United Kingdom
A highly competent International and UK Registered Advanced Paramedic (HCPC), Advanced Clinical Practitioner (with HEE/NHSE digital badge) and Independent Prescriber. Extensive experience as a Clinical / Operational Manager and as lead advanced & specialist Paramedic in forensic medicine, urgent/primary care services and frailty. Frailty and long term conditions are the most recent areas of speciality, forming the majority of my advanced practice portfolio, based primarily in the primary care setting, with a specialist interest and training in Heart Failure. Customer and client focused person who works well as part of a team, as a leader or educator. Able to manage, prioritise and develop business contracts utilising in depth knowledge of the industry. Dynamic and professional work ethic with high standards of operation and clinical practice. Project Leader and a proud disruptive innovator BASICS Accredited Immediate Care Practitioner (Paramedic) Course development - including writing a University recognised Level 4 (diploma) Emergency Care course. Overseas medical education development in Nigeria, Africa. Designing and delivering pre-hospital care (EMT & Paramedic) and Major Incident Management (MIMMS) courses. Previous Clinical Fellow with NHS Dorset. National Difference Award winner (HCRG Care Group) 2025 for work in service improvement, development and eduction.
Initially, I started working with HCRG as and ACP for the virtual wards service with a focus on CVD and my expertise in long term conditions. This role involved leading on assessing and planing secondary care treatment for patients in their own home. These patients were referred from urgent care teams, GPs and 999 services requiring advanced medical assessment, management and treatment plans or admission to hospital or step up services. Due to my expertise I transitioned to the specialist community heart failure team but still supporting the virtual ward service. As Heart Failure Specialist Practitioner, I work autonomously as an advanced practitioner, with a continuous responsibility for proactively managing a caseload of patients in a community setting, with heart failure in Bath and North East Somerset, Swindon & Wiltshire (BSW). In this role I provide high level clinical assessment, care planning, expert advice, extended intervention, and rigorous evaluation. Collaboratively working with primary and secondary care to increase primary care management of heart failure patients and reduce inappropriate referral and unplanned admissions and provide support following discharge. This includes working with cardiologists and GPs in Primary Care, developing care pathways, initiating treatment and management plans, and promote optimal self-care. This, in turn, enables patients to maximise their quality of life and by so doing help to reduce the number of hospitals admissions. As part of the Community Heart Failure Service, I also help deliver Community Echocardiogram Clinics, alongside my own caseload of heart failure patients, and help support the Cardiac Rehabilitation programme. The role also involves acting as a senior clinician within the service, including support and escalation point for the heart failure team and to provide transformational leadership to create a culture of collaborative working to deliver services and outcomes of the highest standard.
In conjunction with my previous Primary Care Network role, I was awarded a Clinical Fellowship with NHS Dorset / Integrated Care Board (ICB). This focuses on clinical pathways for cardiovascular and associated disease across Dorset and the specifications for the services providing CVD care in the community or primary care setting. Within the fellowship role I actively sat on several groups, including Dorset Cardiology Oversight Group and CVD Prevent working groups. These groups look a Dorset wide service specifications, clinical services and development of long term condition management strategies working at commissioning level. The most recent areas I led development in, include cardiovascular screening and coding to meet the desired outcomes for the NHS long term plan and CVD Prevent. There is the ambition to set the standard for the integration of long-term conditions screening & management into health IT systems. Currently, the systems I have developed and implemented, screen, detect and help manage Atrial Fibrillation and Hypertension in the Primary Care setting. These tools have been made available regionally and UK wide to enhance care for patients without barriers from ownership. This work also involves looking at other disease profiles and managing associated risk, with particularly reference to Diabetes and CKD.
Flight Paramedic, primarily for Channel Islands NHS Emergency Retrieval Service. Part Time around my NHS ACP role
Working as part of the Enhanced Care Team for Poole Central PCN as an advanced and specialist practitioner managing Heart Failure & AF and providing oversight for Cardiovascular Disease for housebound patients. Lead for CVD for the PCN, Delivering DES and LES programmes, along side the NHS long-term plan with measured outcomes. The PCN role, which I business planned and fully developed myself, identified a clear care need that was not being met. The role involves me managing newly diagnosed, exacerbating or suspected Heart Failure, Atrial Fibrillation and ACS, by carrying out investigations and assessments to diagnose and optimise appropriate treatment. This role in primary care appears to be unique in the UK. I also have a proactive role in which I will see those patients presenting with acute illness with a likely cardiac cause, for example shortness of breath that is non-infective or non COPD in nature. I will complete acute assessment, investigations, diagnosis, treatment and admission to secondary care if indicated. If cardiac related will take on to may case load to optimise treatment and if not will complete work up and refer to appropriate specialist services. The ACP role also involves working with the wider Enhanced Care Team in supporting and assessing complex older patients with multi-morbidities who are also housebound. In conjunction with this role I have been awarded a Clinical Fellowship with NHS Dorset. (see separate role section) I am passionate about patient care and as well as single-handedly developing the PCN role from an identified need, I am keen to educate others and have planned and delivered free training in heart failure across the local and wider area, in conjunction with industry.
Working as part of the Enhanced Care Team for Poole Central PCN in a role split 50/50. Firstly as part of the home visiting Acute Care Team where I would act as a first contact practitioner for GP home visits. In this role I would carry out triage, consultation, investigations and treatment as an autonomous practitioner. I would arrange treatment, admission to secondary care and/or refer to other services as appropriate. With my previous complex long term condition care, I would also review patients after an acute visit to ensure the patient had stabilised, this later developed into a sub-acute service. In my advanced and specialist practitioner role, I manage newly diagnosed or suspected Heart Failure. Completing assessment, investigations, diagnosis and stabilisation of the patient.
UCP for NHS out of hours provision (zero hours)