Paramedic

Job responsibilities

Clinical practice

• Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients via telephone or video, in practice or in their own homes
• Clinically examine and assess patient needs and plan clinical care accordingly
• 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
• Review medication for therapeutic effectiveness, appropriate to patient needs and 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

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care

Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care

Occasional exposure to highly distressing or emotional circumstances such as contact with patients who may be terminally ill or their relatives

Communication

• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
• Communicate effectively with patients and carers, recognising 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 effective communication within the practice environment and with all practice and non-practice based staff

Delivering a quality service

• Recognise and work within own competence and professional code of conduct as regulated by the HCPC
• 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 both local and national guidelines and standards for best practice.
• Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
• Initiate and participate in the maintenance of quality governance systems and processes across the PCN and its activities
• Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
• Support and participate in shared learning across the practice and wider organisation
• Contribute to the appraisal of the performance of the team, providing feedback as appropriate
• To contribute towards Quality Outcomes Framework, Quality Improvement Framework and relevant enhanced services

Leadership personal and people development

• Act as a clinical leader within own scope of competence in the delivery of health related services,ensuring that the needs of the patient are a priority
• Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model
• Identify own development needs in order to maximise potential
• Critically evaluate and review innovations and developments that are relevant to the area of work
• To contribute towards to the development of local guidelines, protocols and standards and implementation of these as appropriate
• To provide guidance and comments on appropriate policies as required
• To contribute towards and complete relevant audit and project work as required

Team working

• Understand own role and scope and identify how this may develop over time
• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
• Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence
• Follow clear referral and escalation mechanisms to meet patient need
• Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team
• Work effectively with others to clearly define values, direction and policies impacting upon care delivery
• Discuss, highlight and work with the team to create opportunities to improve patient care
• Responsible for safe use of specialist practice equipment

Management of risk

• Manage and assess risk within the areas of responsibility, including the practice and patient home, ensuring adequate measures are in place to protect staff and patients
• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines
• Apply infection-control measures within the practice and during home visits according to local and national guidelines

Managing information

• Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information
• Review and process data using accurate Read codes and esnomed codes in order to ensure easy and accurate information retrieval for monitoring and audit processes
• Manage information searches using the internet and local library databases
• Understand responsibility of self and others to the practice and primary care trust regarding Caldicott principles and information governance.

GENERIC CLAUSES

To maintain a broad understanding of the work of HBB PCN as a whole, and actively contribute your ideas for the improvement of service provision.

To ensure own actions contribute to the maintenance of a quality service provision.

To be responsible for the self-development of skills and competencies through participation in training and development activities and to maintain up to date technical and professional knowledge relevant to the post.

To participate in the Performance and Development Review and to undertake any identified training and development related to the post.

To undertake statutory and mandatory training as deemed appropriate by the PCN.

To develop and maintain effective working relationships with colleagues.

To adhere to all PCN policies and procedures.

PCN Values:

As an employee and representative of the PCN, you are required to demonstrate and uphold the PCNs Values. These are:

Proud to CARE:

Compassionate

Caring with compassion, its about how we listen, what we say, what we do.

Approachable

Friendly, welcoming, sharing ideas and being open

Responsible

Taking personal and collective responsibility, being accountable for our actions

Excellent

Striving for the best, for high-quality safe care and continually improving

Health & Safety:

All staff have a duty to ensure the health and safety of themselves and others whilst at work. Safe working practices and health and safety precautions are a legal requirement. ALL incidents/ accidents must be reported to your manager and in line with the general philosophy of the PCN, you must participate in accident prevention by reporting hazards and following relevant policies and procedures including Moving and Handling guidelines and mandatory health and safety training.

Infection Control:

Infection Prevention and Control is everybody's responsibility. All staff, both clinical and non-clinical, are required to adhere to the PCNs Infection Prevention and Control Policies and Procedures and make every effort to maintain high standards of infection prevention and control at all times. This includes good antimicrobial stewardship, hand decontamination, cleanliness and adhering to the Dress and Appearance policy. This will reduce the risk of Healthcare Associated Infections including MRSA and Clostridium Difficile in accordance with the Code of Practice on the prevention and control of infections and related guidance (2015).

Risk Management:

You are required to contribute to the control of risk and use the incident reporting system to alert the PCN of incidents or near misses that may compromise the quality of services.

Data Security:To ensure that the PCN Policies and Procedures regarding data security are adhered to, and that staff are aware of their obligations under these policies.

Confidentiality:

Working within the PCN you may gain knowledge of confidential matters which may include manual/electronic personal and medical information about patients and staff. Such information must be considered strictly confidential and must not be discussed or disclosed. Failure to observe this confidentiality could lead to disciplinary action being taken against you.

Registration:

Registration with a professional body imposes a duty on health care professionals to maintain the safety of the public through working within professional standards, to provide good quality care to patients and to promote professional education and conduct. It is the policy of the PCN that all health care professionals register or re-register and act in accordance with the requirements of their professional body.

Experience

Essential

• Significant post qualification experience
• Autonomous management of minor illness, minor ailments and injuries
• Face to face and remote triage
• Clinical Leadership
• Audit
• Research

Desirable

• Recent acute primary and community experience
• Project management
• Health needs assessment

Knowledge and Skills

Essential

• Management of patients with long term conditions
• Management of patients with complex needs
• Clinical examination skills
• Accountability of own role and other roles in an allied health professional led service
• Local and national health policy
• Wider health economy
• Clinical governance issues in primary care
• Clinical leadership skills
• Communication skills, both written and verbal
• Change management
• Resource management

Desirable

• Knowledge of public health issues
• Able to identify determinants on health in the area
• Knowledge of public health issues in the area
• Prescribing

Other

Essential

• Self directed practitioner
• Highly motivated
• Flexibility
• Enthusiasm
• Team player
• Ability to work across boundaries

Desirable

• Ability to cope with unpredictable situations
• Confident in facilitating and challenging others
• Demonstrates a flexible approach in order to ensure patient care is delivered

Knowledge

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

• Working towards advanced clinical practitioner status
• Mentorship or supervisory skills training
• Ability to undertake nails surgery assessments, procedure and post-operative care
• Be aware of data protection (GDPR) and confidentiality issues particularly within a PCN
• Cognitive behavioural and motivational interviewing approaches / skills
• Experience of working in care homes

Communication

Essential

• Excellent interpersonal and organisational skills
• 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

Qualifications

Essential

• Relevant professional qualification
• Primary care knowledge and experience

Desirable

• Mentor or teaching qualification
• Clinical supervision training and experience

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).