Job summary
We are seeking an experienced and autonomous Urgent Care Practitioner to join our team. This role is ideal for an experienced clinician from an ambulance, urgent care, emergency, community or primary care background who is confident in assessing and managing undifferentiated and acute presentations within their professional scope.

A key aspect of the role is providing same-day care through home visits, practice-based assessments and remote consultations. You will independently assess patients, formulate differential diagnoses, manage clinical risk, initiate treatment, request investigations and make appropriate referral or escalation decisions. An Independent Prescribing qualification is desirable.

You will work closely with GPs and the wider multidisciplinary team to support safe, effective care and help reduce unnecessary hospital admissions wherever appropriate.

Applicants must be a registered healthcare professional (HCPC, NMC or equivalent) with substantial post-registration experience and a proven ability to work autonomously in assessing and managing acute and urgent presentations. A full UK driving licence and willingness to undertake home visits are essential.

For an informal chat about the role, please contact:
Kim Pennington, Head of Patient Care at kim.pennington2@nhs.net or Dr James Russell, GP Partner and Clinical Director at james.russell2@nhs.net

Interview Date: Thursday 8th October 2026

Main duties of the job
You will independently assess patients, formulate differential diagnoses, manage clinical risk, initiate treatment, request investigations and make appropriate referral or escalation decisions.

An Independent Prescribing qualification is desirable. Applicants must be a registered healthcare professional (HCPC, NMC or equivalent) with substantial post-registration experience and a proven ability to work autonomously in assessing and managing acute and urgent presentations. A full UK driving licence and willingness to undertake home visits are essential.

About us
Holderness Health is a forward-thinking GP partnership and single-practice Primary Care Network serving communities across the Holderness area of East Yorkshire.

We are a large rural practice with approximately 34,000 patients. As a single-practice Primary Care Network, we have a wonderful opportunity to transform care for our patients.

We are committed to delivering high-quality, patient-centred care through a multidisciplinary team approach, supporting innovation, professional development and excellent health outcomes for our population.

Job responsibilities
Duties and Responsibilities
Provide autonomous assessment, diagnosis and management of patients presenting with urgent, acute and undifferentiated health needs. Develop treatment plans, initiate appropriate interventions, manage clinical risk and ensure safe referral or escalation when required.

Home Visiting and Community-Based Care
Undertake home visits for patients unable to attend practice, delivering comprehensive clinical assessment and treatment in community settings. Support care closer to home and help prevent unnecessary hospital admissions where clinically appropriate.

Same-Day Access, Triage and Clinical Prioritisation
Provide timely same-day care through face-to-face, telephone and remote consultations. Assess urgency, prioritise patients according to clinical need and contribute to effective patient navigation across services.

Communication and Multidisciplinary Working
Work collaboratively with GPs, nurses, pharmacists, community teams and other healthcare professionals to deliver coordinated, patient-centred care. Communicate clearly with patients, carers and colleagues to support informed decision-making.

Delivering a Quality Service and Clinical Governance
Maintain high standards of clinical practice through accurate record keeping, evidence-based care, patient safety activities, audit and quality improvement initiatives. Contribute to the ongoing development of urgent care pathways and services.

Professional Practice and Development
Maintain professional registration and continuing professional development requirements. Participate in clinical supervision, reflective practice and learning activities to support the delivery of high-quality urgent care services.

Information Governance
Ensure accurate use of clinical systems and maintain confidentiality in line with information governance and data protection requirements, supporting safe and effective patient care.

Health, Safety, Infection Prevention and Equality
Work in accordance with organisational policies relating to health and safety, lone working, infection prevention and safeguarding. Promote equality, diversity and inclusion, ensuring equitable access to care for all patients.

Person Specification
Additional Criteria
Essential

• Clinical knowledge
• Strong knowledge of acute illness, clinical deterioration and urgent presentations.
• Knowledge of structured history taking, physical examination and differential diagnosis.
• Understanding of clinical risk, red flags, escalation and safety-netting.
• Understanding of professional accountability, scope of practice and the limits of competence.
• Knowledge of safeguarding adults and children, mental capacity and consent.
• Understanding of evidence-based practice and the use of current clinical guidance
• Clinical and professional skills
• Able to undertake autonomous clinical assessment and examination.
• Able to formulate differential diagnoses and appropriate management plans.
• Able to recognise deterioration and initiate appropriate emergency or urgent escalation.
• Able to work safely and confidently as a lone practitioner in patients' homes.
• Able to prioritise workload and manage competing clinical demands.
• Excellent verbal and written communication skills.
• Able to communicate risk, uncertainty and complex information clearly to patients, carers and colleagues.
• Able to work effectively within a multidisciplinary team while retaining professional autonomy.
• Accurate and timely clinical record keeping and effective use of digital clinical systems.
• Personal Attributes
• Self-directed, accountable and professionally curious.
• Calm and effective clinical decision-maker in situations of uncertainty or pressure.
• Able to recognise and communicate own limitations appropriately.
• Flexible and responsive to changing service and patient need.
• Commitment to compassionate, person-centred care.
• Positive team contributor with a commitment to shared learning and improvement.
• Other requirements
• Full UK driving licence and access to suitable transport for business use, subject to reasonable adjustments where applicable.
• Ability and willingness to work across practice sites and undertake home visits.

Desirable

• Clinical Knowledge
• Knowledge of general practice systems, pathways and the wider primary/community care environment.
• Knowledge of frailty, multimorbidity and complex community assessment.
• Knowledge of medicines optimisation and prescribing in primary care.
• Knowledge of clinical governance, patient safety and quality improvement in primary care.
• Clinical and professional skills
• Independent prescribing and medicines-management skills.
• Ability to provide clinical advice, case discussion or debrief to colleagues.
• Clinical supervision and competency-assessment skills.
• Audit, service evaluation or quality-improvement skills.
• Teaching and facilitation skills.
• Personal attributes
• Interest in developing urgent and community-based care within general practice.
• Ability to contribute to service redesign, clinical pathways or wider organisational learning.

Experience
Essential

• Substantial post-registration clinical experience.
• Demonstrable experience of autonomous assessment and clinical decision-making.
• Significant experience assessing acutely unwell, undifferentiated or deteriorating patients.
• Experience of working independently in community, ambulance, urgent, emergency or comparable clinical settings.
• Experience of making safe decisions about treatment, referral, escalation and disposition

Desirable

• Previous general practice or primary care experience.
• Urgent treatment centre, same-day emergency care, community urgent response or equivalent experience.
• Home-visiting experience within primary or community care.
• Experience working as an independent prescriber.
• Experience supporting or supervising other clinicians.
• Experience contributing to audit, quality improvement, clinical governance or pathway development.

Qualifications
Essential

• Registered Paramedic with the HCPC, Registered Nurse with the NMC, or another appropriately registered healthcare professional with directly relevant urgent-care experience.
• Evidence of continuing professional development relevant to acute and urgent clinical practice
• Clinical knowledge
• Strong knowledge of acute illness, clinical deterioration and urgent presentations.
• Knowledge of structured history taking, physical examination and differential diagnosis.
• Understanding of clinical risk, red flags, escalation and safety-netting.
• Understanding of professional accountability, scope of practice and the limits of competence.
• Knowledge of safeguarding adults and children, mental capacity and consent.
• Understanding of evidence-based practice and the use of current clinical guidance
• Clinical and professional skills
• Able to undertake autonomous clinical assessment and examination.
• Able to formulate differential diagnoses and appropriate management plans.
• Able to recognise deterioration and initiate appropriate emergency or urgent escalation.
• Able to work safely and confidently as a lone practitioner in patients' homes.
• Able to prioritise workload and manage competing clinical demands.
• Excellent verbal and written communication skills.
• Able to communicate risk, uncertainty and complex information clearly to patients, carers and colleagues.
• Able to work effectively within a multidisciplinary team while retaining professional autonomy.
• Accurate and timely clinical record keeping and effective use of digital clinical systems.
• Personal Attributes
• Self-directed, accountable and professionally curious.
• Calm and effective clinical decision-maker in situations of uncertainty or pressure.
• Able to recognise and communicate own limitations appropriately.
• Flexible and responsive to changing service and patient need.
• Commitment to compassionate, person-centred care.
• Positive team contributor with a commitment to shared learning and improvement.
• Other requirements
• Full UK driving licence and access to suitable transport for business use, subject to reasonable adjustments where applicable.
• Ability and willingness to work across practice sites and undertake home visits.

Desirable

• Independent / non-medical prescribing qualification.
• Postgraduate study at Level 7 in urgent care, minor illness, clinical assessment or a related field.
• MSc Advanced Clinical Practice or equivalent advanced-practice qualification.
• Clinical supervision, mentorship or teaching qualification.
• Previous general practice or primary care experience.
• Urgent treatment centre, same-day emergency care, community urgent response or equivalent experience.
• Home-visiting experience within primary or community care.
• Experience working as an independent prescriber.
• Experience supporting or supervising other clinicians.
• Experience contributing to audit, quality improvement, clinical governance or pathway development.

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.