Extended Scope Practitioner Enhanced Care Team

Extended Scope Practitioner for the Enhanced Care Team

Are you a dynamic, enthusiastic, forward thinking Extended Scope Nurse or Paramedic in Frailty/Palliative Care looking for a new venture with a like-minded clinical team? If so, HRH are looking to employ a full-time Extended Scope Practitioner for the Enhanced Care Teamwho has a passion for high quality, patient‑led care and a desire to make a difference.

• Access to Employee Assistance Program
• Access to the NHS pension

You will be working in a close team providing Enhanced Care which includes Frailty, Palliative, Care Homes, Dementia, Learning Disabilities and Safeguarding. Also as part of a wider multi-disciplinary team which include, GP Partners, GPs, Advance Nurse Practitioners, Nurse Practitioners, Paramedic Practitioners, Clinical Pharmacists, Mental Health Nurse, Practice Nurses, Healthcare Assistants and Physiotherapists.

You will be responsible for home visits, face to face clinics and telephone consultations for patients with a wide range of medical and social concerns, urgent and same day requests for treatment and chronic disease management, providing care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.

You will need to demonstrate safe, clinical decision-making and expert care, including physical assessment and diagnostic skills. You will need to triage the needs of patients accordingly making any referrals for investigations in the appropriate manner.

The role will include holistic assessment and coordination of care for Palliative and End of Life patients.

The role will be involved the care of frail and elderly patients including the responsibility of patients within care and nursing homes. This may include weekly ward rounds. Part of your responsibilities will include visiting patients in their home to assess their medical condition, frailty review and may include those with low-level mental health concerns

Hastings & Rother Healthcare was formed in 2021 and consists of three GP practices within Hastings and St Leonards. We are an organisation that is rapidly growing and we currently cover the largest patient population in Hastings & St Leonards.

Joining our team means becoming part of a dedicated group of healthcare professionals who share a common vision and values. By putting our patients first and delivering high‑quality care, you will contribute to our mission of improving the health and lives of the communities we serve. In return, we can offer excellent remuneration, career development and a supportive clinical working environment.

Closing Date: 23rd January 2026

HRHmonitor the use of AI during the recruitment process. If it is apparent thatyou have used AI to complete the application, you may be asked about this priorto shortlisting in order to determine if your application should progress.

Clinical leadership & specialist role

• Work closely with the Palliative and End of Life Care Team to support patients through the Gold Standards Framework.
• Completion, review, and audit of patient‑centred RESPECT forms in partnership with patients and carers.
• Undertake home visits, face to face clinics, telephone consultations, care home ward rounds, and over‑75s triage as part of the supported triage team.

Specialist assessments & long‑term condition management

• Manage MAS referrals and associated investigations and treatments relating to memory loss.
• Undertake Dementia and Learning Disability reviews in line with QOF requirements.
• Manage patients with complex co‑morbidities commonly seen in frail and elderly populations e.g. cardiovascular disease, respiratory disease, dementia.

Autonomous clinical practice

• Independently assess, diagnose, and manage patients using advanced clinical reasoning and physical assessment skills.
• To form accurate diagnoses, prognosis and care plans using a best current clinical and evidence based practice to, include a systematic formulation and advice on evidence based therapeutic interventions
• Independently decide on and carry out treatments, including the prescribing of medicines,within scope of…