Locum Out of Hours Prescriber

Locum Out of Hours ACP / Paramedic Practitioner / Prescribing Pharmacist £40–£55 per hour | West Midlands | Saturday shifts

If you enjoy autonomous practice and want occasional out-of-hours work where your clinical judgement is genuinely relied upon, this is a good opportunity to support patients across community hospital settings.

The service provides out-of-hours clinical cover for adult inpatients receiving rehabilitation, intermediate care, sub-acute, palliative and step-up care. You will support nursing teams with assessment, treatment decisions, prescribing where within scope, escalation planning and advice.

It is a varied role rather than a traditional clinic list. Presentations can include acute deterioration, pain, falls, frailty and sub-acute illness, with a mixture of telephone advice, remote review and face-to-face assessment depending on clinical need.

Why consider it?

• £40–£55 per hour, depending on experience and professional background.
• Saturday shifts available either 10am–2pm or 2pm–8pm.
• Genuine autonomous clinical practice within your professional scope.
• A broad mix of urgent, frailty, rehabilitation and palliative presentations.
• Opportunity to use prescribing skills rather than working in a narrowly defined assessment role.
• Work closely with experienced nursing teams, GPs, palliative care, ambulance services and wider community teams.
• For independent prescribers, the role includes medication review, medicines optimisation, electronic prescribing and treatment adjustment using clinical and blood results.
• Non-prescribing practitioners can also be considered where the service model allows, with prescribing recommendations escalated appropriately.

Who they are looking for.

• Advanced Clinical Practitioners.
• Paramedic Practitioners.
• Prescribing Pharmacists.

You will need current professional registration, strong advanced assessment and clinical decision-making skills, and experience within urgent care, primary care, community, frailty, emergency or intermediate care. You must also be comfortable assessing acutely unwell adults and working autonomously within your scope of practice.

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