The Nightingale Practice

Physician Associate

Information:

This job is now closed

Job summary

As a PA you will be acting within your professional boundaries, providing care for patients from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care under the supervision of a GP. You will demonstrate safe, clinical decision-making and expert care for patients within the general practice, in consultation with the duty GP. You will work with the multi-disciplinary general practice team to support the delivery of policy and procedures and meet the needs of patients.

Mentorship and supervision will be provided by designated senior medical personnel. The level and type of supervision will be dependent on the post holders skills and knowledge and determined by the organisations clinical governance arrangements. You will follow recommended annual appraisals and continuing professional development set out by the Faculty of Physician Associates (FPA).

Main duties of the job

  • Provide first point of contact for patients presenting with undifferentiated, undiagnosed problems, utilising history taking, physical examination, problem-solving and clinical decision-making skills to establish a working diagnosis and management plan working in partnership with patients.
  • Work using a total triage system managing a daily case list.
  • The daily list will be a mix of telephone, online and face to face consultations, the type of consultation will be agreed taking into account the patients wishes
  • Undertake a daily mix of urgent and routine problems including management of long term conditions.
  • In addition, you may be required to carry out specific pre-booked appointments or clinics.
  • Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports within the scope of a PAs practice.
  • Manage clinical paperwork, such as hospital letters, this may also include completion of insurance reports/private letters
  • Utilise clinical guidelines and promote evidence-based practice
  • Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support with an emphasis on prevention and self-care
  • Refer patients directly to other services or agencies using appropriate referral pathways
  • Ensure safe handover of care within and outside the practice as appropriate

About us

We pride ourselves on being a sociable, friendly team, offering a supportive environment in order for us to provide the best possible care to our patients. We value and advocate the importance of work-life balance, we have excellent staff retention whilst being able to offer on the day appointments to all patients who request them.

We have a strong ethos for continued professional development and this post is equally suitable for experienced or newly qualified PAs

Modern purpose built premises with great local cafes and shopping

We are a successful approved GP training practice

We are committed to enabling continuous development for each member of our team.

4 partners and 10 salaried GPs

Advanced nurse practitioner, Physician Associate, clinical pharmacists, pharmacy technicians, practice nurses and HCAs and access to First Contact Physiotherapists and a Wellbeing team through the PCN.

Excellent clinical staff retention

12,000 patients

EMIS Web paperless

In-house minor surgery

Dedicated clinical admin team to support clinicians excellent QOF/enhanced service achievement

Active role in local PCN, GP Confederation and CCG

Private staff Car park; close to bus and rail links; safe cycle storage

Details

Date posted

04 May 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

A3085-23-0001

Job locations

Nightingale Practice

10 Kenninghall Road

London

E5 8BY


Job description

Job responsibilities

Job Summary:

Nightingale Practice is seeking to recruit 2 x Physician Associates.

As a PA you will be acting within your professional boundaries, providing care for patients from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care under the supervision of a GP. You will demonstrate safe, clinical decision-making and expert care for patients within the general practice, in consultation with the duty GP. You will work with the multi-disciplinary general practice team to support the delivery of policy and procedures and meet the needs of patients.

Mentorship and supervision will be provided by designated senior medical personnel. The level and type of supervision will be dependent on the post holders skills and knowledge and determined by the organisations clinical governance arrangements. You will follow recommended annual appraisals and continuing professional development set out by the Faculty of Physician Associates (FPA).

1. SCOPE AND PURPOSE OF THE ROLE

  • To deliver a high standard of patient care using advanced autonomous clinical skills with in-depth theoretical knowledge and evidence-based practice working under the supervision of a GP
  • To manage a clinical caseload and deal with presenting patients needs in a primary care setting
  • To provide clinical leadership where appropriate within the practice and support other members of the team to develop and maintain clinical skills appropriate to your role and expertise.

2. KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

Qualifications

Essential:

  • Qualified Physician Associate
  • Postgraduate diploma/master in Physician Associate (formally Physician Assistant with a bachelor degree in Life Science/Biomedical/Nursing or Allied Health Science).
  • Membership of the Faculty of Physician Associates of the RCP, which includes UK Physician Associate Registration (the PA Managed Voluntary Register)

Experience

Essential:

  • Experience of working in a primary care environment
  • Experience of continued professional development
  • Experience of QOF and clinical audit
  • General understanding of the GMS contract

Desirable:

Basic IT skills

Experience in Telephone Triage.

Ability to supervise others.

Good working knowledge of EMIS clinical systems.

3. PRIMARY DUTIES & AREAS OF RESPONSIBILITY

Clinical

The post holder will under appropriate supervision:

  • Provide first point of contact for patients presenting with undifferentiated, undiagnosed problems, utilising history taking, physical examination, problem-solving and clinical decision-making skills to establish a working diagnosis and management plan working in partnership with patients.
  • Work using a total triage system managing a daily case list.
  • The daily list will be a mix of telephone, online and face to face consultations, the type of consultation will be agreed taking into account the patients wishes and depending on which is most appropriate to the presenting complaint, this may include home visits.
  • Undertake a daily mix of urgent and routine problems including management of long term conditions.
  • In addition, you may be required to carry out specific pre-booked appointments or clinics, such as long term condition reviews.
  • Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports within the scope of a PAs practice. Discuss the result and implications of laboratory investigations with patients
  • Manage clinical paperwork, such as hospital letters, this may also include completion of insurance reports/private letters
  • Utilise clinical guidelines and promote evidence-based practice
  • Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support with an emphasis on prevention and self-care
  • Refer patients directly to other services or agencies using appropriate referral pathways
  • Ensure safe handover of care within and outside the practice as appropriate
  • Work directly with members of the practice primary health care team and support integrated patient centred care through appropriate working with wider primary care / social care networks
  • Identify community health needs and participate in the development of patient/family-centred strategies to address them
  • Contribute to the practice quality targets to consistently achieve high standards of safe, evidence-based, cost-effective patient care and service delivery

Training and development

  • Participate in continuing professional development opportunities to keep up-to-date with evidence-based knowledge and competence in all aspects of the role to meet clinical governance guidelines for Continuing Professional Development (CPD) and a Personal Development Plan (PDP) utilising a reflective approach to practice. This requires 50 hours of CPD every year: a minimum of 25 hours must be in accredited direct learning programmes

  • Undertake a variety of research and analysis tasks associated with the improvement of clinical care, medical diagnosis and treatment where appropriate using the following means.
      • Audit of clinical practice
      • Significant event review / root cause analysis
      • Review of relevant literature
      • Research unusual symptoms and treatment options through consultation with general practitioners, physicians and other specialists
        • Promote and support a learning culture within the practice and assist in clinical instruction, mentoring and supervision of medical, nursing or physician associate students and other learners that may periodically be attached to the practice
        • Contribute to regular multi-disciplinary and or practice educational meetings
        • Participate in multi-disciplinary protocol and patient group directions (PGDs) development as appropriate
        • Work closely with other clinical staff and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets

        Administration

        • Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes in accordance with relevant standards
        • Work in accordance with internal administrative systems relating to but not limited to the management of clinical data,
        • Send and receive written information on behalf of the practice relating to the physical and social welfare of patients
        • Work closely with other clinical staff and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets and work to deliver the NHS contract pertinent to the practice including the terms of the Quality and Outcomes Framework and locally enhanced services
        • Ensure that all practice policies are fully implemented
        • Support, contribute to and participate in external inspections

        4. Professional

        • Take the UK PA National Re-Certification Exam every six years - required for Physician Associates AND maintain your professional registration working within the latest Code of Professional Conduct (CIPD)
        • Undertake statutory and mandatory training as required by the practice
        • Demonstrate clinical leadership
        • Pro-actively promote the role of the PA within the practice and externally to key stakeholders and agencies
        • Respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

        5. Health and Safety

        • Comply at all times with the practice health and safety policies by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System (IRS)
        • Comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).

        6. Equality and Diversity

        • Co-operate with all policies and procedures designed to support equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.

        7. Communication and working relationships

        Establish and maintain effective communication pathways with all practice staff and visiting clinical team members such as district nurses, modern matrons, health visitors etc.

        8. Job Description

        This job description is intended to provide an outline of the key tasks and responsibilities. There may be other duties required of the post-holder commensurate with the position. This description will be open to regular review and may be amended to take into account developments within the practice.

        Our commitment to you

        We will provide a supportive learning environment, especially structured in the first preceptorship year

        We will provided an education session once a week

        • We will help you set out and revise specific educational goals
        • We will ensure appropriate clinical and educational supervision
        • You will receive regular appraisals

Job description

Job responsibilities

Job Summary:

Nightingale Practice is seeking to recruit 2 x Physician Associates.

As a PA you will be acting within your professional boundaries, providing care for patients from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care under the supervision of a GP. You will demonstrate safe, clinical decision-making and expert care for patients within the general practice, in consultation with the duty GP. You will work with the multi-disciplinary general practice team to support the delivery of policy and procedures and meet the needs of patients.

Mentorship and supervision will be provided by designated senior medical personnel. The level and type of supervision will be dependent on the post holders skills and knowledge and determined by the organisations clinical governance arrangements. You will follow recommended annual appraisals and continuing professional development set out by the Faculty of Physician Associates (FPA).

1. SCOPE AND PURPOSE OF THE ROLE

  • To deliver a high standard of patient care using advanced autonomous clinical skills with in-depth theoretical knowledge and evidence-based practice working under the supervision of a GP
  • To manage a clinical caseload and deal with presenting patients needs in a primary care setting
  • To provide clinical leadership where appropriate within the practice and support other members of the team to develop and maintain clinical skills appropriate to your role and expertise.

2. KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

Qualifications

Essential:

  • Qualified Physician Associate
  • Postgraduate diploma/master in Physician Associate (formally Physician Assistant with a bachelor degree in Life Science/Biomedical/Nursing or Allied Health Science).
  • Membership of the Faculty of Physician Associates of the RCP, which includes UK Physician Associate Registration (the PA Managed Voluntary Register)

Experience

Essential:

  • Experience of working in a primary care environment
  • Experience of continued professional development
  • Experience of QOF and clinical audit
  • General understanding of the GMS contract

Desirable:

Basic IT skills

Experience in Telephone Triage.

Ability to supervise others.

Good working knowledge of EMIS clinical systems.

3. PRIMARY DUTIES & AREAS OF RESPONSIBILITY

Clinical

The post holder will under appropriate supervision:

  • Provide first point of contact for patients presenting with undifferentiated, undiagnosed problems, utilising history taking, physical examination, problem-solving and clinical decision-making skills to establish a working diagnosis and management plan working in partnership with patients.
  • Work using a total triage system managing a daily case list.
  • The daily list will be a mix of telephone, online and face to face consultations, the type of consultation will be agreed taking into account the patients wishes and depending on which is most appropriate to the presenting complaint, this may include home visits.
  • Undertake a daily mix of urgent and routine problems including management of long term conditions.
  • In addition, you may be required to carry out specific pre-booked appointments or clinics, such as long term condition reviews.
  • Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports within the scope of a PAs practice. Discuss the result and implications of laboratory investigations with patients
  • Manage clinical paperwork, such as hospital letters, this may also include completion of insurance reports/private letters
  • Utilise clinical guidelines and promote evidence-based practice
  • Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support with an emphasis on prevention and self-care
  • Refer patients directly to other services or agencies using appropriate referral pathways
  • Ensure safe handover of care within and outside the practice as appropriate
  • Work directly with members of the practice primary health care team and support integrated patient centred care through appropriate working with wider primary care / social care networks
  • Identify community health needs and participate in the development of patient/family-centred strategies to address them
  • Contribute to the practice quality targets to consistently achieve high standards of safe, evidence-based, cost-effective patient care and service delivery

Training and development

  • Participate in continuing professional development opportunities to keep up-to-date with evidence-based knowledge and competence in all aspects of the role to meet clinical governance guidelines for Continuing Professional Development (CPD) and a Personal Development Plan (PDP) utilising a reflective approach to practice. This requires 50 hours of CPD every year: a minimum of 25 hours must be in accredited direct learning programmes

  • Undertake a variety of research and analysis tasks associated with the improvement of clinical care, medical diagnosis and treatment where appropriate using the following means.
      • Audit of clinical practice
      • Significant event review / root cause analysis
      • Review of relevant literature
      • Research unusual symptoms and treatment options through consultation with general practitioners, physicians and other specialists
        • Promote and support a learning culture within the practice and assist in clinical instruction, mentoring and supervision of medical, nursing or physician associate students and other learners that may periodically be attached to the practice
        • Contribute to regular multi-disciplinary and or practice educational meetings
        • Participate in multi-disciplinary protocol and patient group directions (PGDs) development as appropriate
        • Work closely with other clinical staff and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets

        Administration

        • Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes in accordance with relevant standards
        • Work in accordance with internal administrative systems relating to but not limited to the management of clinical data,
        • Send and receive written information on behalf of the practice relating to the physical and social welfare of patients
        • Work closely with other clinical staff and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets and work to deliver the NHS contract pertinent to the practice including the terms of the Quality and Outcomes Framework and locally enhanced services
        • Ensure that all practice policies are fully implemented
        • Support, contribute to and participate in external inspections

        4. Professional

        • Take the UK PA National Re-Certification Exam every six years - required for Physician Associates AND maintain your professional registration working within the latest Code of Professional Conduct (CIPD)
        • Undertake statutory and mandatory training as required by the practice
        • Demonstrate clinical leadership
        • Pro-actively promote the role of the PA within the practice and externally to key stakeholders and agencies
        • Respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

        5. Health and Safety

        • Comply at all times with the practice health and safety policies by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System (IRS)
        • Comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).

        6. Equality and Diversity

        • Co-operate with all policies and procedures designed to support equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.

        7. Communication and working relationships

        Establish and maintain effective communication pathways with all practice staff and visiting clinical team members such as district nurses, modern matrons, health visitors etc.

        8. Job Description

        This job description is intended to provide an outline of the key tasks and responsibilities. There may be other duties required of the post-holder commensurate with the position. This description will be open to regular review and may be amended to take into account developments within the practice.

        Our commitment to you

        We will provide a supportive learning environment, especially structured in the first preceptorship year

        We will provided an education session once a week

        • We will help you set out and revise specific educational goals
        • We will ensure appropriate clinical and educational supervision
        • You will receive regular appraisals

Person Specification

Qualifications

Essential

  • Qualified Physician Associate
  • Postgraduate diploma/master in Physician Associate (formally Physician Assistant with a bachelor degree in Life Science/Biomedical/Nursing or Allied Health Science).
  • Membership of the Faculty of Physician Associates of the RCP, which includes UK Physician Associate Registration (the PA Managed Voluntary Register)

Desirable

  • Basic IT skills
  • Experience in Telephone Triage.
  • Ability to supervise others.
  • Good working knowledge of EMIS clinical systems.
Person Specification

Qualifications

Essential

  • Qualified Physician Associate
  • Postgraduate diploma/master in Physician Associate (formally Physician Assistant with a bachelor degree in Life Science/Biomedical/Nursing or Allied Health Science).
  • Membership of the Faculty of Physician Associates of the RCP, which includes UK Physician Associate Registration (the PA Managed Voluntary Register)

Desirable

  • Basic IT skills
  • Experience in Telephone Triage.
  • Ability to supervise others.
  • Good working knowledge of EMIS clinical systems.

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

The Nightingale Practice

Address

Nightingale Practice

10 Kenninghall Road

London

E5 8BY


Employer's website

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

Employer details

Employer name

The Nightingale Practice

Address

Nightingale Practice

10 Kenninghall Road

London

E5 8BY


Employer's website

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

Employer contact details

For questions about the job, contact:

Deputy Manager

Rebecca Simpson

rebecca.simpson@nhs.net

02089858388

Details

Date posted

04 May 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

A3085-23-0001

Job locations

Nightingale Practice

10 Kenninghall Road

London

E5 8BY


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