Paramedic - Horsham Central PCN
Job Description
Job summary
The post holder will work across Holbrook Surgery and Riverside Medical Practice with each of the practice teams, joining the PCN team for Central Horsham. They will be assigned a lead clinical and operational contact for each contract. ABC as employer will provide support and ensure access to the NHSE England training programme as required.
This post is part of the Additional Roles Reimbursement Scheme for Primary Care Networks funded by NHS England.
The paramedics will take referrals direct from practices to carry out in practice clinics, home visits, telephone or online triage as appropriate. The role will involve the assessment, diagnosis, treatment or referral of patients presenting with undifferentiated and undiagnosed conditions. The post holder will work within their level of competency and will be clinically supervised by a GP working in the area.
This role will have completed or be working toward a Band 7 FCP Paramedic role, based on the completion of stage 1 and stage 2 of the Health Education England Competency Framework . You will then be assisted to develop and enter the ACP pathway. We will offer a fully funded ACP training package with a dedicated GP mentor and an Advanced Clinical Practitioner contract at the end of the MSc ACP. You will be supported through indirect supervision and will be responsible for assessing, diagnosing, interpreting investigations and treating patients within Primary Care within a developing scope of competence.
Main duties of the job
Horsham Central PCN are looking for a Paramedic to join their innovative and dynamic Primary Care Network to primarily focus on supporting them with their community and housebound patients. You will be provided with a range of clinical supervision and training opportunities to develop your skills in Primary Care.
You will work closely with clinicians from the practices and will play a vital role in increasing capacity for all appointments including home visits. The successful candidate will be provided with excellent support, the opportunity for development in the role, and will be clinically supervised by a General Practitioner.
As a Paramedic, you will be required to work autonomously in the community across the network practices, providing a range of services such as assessment, diagnosis, treatment, telephone triage, clinical decision-making, and referring patients appropriately under supervision.
You will be predominantly community based, undertaking home visits, and liaising with a multidisciplinary team including GPs as well as other services. The post holder will start their day at one of the surgeries and may be required to rotate accordingly.
The post holder will work within their level of competency and will report to a GP/Partner who will provide support and mentorship.
About us
Alliance for Better Care (ABC) is a GP Federation uniting 77 NHS GP member practices across 98 sites within 24 Primary Care Networks in Sussex and Surrey. We support our Primary Care colleagues - and their patients - to transform how healthcare is delivered in their communities.
We work closely with GP Practices, PCNs, Hospitals, Community Organisations, and the Third Sector. These vital partnerships enable us to deliver a truly integrated approach that offers the support and expertise needed to effectively serve our populations.
Benefits
- Generous annual leave allowance
- Access to NHS pension
- Bespoke training programme
- Cycle to Work Scheme
- Employee Assistance Programme
- Enhanced maternity pay
- NHS discounts
- Leadership Development Programme
- Salary sacrifice schemes technology and electric vehicle
- Opportunities for secondments
Our Values
- We innovate
If we can do something better, we should
- We are honest
Even when it is difficult
- W e care
And put the patient first
- We are inclusive
We listen and we act
- We deliver
And we're known to like a challenge!
Job responsibilities
Clinical Responsibilities
- To provide assessment, diagnosis and treatment at first point of contact by attending to patients according to patients needs either in the Practice or patients homes
- Work with practice teams to ensure the process for referral of urgent on the day patients is smooth, and appropriate patients are referred making full use of the practitioners skills
- To accurately triage and prioritise patients, including in emergency situations, demonstrating the use of a variety of techniques to elicit the history of an event/illness, including past medical and drug history
- To evaluate clinical information from examination and history taking and initiate appropriate treatment and/or referral
- To undertake and interpret diagnostics and take appropriate action to manage patient care, whilst distinguishing between abnormal and normal findings in order to relate them to a possible diagnosis. To use broad clinical guidelines (NICE etc) relating them to individual cases, providing assistance and feedback to the organisation and others on how these should be interpreted
- To signpost appropriately to other services in the identified healthcare pathway
- To refer patients to appropriate care settings, within locally agreed healthcare pathways
- To advise and support members of the public on healthy lifestyles, health promotion and disease prevention
- To maintain accurate and systematic documentation of patient interactions and clinical care provided, including adverse events
Communication
- Ensure via use of clinical systems, attendance at meetings and other means that are a core part of the practice MDT supporting patients and work with the wider MDT including staff from SCFT, SPFT, Local Authority and Voluntary Sector organisations
- Ensure high quality, clear communication with patients and carers including within challenging situations
Professional
- To proactively support audit of own caseload and that of colleagues to ensure the quality of the service is maintained and continuously improved. To seek out feedback from other members of the MDT and patients to support this
- To undertake all necessary training and be familiar with all policies to ensure that comply with expected procedures and ways of working
- To ensure practice is within good clinical governance and based on sound up-to- date clinical evidence. Where appropriate, to identify and assess any risks associated with patient care or to oneself and communicate these risks to the appropriate clinical manager
Please see job description for further information.
Person Specification
Knowledge, Skills & Experience
Essential
- Ability to manage and prioritise workload
- Proven ability to work autonomously and as part of a team
- Previous experience of non-medical prescribing and using PGDs
- Experience as an autonomous practitioner within a minor injury/illness centre or mobile service
- Experience of the ECP/Advanced Practitioner role within Primary or Secondary Care
- Current knowledge of government targets and initiatives and N.I.C.E. guidelines and their impact on clinical practice
- Understanding of the N.M.C/H.P.C Code of Professional Conduct
- Knowledge of child protection issues
- Understanding of clinical governance and its significance and impact upon practice
- Good communication skills
- Basic IT skills in word processing and e-mail
- Experience in using I.T based patient documentation systems
- Sound organisational skills
- Able to professionally and appropriately challenge differing opinions as a patient advocate
- Record keeping skills
- Experience of triage/initial assessment
- Able to act as shift leader as required
- Able to work autonomously, using own clinical judgment to form a diagnosis
- Skills for managing minor injuries
- Dispensing skills as per protocols and patient group directives
- Skills of multi system assessment
- Knowledge of medical model of documentation
- Able to give appropriate telephone advice
- Understanding of health education/promotion
- Able to give relevant discharge advice
- Experience of following referral pathways
- Evidence of experience / competency in the form of a professional portfolio
Desirable
- Able to record/ interpret ECG
- Experience of performing a social assessment
- Experience as a practitioner in an A&E Department or similar emergency care ...
