Physician Associate

Burlington Primary Care are growing our multidisciplinary team and are excited to be creating this new Physician Associate post - a real opportunity to shape the role from the ground up, working closely with experienced GPs and a supportive wider team. This is a new post within our expanding clinical team, offering a Physician Associate the opportunity to build a meaningful, focused caseload centred on long-term conditions (LTC) management in primary care.

Working under the supervision and clinical governance of a named GP lead, you will run structured chronic disease clinics within agreed protocols, support frailty and care home patients, and contribute to proactive care planning. Patients are allocated to PA clinics through a GP-led triage and recall system; prescribing decisions remain with the supervising GP throughout. This is a clinically rich and varied role - not a generalist GP cover post, but a purposefully designed LTC-focused position where you will develop genuine depth of expertise.

Burlington Primary Care is committed to a lifestyle medicine and prevention-first approach to long-term conditions, and this post sits at the heart of that vision.

Prescribing is supported through our GP clinical leads; you will work within a clear supervised model with regular oversight, case review and professional development built in from day one.

• Run structured chronic disease clinics for patients with one or more long-term conditions, working to national and local QOF and IIF frameworks
• Conduct medication reviews, care planning, and annual reviews for patients with complex multi-morbidity
• Undertake regular care home ward rounds and community visits, providing continuity of care for housebound and frail patients
• Work with the nursing team on recall and proactive management of the LTC register, with a focus on prevention and early intervention
• Contribute to care planning for patients on the Enhanced Health in Care Homes (EHCH) framework
• Liaise with secondary care, community teams and social services as part of a holistic care approach
• Participate in MDT meetings, significant event review and quality improvement
• Support the development of clinical protocols and pathways alongside senior clinicians
• Deliver and support group consultation clinics for patients with shared LTC needs, using a lifestyle medicine and behaviour change framework
• Embed lifestyle medicine principles into routine LTC reviews — addressing nutrition, physical activity, sleep, stress and social connection alongside clinical management
• Contribute to our prevention agenda, supporting patients to reduce their risk of disease progression and complications

Your caseload will span the full breadth of LTC in primary care, including:

• Diabetes (Type 1 and Type
  2) - annual reviews, HbA1c monitoring, foot and eye referral pathways
• Hypertension - BP monitoring, cardiovascular risk assessment, and documented recommendations for GP-authorised medication adjustment
• Chronic Obstructive Pulmonary Disease (COPD) - spirometry interpretation, exacerbation management, inhaler review
• Asthma — asthma reviews, PAAP updates, step-up/step-down under GP oversight
• Chronic Kidney Disease (CKD) - eGFR and ACR monitoring, medication safety reviews, referral pathways
• Atrial Fibrillation (AF) - anticoagulation monitoring, stroke risk assessment, and liaison with the prescribing GP on rate or anticoagulation management
• Heart Failure - monitoring, titration of medications under GP supervision, coordination with community cardiology
• Frailty - comprehensive geriatric assessment, falls risk, polypharmacy review
• Dementia - annual reviews, carer support, advance care planning
• Mental Health (SMI register) - physical health…