Paramedic

Job description

Job responsibilities

Job Title: Paramedic (Advanced Practitioner)

Location: GlastonburySurgery

Salary:£42,937.52 per annum (pro rata)

Hours:30 hours per week

Accountable to:GP Partners & Lead Nurse

Job Purpose

Work as part of a team to offer a high standard of evidence-based care to patients, including health promotion, treatment, screening, and disease management.

Main duties and responsibilities

• Assess and triage patients, including same day triage, and as appropriate provide definitive treatment or make necessary referrals.
• Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services.
• Undertake the supervision of triage by admin staff and taking responsibility for quality and training.
• Be able to:

1. perform specialist health checks and reviews
2. perform and interpret ECGs; alongside other results as appropriate
3. perform investigatory procedures as required
4. undertake the collection of pathological specimens including intravenous blood samples, swabs, etc.

• 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)
• Provide same day home visits for registered patients, as agreed at the daily clinical meeting
• Communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required
• 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
• 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
• Work with patients in order to support compliance with and adherence to prescribed treatments
• Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions
• Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs
• Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
• Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan
• Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care

Clinical Governance and Professional Responsibilities

• Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedures.
• Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers.
• Contribute towards audit and data collection as required.
• Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
• Ensure that all patient information following consultations, registration, and/or including telephone encounters are recorded accurately on the computer, using EMIS and SNOMED codes as appropriate.
• Processing clinical and administrative tasks/results/paperwork.
• Attend and participate in practice meetings, including practice nurse meetings.
• Assist in the continual review of practice philosophy, strategy and policy.
• To participate in the formulation of practice protocols in conjunction with NHS England and local commissioners.

Personal and Profession Development

• Maintain lifelong learning by attending formal and informal educational courses and study days. Undertake a personal commitment to support lifelong learning by updating through relevant books and journals and a reflective diary/professional portfolio.
• Maintain a record of Continuing Professional Development for Mandatory re-validation purposes.
• Successfully completed the independent and supplementary prescribing course.
• Enhance own performance through continuous professional development, keep up to date with current evidence-based practice, and impart own knowledge and skills
• Completed the paramedic primary care roadmap (First Contact Practitioner)
• Recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics
• Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
• 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

Delivering a quality service

• Recognise and work within own competence and professional code of conduct as regulated by the relevant professional body.
• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
• 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.
• Initiate and participate in the maintenance of quality governance systems and processes.
• Evaluate patients response to health care provision and the effectiveness of care.

Equality and Diversity

• Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity.
• Behave in a manner that promotes equality and diversity in a non-discriminatory culture
• Support patients, carers and colleagues who need assistance in exercising their rights.
• Monitor and evaluate adherence to local chaperoning policies.
• Act as a role model in the observance of equality and diversity good practice.
• Accept the rights of individuals to choose their care providers, participate in care and refuse care.
• Assist patients from marginalised groups to access quality care.

Confidentiality

• Adhere to a strict code of confidentiality in all aspects of the work.
• In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
• In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carer(s), practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
• Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Research

• Co-operate and support research undertaken by the Practice including the referral of suitable patients who may benefit as participants in research programmes.

Education and Training of Students and Practice Staff

Participate in the induction, education and training of all new members of practice staff including medical students and GP registrars.

Liaison

Maintain effective liaison with other health care teams concerned with patient care as appropriate and with all other disciplines within the practice, always exercising regard for patient confidentiality.

Health & Safety

It is the responsibility of all employees to ensure that the requirements of the Health and Safety at Work Act are complied with, safe working practices are adhered to and that any hazards are reported to the appropriate officer immediately

All post holders are expected to:

• Adhere to practice policies and procedures (e.g. Health and safety)
• Familiarise themselves with the practice staff handbook.
• Adhere to the Data Protection Act 1998 and GDPR.
• Respect and adhere to corporate and clinical governance principles.
• To work as an integral part of the whole practice team.
• Undertake a DBS - criminal records and barring list checks.
• Adapt to any changes made to the organisation structure / delivery of service.
• Work within the operating hours of the surgery.

Person Specification

Skills & Abilities

Essential

• Ability to evidence a sound understanding of the NHS principles and values.
• Ability to analyse and interpret complex/ often incomplete information, preempt and evaluate issues, and recommend and appropriate course of action to address the issues.
• Excellent interpersonal and communication skills, able to influence and persuade others articulating a balanced view and able to constructively question information.
• Ability to negotiate effectively.
• Build effective relationships with a range of stakeholders which are based on openness, honesty trust and confidence.
• Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated.
• Confident in facilitating and challenging others in a professional and constructive manner.
• High degree of personal credibility, emotional intelligence, patience and flexibility.
• Ability to cope with unpredictable situations.
• Full UK driving license and access to a vehicle with appropriate business insurance.

Desirable

• Experience of working within a primary care setting.
• Excellent writing, report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences.
• Evidence of success in efficient and effective project and programme management.
• Evidence of inspiring and motivating teams with the ability to communicate passionately, effectively and persuasively across a diverse set of stakeholders.

Experience

Essential

• Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans.
• Working knowledge of Microsoft and GP practice and prescribing data monitoring systems.
• Ability to write comprehensive clinical notes, implement and evaluate care plans.

Desirable

• Mentorship or supervisory skills training.
• Cognitive behavioural and motivational interviewing approaches / skills.

Qualifications

Essential

• Advanced Clinical Practice Masters.
• Health & Care Professions Council (HCPC) registration.
• Operate at an advanced level of clinical practice.
• Framework for Higher Education Qualification (FHEQ) Level 7.
• Evidence of verification against the paramedic primary care roadmap.
• Non-medical prescribing qualification.

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).

Employer details

Employer name

Glastonbury Surgery

Address

Glastonbury Surgery

Feversham Lane

Glastonbury

Somerset

BA6 9LP

Employer's website

https://www.glastonburysurgery.co.uk/ (Opens in a new tab)