Primary Care Paramedic - Urgent Care & Home Visiting

Job responsibilities

The post holder will work as part of the Clinical Team, providing on the day patient care which will include telephone triage, face to face consultations and visiting patients in their home.

You will provide care for the patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. You will make referrals for investigations with or without GP support depending on experience.

You will seek prescribing support from a GP, unless you are already an Independent Prescriber. You will demonstrate safe, clinical decision making, acting within your professional boundaries and qualifications, providing expert care for patients within the practice alongside a strong understanding of risk assessment.

You will also have the opportunity to work with our other highly-skilled practice staff including GPs, our ACP for frailty, Nurses, Pharmacists, Pharmacist Technicians and Physiotherapists. Not only will you gain a wide breadth of knowledge working alongside other healthcare professionals, but you will also gain invaluable experience working within a wider multi-disciplinary team.

Upon commencing employment, you will have regular supervision with our existing ACP and be assigned a senior GP who will also provide mentorship, clinical supervision and teaching sessions to help navigate your way through primary care.

(If newly qualified or entering your first year in primary care, you will also be enrolled onto the First Contact Practitioner Programme where you will receive additional supervision and support according to the programme)

Key duties and responsibilities

1) Assess and triage patients, including same day triage, and as appropriate provide definitive treatment or make necessary referrals to other members of the practice team or specialist services.

2)Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services.

3) Be able to:

perform specialist health checks and reviews;

perform and interpret ECGs, alongside other results as appropriate

perform investigatory procedures as required;

undertake the collection of pathological specimens including intravenous blood samples, swabs, etc.;

Perform investigatory procedures needed by patients and those requested by GPs and the wider practice;

4) Support the delivery of anticipatory 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 practice and undertake clinical audits.

6) Communicate at all levels across the practice and other organizations, ensuring effective, patient-centered service.

7) Communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required.

8) Collaborate with other members of the PCN including doctors, nurses and other AHPs, accepting referrals and referring to them for specialist care.

9) Maintain accurate and contemporaneous health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associated with patient health care and registration with the practice.

10) Prescribe, issue and review medications 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 protocols, and within scope of practice.

11)Work with patients in order to support compliance with and adherence to prescribed treatments.

12)Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects, and interactions.

13) Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs.

14) Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.

15) Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.

16) Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan.

17) Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care.

Please see attached Job Description for more details.

Qualifications

Essential

• Degree/ diploma in Paramedicine/Paramedic Science or equivalent
• Current HCPC Registration
• Full valid driving licence and own vehicle
• Willing to undertake the FCP portfolio and accreditation process with supervision and support
• Prepared to study for level 7 competencies of the Advanced Clinical Practice Framework

Desirable

• Relevant post-graduate diploma or degree
• Level 7 study in advanced assessment/clinical reasoning
• Non-medical prescriber qualification
• Membership of The College of Paramedics

Experience

Essential

• 3 years' experience at band 6 or equivalent
• Broad range of clinical experience, including minor injuries/illnesses
• Able to work independently as an autonomous practitioner and manage clinical risk
• Can demonstrate ability to creatively problem-solve
• Evidence of ongoing post-registration CPD

Desirable

• Experience of community or primary care working
• Experience of telephone triage assessment
• Evidence of clinical evaluation and audit work
• Knowledge of general practice and the NHS landscape
• Experience with primary care IT systems e.g., EMIS Web, Docman, ICE.

Skills and Personal Attributes

Essential

• Effective clinical and consultation skills
• Empathic, approachable, polite and confident
• Effective communication and interpersonal skills
• Can demonstrate able to work under pressure and recognise own limitations
• Shares practices core values which include teamwork, patient centred and innovation
• Able to embrace change and manage varying workloads
• IT skills
• Able to prioritise own work

Desirable

• Willing to work at times outside core hours

Other

Essential

• Can satisfy any statutory requirements for covid-19 and any other communicable diseases vaccination status, where applicable.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

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