FCP Paramedic

Job description

Job responsibilities

The post holders main responsibility will be to work within the PCN team as a valued member.

Job Summary

• You will provide a specialist paramedic resource as part of a multi-disciplinary team in a patient facing role. That is the key technical skill you will have. Just as important are your listening and team skills, along with your caring and compassionate nature.
• Working across a group of practices, you will work as an autonomous, accountable paramedic providing holistic care whilst assessing, diagnosing and providing treatment to patients; or referring / directing to other services. Patient groups include patients who attend surgery in hours or request domiciliary visits relating to unscheduled minor conditions, injuries or acute illness.
• To promote self-care and educate service users to allow them to be empowered to make informed choices about treatment. You will provide appropriate leadership within a self-managed team and be committed to learning and improving the service we offer to patients.
• You will work with patients to reach shared decisions about how to support people minimize the impact of their condition(s) on their life, especially for older people and those with multiple co-morbidities. You will provide support for chronic disease management for practices and will also spend a proportion of your time working offering telephone and face to face consultations.
• You will ensure that, where applicable, responses integrate with community and hospital services
• You will be passionate about and supported in clinical learning and professional development through a structured programme of education and support.
• Peer-support will be provided from within the multi-disciplinary team, supported by the GP supervisors.
• You will be expected to travel between named practices and meetings across the patch.
• You must have full driving license with suitable insurance and access to suitable vehicle.

Key responsibilities and Clinical Duties

• To support people to live and die well, minimizing the impact of their condition on their life by taking effective action based on an understanding on what really matters to people.
• To ensure that patients make informed choices about their care and that shared decisions are made based on an understanding of their context and what matters to them, not just the presenting condition.
• Assess, diagnose, plan, implement and evaluate treatment/interventions and care of patients presenting with an undifferentiated diagnosis.
• Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug based treatment methods into a management plan.
• Patients requiring care and onward referral to secondary care to be discussed with available GP and this process to be reviewed ongoing with the relevant practice Partners.
• To see patients within their own home and care home setting and in clinics, provide care to patients on domiciliary visits and to develop skills within triage and telephone consultations.
• To develop care plans for patients when required and to be involved with the continuity of care of our patients such as in end of life care, chronic disease management as developed and supervised with the relevant practice Partners.
• Maintain clinical knowledge and practice to known capabilities and competencies.
• Ensure registration and qualifications with the Health and Care Professionals Council is maintained.
• Prescribe/issue medications with suitable prescribing training and supervision and within patient group directives. This is to include with development patient specific instructions such as vaccinations, nebulized medications, oxygen administration and intravenous / muscular medications in medical emergencies.
• Undertake the collection of pathological specimens with appropriate training and supervision including intravenous blood sampling, point of care testing and swab collection.
• Maintain accurate, contemporaneous and concise electronic records within the practice clinical system and for service KPIs; having received suitable training and supervision in the use of EMIS software and read coding/template submission.
• Involve in ongoing education and improvement work; and to support and provide training to staff members as identified.
• To work collaboratively alongside administration staff and to ensure that service user needs are met.
• Provide professional input to named practice teams and network multidisciplinary teams working to improve patient outcomes
• Liaise across providers to ensure accurate and effective medication management
• Provide direct care to patients with long term conditions, minor ailments and other clinical areas within the scope of practice
• Support the care of complex patients in their own homes (including nursing or residential accommodation) as part of a multidisciplinary team
• Discuss patients with complex needs at the local MDT meetings and refer to the named professional in line with recommendations
• Provide professional telephone and email advice and support to patients and their carers.
• To ensure adequate and appropriate indemnity is in place.

Administration

• Participate in the administrative and professional responsibilities of the practice team.
• Ensure all necessary paperwork and registration documentation is completed and kept up to date.
• You have a legal responsibility to comply with the Health and Safety at Work Act, other relevant information and any risk or safety related issues introduced by in the interests of staff, patients and contractors.
• You must be aware of your responsibilities under the Health Act 2008 Code of Practice for the Prevention and control of Healthcare Associated Infections.
• You will be shown how to access relevant polices within practices during induction.
• To provide Home Visits for the PCN practices.
• To provide Care Home support as required.
• To provide emergency support as required.

Training / Educational development

• Ensure continuing education, training and development is undertaken to meet clinical governance guidelines for Continuing Professional Development and a Personal Development Plan.
• Keep up to date with relevant medical research, technology and evidence-based medical practice by attending continuing education courses and professional meetings, reading journals etc.
• Attend regular multi-disciplinary meetings organised by practices in order to discuss and learn from recent significant events relating to clinical practice occurring within practices.
• Attend regular educational meetings organised by practices in order to update clinical knowledge, practice policy and guidelines and disseminate other useful information relevant to the provision of adequate healthcare for patients.
• Regularly reflect on own practice (and keep a record of learning encounters) in order to identify learning needs and encourage self-directed lifelong learning and continued professional development.
• Demonstration of learning which contributes either directly to performance within the role or to personal development. This should be discussed at the annual appraisal and courses and learning should be agreed with the clinical supervisor.
• The learning may take the form of attendance at courses or audits or other activities agreed by the appraiser or supervisor.
• Learning activities should be supported by reflective learning entries demonstrating the application of learning to clinical scenarios.

Key Relationships

• Patients and their families / Carers
• GP, nurses and other practice staff
• Other healthcare professionals including CCG pharmacists, optometrists, dentists, health and social care teams and dieticians etc.
• Primary Care Network Leads
• Social prescribers, community nurses and other allied health professionals
• Community and Hospital teams

Key Outcomes

• Provide care closer to home
• Reduce and/or maintain a reasonable level of Non-Elective admissions
• Integration of community services to help provide seamless service closer to home
• Improve productivity within primary care
• Increase capacity within primary care
• Reduce pressures of GP workload

Person Specification

Qualifications

Essential

• Degree in Paramedic Science or equivalent.
• Have completed or currently engaged on MSc level Advanced Clinical Practice education
• Professional registration with HCPC and no current issues under investigation.
• Driving Licence
• Level 3 Safeguarding (Children)
• Independent Non Medical Prescribing
• CoP Dip. Primary & Urgent Care Exam
• Minor illness in Children
• Advanced Life Support
• Advanced Paediatric Life Support
• Palliative Care Knowledge
• Knowledge of NICE guidelines
• Broad based experience of IT Systems including MS suite of applications
• Understanding of legal and ethical issues/responsibilities relating to clinical practice.
• Understanding of the Serious Incident Framework
• Understanding of current prescribing issues
• Knowledge of own professional accountability and autonomous practice
• Infection Control (Health & Social Care Act 2008 (regulated activates) 2010

Desirable

• Knowledge of research and audit
• Experience of conducting audit, examining clinical notes, RCGP Toolkit, meeting national OOH standards, interpreting data, feeding back results
• Knowledge of the implementation of Care Quality Commission standards
• Familiarity with EMIS

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

Xcel Health

Address

Horley Health Centre

Kings Road

Horley

Surrey

RH6 7DG

Employer's website

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