Job Description
We are looking for a Paramedic to join our team within the Fosseway Primary Care Network.
This is for two full time positions.
Hinckley and Bosworth Medical Alliance is a GP Federation that supports 12 GP practices across the Hinckley and Bosworth locality, which form 3 Primary Care Networks.
We employ in excess of 50 PCN staff across a number of clinical grades, and continue to grow. This includes a team of 4 Paramedics.
As a rapidly growing Federation, we have structures in place to ensure that all staff have clinical mentors and are supported in their professional development.
Starting salary of £40,057 per annum increasing to £44,737 for a qualified prescriber with 2+ years in General Practice.
We will support with any training requirements and with gaining the prescribing qualification.
This advert is for 2 full time positions, working 37.5 hours per week, namely Monday to Friday, 8.30 - 16:30, with a 30 minute unpaid lunch break.
Job Purpose/Summary:
The role will provide a specialist Paramedic resource for Health Care Professionals and service users, working in collaboration with other members of the Primary Care Network (PCN) Multidisciplinary Team (MDT).
Currently this role will require you to work in one GP Practices within the PCN.
The role will involve working as an autonomous, accountable Paramedic, in the provision of a holistic approach for individuals including assessment, diagnosis and treatment to deliver quality patient services.
The post holder will use advanced clinical skills to provide education to patients and service users, promoting self-care and empower them to make informed choices about their treatment.
The post holder will assess, diagnose, treat, refer or signpost patients and or service users who attend the surgery with undifferentiated or undiagnosed conditions relating to minor illness or minor injury.
The post holder will coordinate telephone triage, taking clinic responsibility for all patients who have requested an urgent appointment.
The post holder will perform any other clinical and clinical administrative duties where trained and determined safe to do so by the organisation. This may include assisting with medical reports, safeguarding and clinic support.
Scope and purpose of the role:
A Paramedic is authorised to undertake treatments and procedures for which they are trained and which are within the College of Paramedic Guidelines in line with Health Care Professions Council (HCPC) standards framework. The post holder will have access to appropriate clinical supervision and an appropriate named individual in the PCN to provide general advice and support on a day-to-day basis.
- To deliver a high standard of patient care using advanced autonomous clinical skills with in-depth theoretical knowledge and evidence-based practice working with the support and guidance from the GPs and other independent clinicians working within the PCN MDT.
- To manage a clinical caseload and deal with presenting patients’ needs in both a PCN and general practice setting.
- To provide clinical leadership where appropriate within the MDT, supporting other members of the team to develop and maintain clinical skills appropriate to your role and expertise.
Key Responsibilities:
1. Access and triage patients, including same day triage, and as appropriate provide definitive treatment or make necessary referrals to other members of the PCN or practice team.
2. Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services and to self-care
3. Be able to:
i. Perform specialist health checks and reviews
ii. Perform and interpret ECGs alongside other results as appropriate.
iii. Perform investigatory procedures as required
iv. Undertake the collection of pathological specimens including intravenous blood samples, swabs, etc.
v. Perform investigatory procedures needed by patients and those requested by GPs and the wider PCN
vi. Perform a domiciliary (home) visit
4. Support the delivery of anticipatory care and end of life care plans and lead certain community services (e.g. monitoring blood pressure and diabetes risk of elderly patients living in sheltered housing).
5. Provide an alternative model to urgent and same day home visits for the PCN and undertake clinical audits.
6. Communicate at all levels across PCNs and other organisations, ensuring effective, patient-centred service.
7. Communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required and accepting referrals and referring to specialist services where appropriate.
8. Prescribe, issue and review medication as appropriate following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways. This will be done in accordance with evidence-based practice and national and practice will be done in accordance with evidence-based practice and national and practice protocols, and within scope of practice (N.B relevant if possesses prescribing qualification only).
9. Assess, diagnose, plan, implement and evaluate treatment and or interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs within the clinical and domiciliary setting.
10. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
11. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
12. Take an active part in achievement and contractual markers.
13. Implement and participate in vaccination programmes as appropriate.
14. To support with the requirements as outlines in the PCN DES, including but not limited to providing additional hours for Extended Access.
Quality Requirements:
The post-holder will strive to maintain quality within the PCN, and will:
15. Enhance own performance through continuous professional development, keep up to date with current evidence-based practice, and impart own knowledge and skills to PCN colleagues to meet the needs to the service.
16. Recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics.
17. Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
18. Participate in research and utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.
19. In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
20. Alert other team members to issues of quality and risk.
Administrative requirements:
21. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
22. Work in accordance with internal administrative systems relating to but not limited to the management of clinical data.
23. Send and receive written information on behalf of the patient, practice and PCN relating to the physical and social welfare of patients.
24. Work closely with other members of the MDT in the setting up and or improving of systems for monitoring and measuring performance against the PCN DES, QOF and of any other relevant targets.
25. Ensure that all practice and organisational policies are fully implemented.
Training and Development:
26. Participate in continuing professional development opportunities to keep up to date with evidence-based knowledge and competence in all aspects of the role to meet clinical governance guidelines for Continuing Professional Development (CPD) and a Personal Development Plan (PDP) utilising a reflective approach to Practice.
27. Undertake a variety of research and analysis tasks associated with the improvement of clinical care, medical diagnosis and treatment where appropriate using the following means.
a. Audit of clinical practice
b. Significant event review / root cause analysis
c. Review of relevant literature
d. Research unusual symptoms and treatment options through consultation with general practitioners, and the wider MDT.
28. Promote and support a learning culture within the PCN MDT and assist in clinical instruction, mentoring and supervision of medical, nursing, physician associate students and other learners that may periodically be attached to the PCN and partner practices.
29. Contribute to regular multi-disciplinary PCN and OHP educational meetings.
30. Undertake audits, appraisals and teaching and mentoring staff.
31. Participate in Multi-Disciplinary Protocol guideline development as appropriate.
32. Work closely with other clinical staff and administrative managers in the setting up and or improving of the PCN and practice systems for monitoring and measuring performance against PCN DES targets.
Professional:
33. Registration with Health Care Professionals Council (HCPC) to be renewed every 2 years to maintain registration.
34. Undertake statutory and mandatory training as required by the organisation.
35. Demonstrate clinical leadership.
36. Pro-actively promote the role of Paramedic within the PCN and practices, and externally to key stake holders and agencies.
37. Respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.
38. Membership of the College of Paramedics Voluntary Register is not mandatory but desirable.
Communication and working relationships:
Establish and maintain effective communication pathways with all OHP, PCN and Practice staff including MDT members such as pharmacists, physician associates, district nurses, modern matrons, health visitors etc.
Key Working Relationships Internal:
· Leader for the multi-disciplinary team.
· GPs and General Practice teams within the PCN
· PCN Clinical Director
· Multi-disciplinary team, members including but not exhaustive: Clinical Pharmacists, Technicians, Physician Associates, Physiotherapists, Paramedics, Social Prescribing Link Workers and Care Coordinators.
· OHP clinical and non-clinical staff.
Key Working Relationships External:
· GP Practice and multi-disciplinary teams from neighbouring PCNs
· Service providers
· Social care
· Voluntary services
· Patients / service users
· Carers / relatives
Health and Safety/Risk Management:
· The post holder must comply at all times with the organisation and Practice’s Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisation’s Incident Reporting System.
· The post holder will comply with the Data Protection Act (1984), the General Data Protection Regulations (2018) and the Access to Health Records act (1990).
· The post holder will comply with all necessary training requirements relevant to the role as identified by the organisation.
· To assist with the investigating untoward incidents or near misses in accordance with the internal Significant Events.
Training
The post-holder will be supported in expanding their knowledge in minor illnesses, and a prescribing qualification.
Equality and diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
· Acting in a way that recognises the importance of people’s rights, interpreting them in a way that is consistent with Federation procedures and policies, and current legislation
· Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
· Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Confidentiality:
· In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
· In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carer’s, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
· Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data
Special Working Conditions:
· This role requires you to travel between practices within the PCN and/or to make visits to patients who cannot attend the surgery. The post holder is required to hold a full, clean UK driving license and have access to a suitable vehicle with a valid MOT, TAX and covered by business insurance.
Benefits:
- Additional leave
- Company pension
- On-site parking
- Sick pay
- Paid CPD Days
- Pre-scheduled protected learning time
Job Description Agreement
This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder.
Job Types: Full-time, Permanent
Salary: £40,057.00-£44,737.00 per year
Benefits:
- Additional leave
- Company pension
- On-site parking
- Sick pay
Schedule:
- Day shift
- Monday to Friday
- Weekend availability
Ability to commute/relocate:
- Leicester: reliably commute or plan to relocate before starting work (required)
Licence/Certification:
- HCPC Registration (required)
Work Location: One location
Application deadline: 19/03/2023
Reference ID: Orch/Bur
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