Advanced Clinical Practitioner - OOH - Nurse/Paramedic - Hertfordshire

HUC is seeking experienced Advanced Nurse/Clinical Practitioners to join our integrated urgent care services across Cambridgeshire, Bedfordshire, Hertfordshire, West Essex, and Somerset. Working in partnership with local healthcare providers, our portfolio includes Out-of-Hours (OOH) GP care, Urgent Treatment Centres (UTCs), and the Acute In Hours Visiting Service (AIHVS), with many sites co-located in hospitals, GP surgeries, and health centres to ensure seamless patient care.

This highly autonomous role is central to delivering safe, effective, and responsive care for a diverse patient population, often managing complex and undifferentiated cases. You will operate within a dynamic multidisciplinary environment alongside GPs,Advanced and Urgent Care Practitioners, Paramedics, and non-clinical staff, ensuring patient safety and service quality. Flexibility to work across various services, locations, and patient presentations is essential. This position offers the opportunity to contribute to service transformation, support equitable access, and help strengthen local healthcare system resilience throughout HUC's urgent care portfolio.

Main duties of the job

• Autonomously assess, diagnose, treat, and discharge patients via telephone, in Treatment Centres, UTCs, or during home visits under OOH and AIHVS models.
• Manage a broad spectrum of minor illnesses and injuries, including ENT and ophthalmic cases, using advanced clinical reasoning and evidence-based practice.
• Provide clear health education and tailored self-care advice to support patient understanding and management.
• Rapidly identify and manage acutely unwell patients, initiating urgent or emergency care as needed.
• Recognise safeguarding concerns and act decisively in line with HUC procedures.
• Deliver compassionate support to patients needing palliative or end-of-life care, including medication management.
• Adapt clinical practice to changing patient demand and service pressures, and participate in audits, service evaluations, and quality improvement.
• Prioritise patient care based on clinical risk, acuity, and urgency, ensuring safety and efficiency.
• Exercise autonomy within professional boundaries, comply with NMC/HCPC standards, maintain registration, and uphold HUC's governance, revalidation, and appraisal requirements.
• Communicate effectively with patients, families, and multidisciplinary teams, document all clinical interactions accurately, contribute to team meetings, and engage in ongoing professional development.

About us

In return for your dedication and commitment to our values, we offer:

Exclusive Discounts: Unlock amazing savings on shopping, travel, and entertainment through our Discount Hub, Blue Light Card, Tickets for Good, and more. From everyday essentials to special experiences, we've got your wallet covered!

NHS Pension Scheme: Secure your future with the NHS Pension, offering peace of mind and valuable long-term financial benefits for all our staff.

Wellbeing Support: Your health matters! Enjoy access to counselling services, personalised health plans, calming meditation guides, energising fitness routines, and delicious recipes to keep you thriving every day.

Recognition and Rewards: Your hard work won't go unnoticed! Celebrate your achievements with peer shout-outs, special awards, and exclusive event vouchers that show how much we appreciate you.

Financial Perks: Take the stress out of money matters with free financial advice, a healthcare cash plan to cover everyday expenses, and smart savings options through our Credit Union.

Career Growth: Build the future you deserve with our My Academy training programs, exciting internal vacancies, and regular updates to keep you in the loop with HUC news and opportunities.

Job responsibilities

Please read full Job Description and Person Specification attached to this vacancy.

Services and operational hours in Hertfordshire are available as below:

Out of Hours (OOH) ServiceStevenage, Welwyn Garden City, Hertford, St Albans, Borehamwood, Watford, Hemel Hempstead.Operational Hours: Monday to Friday: 19:00 08:00; Weekends andBank Holidays: 24 hours a day.Urgent Treatment Centres (UTC)St Albans Integrated Urgent Care Hub (St Albans City Hospital)Operational Hours: 7 days a week, 09:00 18:00

Acute In Hours Visiting Service (AIHVS)Welwyn Garden CityOperational Hours: 7 days a week, 09:00 17:00

You must have full, unrestricted right to work in the UK. We are unable to offer visa sponsorships.

Person Specification

• NMC Registered Nurse or HCPC registered paramedic
• Minor Illness Qualification (Level 6 or Level 7) or equivalent
• Minor Injury Qualification (Level 6 or Level 7) or equivalent
• Advanced Clinical Assessment Qualification (Level 6 or Level 7) or equivalent
• Non-Medical Prescribing Qualification (V300)
• Proven experience in autonomous clinical roles within urgent or unscheduled care settings
• MSc in Advanced Clinical Practice or equivalent (or evidence of current credentialing with HEE or RCN)
• Experience working in Urgent Care, Emergency Department, General Practice, or Out-of-Hours services
• Telephone triage and remote consultation experience

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.

£34.76 to £43.45 an hourBasic rate of £34.76 p/h plus OOH enhancements (10%-25%)

Contract

Permanent

Working pattern

Reference number

4265-7337509-SOOHACP-HE

Job locations