PCN Paramedic (AfC band 7 and above)

Job description

Job responsibilities

Job summary

Paramedics work autonomously within the community 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 headaches. They are health professionals who have the capability to make sound judgements in the absence of full information and to manage varying degrees of risk when there are complex, competing or ambiguous information or uncertainty.

Main Duties and responsibilities

1. assess and triage patients, including same day triage, and as appropriate provide definitive treatment or make necessary referrals to other members of the PCN team

2. advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services.

3. be able to:

a. perform specialist health checks and reviews

b. perform and interpret ECGs; alongside other results as appropriate

c. perform investigatory procedures as required

d. undertake the collection of pathological specimens including intravenous blood samples, swabs, etc.

e. perform investigatory procedures needed by patients and those requested by GPs and the wider PCN

4. support the delivery of anticipatory care plans and lead certain community services (e.g. monitoring blood pressure and diabetes risk of elderly patients living in sheltered housing)

5. provide an alternative model to urgent and same day home visits for the PCN and undertake clinical audits

6. communicate at all levels across PCNs and other organizations, ensuring effective, patient-centred service

7. communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required

8. collaborate with other members of the PCN including doctors, nurses and other AHPs, accepting referrals and referring to them for specialist care

9. 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

10. prescribe, issue and review medications as appropriate following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways. This will be done in accordance with evidence-based practice and national and practice protocols, and within scope of practice

11. work with patients in order to support compliance with and adherence to prescribed treatments

12. provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions

13. assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs

14. clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly

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

16. diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan

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

Quality Requirements

1. enhance own performance through continuous professional development, keep up to date with current evidence-based practice, and impart own knowledge and skills to PCN colleagues to meet the needs of the service

2. be verified against the paramedic primary care roadmap

3. recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics

4. assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

5. participate in research and utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

6. in partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate

Administrative requirements

7. produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

8. be aware of data protection (GDPR) and confidentiality issues particularly within a PCN

9. use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information

10. review and process data using accurate read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.

Supervision

The postholder will have access to appropriate clinical supervision and an appropriate named individual in the PCN to provide general advice and support on a day to day basis.

Person Specification

Qualifications

Essential

• BSc in a training programme approved by the College of Paramedics
• Framework for Higher Education Qualification (FHEQ) Level 7 or Scottish Credit and Qualifications Framework (SCOF) Level 11

Desirable

• Pre-reg MSc in a training programme approved by the College of Paramedics
• non-medical prescribing qualification
• Full UK driving license
• Evidence of verification against the paramedic primary care roadmap

Experience

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

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

Swallowfield Medical Practice

Address

The Street

Swallowfield

Reading

RG7 1QY

Employer's website

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