Job summary
The Advanced Paramedic Practitioner is an experienced autonomous clinician who provides proactive, responsive and coordinated healthcare for housebound residents across Marlow Medical Group.

The post-holder will work collaboratively with GPs, Advanced Clinical Practitioners, Clinical Pharmacists, Nursing Teams, Housebound Staff, Community Services and Secondary Care Providers to deliver high-quality, person-centred care to some of the most vulnerable and medically complex patients in the healthcare system. The role will support delivery of the Primary Care Network (PCN).

Main duties of the job
The role combines advanced clinical assessment, urgent care, long-term condition management, proactive care planning, frailty management, admission avoidance, end-of-life care support, and multidisciplinary care coordination.

The post-holder will provide a consistent clinical presence within the local community, helping reduce avoidable hospital admissions, improve continuity of care, support medicines optimisation, and improve outcomes for residents through proactive intervention and integrated working.

About us
Marlow Medical Group is a well-established, forward-thinking NHS GP partnership and primary care network serving the communities of Marlow, Loudwater, Lane End and Hambleden. The Group operates across four sites and is committed to delivering high-quality, patient-centred care for over 38,000 of its local population through a wide range of primary care and specialist services.

As a training practice, Marlow Medical Group supports the development of future healthcare professionals and promotes a culture of learning, innovation and continuous improvement.

The practice embraces digital healthcare solutions, including online consultations and NHS-App integration, to improve access and convenience for patients. Guided by its mission of working towards a healthier community for all by providing exceptional healthcare in a sustainable way, Marlow Medical Group is proud to hold a CQC rating of Good.

Details
Date posted: 14 October 2026
Pay scheme: Other
Salary: Depending on experience
Contract: Permanent
Working pattern: Full-time, Part-time, Flexible working, Compressed hours
Reference number: A0364-26-0006
Job locations: Victoria Road, Marlow, Buckinghamshire, SL7 1DN, United Kingdom

Job responsibilities

• Provide autonomous assessment, diagnosis, treatment and management of housebound residents presenting with acute, chronic and complex healthcare needs.
• Undertake comprehensive holistic clinical assessments, clinical examinations and advanced assessment.
• Formulate differential diagnoses and management plans; manage acute illness and clinical deterioration.
• Deliver urgent and same-day care assessments; assess and manage frailty syndromes and residents following falls.
• Support management of long-term conditions, end-of-life and palliative care patients, and identify and escalate safeguarding concerns.
• Undertake home and housebound ward-round consultations, anticipatory care planning, and telephone and digital clinical consultations.
• Participate in multidisciplinary housebound ward rounds, maintain personalised care and support plans, and identify residents at high risk of admission or deterioration.
• Support structured medication review alongside Clinical Pharmacists and reduce avoidable emergency admissions and A&E attendances.
• Manage urgent presentations, support clinical decision-making regarding hospital admission, liaise with ambulance, community and secondary care services, and support safe discharge.
• Provide expert management of residents with frailty, dementia, diabetes, cardiovascular disease, COPD, hypertension, chronic kidney disease, mental health conditions and complex multimorbidity.
• Provide clinical leadership across housebound services, lead quality improvement projects, and contribute to service redesign and PCN objectives.
• Work collaboratively with GPs, ACPs, Practice Nurses, Community Nurses, Mental Health Teams, Community Geriatricians, Social Care Teams and Allied Health Professionals.
• Deliver clinical teaching and training sessions, support mentorship of paramedic students, and participate in clinical supervision.
• Maintain accurate clinical records, use EMIS and SNOMED coding appropriately, and maintain information governance compliance.
• Participate in clinical audits, data collection, service evaluation and significant event reviews.

Person specification
Essential qualifications:

• Registered Paramedic with HCPC registration.
• Degree or Diploma in Paramedic Science.
• Level 3 Safeguarding Children and Adults.
• Enhanced DBS Clearance.
• Independent Prescriber qualification.
• Advanced Clinical Practice qualification.
• Master's Degree or equivalent advanced practice training.

Desirable qualifications:

• Housebound or Frailty qualification.
• Teaching or mentorship qualification.

Essential experience:

• Significant clinical experience managing acute and urgent presentations.
• Experience working autonomously and undertaking home visits.
• Experience managing frailty and complex patients within multidisciplinary teams.
• Understanding of primary care and community pathways.

Desirable experience:

• Experience working with housebound patients, in General Practice, in admission avoidance services, leading service improvement projects, or delivering education or training.

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.

Employer details
Employer name: Marlow Medical Group
Employer's website: Apply through our website
For questions about the job, contact: Dr Avi Biswas, Executive Partner and Clinical Director, avijist.biswas2@nhs.net

Closing date: 15 November 2026