Job summary
This is a new ACP-Paramedic role which gives the opportunity to the successful candidate to work across 4 practices, for our PCN Enhanced access and Hub service. There is plenty of flexibility about which days or hours you work. Our core hours are Monday-Friday 8am-8pm and Saturday 8am-5pm. The successful candidates timetable can be flexibly organised around their needs (childcare, portfolio etc) in consideration with the needs of the population.
See attached job description for further information.
Main duties of the job
The post holder will demonstrate courageous and critical thinking and is a caring, compassionate and committed experienced paramedic who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice.
The paramedic ACP in primary and urgent care will adhere to legal, regulatory and ethical requirements, professional codes, and employer protocols.
Specifically, this means working in accordance with the Health & Care Professions Council (HCPC) Standards of conduct, performance and ethics and; Standards of proficiency: Paramedics.
The post holder will commit to demonstrating critical thinking in the safe clinical decision-making process. They will communicate and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.
About us
East End Health Network is a well-established PCN with more than 10 years of experience. We are NHS employer, providing NHS pension if desirable. We have an established team of GPs, Pharmacists, Physiotherapists, Mental health nurses, Paramedics, Care coordinators, social prescribers and GP Assistants employed directly by our PCN and we provide both Hub and practice-based services. We have a dedicated managerial and administrative team with excellent record of support and innovation (call/recall team and performance dashboards are 2 of our functions that have been widely adopted by neighbouring PCNs.)
We are active members of the wider Tower Hamlets primary care community with established working relationships with stakeholders (providers, commissioners, patients).
We are serving a dynamic and young population who experience health inequalities and provides a unique opportunity for establishing long term nurse-patient relationships, continuity and job satisfaction.
Job description
Job responsibilities
Clinical practice
The paramedic ACP has the following key responsibilities:
They will work as part of a multi-disciplinary team (MDT) within the PCN.
They will assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary or secondary care team.
They will advise patients on general healthcare and promote self-management where appropriate, including signposting patients to the PCNs social prescribing service, and where appropriate, other community or voluntary services.
They will be able to:
operform specialist health checks and reviews within their scope of practice and in line with local and national guidance
operform and interpret ECGs
operform investigatory procedures as required, and
oundertake the collection of pathological specimens including intravenous blood samples, swabs, and other samples within their scope of practice, and within line of local and national guidance.
They will support the delivery of anticipatory care plans and lead certain services (e.g. monitoring blood pressure and diabetes risk of elderly patients).
They will provide an alternative model to urgent and same day GP home visit for the network.
They will communicate at all levels across organisations ensuring that an effective, person-centred service is delivered.
They will communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required.
They will 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.
Communicate effectively with patients, and where appropriate family members and their carers, where applicable, complex and sensitive information regarding their physical health needs, results, findings, and treatment choices
Support PCN and practice work around QOF, NIS and DES requirements.
Job description
Job responsibilities
Clinical practice
The paramedic ACP has the following key responsibilities:
They will work as part of a multi-disciplinary team (MDT) within the PCN.
They will assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary or secondary care team.
They will advise patients on general healthcare and promote self-management where appropriate, including signposting patients to the PCNs social prescribing service, and where appropriate, other community or voluntary services.
They will be able to:
operform specialist health checks and reviews within their scope of practice and in line with local and national guidance
operform and interpret ECGs
operform investigatory procedures as required, and
oundertake the collection of pathological specimens including intravenous blood samples, swabs, and other samples within their scope of practice, and within line of local and national guidance.
They will support the delivery of anticipatory care plans and lead certain services (e.g. monitoring blood pressure and diabetes risk of elderly patients).
They will provide an alternative model to urgent and same day GP home visit for the network.
They will communicate at all levels across organisations ensuring that an effective, person-centred service is delivered.
They will communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required.
They will 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.
Communicate effectively with patients, and where appropriate family members and their carers, where applicable, complex and sensitive information regarding their physical health needs, results, findings, and treatment choices
Support PCN and practice work around QOF, NIS and DES requirements.
Person Specification
Communication & skills
Essential
- Able to communicate highly complex and sensitive information
- Demonstrate a high level of self-awareness in relation to strengths, weaknesses and personal qualities
- Excellent communication skills, both written and verbal
- Evidence of innovation
- Negotiation and conflict management skills
- Experience of change management
- Mentorship and clinical supervision
- Provide education and training to other staff and students
- Able to manage conflict
- Competent non-medical prescriber
- Perform venapunture
- Undertake routine screening (cytology, swabs)
- Vaccinations and immunisations
Desirable
- Research qualification
- Experience with minor surgery
- Experience in fitting Long-Acting Reversible Devices
Qualifications
Essential
- Registered first level Paramedic MSc or equivalent
- MSc in Advance Clinical practice studies and clinical assessment
- Relevant Paramedic degree
- Teaching and Assessing Qualification
- Mentor Qualification
- Clinical supervision training and experience
- Extended/independent and supplementary nurse prescriber
Desirable
- Community Paramedic specialist qualification
- Counselling skills
- Minor Surgery qualification
- Long Active Contraceptive Device fitting qualification
Experience
Essential
- Significant post registration experience
- Paramedic-led management of minor illness, minor ailments and injuries
- Paramedic-led triage
- Developing and implementing protocols and clinical guidelines
- Clinical Leadership
- Experience of undertaken clinical audits
- Research
- Non-medical prescribing
- Able to demonstrate a depth and breadth of current issues and policies within the NHS
Desirable
- Project management
- Working with community development initiatives
- Health-needs assessment
- Recent primary and community paramedic experience
Knowledge
Essential
- Can demonstrate a broad base of capabilities and skills as described by HEE at the published paper: First Contact Practitioners and Advanced Practitioners in Primary Care: (Paramedic) A Roadmap to Practice (stage 1)
- - https://www.hee.nhs.uk/sites/default/files/documents/Paramedics-FINAL%20%28002%29.pdf
- Portfolio of evidence showing achievements in practice/speciality
- Broad based experience of IT Systems including MS suite of applications
- Knowledge of NICE guidelines
- Understanding of legal and ethical issues/responsibilities relating to clinical practice.
- Understanding of the Serious Incident Framework
- Current prescribing issues
- 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 in working in walk in clinics
- Knowledge of public health issues
- Able to identify determinants on health in the area
- Knowledge of public health issues in the area
- Experience of local healthcare environment
Person Specification
Communication & skills
Essential
- Able to communicate highly complex and sensitive information
- Demonstrate a high level of self-awareness in relation to strengths, weaknesses and personal qualities
- Excellent communication skills, both written and verbal
- Evidence of innovation
- Negotiation and conflict management skills
- Experience of change management
- Mentorship and clinical supervision
- Provide education and training to other staff and students
- Able to manage conflict
- Competent non-medical prescriber
- Perform venapunture
- Undertake routine screening (cytology, swabs)
- Vaccinations and immunisations
Desirable
- Research qualification
- Experience with minor surgery
- Experience in fitting Long-Acting Reversible Devices
Qualifications
Essential
- Registered first level Paramedic MSc or equivalent
- MSc in Advance Clinical practice studies and clinical assessment
- Relevant Paramedic degree
- Teaching and Assessing Qualification
- Mentor Qualification
- Clinical supervision training and experience
- Extended/independent and supplementary nurse prescriber
Desirable
- Community Paramedic specialist qualification
- Counselling skills
- Minor Surgery qualification
- Long Active Contraceptive Device fitting qualification
Experience
Essential
- Significant post registration experience
- Paramedic-led management of minor illness, minor ailments and injuries
- Paramedic-led triage
- Developing and implementing protocols and clinical guidelines
- Clinical Leadership
- Experience of undertaken clinical audits
- Research
- Non-medical prescribing
- Able to demonstrate a depth and breadth of current issues and policies within the NHS
Desirable
- Project management
- Working with community development initiatives
- Health-needs assessment
- Recent primary and community paramedic experience
Knowledge
Essential
- Can demonstrate a broad base of capabilities and skills as described by HEE at the published paper: First Contact Practitioners and Advanced Practitioners in Primary Care: (Paramedic) A Roadmap to Practice (stage 1)
- - https://www.hee.nhs.uk/sites/default/files/documents/Paramedics-FINAL%20%28002%29.pdf
- Portfolio of evidence showing achievements in practice/speciality
- Broad based experience of IT Systems including MS suite of applications
- Knowledge of NICE guidelines
- Understanding of legal and ethical issues/responsibilities relating to clinical practice.
- Understanding of the Serious Incident Framework
- Current prescribing issues
- 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 in working in walk in clinics
- Knowledge of public health issues
- Able to identify determinants on health in the area
- Knowledge of public health issues in the area
- Experience of local healthcare environment
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).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
