Home Visiting Advanced Clinical Practitioner

Posting date:	09 June 2026
Salary:	Not specified
Additional salary information:	Negotiable
Hours:	Full time
Closing date:	24 June 2026
Location:	Carlisle, CA1 3UB
Company:	NHS Jobs
Job type:	Permanent
Job reference:	A1945-26-0009

Summary

Advanced Clinical Practice The post holder will: Provide a first point of contact within the practice for patients presenting with complex, undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem solving and clinical decision-making, to establish a diagnosis and management plan Work from the surgery and within the community as an autonomous practitioner caring for patients and families Prioritise health problems and intervene appropriately, including initiation of emergency care Support improved health outcomes by integrating health promotion, education, screening, and skilled therapeutic communication into practice Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports Deliver holistic, patient-and family- centred care, establishing individualised ongoing care and support plans that emphasis prevention and self-care Professionally make autonomous decisions for which they are accountable Work with the multi-disciplinary team within the practice and in the wider health care community to promote integrated pathways of care Provide safe, evidence-based, cost effective, individualised patient care Prescribe safe, effective and appropriate medication as defined by current legislative framework (if postholder independent prescriber) Actively participate in the delivery of existing targets for General Practice relating to patient care, prescribing and others as deemed by the arrangements in the general practice contract Refer patients directly to other services/agencies as appropriate Work within the practice guidelines, policies and protocols Contribute to the practice and national targets for high quality care (including QOF and enhanced services targets) Accurately document contemporaneous consultation details in patient records, adhering to up-to-date regulatory and professional requirements Work within code of professional conduct appropriate to role Home Visiting Respond to same-day visit requests for acute illness, minor injuries, and exacerbations of chronic conditions Ensure safe and effective care delivery in patients homes and care homes, considering social and environmental factors Support admission avoidance by managing suitable cases in the community and coordinating with community nursing, frailty teams, and social care Evidence and Research Contribute to and undertake audits of clinical practice to ensure care provision is in line with guidelines for best practice Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review Promote evidence-based practice using the latest research-based guidelines and the development of practice-based research Participate in identification of community health needs and develop patient and family centred strategies to address them Help develop and set up new patient services and participate in initiatives to improve existing patient services Collaborate with other healthcare professionals in initiating and promoting research. Support where appropriate other individuals in the conduct of research and promote dissemination and implementation of findings. Training, Education and Personal Development Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained Maintain professional registration Contribute to their own learning and development by maintaining up to date skills and knowledge, undertaking additional training as required, this may be identified by the individual or the practice Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer reviews Leadership Promote a learning environment for patients and other health professionals Contribute to the planning and implementation of the teaching for existing staff, such as medical students, GP registrars, Nurses and Health Care Assistants, within the Practice Work collaboratively with colleagues within and external to the practice Participate in practice meetings and practice management meetings, reporting progress as required