Physicians Associate

Physicians Associate

Reference: HW-1028

Permanent Full-Time role

Job summary

The post holder will demonstrate critical thinking and be a caring, compassionate and committed experienced practitioner who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. This will be either face to face, or via the telephone.  They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice. They will communicate and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse and Health Care Assistant leadership.

Job responsibilities:

Clinical Practice

·         Work as part of a multi-disciplinary team to deliver safe and high quality care.

·         Carries out clinical practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

·         Delivery of care in line with NSF, NICE guidelines and evidence-based care

·         Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.

·         Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.

·         Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.

·         Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.

·         Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.

·         Assess, diagnose and treat patients in practice premises or visiting them in their own home or care home.

·         Refers patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.

Care Management

·         Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.

·         Provide highly specialised care advice beyond the scope of normal practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).

·         Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.

·         To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.

Health Improvement

·         Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.

·         Innovation in practice to meet ongoing demands on the practice’s delivery of care.

·         Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.

·         Supports practitioners in reporting the practice population to promote health improvement and disease prevention.

·         Makes referrals to appropriate agencies (statutory and voluntary) where necessary

·         Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions

·         Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care

Providing assessment, screening services, health education advice:

·         These may include carrying out and interpreting (but not restricted to);

o   Blood pressure checks

o   Urinalysis

o   Ear syringing

o   Dressings

o   Contraception/ fitting contraceptive devices

o   Routine immunisations and vaccinations

o   Removal of sutures / clips

o   First registration checks / health surveillance / general health advice

Administration and professional responsibilities

·         Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

·         Participate in the administrative and professional responsibilities of the practice team

·         Accurate and legible notes of all consultations and treatments are recorded in the patient’s notes

·         Ensure clinical systems kept up to date, recording and/or amending accurate details

·         Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator

·         Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice

·         Attend and participate in practice meetings as required

·         Restocking and maintenance of clinical areas and consulting rooms

Training and personal development

·         Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.

•     Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

·         Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.

·         Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.

·         Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education.

·         Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.

·         Develop and maintain an in house training programme for nurses and Health Care Assistants reporting to the practice manager.

·         Act as a mentor for junior staff, assessing competence against set standards.

·         Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements.

·         Develop and maintain a Personal Learning Plan.

·         Regularly participate in clinical supervision.

Leadership – personal and people development

·         Act as a clinical leader ensuring that the needs of the patient are a priority

·         Support staff development in order to maximise potential

·         Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice

·         Critically evaluate and review innovations and developments that are relevant to the area of work

·         Work with practice management to ensure sufficient staffing to provide a safe service, and that staff have the appropriate ability, quality and skill-mix to meet current and future service delivery

·         Take part in recruitment processes where appropriate.

·         Maintain effective communication and active involvement in the planning and processes of practice-based commissioning or similar initiatives

Manage, supervise, co-ordinate and guide the nursing team

·         To manage the Nursing and Health Care Assistant Team in participation with the practice manager, ensuring relevant information is disseminated to and from the relevant staff

·         In participation with the practice manager, carry out yearly appraisals of all the nursing and Health Care Assistant staff and produce a training programme



Wargrave House Surgery,


Wargrave House Surgery,, 23 St Owen Street, Hereford, Herefordshire, HR12JB
See Map


Dependent on Experience


Physician's Associate

Employment Type:



Full Time

Closing Date:


Contact Name:

Rachael Knill



01432 272285

How to Apply:

Email CV and covering letter to or apply via the NHS Jobs link

Apply Here

Application Form1.doc