NEW ROLES 

NATH is supporting the Primary Care Networks (PCN) to understand how the new roles will be embeded across Nottingham & Nottinghamshire ICS (integrated care system). As the local Training Hub, NATH will support future workforce planning as one of their core functions.  
 
In total there are 15 new roles and information about them is developing all the time. They include 
 
 
Click on each of the headings to read some basic information about the new roles and what each is expected to do. In the coming months, NATH will be developing the information on this page with details of the education and training pathways, sample job descriptions (as they become available) and links to work in Nottingham & Nottinghamshire which is progressing the role out of this new workforce.  
 
 
 

CARE COORDINATOR  

 
Care Coordinators play an important role within a PCN to proactively identify and work with people, including the frail/elderly and those with long-term conditions, to provide coordination and navigation of care and support across health and care services. 
 
Care Coordinators could potentially provide extra time, capacity, and expertise to support patients in preparing for or in following-up clinical conversations they have with primary care professionals. They will work closely with the GPs and other primary care professionals within the PCN to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed. This is achieved by bringing together all the information about a person’s identified care and support needs and exploring options to meet these within a single personalised care and support plan, based on what matters to the person. 
For further information about the Care Coordinator role visit HEE website. 
 

DIETITIAN 

 
Dietitians are healthcare professionals that diagnose and treat diet and nutritional problems, both at an individual patient and wider public health level. Working in a variety of settings with patients of all ages, dietitians support changes to food intake to address diabetes, food allergies, coeliac disease and metabolic diseases. Dietitians also translate public health and scientific research on food, health and disease into practical guidance to enable people to make appropriate lifestyle and food choices. 
For further information about the Dietitian role visit HEE website. 
 

HEALTH & WELLBEING COACHES 

 
Health and Wellbeing Coaches (HWBCs) will predominately use health coaching skills to support people with lower levels of patient activation to develop the knowledge, skills, and confidence to become active participants in their care so that they can reach their self-identified health and wellbeing goals. They may also provide access to self-management education, peer support and social prescribing. 
 
HWBCs will use a non-judgemental approach that supports the person to self-identify existing issues and encourages proactive prevention of new and existing illnesses. This approach is based on using strong communication and negotiation skills, supports personal choice and positive risk-taking, addresses potential consequences, and ensures people understand the accountability of their own decisions based on what matters to the person. 
 
They will work alongside people to coach and motivate them through multiple sessions, supporting them to self-identify their needs, set goals, and help them to implement their personalised health and care plan. 
For further information about the Health & Weelbeing Coach role visit HEE website. 
 

OCCUPATIONAL THERAPIST  

 
Occupational therapists (OTs) support people of all ages with problems resulting from physical, mental, social, or development difficulties. OTs provide interventions that help people find ways to continue with everyday activities that are important to them. This could involve learning new ways to do things or making changes to their environment to make things easier. As patients’ needs are so varied, OTs help GPs to support patients who are frail, with complex needs, live with chronic physical or mental health conditions, manage anxiety or depression, require advice to return or remain in work and need rehabilitation so they can continue with previous occupations (activities of daily living). 
For further information about the Occupational Therapist role visit HEE website. 
 

PHYSICIAN ASSOCIATE 

 
Physician Associates (PAs) are healthcare professionals with a generalist medical education who work alongside doctors providing medical care as an integral part of the multidisciplinary team. Physician Associates are dependent practitioners who work under the supervision of a fully trained and experienced doctor. They bring new talent and add to the skill mix within teams, providing a stable, generalist section of the workforce which can help ease the workforce pressures that the NHS currently faces. 
For further information about the Physician Associate role visit NATH's Physician Associate webpage. 
 

CLINICAL PHARMACIST 

 
Clinical pharmacists work in primary care as part of a multidisciplinary team in a patient facing role to clinically assess and treat patients using expert knowledge of medicines for specific disease areas. They will be prescribers, or if not, can complete an independent prescribing qualification following completion of the 18-month Centre for Pharmacy Postgraduate Education (CPPE) pathway. They work with and alongside the general practice team, taking responsibility for patients with chronic diseases and undertaking clinical medication reviews to proactively manage people with complex polypharmacy, especially for the elderly, people in care homes and those with multiple comorbidities. 
For further information about the Clinical Pharmacist role visit HEE website. 
 

FIRST CONTACT PHYSIOTHERAPIST 

 
First Contact Physiotherapists (FCPs) are qualified autonomous clinical practitioners who can assess, diagnose, treat and manage musculoskeletal (MSK) problems and undifferentiated conditions and – where appropriate – discharge a person without a medical referral. FCPs working in this role can be accessed directly by self-referral or by staff in GP practices who can direct patients to them to establish a rapid and accurate diagnosis and management plan to streamline pathways of care. 
For further information about the First Contact Physiotherapist role visit HEE website. 
 

MENTAL HEALTH  PRACTITIONER 

 
Mental Health Practitioners – including Improving Access to Psychological Therapy (IAPT) – to be included in the scheme from April 2021 – Awaiting further advice and guidance. 
 

COMMUNITY PARAMEDIC 

 
This role is currenlty under review.  
 
A qualified HCPC registered Paramedic has at least 3 years postgraduate experience. 
 
There needs to be a narrative that highlights their paramedic skills around trauma, emergency and urgent care and their ability to improve conveyance rates. 
 
For further information about the Community Paramedic role visit this document. 
 
For general information about becoming a Paramedic visit HEE website. 
 

SOCIAL PRESCRIBING LINK WORKER 

 
Social prescribing enables all primary care staff and local agencies to refer people to a link worker. Link workers give people time and focus on what matters to the person as identified through shared decision making or personalised care and support planning. They connect people to community groups and agencies for practical and emotional support. They work within multidisciplinary teams and collaborate with local partners to support community groups to be accessible and sustainable and help people to start new groups. Social prescribing complements other approaches such as ‘active signposting’. Link workers typically support people on average over 6-12 contacts (including phone calls, meetings and home visits) with a typical caseload of 200-250 people per year, depending on the complexity of people’s needs and the maturity of the social prescribing scheme. 
For further information about the Social Prescribing Link Worker role visit HEE website. 
 

PHARMACY TECHNICIAN 

 
Pharmacy Technicians play an important role within General Practice and complement the work of Clinical Pharmacists through utilisation of their technical skillset. Their deployment within primary care settings allows the application of their acquired pharmaceutical knowledge in tasks such as audits, discharge management, prescription issuing, and where appropriate, informing patients and other members of the PCN workforce. Work is often under the direction of Clinical Pharmacists, and this benefit is realised through the creation of a PCN pharmacy team. 
For further information about the Pharmacy Technician role visit HEE website. 
 

GP ASSISTANT 

 
As part of the wider team in general practice, General Practice Assistants provide a support role, carrying out administrative tasks, combined in some areas with basic clinical duties. They focus on supporting General Practitioners in their day-to-day management of patients, specifically aimed at reducing the administrative burden, making the best use of consultation time and supporting those particularly vulnerable to isolation who are regular attenders at the practice. 
 
Development of the role depends on a range of factors – patient needs, existing skills mix, culture and having the staff, time and financial resource to invest in work-based learning, mentorship and supervision. 
For further information about the GP Assistant role visit HEE website. 
 

NURSING ASSOCIATE 

 
The Nursing Associate is a new support role in England that bridges the gap between healthcare support workers and registered nurses to deliver hands-on, person-centred care as part of the nursing team. Nursing Associates work with people of all ages in a variety of settings in health and social care. 
 
The role was introduced in response to the Shape of Caring Review (2015), to help build the capacity of the nursing workforce and the delivery of high-quality care. It will be a vital part of the wider health and care team and aims to: 
 
support the career progression of healthcare assistants 
enable nurses to focus on more complex clinical work 
increase the supply of nurses by providing a progression route into graduate-level nursing. 
For further information about the Nursing Associate role visit HEE website. 
 

PODIATRIST 

 
Podiatrists are healthcare professionals who have been trained to diagnose and treat foot and lower limb conditions. Podiatrists provide assessment, evaluation and foot care for a wide range of patients, which range from low risk to long-term acute conditions. Many patients fall into high risk categories such as those with diabetes, rheumatism, cerebral palsy, peripheral arterial disease and peripheral nerve damage. 
For further information about the Podiatrist role visit HEE website. 
 

ADVANCED PRACTITIONERS 

 
Advanced Practitioners are an integral part of the 21st century NHS workforce as new models of care are transforming the way patients are treated. Advanced Practitioners work at level 7 across the four pillars of advanced practice – clinical, management & leadership, research & education, and offer multiple benefits to the health service and the population. They bring more holistic care to patients, support continuity of care and extend the scope of practice across traditional boundaries. This leads in turn to a greater focus on prevention, more personalised care, a more efficient team, a faster response to patient needs and better outcomes. 
 
They are instrumental in supervising the multi-professional team in primary care, they attract and lead research and audits, and manage highly complex high-risk patients. They have a leadership role in the ICS around pathways and population health. 
For further information about the Advanced Practitioner role visit HEE website. 
 

AHPs Listen Platform 

A listening event for the public and the community of Allied Health Professionals (AHPs) to help shape the future of Allied Health Professions. This is an opportunity to reshape how Allied Health Professionals deliver care as we recover and rebuild for our future. 
This online workshop is a safe, anonymous space where we can come together to co-create a plan for Allied Health professionals will deliver care for the next five years. 
 
Our online conversation is similar to a physical workshop but it’s more flexible and inclusive and means we can hear from everyone. 
 
It is anonymous – your name is not attached to anything you share so you have the opportunity to be open, honest and frank in your feedback! 
 
You can join the online workshop from any computer, tablet or smartphone 
14 Allied Health Professions
Everyone is welcome to join the conversation 
You can visit as many times as you like, 24 hours a day, 7 days a week at a time that suits you 
Everyone can read, rate and comment upon the ideas of others 
Visit the AHPs Listen to register! 

The Physician Associate Will See You Now 

The Nottingham & Nottinghamshire ICS Emerging Roles Task & Finish Group (Primary Care) want to share this document explaining the role of the physician associate in primary care. 
 
Case study summary: By 2020 there could be as many as 1,000 physician associates working in primary care, but regulation of the profession is seen as crucial in the development of this new role. 
 
Read full case study here. 

CASE STUDY - Trainee Nursing Associate 

1. Your tasks on daily basis: 
Review appointments including observations and phlebotomy, ECGs, wound care, urinalysis, immunisations, NHS Health Check appointments and follow up, health promotion, escalating care, providing support for our registered carers. 
 
2. One difference you have made working in this role: 
Being able to provide more comprehensive support to the patients I care for whether that be through escalating concerns to a GP or signposting to services to address the wider determinants of health. 
 
3. What do you enjoy about your role? 
I enjoy gaining valuable experience during my placements within the four fields of nursing -mental health, learning disabilities, adult and paediatrics. I like the fact that I can care for patients in a more holistic manner and being able to learn and work at the same time! 
 
4. What challenges do you found working in this role? 
The transition from HCA to TNA has been difficult for the team to adapt to as I have been in my previous role for several years. Being the first Nursing AssociateI have had to fly the flag for my role and break down barriers, however I have enjoyed helping people to understand where my role fits into a general practice setting. 
 

Your Future Nurses Infographic 

The different routes to recruit your future nurses
This version reflects the updated routes into the profession and the increased number of nurses registered with the Nursing and Midwifery Council (NMC). Following the introduction of the nursing degree apprenticeship, the nursing associate role and initiatives such as the return to practice there are now more options than ever available to develop registered nurses within the workforce as well as the traditional university route. 
 
Starting from January 2021, a blended nursing degree combining digital and traditional elements of learning will be available and help to attract those who may previously have had barriers to a nursing career. 
 
With so many different routes available, this can create a confusing picture and so they have created this infographic to help employers make the most of the new and established routes into nursing. 
 
You can learn more about each of the different routes and good practice, from the NHS Employers' web page. 
The inforgraphic can be downloaded here. 

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