Job description
Fulltime Paramedic at The Albion Surgery working as part of clinical triage team. Compliant or willing to embark on roadmap to practice.
Working as part of a clinical triage multi-disciplinary team, the job holder will take a lead in driving forward the PCN vision of creating a new wider Community Service, enhancing existing and innovatively developing new care models in a collaborative way across the PCN.
This role plays a pivotal part in engaging groups of practices to come together and improve the quality of care and operational efficiencies across the local healthcare system, motivating passion to deliver an excellent service within general practice, whilst leading and tailoring the delivery of network priorities and targets with a practice based focus.
Within their professional boundaries, support the development, promotion and implementation of high quality evidence based care for house bound patients who require urgent clinical care.
Offering peer support and facilitating shared learning with other paramedics across other networks to support the development of their role and implementing agreed standards, activities or development programmes.
Key relationships include but are not limited to:
Patients, service users and their representatives
111 / UTCs
GPs, AHPs and other health care professionals.
CDs and PCN practices workforce
Key Responsibilities
The Paramedic Practitioner will work autonomously within the community, using their enhanced clinical assessment and treatment skills, to provide first point of contact for patients presenting with undifferentiated, undiagnosed problems relating to minor illness or injury, abdominal pains, chest pains and headaches. The Paramedic Practitioner will have a key role in supporting delivery of the new Network Contract DES Service specifications.
The PCN Paramedic Practitioner will contribute towards delivering the below listed service / patient outcomes:
- Improved and faster access to care for housebound patients and complete home visits
- Improved patient experience through rapid assessment and treatment
- Improved patient outcomes (including QOF achievement)
- Prevent deterioration and unnecessary A&E attendances/admissions (especially UTI and Pneumonia admissions)
- Improve long term care for house bound patients with chronic conditions
- Improved coordination of care
The key focuses of the Paramedic Practitioner will be:
- To provide a Paramedic Practitioner resource across the GP registered population of Bexley.
- To work within the community, as an autonomous, accountable, Paramedic Practitioner, in the provision of a holistic approach for individuals including assessment, diagnosis and treatment, to deliver quality patient services.
- To assess, diagnose, treat, refer or signpost patients/service users who attend surgery with undifferentiated or undiagnosed condition relating to minor illness or minor injury.
- The post holder will use advanced clinical skills to provide education to service users, promoting self-care and empower them to make informed choices about their treatment.
Job responsibilities:
- Day to day delivery of primary medical care for housebound patients involving:
- Home visits, triage and treat patients wishing to see a health care professional, making any necessary referrals to other members of the primary health care team
- Patients with problems needing referral to secondary care should be discussed with the registered GP if possible, before making such referral.
- Ensure clinical practice is safe and effective and remains within boundaries of competence, and to acknowledge limitations.
- Advise patients on general health care and minor ailments, with referral to other members of the primary and secondary health care team as necessary
- Works as an autonomous practitioner, in accordance with the Health Care Professions Council. Ensure that personal and professional clinical standards are maintained.
- To undertake assessment for patients, using diagnostic skills and initiation of investigations where appropriate.
- To communicate at all levels within the team ensuring an effective service is delivered.
- To maintain accurate, contemporaneous healthcare records appropriate to the consultation.
- Ensure evidenced-based care is delivered at the highest standards ensuring delivery of high-quality patient care.
- Works with local policies and procedures.
- Enhance own performance through Continuous Professional Development, imparting own knowledge and behaviours to meet the needs of the service.
- To achieve and demonstrate agreed standards of personal and professional development in order to meet the needs of the service.
- To participate in the audit process, evaluation and implementing plans and practice change in order to meet patient need.
- Contribute positively to the effectiveness and efficiency of the team and work colleagues.
- On every occasion, produces accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies, standards, and procedures.
Financial & Resources:
- To be accountable for adhering to the budget, ensuring best value for money, and identifying efficiencies as appropriate, ensuring senior managers are aware of the cost implications of any areas of non-compliance.
- To manage resources required for key duties under this Job Description, ensuring value for money.
Research & Development:
- Contributes toward the development and embedding of the BHNC and PCN visions, aims and business objectives.
- Provides advice to projects and business change initiatives regarding urgent care and makes appropriate recommendations to GPs, Senior team and other relevant staff.
- To undertake audits as per practice / PCN plans.
- To actively partake in CPD engage in clinical meetings and have access to appropriate clinical supervision.
Policy & Service Development:
- Contributes to the development and implementation of new services that are relevant. (e.g. advice on treatment pathways and patient information leaflets).
- Produces and implements protocols for triaging suitable pts for home visits to paramedics.
- Develops safe protocols for home visits taking in to consideration IPC and PPE.
- Adhere to practice pathways and protocols for follow up and accurate record keeping with safety netting.
Professional & Organisational Standards:
- Maintains confidentiality at all times.
- Represents the organisation positively and professionally.
- Takes responsibility for own development and revalidation, learning and performance including participating in clinical supervision and acting as a positive role model for others.
- Works within policies regarding family violence, vulnerable children and adults, substance abuse and addictive behaviour, and makes referrals as appropriate for safeguarding.
- Interprets national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.
- Adheres to and proactively promotes Infection Control standards and complies with Health & Safety, Corporate, Clinical and Information Governance.
Communications and professional relationships:
- Actively works toward developing and maintaining effective working relationships both within and outside the PCN. To develop and facilitate a good working relationship with all relevant health care professionals within the practice, PCN and outside of the PCN.
- Foster and maintain strong links with all services across the PCN and neighbouring networks.
- Explores the potential for collaborative working and takes opportunities to initiate and sustain such key working relationships with stakeholders as needed for the collective benefit of patients.
Person Specification - Essential Criteria
o Experienced paramedic
o Experience of partnership/collaborative working and of building relationships across a variety of organisations
o Experience and an awareness of the breadth of common acute and long-terms conditions that are likely to be seen in general practice
o FCP compliant or willing to embark on roadmap to Practice
o Qualified as a Paramedic Practitioner, or working towards this qualification
o Demonstrate excellent clinical competence (evidenced through CPD and interview).Safeguarding and other mandatory training
o Basic life support training
o Able to obtain and analyse complex technical data and information
o Able to identify and resolve risk management issues according to policy/protocol
o Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer these where required for resolution
o Analyse, interpret and present medicines data to highlight issues and risks to support decision making
o Excellent interpersonal, influencing and negotiation, written and verbal communication skills
o Demonstrable ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients)
o Able to appropriately build relationships to gain the cooperation of relevant stakeholders (including patients, senior and peer colleagues, other professionals)
o Able to gain acceptance influence, motivate, persuade and engage audiences in agreed course of action where there may be significant barriers to overcome
o Able to methodically plan, manage, monitor, advise and review.
o Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
o Produce timely and informative reports
o Manage the flow of process and practice
o Proactively participate in annual reviews for self and for others
o Commitment to reducing health inequalities and proactively working to reach people from all communities
o Embraces equality and diversity at every opportunity and the NHS core principles; dignity and respect, compassion, be included, responsive care and support and wellbeing.
o Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety,
o Able to operate competently with regard to managing data and information in accordance with the Data Protection Act (DPA) (2018) and the General Data Protection Regulation (GDPR), Access to Health Records Act (AHRA) (1990) and the Public Interest Disclosure Act (1998).
o Knowledge of IT systems, including ability to use word processing skills, emails, and the internet to create simple plans and reports
o Access to own transport and/or the ability to travel across the locality on a regular basis, including visit patients in their own homes
o Adaptable, self-motivated and able to work flexibly and enthusiastically within a team or on own initiative
o Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary
o This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) (1975) and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions
o Appropriate immunisation status
Desirable Criteria
o Working in primary care
o In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare
o Specialist knowledge acquired from post-graduate diploma level / equivalent training/experience
o Able to plan, manage, monitor, and review general medicine optimisation issues in core areas for long term conditions
o Demonstrates accountability for delivering professional expertise and direct service provision
Pay: £47,000.00-£52,000.00 per year
Ability to commute/relocate:
- Bexleyheath DA6 7LP: reliably commute or plan to relocate before starting work (required)
Experience:
- Paramedic: 1 year (required)
Work authorisation:
- United Kingdom (required)
Work Location: In person
