Paramedic Practitioner

Job responsibilities

The post holder will

• Work autonomously but within a large, experienced and supportive team.
• Assess and treat patients with undifferentiated, undiagnosed acute illness.
• Review patients within chronic disease areas.
• Work within the wider practice and community team.
• Run clinical audit, practice improvement activities and contribute to QoF.
• Have their own vehicle as home visits will be part of this role.
• Work with practice staff, community nursing team, Midhurst Macmillan palliative care team, care home staff.

Key duties and responsibilities

Communication

• Assess and triage patients, including same day telephone triage, and as appropriate provide definitive treatment or make necessary referrals to other members of the practice team.
• Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services.
• Work with patients to support concordance to prescribed treatments.

Skills

• Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs.
• Prescribe and review medications (if accredited) following PGDs, national/ local clinical guidelines and local care pathways.
• Setting up and interpreting ECGs.
• Phlebotomy and appropriate collection of swabs/ samples.
• Suture/ glue minor injuries if appropriate.

Practice areas

• Diagnose and manage acute and chronic conditions, integrating drug- and non-drug-based treatment into a management plan.
• Assist the patient in complex, urgent or emergency situations.
• Frailty/ Nursing Home/ End-of-life care- support the delivery of anticipatory care plans, RESPECT forms and just-in-case medication.
• Specialist health checks and reviews.
• Undertake clinical audits.
• Support delivery of QoF/ incentive schemes.

Quality Requirements

• Enhance own performance through continuous professional development, keep up to date with current evidence-based practice, and impart own knowledge and skills to practice colleagues to meet the needs of the service.
• 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 to evaluate the quality of the work of self and the team, implementing improvements where required.

Administrative requirements

• 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 the practice and PCN.
• Use technology and appropriate software as an aid to management 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.

Supervision

The postholder will have access to appropriate clinical supervision and an appropriate individual in the practice to provide general advice and support on a day to day basis.

Analysis Skills

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

Desirable

• Experience of working within primary care
• Evidence of working across organisational boundaries within health and social care
• Independent with good judgement, problem-solving and analytical skills

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 system- SystmOne and prescribing data monitoring systems
• Ability to write comprehensive clinical notes, implement and evaluate care plans

Desirable

• Working towards advanced clinical practitioner status
• Mentorship or supervisory skills training
• Be aware of data protection (GDPR) and confidentiality issues particularly within a PCN
• Cognitive behavioural and motivational interviewing approaches / skills

Communication

Essential

• 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.

Desirable

• Clear communicator with 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.

Personal attributes

Essential

• Strong and inspirational leadership.
• Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated.

Desirable

• High degree of personal credibility, emotional intelligence, patience and flexibility.
• ability to cope with unpredictable situations.
• Confident in facilitating and challenging others.
• Demonstrates a flexible approach in order to ensure patient care is delivered.

Qualifications

Essential

• BSc in a training programme approved by the College of Paramedics
• Health & Care Professions Council (HCPC) registration
• Able to operate at an advanced level of clinical practice
• Framework for Higher Education Qualification (FHEQ) Level 7 or Scottish Credit and Qualifications Framework (SCOF) Level 11

Desirable

• Pre-reg MSc in a training programme approved by the College of Paramedics
• Non-medical prescribing qualification
• Full UK driving license

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).