Care Home Senior Clinician (Paramedic)
At a glance
- Band
- Band 7
- Contract
- Permanent
- Pattern
- Full-time, Flexible working
- Posted
- 17/08/2026
- Closes
- 01/09/2026
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Role summary
This role is for an autonomous and highly skilled Care Home Senior Clinician (Paramedic) within the Primary Care Network. The post holder will deliver urgent reactive care and proactive care management for care home residents, focusing on rapid assessment, treatment, and admission avoidance. They will also support planned frailty reviews, personalised care planning, and multidisciplinary coordination. The role involves clinical leadership, service development, and workforce support.
Key responsibilities
- Provide rapid, autonomous assessment of acutely unwell care home residents and execute immediate treatment plans.
- Safely prescribe medications within individual scope of practice as an Independent Prescriber.
- Utilise expert clinical judgment to safely manage high-risk patients in their place of residence to minimize unnecessary hospital admissions.
- Participate in scheduled Multi-Disciplinary Team (MDT) reviews for care home residents to optimise health and prevent future health deterioration.
- Act as a clinical role model and expert resource for care home staff, PCN colleagues, and the wider multidisciplinary team.
- Design and deliver evidence-based training sessions for care home staff on topics such as early signs of deterioration, hydration, and falls prevention.
Essential criteria
- Registered Paramedic with current HCPC registration and must have completed 3 years postgraduate work.
- Non-Medical Prescribing qualification supported by substantial prescribing experience.
- Evidence of postgraduate study in advanced clinical assessment and clinical decision making.
- Advanced clinical assessment and diagnostic reasoning skills.
- EMIS Web proficiency.
- Ability to formulate and manage complex treatment plans.
- Expert understanding of frailty, long-term conditions and older people's healthcare needs.
- Ability to undertake holistic assessments incorporating physical, psychological and social factors.
- Sound knowledge of safeguarding, mental capacity and best interest frameworks.
- Excellent communication skills with patients, families, care home staff and multidisciplinary teams.
- Strong organisational and prioritisation skills.
- Ability to adapt workload in response to fluctuating service demands.
- Competence in digital clinical systems and electronic record keeping.
- Full UK Driving Licence and access to transport.
- Minimum 3 to 5 years post-registration clinical experience including urgent care, community services, primary care or emergency care settings.
- Experience managing patients with frailty, multiple long-term conditions and complex care needs.
- Experience working autonomously and managing clinical risk.
- Experience of independent prescribing in a patient-facing role.
- Demonstrable experience of multidisciplinary working across organisational boundaries.
- Experience supporting admission avoidance and care closer to home models.
- Experience of Long-Term Conditions and a willingness to develop the skills further.
Desirable criteria
- Evidence of ongoing professional development relevant to advanced practice.
- MSc Advanced Clinical Practice or working towards.
- Qualification in Frailty, Urgent Care, Primary Care or Older Adult Care.
- Knowledge of PCN Care Home requirements and Network Contract DES.
- Understanding of population health management approaches and integrated care systems.
- Experience working in care homes.
- Experience working within a Primary Care Network or General Practice setting.
- Experience leading service improvement, audit or quality improvement projects.
- Experience supervising or mentoring healthcare professionals.
Useful to know
Agenda for Change 2024/25 pays Band 7 at £46,148 – £52,809 a year, across England.
Posted 13d ago · Closes in 3d
Applications close soon — apply now if this is a fit.
Full advert · preview
Lytham St Anne’s Primary Care Network
Care Home Senior Clinician (Paramedic)
The closing date is 01 September 2026
Job summary
The Care Home Senior Clinician will operate as an autonomous, independent and highly skilled clinician within the Primary Care Network, delivering both urgent reactive care and proactive care management for residents living within care home settings. The post holder will predominantly provide rapid assessment and treatment of acutely unwell residents, whilst also supporting planned frailty reviews, personalised care planning and multidisciplinary care coordination.
Main duties of the job
Using
advanced paramedic assessment, diagnostic reasoning and independent prescribing
skills, the practitioner will play a key role in admission avoidance, improving
resident outcomes and supporting high-quality care within care homes. The role
will also provide clinical leadership, service development and workforce
support in line with Agenda for Change Band 7 expectations.
The post holder will utilise advanced paramedic
assessment, diagnostic reasoning, prescribing and clinical decision-making
skills to assess, treat and manage residents with acute, chronic and complex
health needs. The role requires the ability to move seamlessly between
unplanned urgent care, frailty management, anticipatory care planning and
end-of-life support.
The post holder
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