Job responsibilities
Epsom PCN is part of the Surrey Heartlands CCG Integrated
Care System. It is a largely urban area with some semi-rural populations and is
served by the London facing Epsom St Helier NHS Trust. Famous for its
racecourse and the annual Epsom Derby, Epsom PCN is within the Surrey Downs
Area of Outstanding Natural Beauty.
The PCN has a population of circa 58, 000 patients served
by St Stephens House Surgery, Shadbolt Park House Surgery, Ashley Centre
Practice, Fountain Practice, The Derby Medical Centre, Spring Street Surgery
& Stoneleigh Surgery. The Clinical Director, Dr Sam Eldred is based in St
Stephens House.
The PCN is committed to serve its patients, delivering
services in accordance with its population health demographic, accessible to
all and agile to change. New roles are being welcomed and embedded into a
multi-disciplinary team. The wellbeing of new staff and development of new
roles is a critical priority and we look forward to working with you to achieve
this.
Job Purpose:
The Paramedic/Practitioner will work autonomously both within the community and within the PCN
and Practice based multi-disciplinary team, using their enhanced clinical
assessment and treatment skills, to provide first point of contact for patients
presenting with undifferentiated, undiagnosed problems relating to minor
illness or injury, abdominal pains, chest pains and headache and mental health crisis.
Core
Duties:
The Paramedic/Practitioner
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
care team.
- Assess patients
presenting with acute illness or for review of chronic disease conditions.
- Undertake home
visits for acute illness or chronic disease management.
- Diagnose, plan,
implement and evaluate treatment/interventions and care for patients
presenting with an undifferentiated diagnosis.
- Clinically examine
and assess patient needs from a physiological and psychological
perspective, and plan clinical care accordingly.
- Assess, diagnosis,
plan, implement and evaluate interventions/treatments for patients with
complex needs and follow up as appropriate.
- Proactively
identify, diagnose and manage treatment plans for patients at risk of
developing a long-term condition (as appropriate).
- Diagnose and
manage both acute and chronic conditions, integrating both drug- and
non-drug-based treatment methods into a management plan.
- Advise patients on
general healthcare and promote self-management where appropriate,
including signposting patients to other community or voluntary services.
- Perform specialist
health checks and reviews; perform and interpret ECGs; perform
investigatory procedures as required.
Undertake
the collection of pathological specimens including intravenous blood samples,
swabs etc.
- Support the
delivery of anticipatory care plans as this process develops (e.g.
monitoring blood pressure and diabetes risk of elderly patients living in
sheltered housing).
- Provide an
alternative model to urgent and same day GP home visit.
- 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.
Other Duties:
- Work within the
policies of scheme of the practices and PCN.
- Promote client involvement
in the management of the service.
- Participate in
regular supervision sessions and appraisals with your line manager. Attend training and development
activities as identified and participate in meetings as required.
- Maintain
administration systems and workspace used in a clean and tidy condition.
- Work flexibly to
meet the needs of clients.
- To undertake any
other duties appropriate to the grade and purpose of the job as may be
agreed by the post holder.
Communication:
- Demonstrate
sensitive communication styles to ensure patients are fully informed and
consent to treatment.
- Communicate
effectively with patients and carers recognizing the need for alternative
methods of communication to overcome different levels of understanding,
cultural background and preferred ways of communicating.
- Anticipate
barriers to communication and take action to improve communication.
- Maintain good
communications with both the doctors and the practice management team, in
order to sustain a high standard of service and safety to the patient
- The post holder
will promote good communication within the primary care team by being
approachable and knowledgeable regarding all aspects of patient services.
- The post holder
will report to the Clinical Director/Managing Director of GPHP to discuss
requests for personal annual leave or TOIL and ensure cover of the post.
- The post holder
will communicate face to face with all team members on a daily basis,
utilise telephone and email as a means of internal and external
communication and regularly take part in team meetings to ensure updated
knowledge of systems and procedures or other important information is
gained and/or shared.
Health & Safety
- Maintain a good
working knowledge of Health and Safety procedures and fire precautions,
and operate the correct procedures and participate in policy development
and data collection where appropriate.
- The post holder
has a duty of care and personal obligation to act to reduce
healthcare-associated infections (HCAIs). They must attend mandatory training
in infection prevention and control (IP&C) and be compliant with all
measures required by the trust to reduce HCAIs. All post holders must
comply with the practice infection and immunisation policies as well as be
familiar with the Practices Infection Prevention & Control policies,
including those that apply to their duties, such as hand decontamination,
personal protective equipment, aseptic techniques and safe disposal of
sharps.
- Be fully aware of
the potential health and safety hazards in the practice environment. In the event of an accident, whether a
staff member or a patient, immediately notify the Practice Management
- General
housekeeping duties such as cleaning up after spillages to avoid accident
or injury
Confidentiality &
Data Security
- All employees are
expected to comply with all Practice policies and procedures related to
confidentiality and data security and to work in accordance with General
Data Protection Regulations.
Teaching:
- Assist in the
teaching of GP Registrars, medical students, nurses, HCAs and any other
staff in training.
Professional:
- Adhere to the
Royal College of Paramedics Code of Professional conduct, scope of
professional practice and maintain registration.
- To develop and
sustain own personal and professional development, clinical skills and
professional awareness in accordance with PREP requirements and the
on-going demands of the role.
- GPHP actively
encourages development within the workforce. Employees are required to comply with
and complete mandatory training.
- To be aware of and
to work in accordance with all Practice policies.
- To contribute to
the development and review of related clinical policies, protocols and
guidelines.
- To participate in
individual performance management process and reviews.
Equality &
Diversity
- GPHP values
equality and diversity in employment and in the services we provide. It is
committed to promoting equality and diversity in employment and will keep
under review our policies and procedures to ensure that the job related
needs of all staff working in the Practice are recognised. GPHP will aim
to ensure that all job applicants, employees or clients are treated fairly
and valued equally regardless of sex, marital status, domestic
circumstances, age, race, colour, disablement, ethnic or national origin,
social background or employment status, sexual orientation, religion,
beliefs, HIV status, gender reassignment, political affiliation or trade
union membership.
- You are responsible
for ensuring that policies, procedures and obligation in respect of
promoting equality and diversity are adhered to in relation to both
staff and services.
Risk Management
- You have a
responsibility for the identification of all risks which could have a potential
adverse effect on the Practices ability to maintain quality of care and
the safety of patients, staff and visitors and for taking positive action
to eliminate or reduce these.
Safeguarding
- The Practices have
a responsibility to safeguarding and promoting the welfare of children,
young people and vulnerable adults who use our services. All partners and
staff share this responsibility and should comply with current Practice
policies, undertaking the appropriate level of training for the role.
- If employees have
reason for concern that a patient is 'at risk' they should escalate this
to an appropriate person i.e. Practice Manager, Safeguarding Lead GP/PCN
Clinical Director
Please note your job
description is intended only as a guide to the responsibilities that will
generally be required of you. You may
need to perform other duties that have not been mentioned to accommodate both
patient and business needs.
