Job summary
Employed by the Meon Health Practice (MHP), the post holder will
be a registered Paramedic with post-graduate qualifications relevant to the
position. Acting within their professional boundaries, the post holder will
provide care for patients presenting with undifferentiated conditions. This
will l include initial history taking, clinical assessment, diagnosis, treatment,
and evaluation of care. They will demonstrate safe clinical decision-making and
care for patients within the MHP.
The post holder will demonstrate critical thinking in the clinical
decision-making process.
They will work collaboratively within the Complex Care Team to
meet the needs of patients, supporting the delivery of policy and procedures.
They will work as an autonomous practitioner to provide
clinical case management for frail patients with acute / chronic / palliative
care needs and at risk of further deterioration in health that may result in unplanned
avoidable hospital admissions or unnecessary length of hospital stay.
This vacancy is working 22.5 hours over 3 days
Main duties of the job
Remote consulting and visiting MHP patients in CQC registered Care
homes (nursing / residential) and housebound patients registered with the
network practices to achieve acute visiting and assessment early in the day
(typically before mid-day) to optimise patient outcomes.
The role will comprise two
specific disciplines:
1.
Working within the MHP complex care team you will undertake
proactive consultations with Nursing / Residential home and housebound patients
within MHP. You will provide advice to care home staff on patient care and
wider health policy. This includes patient specific care plans and DNACPR
decisions.
2.
Working alongside a centrally based duty GP you will deliver a
high standard of patient care to patients who have been placed onto a central
GP triaged visiting list by practices within MHP
As a Primary Care Paramedic
Practitioner within the complex care team, you will be using advanced
autonomous clinical skills and a broad, in-depth theoretical knowledge base, to
provide patient care. This will include referring patients to hospital or other
community services. You will be working autonomously (in the patients home or
a care home) with access to electronic patient records and available escalation
to the complex care GP/ANP or duty GP for advice and support as required. You
will work alongside Clinical Pharmacists from within MHP and the CCG to deliver
the appropriate medicines related care.
About us
MHP delivers care to patients registered at either Whiteley, Jubilee or Highlands Practice in Fareham.
Our Organisation has a number of well established services and you will be working alongside GP's, ANP's, Practice Nurses, Pharmacists and Social Prescribers .
We offer membership to the NHS pension scheme, an employees assistance programme which is open to immediate family members as well, cycle to work scheme and eye care vouchers.
Job description
Job responsibilities
CLINICAL ROLE
Work
alongside the complex care team to provide a first point of contact for
patients presenting with undifferentiated, undiagnosed problems, making use
of skills in history taking, physical examination, problem-solving and
clinical decision-making, to establish a diagnosis and management plan.
-
Provide assessment, treatment
and diagnosis at point of first contact, by attending to patients in a
variety of clinical or non-clinical settings according to patients needs.
-
Undertake home/nursing and
residential care home visits, in accordance with the relevant protocols.
-
Make professionally autonomous
decisions for which you will be accountable.
-
Refer patients to an alternative
care setting or treat & discharge as appropriate.
-
Instigate
necessary invasive/non-invasive diagnostic tests/investigations and interpret
findings/reports.
-
Ensure that professional
standards are maintained and within the guidance issued by the DoH
(Department of Health), the HCPC (Health and Care Professions Council) and
the College of Paramedics (COP)
-
Work with
multi-disciplinary teams within MHP and healthcare community, to promote
integrated and seamless pathways of care.
-
Contribute
to MHP achieving its qualitative and quantitative targets to maintain high
standards of patient care and service delivery.
-
Participate in the assessment of
community health needs and help to develop patient and family-centred
strategies to address them.
-
Help to develop and set up new
patient services and participate in initiatives to improve existing patient
services.
-
Assist with
development of patient care plans and ensure DNACPR are in place where
appropriate.
-
Use Associated Clinical Groups
informatics to identify patients needing additional care or at risk of
hospital admission.
-
Assess frailty use Rockwood
frailty scales/FI
B.
Teaching and mentoring role: the post holder will desirably:
-
Promote a learning environment
for patients, colleagues and other health professionals.
C. Professional role
The post-holder will:
-
Promote evidence-based practice
through the use of the latest research-based guidelines and the development
of practice-based research.
-
Monitor the effectiveness of
their own clinical practice through the quality assurance strategies such as
the use of audit and peer review.
-
Maintain any professional
registration such as with the HCPC,COP
-
Participate
in continuing professional development (CPD) opportunities to ensure that up
to date evidence-based knowledge and competence in all aspects of the role is
maintained including maintaining up to date CPR training and other core
competencies.
-
Record
accurate and timely consultation data within the patients records
-
Keep up to date with pertinent
health-related policy and work with the SHN team to consider the impact and
possible strategies for implementation.
-
Work collaboratively with
colleagues within and external to MHP.
-
Pro-actively promote the
Paramedic role within MHP and externally to key stakeholders and agencies.
-
Identify
own learning needs in order to remain up to date and improve service
delivery.
Non-clinical team role
The post-holder will:
-
Identify appropriate
opportunities to delegate both clinical and administrative tasks to other
appropriate staff
-
Help MHP operate in a
cost-effective manner.
-
Identify and manage care risks
on a continuing basis.
-
Participate in MHP meetings as
required.
-
Participate in audits and
inspections as appropriate.
-
Work closely with the doctors
and managers in the setting up and/or improving of MHP systems for
monitoring/measuring performance against clinical governance and quality targets.
-
Ensure all MHP policies are
fully implemented.
E. Health & Safety and Risk Management
-
The post-holder must comply at
all times with MHP Health and Safety policies.
-
The post-holder will comply with
the Data Protection Act (1998) and the Access to Health Records Act (1990)
and GDPR.
F. Equality and Diversity
The post-holder must co-operate
with all policies and procedures designed to ensure equality of employment.
Co-workers, patients and visitors must be treated equally irrespective of
gender, ethnic origin, age, disability, sexual orientation, religion etc.
G. Respect for patient confidentiality
The post-holder should respect patient confidentiality at all
times and not divulge patient information unless sanctioned by the
requirements of the role.
H. Communication and working relationships
The post-holder will establish and maintain effective
communication pathways with the following:
-
GPs within MHP and externally
with the CCG as a whole
-
Whole nursing team including
Nurse Practitioners
-
Reception and Administration
Teams
I. Special Working Conditions
The post-holder is required to travel independently between
sites, patient homes and to attend meetings etc hosted by other agencies
The
post-holder will have contact with bodily fluids, i.e. wound exudates, urine,
blood etc whilst in clinical practice and must take precautions as required
to minimise the risk of infection/contamination using PPE.
J. Rehabilitation of Offenders Act 1994
Due to the nature of this work, this post is exempt from the
provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1994
(Exceptions) Order 1995. Applicants for posts are not entitled to withhold
information about convictions which for other purposes are spent under the
provisions of the Act and in the event of employment, any failure to disclose
such convictions could result in disciplinary action or dismissal by the
Practice. Any information given will be completely confidential and will be
considered only in relation to an applicant of a position to which the order
applies.
K. Job Description Agreement
This job description is intended to provide an outline of the
key tasks and responsibilities only.
There may be other duties required of the post-holder
commensurate with this position.
This description will be open to regular review and may be
amended to take into account development or changes within MHP. All members
of staff should be prepared to work, flexibly within MHP.
Job description
Job responsibilities
CLINICAL ROLE
Work
alongside the complex care team to provide a first point of contact for
patients presenting with undifferentiated, undiagnosed problems, making use
of skills in history taking, physical examination, problem-solving and
clinical decision-making, to establish a diagnosis and management plan.
-
Provide assessment, treatment
and diagnosis at point of first contact, by attending to patients in a
variety of clinical or non-clinical settings according to patients needs.
-
Undertake home/nursing and
residential care home visits, in accordance with the relevant protocols.
-
Make professionally autonomous
decisions for which you will be accountable.
-
Refer patients to an alternative
care setting or treat & discharge as appropriate.
-
Instigate
necessary invasive/non-invasive diagnostic tests/investigations and interpret
findings/reports.
-
Ensure that professional
standards are maintained and within the guidance issued by the DoH
(Department of Health), the HCPC (Health and Care Professions Council) and
the College of Paramedics (COP)
-
Work with
multi-disciplinary teams within MHP and healthcare community, to promote
integrated and seamless pathways of care.
-
Contribute
to MHP achieving its qualitative and quantitative targets to maintain high
standards of patient care and service delivery.
-
Participate in the assessment of
community health needs and help to develop patient and family-centred
strategies to address them.
-
Help to develop and set up new
patient services and participate in initiatives to improve existing patient
services.
-
Assist with
development of patient care plans and ensure DNACPR are in place where
appropriate.
-
Use Associated Clinical Groups
informatics to identify patients needing additional care or at risk of
hospital admission.
-
Assess frailty use Rockwood
frailty scales/FI
B.
Teaching and mentoring role: the post holder will desirably:
-
Promote a learning environment
for patients, colleagues and other health professionals.
C. Professional role
The post-holder will:
-
Promote evidence-based practice
through the use of the latest research-based guidelines and the development
of practice-based research.
-
Monitor the effectiveness of
their own clinical practice through the quality assurance strategies such as
the use of audit and peer review.
-
Maintain any professional
registration such as with the HCPC,COP
-
Participate
in continuing professional development (CPD) opportunities to ensure that up
to date evidence-based knowledge and competence in all aspects of the role is
maintained including maintaining up to date CPR training and other core
competencies.
-
Record
accurate and timely consultation data within the patients records
-
Keep up to date with pertinent
health-related policy and work with the SHN team to consider the impact and
possible strategies for implementation.
-
Work collaboratively with
colleagues within and external to MHP.
-
Pro-actively promote the
Paramedic role within MHP and externally to key stakeholders and agencies.
-
Identify
own learning needs in order to remain up to date and improve service
delivery.
Non-clinical team role
The post-holder will:
-
Identify appropriate
opportunities to delegate both clinical and administrative tasks to other
appropriate staff
-
Help MHP operate in a
cost-effective manner.
-
Identify and manage care risks
on a continuing basis.
-
Participate in MHP meetings as
required.
-
Participate in audits and
inspections as appropriate.
-
Work closely with the doctors
and managers in the setting up and/or improving of MHP systems for
monitoring/measuring performance against clinical governance and quality targets.
-
Ensure all MHP policies are
fully implemented.
E. Health & Safety and Risk Management
-
The post-holder must comply at
all times with MHP Health and Safety policies.
-
The post-holder will comply with
the Data Protection Act (1998) and the Access to Health Records Act (1990)
and GDPR.
F. Equality and Diversity
The post-holder must co-operate
with all policies and procedures designed to ensure equality of employment.
Co-workers, patients and visitors must be treated equally irrespective of
gender, ethnic origin, age, disability, sexual orientation, religion etc.
G. Respect for patient confidentiality
The post-holder should respect patient confidentiality at all
times and not divulge patient information unless sanctioned by the
requirements of the role.
H. Communication and working relationships
The post-holder will establish and maintain effective
communication pathways with the following:
-
GPs within MHP and externally
with the CCG as a whole
-
Whole nursing team including
Nurse Practitioners
-
Reception and Administration
Teams
I. Special Working Conditions
The post-holder is required to travel independently between
sites, patient homes and to attend meetings etc hosted by other agencies
The
post-holder will have contact with bodily fluids, i.e. wound exudates, urine,
blood etc whilst in clinical practice and must take precautions as required
to minimise the risk of infection/contamination using PPE.
J. Rehabilitation of Offenders Act 1994
Due to the nature of this work, this post is exempt from the
provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1994
(Exceptions) Order 1995. Applicants for posts are not entitled to withhold
information about convictions which for other purposes are spent under the
provisions of the Act and in the event of employment, any failure to disclose
such convictions could result in disciplinary action or dismissal by the
Practice. Any information given will be completely confidential and will be
considered only in relation to an applicant of a position to which the order
applies.
K. Job Description Agreement
This job description is intended to provide an outline of the
key tasks and responsibilities only.
There may be other duties required of the post-holder
commensurate with this position.
This description will be open to regular review and may be
amended to take into account development or changes within MHP. All members
of staff should be prepared to work, flexibly within MHP.
Person Specification
Qualifications
Essential
- Registered Paramedic
- Post Graduate Qualification relevant to the position
Desirable
- Able to work autonomously
- Proven ability/desire to learn and take on additional responsibilities
- Good communication skills communicate quickly and concisely
- Ability to work as part of a team and understand other members needs
- Ability to use own initiative
- Ability to assimilate information quickly
- Ability to remain calm under pressure & think logically
- Accurate/detailed record keeping
- Change-management skills and ability to support patients to change lifestyle
- Computer literate
- Ability to motivate self and others
- Negotiation and conflict management skills
- Critical thinking in clinical decision making
- Evidence of continued professional development
- Assertive and confident
- Flexible working approach quick to adapt and respond to changing demands
- Multidisciplinary team working
- Discretion and confidentiality
- Full driving licence and access to own vehicle, which can be insured for business use
Person Specification
Qualifications
Essential
- Registered Paramedic
- Post Graduate Qualification relevant to the position
Desirable
- Able to work autonomously
- Proven ability/desire to learn and take on additional responsibilities
- Good communication skills communicate quickly and concisely
- Ability to work as part of a team and understand other members needs
- Ability to use own initiative
- Ability to assimilate information quickly
- Ability to remain calm under pressure & think logically
- Accurate/detailed record keeping
- Change-management skills and ability to support patients to change lifestyle
- Computer literate
- Ability to motivate self and others
- Negotiation and conflict management skills
- Critical thinking in clinical decision making
- Evidence of continued professional development
- Assertive and confident
- Flexible working approach quick to adapt and respond to changing demands
- Multidisciplinary team working
- Discretion and confidentiality
- Full driving licence and access to own vehicle, which can be insured for business use
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).
