Job summary

Derbyshire Dales Primary Care Network are seeking a motivated and compassionate Physician Associate (PA) to join our dedicated Home Visiting Service. Working as part of a multidisciplinary primary care team, you will provide high-quality clinical assessment, diagnosis, management, and follow-up care to patients within their own homes.

This is an exciting opportunity for a skilled clinician who enjoys autonomous working while remaining supported by experienced GPs and other healthcare professionals. You will play a pivotal role in improving access to care, reducing unnecessary hospital admissions, and supporting some of the most vulnerable members of our community.

Main duties of the job

Key Responsibilities

• Conduct comprehensive clinical assessments in patients' homes.
• Obtain and document detailed medical histories.
• Develop and implement management plans within your scope of practice.
• Request and interpret appropriate investigations.
• Identify deteriorating patients and escalate concerns appropriately.
• Prescribe through delegated pathways where locally agreed and in accordance with current regulations.
• Work collaboratively with GPs, nurses, paramedics, pharmacists, and community teams.
• Maintain accurate and timely clinical records.
• Participate in clinical governance, audits, and quality improvement initiatives.
• Promote patient education, self-management, and preventative healthcare.

About us

DDPCN HVS team will offer

• Supportive multidisciplinary team environment.
• Regular supervision and clinical development opportunities.
• Continuing Professional Development (CPD) support.
• NHS Pension Scheme (where applicable).
• Generous annual leave entitlement.
• Flexible working opportunities.
• The opportunity to work daily in the beautiful Derbyshire Dales which is in easy reach via the main arterial routes from the M1 , A38 , A52 and A6 roads .

Job summary

Working within a Primary Care Home Visiting Team which includes other clinicians namely , GPs , ANP's , ECPs and Paramedics you willprovide high-quality, patient-centered care by undertaking home visits for housebound or vulnerable patients with acute, sub-acute, and chronic conditions. The role supports GPs and the multidisciplinary team (MDT) in delivering timely assessments, diagnostics, treatment, and referrals, reducing hospital admissions and improving access to care closer to home.

You will also work in partnership with other acute health care providers as part of the Derby and Derbyshire Local Navigation Hub model .

Main duties of the job

• Clinical Assessment & Diagnosis
• Act as an autonomous clinician, performing comprehensive history-taking, physical examinations, and clinical assessments.
• Diagnose and manage undifferentiated and complex conditions within scope of practice.
• Undertake and interpret diagnostic tests (e.g., ECG, blood tests, urinalysis).
• Treatment & Care Planning
• Provide urgent and routine care, including prescribing (if qualified) or recommending treatment plans.
• Initiate referrals to GPs, community services, or secondary care as appropriate.
• Support anticipatory care plans and chronic disease management for housebound patients.
• Home Visiting
• Respond to same-day visit requests for acute illness, minor injuries, and exacerbations of chronic conditions.
• Ensure safe and effective care delivery in patients homes, considering social and environmental factors.
• Collaboration & Communication
• Work closely with GPs, nurses, pharmacists, and social care teams.
• Communicate effectively with patients, carers, and MDT members, including sensitive information.
• Promote self-care and provide health education to patients and families.
• Documentation & Governance
• Maintain accurate clinical records in line with NHS and PCN standards.
• Adhere to NICE guidelines and local protocols.
• Participate in audits, clinical meetings, and service development initiatives.

About us

Derbyshire Dales PCN is made up of eleven GP Practices .

The network covers the areas of Hope , Bradwell , Eyam ,Tideswell , Baslow , Bakewell , Darley Dale , Ashover ,Ashbourne ,Brailsford , Wirksworth and Matlock .

There is an excellent road infrastructure and access to and from the M1, A6 and A38 is easily achievable .

You will be working in the beautiful Derbyshire Dales which includes the well known tourist attractions that are scattered around the locality . It is a fantastic place to work with many benefits that are naturally derived by working in the Dales .

The ethos of DDPCN is to support all our staff in order to maximise every opportunity to deliver a high quality of patient care on behalf of our stakeholder practices and ICB colleagues that lead and are involved the LNH model .

The management team at DDPCN have a 'can do' attitude and as an employee you will be supported by an excellent clinical and back office team each day .

Job summary

An exciting opportunity has arisen for a dedicated and compassionate Practice Nurse to join our friendly, high performing team. We are seeking an experienced practice nurse who is confident in delivering core treatment room skills. You will play a key role in delivering high-quality patient care to support the smooth operation of our busy primary care environment. The successful candidate will be patient centred, proactive, and able to work both independently and as part of a wider multidisciplinary team.

Salary: Depending on experience (benchmarked against AfC band 5)

Hours: Part time

Pension Scheme: NHS Pension Scheme

Employment Benefits: Generous annual leave entitlement; free refreshments including hot drinks, fresh filtered water and fruit; supportive team environment; NHS discounts

Closing Date: 20th September 2026

Interview Date: Week commencing 5th October

Please ensure that within your application you evidence how you meet the job description and person specification.

Main duties of the job

The successful candidate will be responsible for independently carrying out nursing duties to ensure a high level of patient care is delivered in line with local and national guidance.

About us

Ashbourne Medical Practice is a large teaching and dispensing practice serving a growing population of 10,900 patients from a modern, purpose built premises in the centre of Ashbourne. Our multi-disciplinary team includes GPs, ACP/ANPs, pharmacists, physiotherapists, a practice nursing team and supportive non-clinical teams. We are a highly respected practice who embraces the collaborative agenda and has a reputation for delivering excellent patient care. We work collaboratively with several other practices as part of the Derbyshire Dales Primary Care Network.

Details

Date posted

02 September 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time

Reference number

A1391-26-0002

Job locations

Clifton Road

Ashbourne

Derbyshire

DE6 1DR

United Kingdom

Job description

Job responsibilities

• Fully competent and experienced in all general treatment room duties including venepuncture, performing ECGs, suture removal, ear irrigation, assisting with minor surgery
• Provide a holistic approach to wound management and implement wound care in line with current evidence based guidelines
• Offer advice about childhood and adult vaccinations and ensure vaccines are administered under patient group directions
• Running NHS Healthchecks and health promotion programmes, facilitating change by providing holistic assessment and lifestyle advice on diet, smoking, alcohol intake and exercise
• Management of hypertension
• Offer a holistic approach to travel health by providing comprehensive advice to patients prior to travel including; vaccinations and medicines, safe sex, food hygiene, sun protection
• Able to document consultations according to NMC guidelines
• Ability to recognise signs and symptoms of child abuse
• Perform a holistic assessment of patients attending for cervical cytology smear tests
• Assessing problems presented opportunistically by patients, dealing with minor injuries
• Ensures awareness of statutory and local clinical protection procedures, including systems of referral
• Able to recognise and manage anaphylaxis according to current UK guidelines
• Able to perform cardio-pulmonary resuscitation according to current UK guidelines
• Ability to obtain and document informed consent (either verbal or written)
• Ensure infection control guidelines are maintained
• Ability to monitor and manage maintenance of stock and equipment to include refrigeration and emergency equipment
• Contribute to the assessment of service needs
• Assist patients to identify their health needs
• Contribute a nursing perspective to the practice development plan
• Manage and organise individual patient consultations
• Aware of identification and reporting procedures related to professional standards
• Attend and participate in any Practice meetings when required
• Ensure effective relationships and communications with the PHCT and other agencies
• Support the Practice clinical governance agenda
• Identify changes to clinical practice that are required to implement evidence-based guidelines
• Identify personal development and training needs in conjunction with the manager
• Participate in clinical supervision
• Support others with their training and development needs
• To participate in continuing education and maintain a contemporary level of professional knowledge and skills
• Take reasonable care of his/her own safety and that of other persons who may be affected by his/her act or omission
• Co-operation with the practice to ensure all members of the team adheres to statutory regulations/policies and codes of practice and departments safety rules
• Offer innovative ways of working and opportunities to facilitate learning
• Facilitates a learning environment within the team
• Maintains a caring environment through the support of colleagues

Job description Job responsibilities Fully competent and experienced in all general treatment room duties including venepuncture, performing ECGs, suture removal, ear irrigation, assisting with minor surgery Provide a holistic approach to wound management and implement wound care in line with current evidence based guidelines Offer advice about childhood and adult vaccinations and ensure vaccines are administered under patient group directions Running NHS Healthchecks and health promotion programmes, facilitating change by providing holistic assessment and lifestyle advice on diet, smoking, alcohol intake and exercise Management of hypertension Offer a holistic approach to travel health by providing comprehensive advice to patients prior to travel including; vaccinations and medicines, safe sex, food hygiene, sun protection Able to document consultations according to NMC guidelines Ability to recognise signs and symptoms of child abuse Perform a holistic assessment of patients attending for cervical cytology smear tests Assessing problems presented opportunistically by patients, dealing with minor injuries Ensures awareness of statutory and local clinical protection procedures, including systems of referral Able to recognise and manage anaphylaxis according to current UK guidelines Able to perform cardio-pulmonary resuscitation according to current UK guidelines Ability to obtain and document informed consent (either verbal or written) Ensure infection control guidelines are maintained Ability to monitor and manage maintenance of stock and equipment to include refrigeration and emergency equipment Contribute to the assessment of service needs Assist patients to identify their health needs Contribute a nursing perspective to the practice development plan Manage and organise individual patient consultations Aware of identification and reporting procedures related to professional standards Attend and participate in any Practice meetings when required Ensure effective relationships and communications with the PHCT and other agencies Support the Practice clinical governance agenda Identify changes to clinical practice that are required to implement evidence-based guidelines Identify personal development and training needs in conjunction with the manager Participate in clinical supervision Support others with their training and development needs To participate in continuing education and maintain a contemporary level of professional knowledge and skills Take reasonable care of his/her own safety and that of other persons who may be affected by his/her act or omission Co-operation with the practice to ensure all members of the team adheres to statutory regulations/policies and codes of practice and departments safety rules Offer innovative ways of working and opportunities to facilitate learning Facilitates a learning environment within the team Maintains a caring environment through the support of colleagues

Person Specification

Experience

Essential

• Experience of working in accordance with the NMC Code of Professional Conduct (2002) and The Scope of Professional Practice (1992)
• 12 months experience of working in Primary Care
• Experience of working autonomously
• Experience of a clinical system e.g. TPP SystmOne or EMIS
• Experience of Microsoft Office software

Desirable

• Knowledge of issues affecting General Practice

Qualifications

Essential

• RGN Qualification
• Current NMC Registration
• Cervical cytology qualification
• Foundation course in immunisation certificate

Desirable

• Ear irrigation certificate
• Travel health training certificate
• Contraception and sexual health qualification
• Long-term condition training certificates and experience
• Spirometry ARTP qualification

Skills

Essential

• Able to communicate complex strands of information to patients at an appropriate level of understanding
• Ability to demonstrate empathy
• Excellent interpersonal skills
• Respond to verbal and non-verbal communication cues from patients and take appropriate action
• Excellent verbal and written communication skills

Qualities & Attributes

Essential

• A demonstrable commitment to professional development
• Ability to work under pressure
• Flexible approach to working hours
• Ability to maintain patient confidentiality
• Ability to manage own time effectively and efficiently
• A smart, confident and respectful manner
• Ability to perform well under pressure
• Ability to use own initiative
• Ability to work as part of an integrate multi-skilled team
• Ability to work without direct supervision and determine own workload priorities
• Commitment to high levels of accuracy and contemporaneous data entry into patient medical records
• Ability to use own judgement, resourcefulness and common sense

Person Specification Experience Essential Experience of working in accordance with the NMC Code of Professional Conduct (2002) and The Scope of Professional Practice (1992) 12 months experience of working in Primary Care Experience of working autonomously Experience of a clinical system e.g. TPP SystmOne or EMIS Experience of Microsoft Office software Desirable Knowledge of issues affecting General Practice Qualifications Essential RGN Qualification Current NMC Registration Cervical cytology qualification Foundation course in immunisation certificate Desirable Ear irrigation certificate Travel health training certificate Contraception and sexual health qualification Long-term condition training certificates and experience Spirometry ARTP qualification Skills Essential Able to communicate complex strands of information to patients at an appropriate level of understanding Ability to demonstrate empathy Excellent interpersonal skills Respond to verbal and non-verbal communication cues from patients and take appropriate action Excellent verbal and written communication skills Qualities & Attributes Essential A demonstrable commitment to professional development Ability to work under pressure Flexible approach to working hours Ability to maintain patient confidentiality Ability to manage own time effectively and efficiently A smart, confident and respectful manner Ability to perform well under pressure Ability to use own initiative Ability to work as part of an integrate multi-skilled team Ability to work without direct supervision and determine own workload priorities Commitment to high levels of accuracy and contemporaneous data entry into patient medical records Ability to use own judgement, resourcefulness and common sense

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).

Additional information 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

Ashbourne Medical Practice

Address

Clifton Road

Ashbourne

Derbyshire

DE6 1DR

United Kingdom

Employer's website

https://www.ashbournemedicalpractice.co.uk (Opens in a new tab)

Employer details

Employer name

Ashbourne Medical Practice

Address

Clifton Road

Ashbourne

Derbyshire

DE6 1DR

United Kingdom

Employer's website

https://www.ashbournemedicalpractice.co.uk (Opens in a new tab)