Job summary
Role Summary:
To provide clinical care as an Enhanced Clinical Practitioner (ECP) in line with the standards of practice and code of contact of their registering body. The post holder will undertake autonomous clinical practice ensure safe, effective, and high-quality patient care.

Main duties of the job
Provide specialised clinical assessment, examination, and management of patients presenting with acute and undifferentiated conditions in line with their enhanced training and scope of practice.

Triage and prioritise patients appropriately, delivering same-day and urgent care services.

Independently assess, diagnose and manage a wide range of minor illness presentations.

Support in the management of chronic and complex conditions which fall with their enhance scope of practice and training.

Identify red flags and escalate or refer patients appropriately to secondary or urgent care services.

Request, interpret, and act on diagnostic investigations e.g., bloods, ECGs, imaging where appropriate.

Prescribe safely as an independent prescriber, if qualified, in line with local and national guidelines.

Provide clinical decision-making in complex and uncertain situations, recognising limitations and seeking senior support where needed.

Deliver patient education, safety-netting, and health promotion advice.

Maintain accurate, contemporaneous, and legally compliant clinical records.

Work collaboratively within the multidisciplinary team, supporting patient flow and demand management.

Undertake risk assessment and management, including safeguarding concerns and deteriorating patients.

About us
The Avenue Surgery is a non-dispensing, training practice, caring for circ.18000 patients in and around the semi-rural town of Warminster, Wiltshire which is within an easy commute to the cities of Bath and Salisbury.

The practice is led by 6 GP partners and 4 salaried GP's supported by a hard working team of both clinical and administration staff including a specialist Living well team who support our most vulnerable and older community.

A strong prescribing team lead by a pharmacist and a pharmacist, 2 pharmacy technicians and 3 prescription clerks.

The team are very committed to the surgery vision to provide a service that works with, and for, the community to meet the widest range of care, health promotion and education for our patients and staff members.

We are a friendly, dedicated team with the determination to provide high quality clinical care for our patients.

Details
Date posted: 24 August 2026
Pay scheme: Other
Salary: Depending on experience
Contract: Permanent
Working pattern: Full-time
Reference number: A1160-26-0009
Job locations: 14 The Avenue, Warminster, Wiltshire, BA12 9AA, United Kingdom

Job responsibilities
Clinical Practice - Enhanced Clinical Practitioner ECP

1. Scope of Clinical Practice:
The post holder will work autonomously within their scope of practice as an ECP, delivering advanced assessment, diagnosis, and management of patients across the lifespan in a general practice setting.

Main Tasks & Responsibilities

• Provide specialised clinical assessment, examination, and management of patients presenting with acute and undifferentiated conditions in line with their enhanced training and scope of practice.
• Triage and prioritise patients appropriately, delivering same-day and urgent care services.
• Independently assess, diagnose and manage a wide range of minor illness presentations.
• Support in the management of chronic and complex conditions which fall with their enhance scope of practice and training.
• Identify red flags and escalate or refer patients appropriately to secondary or urgent care services.
• Request, interpret, and act on diagnostic investigations e.g., bloods, ECGs, imaging where appropriate.
• Prescribe safely as an independent prescriber, if qualified, in line with local and national guidelines.
• Provide clinical decision-making in complex and uncertain situations, recognising limitations and seeking senior support where needed.
• Deliver patient education, safety-netting, and health promotion advice.
• Maintain accurate, contemporaneous, and legally compliant clinical records.
• Work collaboratively within the multidisciplinary team, supporting patient flow and demand management.
• Undertake risk assessment and management, including safeguarding concerns and deteriorating patients.
• Act as a clinical role model for other ECPs staff.
• Support supervision and development of junior or newly appointed ECPs.

General Responsibilities

• Maintain professional registration and work within scope of practice.
• Adhere to organisational policies, confidentiality, and data protection requirements.
• Engage in ongoing CPD and revalidation requirements.
• Promote equality, diversity, and inclusion in all aspects of the role.

NOTE: This job description was accurate at the time of its compilation. However, changes are frequent in general practice and post-holders are expected to be flexible and to agree to reasonable changes from time to time once these have been discussed with the post holder.

Person Specification
Qualifications
Essential

• Current active registration with NMC or HCPC with no restrictions on practice.
• Undertaken PACR/ diagnostic module

Desirable

• independent prescribing qualification

Experience
Essential

• 2 yrs post- qualification experience ideally with exposure to Primary care/ Urgent treatment centre / minor injuries unit/ ED or Acute care setting.

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: The Avenue Surgery
Address: 14 The Avenue, Warminster, Wiltshire, BA12 9AA, United Kingdom
Employer's website: Apply through our website

Employer contact details
For questions about the job, contact:
Clinical lead
Deborah Howells
deborah.howells1@nhs.net

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