Work for New Horizons


We’re always on the lookout for more talented people to join us. We are a happy, highly motivated and forward-thinking PMS Partnership with two practice premises in Totton, Hampshire. See all the available vacancies below, then apply online today!

Advanced Clinical Practitioner (ACP) in Primary Care – Nurse or Paramedic Background

Term:                          Full Time, Permanent

Location:                    The ACP will work across the Totton Practices and PCN Hub

Salary:                         Starting salary of £50,952 (depending on experience)

Hours of Work:           37.5 hours, core hours will be between 8.00 – 18.00 Monday to Friday.

(Some evening and weekend hours may be agreed on a rota basis to cover Enhanced Access)



This role will be employed under the AARS role contract DES 2024 – 2025

We have an exciting opportunity for an experience ACP to join our established Primary Care Network (PCN).  We serve the people of Totton and surrounding areas, including Ashurst and Marchwood, with a population of approximately 37,000 patients. We are an expanding and progressive organisation with excellent patient care as our central value.  The post holder will be an experienced ACP within primary care who is able to deliver quality individualised care to our patients with a high level of autonomy underpinned by the four pillars of Clinical practice, leadership and management, education, and research. You will be expected to utilise your skills in advanced clinical assessment and diagnostics reasoning to make complex decisions to determine and initiate changes to treatment. A keen interest in acute Frailty or Urgent Care would be advantageous.  The ACP will form a core part of our home visiting service and urgent care team. Additionally, there is scope to provide chronic disease management and routine work dependant on need and candidate interest.  Support, supervision, and additional training will be provided where necessary to achieve this.  


The ACP will have an MSc in advanced Clinical Practice along with:

  • Full NMC / HCPC Registration with no restrictions
  • MSc in Advanced Clinical Practice
  • Non-Medical Prescriber V300
  • Experience of working in urgent care and/or primary care


Primary ACP Duties and Responsibilities

The following are the core responsibilities of the ACP. There may be on occasion a requirement to conduct other tasks; this will be dependent on factors such as workload and staffing levels. You will work within your own scope of clinical practice and:

  1. Work alongside the multi-disciplinary team to provide urgent care and a home visiting service, providing clinical triage when required, in accordance with clinically based evidence, NICE guidance, the Direct Enhanced Services contract of the Network.
  2. As required, be able to prescribe for the caseload of patients within your proven scope of practice. Using your knowledge, you will provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects, and interactions.
  3. Be able to perform and interpret investigatory procedures, including laboratory and radiology.
  4. Support the delivery of anticipatory care plans and lead certain community services.
  5. Working in alignment with the four pillars of Advanced Practice, provide clinical leadership and supervision to PCN and surgery colleagues.
  6. Communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required.
  7. Collaborate with other members of the PCN including doctors, nurses and other AHPs, accepting referrals and referring to them for specialist care.
  8. Maintain accurate and contemporaneous health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associate with patient health care and registration with the practice.
  9. Review medications following policy, NICE (national), local clinical guidelines and local care pathways. This will be done in accordance with evidence-based practice, national and practice protocols, and within the scope of practice.
  10. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
  11. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
  12. Support patients to adopt health promotion strategies that promote healthy lifestyles, an apply principles of self-care.


Secondary Responsibilities


  1. Enhance their own performance through continuous professional development, keep up to date with current evidence-based practice, impart own knowledge and skills to PCN colleagues to meet the needs of the service.
  2. Provide leadership for members of the multi-disciplinary team, providing guidance and support when necessary.
  3. Participate in research and utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.
  4. Work in partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
  5. Continually review clinical practices, responding to National policies and initiatives where appropriate.
  6. Participate in the review of significant and near-miss events, applying a structured approach, i.e. root cause analysis (RCA)
  7. Take personal responsibility for own learning and development, including the requirement to maintain currency, achieving all targets set in own Personal Development Plan (PDP

Training and Personal Development for All PCN Staff

  1. Working at a Masters' level or equivalent that encompasses the four pillars of clinical practice, leadership and management, education, and research, demonstrating core capabilities with specific clinical competencies.
  2. The post-holder will participate in any training programme implemented by the practice as part of this employment.
  3. Training requirements will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice. It is the individuals’ responsibility to remain up to date with recent developments.
  4. Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.
  5. Maintain continued education by attendance at courses and study days as deemed useful or
  6. necessary for professional development.
  7. If it is necessary to expand the role to include additional responsibilities, full training will be given.
  8. Develop and maintain a Personal Learning Plan.
  9. The postholder will have access to appropriate clinical supervision and an appropriate named individual in the PCN to provide general advice and support on a day-to-day basis.
  10. It will be necessary to attend and contribute to various practice/PCN meetings as requested. The only reason for not attending will be annual, study or sick leave.


  1. While seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
  2. In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
  3. Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & Safety

The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the Practice Health & Safety Policy, to include:

  1. Use personal security systems within the workplace according to Practice/PCN guidelines.
  2. Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.
  3. Making effective use of training to update knowledge and skills.
  4. Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards.
  5. Reporting potential risks identified.
  6. Using the PCN significant event reporting system.

Equality and Diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

  1. Acting in a way that recognizes the importance of people’s rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation.
  2. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
  3. Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.


The post-holder should recognize the importance of effective communication within the team and will strive to:

  1. Communicate effectively with other team members, patients and carers.
  2. Recognize people’s needs for alternative methods of communication and respond accordingly.

Closing date: Monday 27 May 2024 (11:59pm)


For more information or to apply, please Click Here