ACP - Paramedic

Job responsibilities

JOB DESCRIPTION

Post

PCN Paramedic ACP

Salary Grade

£50,624 Depending on experience

Accountable to

Clinical Director Rushcliffe PCN

Reporting to

GP Practice Clinical Lead

PURPOSE OF THE ROLE

The post holder will hold an ACP digital badge qualification. They will provide care for patients through advanced clinical assessment, examination, investigation, diagnosis, care planning and treatment, evaluation and follow up of care in a clinic room setting or in a patients own home as a domiciliary home visit.

Post holder will deliver a high standard of patient care with in-depth theoretical knowledge and evidence-based practice, working autonomously, and as required with support and supervision of a GP.

The postholder will deal with presenting patients needs in a primary care setting.

The postholder will work within their clinical competencies, agreed with the GP supervisor.

MAIN DUTIES AND RESPONSIBILITIES

The post holder will provide first point of contact care for patients presenting with undifferentiated, long-term conditions and undiagnosed problems utilising history taking, physical examinations, problem solving and clinical decision making skills to establish a working diagnosis and management plan in partnership with the patients (and their carers where applicable)

Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports within your scope of competence. Discuss the result and implications of laboratory investigations with patients.

As an independent prescriber, you will utilise local and national clinical guidelines to prescribe medications as appropriate and promote evidence-based practice.

Deliver integrated patient centred care through appropriate working with the wider primary care network multi-disciplinary team and social care networks

Undertake face to face, telephone, video and online consultations for emergency and routine problems, as determined by the practice and the PartnersHealth, including management of patients with long term conditions.

Where required and within skill competence and relevant training, the PCN paramedic ACP can offer specialised clinics, including but not limited to family planning, baby checks, COPD, asthma, diabetes and anti-coagulation. This is not an exhaustive list.

Support the nursing staff and Primary Care Team as required.

Undertake home visits and participate in duty rotas as agreed with the practice management team.

Provide health/disease promotion and prevention advice to patients

Utilise clinical guidelines and promote evidence-based practice, participate in clinical audits, significant event reviews and other research and analysis tasks.

Utilise available diagnostics, plus interpretation, to support diagnosis, treatment, and management plans.

The post holder will ideally be a non-medical prescriber. If not already a non-medical prescriber, you will be supported to complete your non-medical prescribed as part of the ACP pathway.

The postholder will work to the ACP roadmap for continuous and ongoing CPD.

ADMINISTRATION

Ensure continuing education, training and development is undertaken to meet clinical governance guidelines for Continuing Professional Development and a Personal Development Plan.

Maintain and evidence all competencies to retain the digital badge status.

Maintain professional registration with the HCPC as required to maintain the healthcare professional registration.

Undertake a fair share of the overall administration associated with clinical practice in primary care.

Involvement in clinical audit as part of new service implementation, quality improvement, patient reviews, QOF and any other audit work undertaken by the practice and/or PartnersHealth

Show a caring attitude towards patients and show a caring attitude towards patients, have well-developed communication skills to provide treatment plans. And work to a professional code of ethics

Keep up to date with relevant medical research, technology, and evidence-based medical practice by attending continuing education courses and professional meetings, reading journals etc.

As an employee of PartnersHealth, working wholly in the nominated GP Practice/s you will take due diligence and care regarding any information collected, recorded, processed, or handled by you during the course of your work and that such information is collected, recorded, processed and handled in compliance with Practice requirements and instructions.

The post holder may be required to travel as part of their duties to other sites in the PCN, and travel expenses will be reimbursed by the employer.

Ensure consultations are documented accurately, clearly and contemporaneously.

Update patient records in accordance with practice policies and procedures.

To ensure observance and adherence to the Health and Safety at Work Act 1974.

To participate in staff meetings, 1-2-1 meetings and the appraisal scheme and undertake training appropriate to the development of the job role and in line with the Practices statutory obligations.

To work to the agreed standards, policies and procedures and protocols of the Practice and be fully conversant with emergency procedures.

The duties of this post are a guide to the range of responsibilities that may be required. These may change from time to time to meet the needs of the service and/or the development needs of the post holder. This job description will be revised regularly to take account of changes within the organisational structure and the practice business plan.

Reviewed: 15.10.24

Ref: G:ManagementPractice RecruitmentPHJOB DESCRIPTIONSparamedic ACP JD

Commitment to Partners Health Values and Behaviours

Essential

• Must be able to demonstrate behaviours consistent with PartnersHealth values and behavioural standards

Knowledge, Skills and Experience

Essential

• Experience of working as a paramedic, with advanced clinical skills and a digital badge qualification, including non-medical prescribing.
• Using advanced clinical skills, undertake clinical assessments, including comprehensive history taking, examination, initiate investigations, diagnose, plan care, and prescribe medications as required
• Clinically competent and experienced managing various undifferentiated conditions, from acute to chronic, non-acute/non urgent, urgent presentations, mental health, long term conditions, young patients/children to older and frail patients, the list is not exhaustive.
• Competent at managing acutely unwell patients and distressed relatives / carers, including delivery of unwelcoming news, as to future prognosis of patients condition
• Able to manage a demanding workload, within appointment timescales, and prioritising urgency of demands.
• Experience of requesting investigations and interpret their findings in view of other clinical information as per guidelines within the acute setting.
• Ability to recognise own competency and limitations, seeking support and advice as appropriate.
• Ability to document in a structured, clear, contemporaneous and be accurate at all times.
• Able to work independently as well as part of a multi-disciplinary team utilising good interpersonal skills.
• Experience of working as an Advanced Clinical Practitioner within a multi-disciplinary team and across organisational boundaries
• Evidence of excellent organisational and planning skills
• Excellent communication skills written and verbal
• Ability to influence and challenge colleagues appropriately.
• Have an understanding of health and social care services, additional roles and support from private and third sector organisations.
• Demonstrate working with wider system partners such as social care, acute and community services.
• Ability to apply clinical judgements involving complex facts or situations, requiring analysis, interpretation, comparison of a range of options.
• Experience managing minor and major health conditions, considering differential diagnosis.
• Ability to present patient cases to allow comprehensive and thorough debrief of the patient with the GP as required.
• Demonstrate own professional judgement and in discussion with the medical and nursing team decide when patients require referral to another speciality.
• Adaptable to changing working environment and service needs.
• Planning, organising and prioritising tasks, activities, or programmes some of which may be urgent or ongoing.
• Physically and mental capable of undertaking full duties of post. There may be occasional requirements to exert moderate physical effort to meet the flexible needs of the service.
• Good IT skills in word processing, excel and e-mail.
• Experience in using I.T. based patient documentation systems.
• Understand and work to the Confidentiality and the Data Protection Act
• Understanding of clinical governance and its significance and impact upon practice.
• Dealing with situations where family situations or circumstances ensure a difficult emotional experience, as to deterioration in patients condition
• Awareness of equality and valuing diversity principles
• Experience of clinical supervision
• Evidence of experience / competency in the form of a professional portfolio.
• Able to work on own initiative, but knows limitations of own competencies

Desirable

• Primary care experience

Circumstances

Essential

• Car owner/driver, with exclusive access to a vehicle
• Ability to work alone in the primary care setting

Disclosure and Barring Service Check

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).