage and clinical prioritisation
  • Escalate appropriately to GP or secondary care when required
• Clinical Practice & Procedures
  • Conduct autonomous assessment, diagnosis, and treatment within scope of practice
  • Request and interpret diagnostic tests (including ECGs where trained)
  • Prescribe medication (where qualified) in line with PGDs and clinical competence
  • Refer patients appropriately to secondary care and community services
• MDT & System Working
  • Work collaboratively with GPs, nurses, pharmacists, social prescribers and wider MDT
  • Participate in frailty MDT meetings, case reviews, and service development
  • Liaise effectively with hospital, community, and voluntary sector services
• Quality, Governance & Professional Practice
  • Maintain accurate, contemporaneous clinical records
  • Work in line with HCPC standards and College of Paramedics guidelines
  • Participate in audit, quality improvement, and service development
  • Adhere to confidentiality, GDPR, safeguarding, and information governance standards
  • Contribute to a culture of continuous learning and reflective practice
• General Responsibilities
  • Promote equality, diversity, and patient dignity in all interactions
  • Maintain high standards of health & safety and infection control
  • Engage in continuous professional development (CPD)
  • Support wider practice priorities and undertake additional duties as required

Person Specification:

• Strong clinical assessment, diagnostic, and decision‑making skills
• Ability to manage risk and uncertainty
• Ability to assess and treat minor illness/injury
• Ability to analyse complex information and make sound clinical decisions
• Excellent interpersonal and communication skills
• Ability to build relationships across multidisciplinary teams
• Ability to communicate effectively with patients and carers
• Compassionate, patient‑centred approach
• Resilient and able to work under pressure
• Strong organisational and time management skills
• Team player with ability to work independently
• Professional, reliable, and accountable
• Experience in anticipatory care planning
• ECG interpretation and advanced diagnostics
• Experience in audit and service evaluation
• Experience presenting or educating others
• Strong report writing and presentation skills
• Ability to influence and lead discussions
• High emotional intelligence
• Experience leading or mentoring others
• Ability to manage change and uncertainty
• Confidence in challenging and improving practice
• Flexible and adaptable approach

Qualifications:

• Registered Paramedic with Health and Care Professions Council (HCPC)
• Degree in Paramedic Science or equivalent
• Minimum 2 years post‑registration experience
• Driving licence and access to a vehicle
• MSc or working towards Advanced Clinical Practice
• Membership of College of Paramedics
• Advanced Clinical Practitioner status

Experience:

• Experience managing acute and long‑term conditions
• Experience working autonomously in clinical settings
• Experience managing a caseload and delivering care plans
• Working knowledge of NHS systems and values
• Primary care or community experience
• Care home or frailty‑focused experience
• Experience in MDT working across organisations

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.