• Job Description

  Req#: W0050-25-0002?language=en&page=3&sort=publicationDateDesc

  Job summary

  We are seeking 2 dynamic and autonomous Advanced Clinical Practitioners (ACP) with independent prescribing qualifications to join our progressive and multidisciplinary Primary Care Network in North Wiltshire.

  As an integral member of our patient-focused team, you will manage a caseload across a variety of clinical areas, providing advanced assessment, diagnosis, treatment, and evaluation. You will work collaboratively with GPs, pharmacists, paramedics, care coordinators and health & well-being coach to deliver responsive, high-quality care to our population of over 54,000 residents.

  The role demands a high level of clinical competence, critical decision-making, and the ability to work independently while contributing to holistic patient care and service transformation.

  This is a fantastic opportunity for a motivated practitioner to develop within a well-supported and innovative environment that prioritises professional development, integrated care, and population health outcomes.

  Main duties of the job

  • Seeing urgent/same day appointments as part of the multidisciplinary duty team
  • Provide home visits
  • Ward round and care home visit
  • Provide advanced clinical assessment, diagnosis, treatment, and management of patients across a range of conditions.
  • Work autonomously and as part of a multidisciplinary team to deliver high-quality care.
  • Support the development and implementation of clinical pathways and service improvements.
  • Contribute to the supervision and mentoring of junior staff and trainees
  • Engage in audit, quality improvement, and professional development activities
  • Management of long-term conditions both the physical and psychosocial needs of patients with strategies for behavioural change and motivational counselling
  • Covid management clinical oversight

  About us

  North Wilts Border PCN is an innovative and supportive network comprising 6 practices serving a diverse population of over 54,000 patients.

  We are proud of our strong collaborative ethos and commitment to delivering high-quality, patient-centred care.

  Our well-established multidisciplinary team consists of 25 dedicated professionals, including Clinical Pharmacists, Paramedics, Care Coordinators, Health & Well-Being Coach and other allied health staff. Together, we work seamlessly across practices to ensure integrated care and continuous service improvement.

  We strive to foster an environment that values development, encourages new ideas, and supports wellbeing for both our patients and our team members.

  What We Offer:

  • A supportive and inclusive team culture that is well-led
  • Opportunities for professional development and leadership
  • Flexible working arrangements
  • Access to mentorship and clinical supervision
  • Involvement in innovative projects and service development
  • Employee Assistant programme
  • NHS Pension
  • Cost coverage of an Enhanced DBS
  • Excellent Induction
  • 30 days annual leave pro rata

  Join us in shaping the future of Primary Care in North Wilts Border.

  Details

  Date posted

  09 July 2025

  Pay scheme

  Other

  Salary

  Depending on experience

  Contract

  Permanent

  Working pattern

  Full-time

  Reference number

  W0050-25-0002

  Job locations

  Malmesbury Primary Care Centre

  Priory Way

  Malmesbury

  Wiltshire

  SN16 0FB

  
  

  Doctors Surgery

  Willis Way

  Purton

  Swindon

  SN5 4BD

  
  

  New Court Surgery

  Borough Fields Shopping Centre

  Royal Wootton Bassett

  Swindon

  Wiltshire

  SN4 7AX

  
  

  The Tolsey Surgery

  High Street

  Sherston

  Malmesbury

  Wiltshire

  SN16 0LQ

  
  

  Tinkers Lane Surgery

  Tinkers Field

  Royal Wootton Bassett

  Swindon

  Wiltshire

  SN4 7AT

  
  

  Job description

  Job responsibilities

  The following are the core responsibilities of the role. There may be on occasion a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

  a) Work as part of the acute / on the day team to manage incoming demand in the practices and, at times, by home visiting or covering ward round.

  b) Appropriately assess, examine, investigate, diagnose and treat/advise a wide range of on-the-day presentations be these minor illnesses or exacerbations of chronic conditions as part of our acute provision.

  c) To be professionally and legally accountable for all work undertaken. To practice at an advanced level of professional autonomy and accountability that is within the Professional Codes of Conduct

  d) Requests investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography (CT) scans in accordance with IR(ME)R regulations and as local policy allows.

  e) Assesses patients with mental health needs using local policy and guidelines and refers to the appropriate services.

  f) Ensure patients are informed and consent is gained prior to treatment, investigation and management, as appropriate

  g) Take responsibility for the management of patients within own caseload and supervision/development of junior members of the multi-professional team.

  h) Identify the need for appropriate diagnostic tests and interpret the results if appropriate

  i) Identify and intervene proactively where circumstances contribute to an unsafe environment for patients, staff or relatives and escalate these appropriately

  j) Share knowledge and expertise, acting as an expert resource to others

  k) Support and liaise with the wider MDT as needed

  l) Contribute to the development and improvement of systems and processes that facilitate patients being able to stay in their own homes

  m) To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients, including issues pertaining to child protection and vulnerable adults.

  n) Process and interpret pathology and other test results as required (within the scope of practice)

  o) Maintain accurate clinical records and ensure read codes are used effectively

  p) Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice)

  q) Contribute to practice targets (QOF etc.), complying with local and regional guidance

  r) Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

  s) Support the clinical team with all safeguarding matters, in accordance with local and national policies

  t) Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

  u) Autonomously formulates appropriate management plans for patients, formulates clinical decisions and often complex treatment plans to manage acute illness and acute episodes of chronic illness including referral, admission, or discharge from service.

  v) Prioritises health problems and intervenes appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation.

  w) Manages clinical events involving patients, often requiring unpredictable and high levels of mental and/or physical effort according to the patients dependency and clinical need.

  y)Covid management clinical oversight.

  Job description

  Job responsibilities

  The following are the core responsibilities of the role. There may be on occasion a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

  a) Work as part of the acute / on the day team to manage incoming demand in the practices and, at times, by home visiting or covering ward round.

  b) Appropriately assess, examine, investigate, diagnose and treat/advise a wide range of on-the-day presentations be these minor illnesses or exacerbations of chronic conditions as part of our acute provision.

  c) To be professionally and legally accountable for all work undertaken. To practice at an advanced level of professional autonomy and accountability that is within the Professional Codes of Conduct

  d) Requests investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography (CT) scans in accordance with IR(ME)R regulations and as local policy allows.

  e) Assesses patients with mental health needs using local policy and guidelines and refers to the appropriate services.

  f) Ensure patients are informed and consent is gained prior to treatment, investigation and management, as appropriate

  g) Take responsibility for the management of patients within own caseload and supervision/development of junior members of the multi-professional team.

  h) Identify the need for appropriate diagnostic tests and interpret the results if appropriate

  i) Identify and intervene proactively where circumstances contribute to an unsafe environment for patients, staff or relatives and escalate these appropriately

  j) Share knowledge and expertise, acting as an expert resource to others

  k) Support and liaise with the wider MDT as needed

  l) Contribute to the development and improvement of systems and processes that facilitate patients being able to stay in their own homes

  m) To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients, including issues pertaining to child protection and vulnerable adults.

  n) Process and interpret pathology and other test results as required (within the scope of practice)

  o) Maintain accurate clinical records and ensure read codes are used effectively

  p) Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice)

  q) Contribute to practice targets (QOF etc.), complying with local and regional guidance

  r) Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

  s) Support the clinical team with all safeguarding matters, in accordance with local and national policies

  t) Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

  u) Autonomously formulates appropriate management plans for patients, formulates clinical decisions and often complex treatment plans to manage acute illness and acute episodes of chronic illness including referral, admission, or discharge from service.

  v) Prioritises health problems and intervenes appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation.

  w) Manages clinical events involving patients, often requiring unpredictable and high levels of mental and/or physical effort according to the patients dependency and clinical need.

  y)Covid management clinical oversight.

  Person Specification

  Experience

  Essential

  • Significant experience at senior level, Band 7 or above
  • Evidence of teaching in a variety of environments
  • Experience of working to protocols and guidelines
  • Evidence of on-going personal and professional development
  • Previous experience of developing clinical guidelines and clinical care pathways
  • Experience of clinical audit
  • Evidence of successful management of change management

  Desirable

  • Previous experience in an ACP role

  Qualifications

  Essential

  • Registered with the appropriate UK statutory regulatory body for your profession
  • Post graduate certificate or diploma (Advanced Practice Qualification)
  • Full Masters degree
  • FCP/AP qualification
  • Minor Illness Qualification
  • Registered as an independent prescriber

  Desirable

  • Long term conditions qualification
  • Mentoring/leadership qualification

  Person Specification

  Experience

  Essential

  • Significant experience at senior level, Band 7 or above
  • Evidence of teaching in a variety of environments
  • Experience of working to protocols and guidelines
  • Evidence of on-going personal and professional development
  • Previous experience of developing clinical guidelines and clinical care pathways
  • Experience of clinical audit
  • Evidence of successful management of change management

  Desirable

  • Previous experience in an ACP role

  Qualifications

  Essential

  • Registered with the appropriate UK statutory regulatory body for your profession
  • Post graduate certificate or diploma (Advanced Practice Qualification)
  • Full Masters degree
  • FCP/AP qualification
  • Minor Illness Qualification
  • Registered as an independent prescriber

  Desirable

  • Long term conditions qualification
  • Mentoring/leadership qualification

  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.

  UK Registration

  Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

  Additional information

  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.

  UK Registration

  Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

  Employer details

  Employer name

  North Wilts Border PCN Ltd Company

  Address

  Malmesbury Primary Care Centre

  Priory Way

  Malmesbury

  Wiltshire

  SN16 0FB

  
  

  Employer's website

  https://northwiltsborderpcn.nhs.uk/ (Opens in a new tab)

  Employer details

  Employer name

  North Wilts Border PCN Ltd Company

  Address

  Malmesbury Primary Care Centre

  Priory Way

  Malmesbury

  Wiltshire

  SN16 0FB

  
  

  Employer's website

  https://northwiltsborderpcn.nhs.uk/ (Opens in a new tab)

• About the company

  National Health Service (NHS) is the umbrella term for the publicly-funded healthcare systems of the United Kingdom (UK). The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care.

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