Advanced Practitioner (Paramedic Practitioner or Nurse Practitioner) in Haslemere

We are seeking a motivated and forward-thinking Nurse Practitioner or Paramedic Practitioner to join our expanding urgent care team at Haslemere Health Centre. This role offers an exciting opportunity to lead on the development of a new formal triage model while working closely with our GPs, nurse practitioners and experienced reception team. You will play a central part in strengthening our same day access provision and supporting high-quality clinical care across the practice.

Location: Haslemere Health Centre & Fernhurst Branch Surgery

Hours: 28 to 37.5 hours per week

Core hours: 8am to 6.30pm Mon - Fri excluding bank holidays

Annual leave: 25 days annual leave, Bank Holidays, up to 2 long service days (all pro rata and adjusted for compressed hours).

Private medical insurance

Access to training, supervision, and opportunities for progression

Main duties of the job:

• Work as part of the same day clinical team alongside the duty doctor, supporting the delivery and ongoing development of the practice's recently implemented triage model.
• Undertake clinical triage, assessment and management of patients presenting with urgent and same day care needs.
• Contribute to the refinement of triage processes, workflows, risk stratification and patient pathways to ensure a safe, efficient and sustainable service.
• Assess, diagnose, treat and appropriately escalate patients presenting with acute illness, injury or exacerbations of long-term conditions.
• Work collaboratively with the duty doctor and wider clinical team to ensure safe and timely management of urgent demand.
• Conduct home visits when clinically appropriate.
• Provide high-quality autonomous clinical assessment, decision-making, prescribing and patient management within scope of practice.
• Support evaluation of the triage system, identifying opportunities to improve patient access, experience, clinical outcomes and service efficiency.
• Contribute to quality improvement initiatives relating to urgent care, access and patient flow.
• Work closely with the multidisciplinary team to deliver responsive, patient-centred care and ensure patients are directed to the most appropriate clinician or service.

About us:

Haslemere Health Centre is a large, friendly, and enthusiastic GP practice set in the beautiful Surrey Hills. Our multidisciplinary team includes GP Partners, Salaried GPs, Nurses, Healthcare Assistants, Pharmacist, Pharmacy Technicians, Physiotherapist, social prescriber, and visiting paramedic. We are a training practice, regularly hosting GP registrars and FY2 doctors. Two of our GPs also run the local GP registrar training scheme. Our main site is a modern single storey NHS Health Centre on the grounds of Haslemere Hospital, with 20 consulting rooms, a branch surgery in Fernhurst, and dedicated admin space within the hospital. We are part of the West of Waverley PCN and Procare GP Federation. With a large multidisciplinary team and a strong commitment to delivering high quality, patient centred care, we provide a supportive and collaborative environment where innovation is encouraged. We welcome practitioners who are enthusiastic about shaping urgent care pathways and enhancing access for our patients.

Job responsibilities:

The postholder will work as an autonomous Paramedic Practitioner as part of the practices urgent care and same day access team. A core element of the role is leading the development and delivery of a safe and effective clinical triage system for the practice. Working closely with the GPs, Practice Manager and multidisciplinary team, the Paramedic Practitioner will support the efficient management of clinical demand and provide high quality assessment and treatment for patients with acute presentations.

Key Duties and Responsibilities:

1. Clinical Triage & Demand Management: Lead the design, implementation and ongoing development of the practices formal triage system. Establish and coordinate a triage hub, including workflow design, standard operating procedures and integration with reception and clinical teams. Provide clinical triage for same day / urgent patient requests and allocate care based on acuity and clinical need.
2. Urgent Care & MAC Clinics: Work alongside the duty doctor to deliver MAC clinics and manage urgent on the day presentations. Assess, diagnose, treat and appropriately escalate patients presenting with acute illness or injury. Provide accurate safety netting, follow up advice and contribute to maintaining smooth workflow during peak demand.
3. Home Visits: Undertake urgent home visits for acute presentations as required, providing timely assessment and management within the community setting.
4. Multidisciplinary Team Working: Work collaboratively with GPs, nurse practitioners, other clinicians and administrative teams to support continuity of care and maximise clinical capacity. Participate in case discussions, handovers and clinical meetings as appropriate.
5. Clinical Governance & Service Improvement: Contribute to the evaluation and continuous improvement of urgent care pathways, triage processes and access systems. Engage with practice audits, quality improvement projects and safety initiatives.
6. Professional Responsibilities: Maintain HCPC registration and meet all continuing professional development (CPD) requirements. Work within professional boundaries and scope of practice, seeking senior clinical support where appropriate. If qualified, practise as an independent prescriber; if not yet qualified, be willing to undertake prescribing training.

Person Specification:

Experience:

• Strong clinical assessment, diagnostic and autonomous decision making skills.
• Experience in patient triage within primary care, urgent care or emergency care settings.
• Ability to work effectively as part of a multidisciplinary team.
• Excellent communication, interpersonal and organisational skills.
• Ability to manage undifferentiated presentations safely, using appropriate clinical reasoning.
• Competent in managing acute illness and minor injuries.
• Commitment to maintaining CPD and working within scope of practice.
• Ability to prioritise and work under pressure in a fast paced same day care environment.
• Willingness to participate in MAC clinics, urgent care sessions, and home visits.
• Experience in general practice or primary care settings.
• Experience designing, implementing or improving clinical triage systems.
• Familiarity with EMIS Web, AccuRx, and digital triage tools.
• Previous involvement in quality improvement, service development or pathway redesign.
• Experience working alongside duty doctor teams in same day access or urgent care hubs.

Qualifications:

• HCPC registered Paramedic or Registered Nurse (NMC)
• Independent prescriber qualification (or working towards this)

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.