Nurse Practitioner / Paramedic – Acute Home Visiting Service in Winchester

Employer: Winchester Rural South Primary Care Network (PCN)

Salary: £45,000 to £54,000 pro-rata

Contract: Permanent

Hours: 3 part-time positions available

Working Pattern: Monday–Friday, between 08:00–18:30 (3 part-time roles will collectively cover these hours)

Location: Winchester Rural South PCN (Bishops Waltham Surgery, Stokewood Surgery, Twyford Surgery & Wickham Surgery)

Reports to: PCN Clinical Lead / GP Lead / PCN Manager

Interview dates: 15th and 22nd January 2026 at Twyford Surgery.

Winchester Rural South Primary Care Network is a collaborative partnership of forward-thinking GP practices serving a semi-rural population of 57,000 patients. The PCN is made up of Bishops Waltham Surgery, Stokewood Surgery, Twyford Surgery, and Wickham Surgery, working together to deliver high-quality, accessible, and sustainable primary care. We are committed to developing innovative community-based services that improve patient outcomes, strengthen same-day access, and enhance resilience across our practices.

About the Service

Our Primary Care Network is developing an Acute Home Visiting Service (HVS) to strengthen urgent same-day care within the community, reduce avoidable hospital admissions, and increase capacity within General Practice. Evidence shows that up to 75% of acute medical admissions come directly via ambulance or self-presentation without prior primary care triage. This service aims to change that by providing a rapid, senior clinical response in the patient’s home, enabling earlier intervention, improved patient safety, and reduced pressure on acute hospitals.

The service is part of a broader strategy to:

• Increase planned appointment capacity in GP practices
• Reduce emergency and zero-day admissions
• Improve system flow by enabling earlier-in-the-day clinical decisions
• Expand and diversify the primary care workforce
• Strengthen multidisciplinary, community-based models of care
• Support GP practice resilience

Role Summary

As a core clinician within the Acute Home Visiting Service, you will provide timely clinical assessment and intervention for patients who are unable to attend their GP practice and require urgent (but not life-threatening) care at home. Working across the PCN footprint, you will respond to on-the-day referrals from a central triage point and deliver face-to-face assessments, making safe and effective clinical decisions within your professional boundaries. You will work autonomously while being supported by a multidisciplinary team including GPs, paramedics, nurses and allied health professionals.

Your clinical expertise will directly support:

• Early assessment and management to avoid unnecessary admissions
• Rapid interventions that reduce conveyance rates
• Earlier-in-the-day home visits, enabling improved patient outcomes and improved system flow
• Improved resilience and sustainability across member GP practices

This role is additional to core GMS provision and designed to strengthen primary care capacity at scale.

Key Responsibilities

Clinical Duties

• Provide autonomous, senior clinical assessments for patients at home who have been triaged as requiring urgent same-day care.
• Undertake comprehensive physical and clinical assessments, formulate differential diagnoses, and deliver evidence-based treatment plans.
• Facilitate early interventions to prevent avoidable admission, reduce re-attendance, and support effective management of acute episodes in the community.
• Escalate concerns or refer to GP/secondary care where clinically indicated.
• Prescribe within scope (if qualified) and follow best practice prescribing standards.

Operational Responsibilities

• Respond to referrals from a PCN-wide central point of contact.
• Document all consultations within the patient record, ensuring clinical information is available to the patient’s registered practice.
• Work within PCN Data Sharing Agreements and follow Data Protection Act requirements.
• Contribute to maintaining a robust, multi-professional visiting rota from 08:00–18:30.
• Support practices to process home visit requests earlier in the day to maximise system benefit.
• Work collaboratively with GPs, pharmacists, HCAs, district nurses, and community teams.
• Promote integrated neighbourhood working and multidisciplinary care models.
• Participate in PCN reporting requirements including visit volumes, outcomes, admission prevention data, patient experience (FFT), and quarterly workforce/activity reporting.
• Contribute to service promotion across practices, NHS 111, urgent care services and community partners.
• Support evaluation and quality improvement initiatives to inform future investment.

Governance & Professional Standards

• Adhere to PCN clinical governance processes, business continuity plans, and safety protocols.
• Ensure safe lone working practices.
• Maintain up-to-date clinical competencies, CPD, and professional registration.

Person Specification

• Registered Nurse (RGN) or Paramedic with current NMC/HCPC registration.
• Minimum Band 7 experience or equivalent senior clinician background.
• Advanced assessment skills, including independent clinical decision-making.
• Experience delivering urgent or acute care in a community, primary care, or emergency setting.
• Ability to work autonomously and confidently in patients’ homes.
• Strong communication skills and ability to work across multiple practices.
• Competent IT skills and experience using clinical record systems.
• Full UK driving licence and access to a vehicle suitable for business use.
• Non-Medical Prescribing (V300).
• Experience working within a Primary Care Network or multidisciplinary community team.
• Knowledge of admission avoidance pathways and community acute care models.

Why Join Us?

• Be part of an innovative, system-shaping service improving urgent community care.
• Work alongside a supportive, forward-thinking PCN team.
• Opportunity to influence service development and integrated models of care.
• NHS pension, and CPD support.
• Flexible PCN-wide role with professional autonomy and meaningful patient impact.

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.

Criteria

Qualifications & Registration

• Essential: Appropriate professional qualification RGN or Paramedic
• Desirable: Professional UK registration e.g. NMC / HCPC

Advanced Assessment Skills

• Essential: Level 6 or 7 advanced history taking and physical examination
• Essential: Level 6 or 7 diagnostics and decision making or evidence of autonomous decision making in practice
• Desirable: Non-medical prescribing; MSc ACP

Experience

• Essential: Experience in urgent, primary, community or emergency care; Senior autonomous practice PCN experience; Admission avoidance work

Clinical Skills

• Essential: Advanced assessment; Acute management; Lone working capability
• Desirable: Home visiting experience

Knowledge

• Essential: Primary/urgent care models; Governance; Safeguarding; Integrated neighbourhood working knowledge
• Desirable: EMIS