Paramedic Practitioner

St James Medical Practice

The closing date is 12 May 2025

Job summary

We are seeking experienced Paramedics to join our large clinical team as a Paramedic Practitioner. Our team includes 11 GP's, Paramedic Practitioners, Specialist Nurses, Practice Nurses and both clinical and administrative support staff.

Main duties of the job

We are seeking experienced Paramedics to join our acute care team, to provide acute care both in the practice and community for our patients residing in local care homes and those who are housebound.

The role will have 2 areas of focus: seeing acute patients for "on the day" appointments supported by a duty GP and visiting patients in thier own homes/care homes for assessment and treatment.

As we have a large elderly population therefore experience of chronic disease management is desirable but not essential.

About us

We are a forward thinking, modern and welcoming GP Practice, working in a purpose built new facility in the South Wootton area of King's Lynn. With a list size of around18,000 patients, we are a busy and rewarding place to work with a focus on high quality care.

We have a team orientated way of working and strive to ensure that teamwork, excellent communication and a shared focus results in the best quality care for our patients and job satisfaction for our team.

Date posted

30 April 2025

Pay scheme

Other

Salary

£24.16 to £25.89 an hour Dependant on Experience

Contract

Permanent

Working pattern

Part-time

Reference number

A0909-25-0002

Job locations

St. James Medical Centre

Edward Benefer Way

King's Lynn

Norfolk

PE30 2FQ


Job description

Job responsibilities

Clinical Practice

Following agreed clinical protocols in conjunction with the nursing team and referral to GPs as appropriate.

Assess patients with an undifferentiated diagnosis through obtaining a clinical history and through a clinical examination; both at the practice and the patients home.

Diagnose, plan, implement and evaluate care for patients with undifferentiated health care needs.

Initiate appropriate care plans, including requesting necessary investigations, onward referral to other health care professionals and agencies, and follow up consultations for review of effectiveness.

Use decision making skills and clinical reasoning to formulate a plan of care.

Prescribe medication (where qualified) appropriate to patient needs and in accordance with evidence-based practice and national and local guidelines within the practitioner experience, knowledge and professional boundaries and competence.

Work autonomously and collaboratively with other members of the MDT

Undertake telephone triage and telephone consultations.

Recognise emergency clinical situations, and act appropriately to seek assistance.

Deliver key elements of public health, health protection and promotion programmes as required that improve health and reduce inequalities.

Be a clinical resource for patients, and the practice clinical team, supporting developing knowledge and systems to improve health to the practice population and local community.

Responsibilities:

Be effective in the development and clinical effectiveness of our urgent care service.

Prioritise own workload, and act promptly and effectively to meet the regular unpredictable situations thatmay occur within the role. Demonstrating flexibility including frequent interruptions and multi-tasking.

Work closely with duty and on call teams, promptly responding to team priorities.

Lead by example and action in relation to behaviour, attitudes, conduct and appearance.

Report and investigate untoward incidents.

Work in close partnership with colleagues and external agencies, to develop care management plans and improve health outcomes.

Maintain contemporary practice in care provision.

Establish and monitor own practice, identifying auditable outcomes with the leadership team.

Maintain accurate patient records and enter onto SystmOne using agreed Read Codes.

Maintain data collection systems and participate in regular Practice audit and research projects.

Maintain QOF targets.

Initiate audit cycles for clinical care systems to improve clinical effectiveness and resource efficiency.

Contribute to the preparation of any Practice development plans. Work towards further improvement and development of patient services.

Professional Responsibilities

Promote the welfare and safeguarding of children, young people and adults. Recognise professional and statutory responsibilities in the reporting of safeguarding and Prevent concerns.

Ensure appropriate measures are in place to protect self, other staff and patients in minimising and dealing with exposure to patient or environmental risk e.g. infectious diseases, harmful substances.

Raise unmet needs and service shortfalls with the Practice Manager and Operations Manager and provide constructive ways clinical services can be maintained and improved.

Provide and assist in the education and training for new team members and healthcare students, acting as a mentor/ practice facilitator where appropriate. Support team members to meet ongoing training and professional development requirements.

Participate in annual appraisal.

Be proficient with IT systems, accurate record keeping, and report compilation.

Maintain own continuous professional development and ensure mandatory training and personal development plan is kept up to date in line with the requirements of the Practice.

Maintain own registration with the NMC and the revalidation process.

Practice within a legal and ethical framework that adheres to the NMC Code and local policies and procedures.

Attend and participate in staff and Partners meetings as required.

Supplies and equipment

Maintenance of equipment and stock relating to patient care

Escalating issues with stock control and faulty items to the Operations Manager

Meetings

It will be necessary to attend and contribute to various Practice meetings as requested. The only reason for not attending will be annual, study or sick leave.

Communication:

The post-holder should recognise the importance of effective communication within the team and will strive to:

Communicate effectively with patients and carers

Communicate effectively with other team members

As well as the nursing team there is a need to work closely with the non-clinical teams; back office, admin and prescription staff to ensure the smooth running of the practice, reporting any problems encountered to the relevant person and ensuring that everyone is aware of the different roles within the nursing team.

There is also the need to establish and maintain good liaison with other surgeries and agencies including secondary care

Use of Microsoft Teams and Email is essential

Administrative and Professional Responsibilities

To work in partnership with general practitioners, nurse practitioners, practice nurses and other professionals to develop protocols, standards and audit tools to facilitate effective delivery of care.

Participate in the administrative and professional responsibilities of the practice team.

Ensure collection and maintenance of statistical information, both electronically or manually, required for regular and ad hoc reports and audits.

Demonstrate and maintain adequate knowledge and compliance with all aspects of health and safety at work and COSHH.

Maintain patient records of Clinic attendance and services provided.

Ensure accurate and legible notes of all consultations and treatments are recorded in the patients notes

Ensure the clinical computer system is kept up to date with accurate details recorded and amended

Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice

Training and personal development

Training requirements will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the Practice. It is the individuals responsibility to remain up to date with recent developments.

Participate in the education and training of students of all disciplines and the induction of all members of the practice staff where appropriate

Participate in developing and maintaining an in-house nurse-training programme reporting to the Operations Manager.

Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development ensuring PREP requirements are met.

If it is necessary to expand the role to include additional responsibilities, full training will be given.

Develop and maintain a Personal Learning Plan

Contribute and participate as required in any research projects and audits within the practice.

Confidentiality:

While seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers.

They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential

Information relating to patients, carers, colleagues, other healthcare workers or the business of the

Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data

Health & Safety:

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice Health & Safety Policy, to include:

Using personal security systems within the workplace according to Practice guidelines

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

Making effective use of training to update knowledge and skills

Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards

Reporting potential risks identified

Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Quality:

The post-holder will strive to maintain quality within the Practice, and will:

Alert other team members to issues of quality and risk

Assess own performance and take accountability for own actions, either directly or under supervision

Report any significant event or near miss to maintain quality and promote learning

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload and resources

Recognise peoples needs for alternative methods of communication and respond accordingly

Job description

Job responsibilities

Clinical Practice

Following agreed clinical protocols in conjunction with the nursing team and referral to GPs as appropriate.

Assess patients with an undifferentiated diagnosis through obtaining a clinical history and through a clinical examination; both at the practice and the patients home.

Diagnose, plan, implement and evaluate care for patients with undifferentiated health care needs.

Initiate appropriate care plans, including requesting necessary investigations, onward referral to other health care professionals and agencies, and follow up consultations for review of effectiveness.

Use decision making skills and clinical reasoning to formulate a plan of care.

Prescribe medication (where qualified) appropriate to patient needs and in accordance with evidence-based practice and national and local guidelines within the practitioner experience, knowledge and professional boundaries and competence.

Work autonomously and collaboratively with other members of the MDT

Undertake telephone triage and telephone consultations.

Recognise emergency clinical situations, and act appropriately to seek assistance.

Deliver key elements of public health, health protection and promotion programmes as required that improve health and reduce inequalities.

Be a clinical resource for patients, and the practice clinical team, supporting developing knowledge and systems to improve health to the practice population and local community.

Responsibilities:

Be effective in the development and clinical effectiveness of our urgent care service.

Prioritise own workload, and act promptly and effectively to meet the regular unpredictable situations thatmay occur within the role. Demonstrating flexibility including frequent interruptions and multi-tasking.

Work closely with duty and on call teams, promptly responding to team priorities.

Lead by example and action in relation to behaviour, attitudes, conduct and appearance.

Report and investigate untoward incidents.

Work in close partnership with colleagues and external agencies, to develop care management plans and improve health outcomes.

Maintain contemporary practice in care provision.

Establish and monitor own practice, identifying auditable outcomes with the leadership team.

Maintain accurate patient records and enter onto SystmOne using agreed Read Codes.

Maintain data collection systems and participate in regular Practice audit and research projects.

Maintain QOF targets.

Initiate audit cycles for clinical care systems to improve clinical effectiveness and resource efficiency.

Contribute to the preparation of any Practice development plans. Work towards further improvement and development of patient services.

Professional Responsibilities

Promote the welfare and safeguarding of children, young people and adults. Recognise professional and statutory responsibilities in the reporting of safeguarding and Prevent concerns.

Ensure appropriate measures are in place to protect self, other staff and patients in minimising and dealing with exposure to patient or environmental risk e.g. infectious diseases, harmful substances.

Raise unmet needs and service shortfalls with the Practice Manager and Operations Manager and provide constructive ways clinical services can be maintained and improved.

Provide and assist in the education and training for new team members and healthcare students, acting as a mentor/ practice facilitator where appropriate. Support team members to meet ongoing training and professional development requirements.

Participate in annual appraisal.

Be proficient with IT systems, accurate record keeping, and report compilation.

Maintain own continuous professional development and ensure mandatory training and personal development plan is kept up to date in line with the requirements of the Practice.

Maintain own registration with the NMC and the revalidation process.

Practice within a legal and ethical framework that adheres to the NMC Code and local policies and procedures.

Attend and participate in staff and Partners meetings as required.

Supplies and equipment

Maintenance of equipment and stock relating to patient care

Escalating issues with stock control and faulty items to the Operations Manager

Meetings

It will be necessary to attend and contribute to various Practice meetings as requested. The only reason for not attending will be annual, study or sick leave.

Communication:

The post-holder should recognise the importance of effective communication within the team and will strive to:

Communicate effectively with patients and carers

Communicate effectively with other team members

As well as the nursing team there is a need to work closely with the non-clinical teams; back office, admin and prescription staff to ensure the smooth running of the practice, reporting any problems encountered to the relevant person and ensuring that everyone is aware of the different roles within the nursing team.

There is also the need to establish and maintain good liaison with other surgeries and agencies including secondary care

Use of Microsoft Teams and Email is essential

Administrative and Professional Responsibilities

To work in partnership with general practitioners, nurse practitioners, practice nurses and other professionals to develop protocols, standards and audit tools to facilitate effective delivery of care.

Participate in the administrative and professional responsibilities of the practice team.

Ensure collection and maintenance of statistical information, both electronically or manually, required for regular and ad hoc reports and audits.

Demonstrate and maintain adequate knowledge and compliance with all aspects of health and safety at work and COSHH.

Maintain patient records of Clinic attendance and services provided.

Ensure accurate and legible notes of all consultations and treatments are recorded in the patients notes

Ensure the clinical computer system is kept up to date with accurate details recorded and amended

Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice

Training and personal development

Training requirements will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the Practice. It is the individuals responsibility to remain up to date with recent developments.

Participate in the education and training of students of all disciplines and the induction of all members of the practice staff where appropriate

Participate in developing and maintaining an in-house nurse-training programme reporting to the Operations Manager.

Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development ensuring PREP requirements are met.

If it is necessary to expand the role to include additional responsibilities, full training will be given.

Develop and maintain a Personal Learning Plan

Contribute and participate as required in any research projects and audits within the practice.

Confidentiality:

While seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers.

They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential

Information relating to patients, carers, colleagues, other healthcare workers or the business of the

Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data

Health & Safety:

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice Health & Safety Policy, to include:

Using personal security systems within the workplace according to Practice guidelines

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

Making effective use of training to update knowledge and skills

Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards

Reporting potential risks identified

Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Quality:

The post-holder will strive to maintain quality within the Practice, and will:

Alert other team members to issues of quality and risk

Assess own performance and take accountability for own actions, either directly or under supervision

Report any significant event or near miss to maintain quality and promote learning

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload and resources

Recognise peoples needs for alternative methods of communication and respond accordingly

Person Specification

Qualifications

Essential

  • Qualified Paramedic with at least 4 years post registration experience.

Desirable

  • Previous experience of working within a GP Practice
Person Specification

Qualifications

Essential

  • Qualified Paramedic with at least 4 years post registration experience.

Desirable

  • Previous experience of working within a GP Practice

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).

Additional information

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).

Employer details

Employer name

St James Medical Practice

Address

St. James Medical Centre

Edward Benefer Way

King's Lynn

Norfolk

PE30 2FQ


Employer's website

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


Employer details

Employer name

St James Medical Practice

Address

St. James Medical Centre

Edward Benefer Way

King's Lynn

Norfolk

PE30 2FQ


Employer's website

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


For questions about the job, contact:

Operations Manager

Simon F Temple-Pollington

simon.temple-pollington@nhs.net

Date posted

30 April 2025

Pay scheme

Other

Salary

£24.16 to £25.89 an hour Dependant on Experience

Contract

Permanent

Working pattern

Part-time

Reference number

A0909-25-0002

Job locations

St. James Medical Centre

Edward Benefer Way

King's Lynn

Norfolk

PE30 2FQ


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