Job summary
An exciting and innovative role has been developed at the Keston & Moorings Medical Practice, part of the Bourne Partnership, for an Advanced Clinical Paramedic Practitioner (ACP). We are open to advanced practitioners from nursing, paramedic, secondary care or other clinical backgrounds.
Job Scope
The post holders main responsibility will be to work within the clinical team to provide high quality patient care. The ACP will provide clinical assessment and management for patients of all ages with undifferentiated and undiagnosed problems seeking a primary health care service, including on-call, telephone triage, face-to-face consultations, care home visits and home visits.
The ACP will have responsibility for an agreed number of care homes for which they will be primarily responsible for clinical care, including weekly care home rounds. The ACP will work in partnership with the care home lead GP, clinical team including practice pharmacists, community health and social care team members and care home staff.
The ACP will have ideally completed a prescribing course and have experience working as an independent prescriber, or be accepted onto a prescribing course within the next year and be working towards becoming an independent prescriber.
Main duties of the job
Clinical (for patients with undifferentiated, undiagnosed presentations OR long term conditions)
Undertake minor ailment clinics face to face appointments & triage if necessary), with or without prior triage by themselves or another clinician. Undertake home visits and care home reviews, alongside the paramedic visiting team.
Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated, undiagnosed problems
Examine patients from a physiological and psychological perspective, plan clinical care accordingly
Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into plan
Prescribe, review medication for therapeutic effectiveness, appropriate to patient needs, in accordance with evidence-based practice and national and practice protocols, and within scope of practice.
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent situations, including initiation of effective emergency care
Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health.
Collaborate with the Team including doctors, nurses and other AHPs, accepting referrals, referring to them for specialist care.
Ensure a high standard of clinical practice is maintained by ensuring care is based on current best practice, embarking upon further training if required and continuing to update clinical knowledge.
About us
The Bourne Partnership consists of the Keston Medical Practice and The Moorings Medical Practice which are in Purley and Kenley (Croydon) respectively, covering a combined list size of 23,000.
We have an friendly and dynamic team of 13 GPs, 4 pharmacists, 4 medical assistants, 2 paramedics, 1 physician associate,1 nurse prescriber and 3 practice nurses. We are a training practice with trainee GPs working within the team.
We are looking for ideally a Full Time ACP (37.5 hours pw) but will consider part time and flexible working where appropriate.
Job description
Job responsibilities
Recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics.
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Be aware of data protection (GDPR) and confidentiality issues particularly within a GP surgery.
Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information
Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.
Prioritise, organise and manage own workload in a manner that maintains and promotes quality
Deliver care according to NSF, NICE guidelines and evidence-based care
Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
Keep up to date with current evidence-based practice.
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
In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate
Support and participate in shared learning across the practice and wider organisation
Assist in the development and implementation of policies and procedures
Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance.
Participate in annual professional development review. Personal development will be encouraged and supported by the practice. It is the individuals responsibility to remain up to date with recent developments. Training requirements will be monitored by annual appraisal and will be in accordance with practice requirements.
To attend and participate in Significant Event Audits
To attend the UC planning meetings
To work within the HCPC code of professional practice and Scope of professional conduct, H&S at work Act 1974, Data Protection Act 1984 and Access to Health Records 1990.
Job description
Job responsibilities
Recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics.
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Be aware of data protection (GDPR) and confidentiality issues particularly within a GP surgery.
Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information
Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.
Prioritise, organise and manage own workload in a manner that maintains and promotes quality
Deliver care according to NSF, NICE guidelines and evidence-based care
Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
Keep up to date with current evidence-based practice.
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
In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate
Support and participate in shared learning across the practice and wider organisation
Assist in the development and implementation of policies and procedures
Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance.
Participate in annual professional development review. Personal development will be encouraged and supported by the practice. It is the individuals responsibility to remain up to date with recent developments. Training requirements will be monitored by annual appraisal and will be in accordance with practice requirements.
To attend and participate in Significant Event Audits
To attend the UC planning meetings
To work within the HCPC code of professional practice and Scope of professional conduct, H&S at work Act 1974, Data Protection Act 1984 and Access to Health Records 1990.
Person Specification
Qualifications
Essential
- Degree in Paramedic Science or equivalent.
- Have completed or currently engaged on MSc level Advanced Clinical Practice education
- Have completed or currently engaged on prescribing course
- Professional registration with HCPC and no current issues under investigation
- Driving Licence
- Level 3 Safeguarding (Children)
Desirable
- Independent Prescriber
- Mentoring experience
- Minor ailments qualification or experience
- Clinical reasoning in physical assessment (CRiPA) course completed
- Minor illness in Children qualification or experience
- Advanced Life Support
- Advanced Paediatric Life Support
- Experience of care home medicine
Experience
Essential
- Can demonstrate a broad base of competencies and skills in patient assessment and management
- Knowledge of NICE guidelines
- Understanding of legal and ethical issues/responsibilities relating to clinical practice.
- Understanding of the Serious Incident Framework
- Knowledge of own professional accountability and autonomous practice
- Infection Control (Health & Social Care Act 2008 (regulated activates) 2010
- Knowledge of research and audit
- Knowledge of the implementation of Care Quality Commission standards
Desirable
- Experience of General Practice IT Systems including Emis, Docman, AccuRx, NHS mail and dictation software
- Experience of conducting audits examining clinical notes, RCGP Toolkit, meeting national OOH standards, interpreting data, feeding back results
Person Specification
Qualifications
Essential
- Degree in Paramedic Science or equivalent.
- Have completed or currently engaged on MSc level Advanced Clinical Practice education
- Have completed or currently engaged on prescribing course
- Professional registration with HCPC and no current issues under investigation
- Driving Licence
- Level 3 Safeguarding (Children)
Desirable
- Independent Prescriber
- Mentoring experience
- Minor ailments qualification or experience
- Clinical reasoning in physical assessment (CRiPA) course completed
- Minor illness in Children qualification or experience
- Advanced Life Support
- Advanced Paediatric Life Support
- Experience of care home medicine
Experience
Essential
- Can demonstrate a broad base of competencies and skills in patient assessment and management
- Knowledge of NICE guidelines
- Understanding of legal and ethical issues/responsibilities relating to clinical practice.
- Understanding of the Serious Incident Framework
- Knowledge of own professional accountability and autonomous practice
- Infection Control (Health & Social Care Act 2008 (regulated activates) 2010
- Knowledge of research and audit
- Knowledge of the implementation of Care Quality Commission standards
Desirable
- Experience of General Practice IT Systems including Emis, Docman, AccuRx, NHS mail and dictation software
- Experience of conducting audits examining clinical notes, RCGP Toolkit, meeting national OOH standards, interpreting data, feeding back results
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.
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).
Additional information
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.
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).