Job Introduction
Package Description
As an Enhanced Care Practitioner (ECP), you’ll be part of our valued team in our Wiltshire Locality Hospital at Home service.
You will feel valued as an Enhanced Care Practitioner (ECP) within HCRG Care Group, receiving access to exclusive rewards and benefits including:
- Band 7 AfC Salary with NHS Pension and full Agenda for Change terms and conditions
- Membership of My Reward Hub, giving you access to discounts on everyday purchases like grocery shopping as well as cashback and voucher offers for treats for you and those special to you
- Access to your wages as you earn them to help cover life’s emergencies and avoid overdraft fees or high interest rates
- Online and face to face help with your mental and physical wellbeing – from healthy recipes and activity challenges through to post trauma support, legal, debt and life management help, as well career coaching and counselling
- Access to eLearning, bespoke career pathways and opportunities for continuing professional development through our ‘Outstanding’ learning and development team, The Learning Enterprise
- An open, just culture where you’re encouraged to have and implement ideas which can help us deliver our purpose: changing lives through transforming health and care – backed up by at least £100,000 of ringfenced innovation funding each year
- The pride of working for an organisation committed to the highest clinical and quality standards: with a majority of our rated services holding “good” or “outstanding” ratings from the Care Quality Commission.
- Free tea, coffee and milk at your base location
Job introduction
We have an exciting opportunity for an Enhanced Care Practitioner (ECP) to join our Wiltshire Locality Hospital at Home service based at Warminster Hospital. The service is currently undergoing an exciting period of transformation, making this an excellent time to become part of a dynamic and innovative team.
You will be based in our Warminster Hospital location but work within the integrated community health & care services and people’s homes. Service hours run from 8am-8pm, 7 days a week.
As an ECP, you will play a pivotal role in providing expert clinical assessment, diagnosis, treatment, and management of patients within your area of specialty. You will lead by example, supporting colleagues, championing best practice, and helping drive forward innovation in patient pathways.
Main Responsibilities
As an Enhanced Care Practitioner you will report to the Advanced Clinical Practitioner
Provide enhanced clinical assessment, diagnosis, treatment, and ongoing management for patients receiving acute-level care in their own homes, in line with agreed clinical pathways and protocols.
Manage a defined clinical caseload, taking accountability for the delivery of safe, effective, and person-centred care across the full patient journey, from referral to discharge.
Work as a key clinical member of the Hospital at Home multidisciplinary team, collaborating closely with Care Coordination, Nursing, Therapies, Advanced Clinical Practitioners, and support staff across BaNES, Swindon, and Wiltshire (BSW).
Support Step-Up and Step-Down models of care, with particular focus on patients referred through the 2-hour Urgent Community Response (UCR) pathway, contributing to admission avoidance and timely supported discharge.
Undertake advanced clinical decision-making, including risk assessment, escalation, and de-escalation of care, ensuring patients receive the right care in the right place at the right time.
Work collaboratively with BSW Care Coordination Centres, supporting push and pull models from NHS 111 and 999 to optimise Hospital at Home capacity and reduce unnecessary hospital conveyance.
Coordinate care across primary, secondary, acute, community, and social care interfaces, acting as a clinical link to ensure seamless transitions and continuity of care.
Contribute to the design, development, and continuous improvement of clinical pathways, service models, and referral routes in response to system demand and evolving service needs.
Maintain accurate, timely, and legally compliant clinical documentation, ensuring robust communication with all professionals involved in the patient’s care.
Support clinical governance, quality improvement, and service evaluation activities, contributing to audit, learning from incidents, and implementation of best practice.
Act as a role model for enhanced clinical practice, supporting and guiding registered and non-registered colleagues within the multidisciplinary team.
Ensure care is delivered in accordance with organisational policies, professional standards, safeguarding principles, and Health & Safety requirements.
For a full list of responsibilities please see the attached Job Description.
The Ideal Candidate
The ideal candidate for this role will:
Essential
- Current professional registration with the NMC or HCPC
- Degree‑educated with relevant postgraduate learning or equivalent experience in enhanced clinical practice
- Recognised qualification in enhanced/advanced clinical assessment and diagnostic reasoning (e.g. PAD‑RAP / PACR or equivalent)
- Significant post‑registration experience in elderly care, frailty, community services, or a relevant acute specialty
- Strong experience in urgent and/or acute clinical assessment, including undifferentiated and complex presentations
- Proven ability to independently manage complex caseloads and make autonomous clinical decisions
- Experience working within multidisciplinary and multi‑agency teams
- Leadership experience, including clinical supervision and supporting service or practice development
- Excellent communication skills and strong clinical judgement
- Ability to work autonomously in a dynamic clinical environment
- Confident IT skills and experience using electronic clinical systems
- Commitment to safe practice, professional accountability, and clinical governance
- Current full driving license and use of a car during working hours.
Desirable
- Recognised teaching, mentorship or practice assessor qualification
- Current Independent Prescribing qualification, or demonstrable progression toward qualification, with experience supporting prescribing and treatment of frail older adults and patients with complex needs
- Involvement in relevant clinical interest or professional groups
- Experience of clinical audit, service evaluation, research and/or quality improvement
- Understanding of quality, safety and governance frameworks within community or urgent care services
About the Company
We change lives by transforming health and care.
Established in 2006, we are one of the UK's leading independent providers of community health and care services, working with health and care commissioners and communities to transform services with a focus on experience, efficiency, and improved outcomes. We deliver and transform adult and children community health services, primary care services including urgent care, sexual health, dermatology and MSK services as well as adult social care and wellbeing services. Across England, we support communities of many millions and directly help more than half a million people each year - guided by our simple values: we care, we think, we do.
We're committed to equal opportunities and welcome applications from a broad, diverse range of people who want to join our team. We’re a Disability Confident Committed company, so we work to provide facilities, work environment adjustments and technical solutions to be as inclusive of everyone.
While it doesn’t happen often, sometimes a role is very popular, and we’ll need to close it earlier than the date we’ve shown here. If you’re keen to join our team, we’d love to hear from you so please apply as soon as you can.
As you’d expect, safeguarding and protecting the children, young people and vulnerable adults that we work with is of the utmost importance so we have policies and procedures in place to promote safeguarding and safer working practices and everyone who joins the team is subject to a safer recruitment process, including the disclosure of criminal records and vetting checks.
Finally, we need to let you know that the company you’ll work for is part of HCRG Care Group Holdings Limited and by applying for this job we’ll need to process and hold information about you. If you would like to know a little more about how we use your information, please see our website's privacy policy.
