Paramedic

Castlegate & Derwent Surgery

Information:

This job is now closed

Job summary

Castlegate & Derwent Surgery is recruiting a Paramedic on behalf of Cockermouth & Maryport PCN to join our friendly and dynamic team, this is an exciting opportunity to work at an advanced level of practice, using enhanced clinical assessment and treatment skills, to provide a first-point of contact for patients presenting with undifferentiated, undiagnosed problems.

Main duties of the job

We are looking for a motivated individual to work as part of a multi-disciplinary team to:

  • Assess and triage patients, including same day triage,
  • advise patients on general healthcare and promote self-management
  • 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 bloods samples, swabs etc.

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

  • Support the delivery of anticipatory care plans

About us

Castlegate & Derwent Surgery is a visionary forward thinking practice located in Cockermouth, in the heart of the Lake District with a growing population of 18180 patients.

We are committed to giving our patients the highest quality service by maintaining a caring, respectful and mutual confidence between Doctor and Patient. We have 7 GP partners working closely with 7 salaried GPs and a dedicated Practice team which includes a Paramedic, 3 Advanced Nurse Practitioners, a team of Practice Nurses, Treatment room Nurses, GPAs, Social Prescriber and Care Coordinators and are supported by Admin and Reception staff.

Date posted

01 July 2024

Pay scheme

Other

Salary

£21.81 an hour

Contract

Permanent

Working pattern

Part-time

Reference number

A5229-24-0015

Job locations

Cockermouth Health Centre

Isle Road

Cockermouth

Cumbria

CA13 9HT


Job description

Job responsibilities

Key Duties and Responsibilities

  • assess and triage patients, including same day triage, and as appropriate provide definitive treatment or make necessary referrals
  • advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services
  • 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)
  • diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan
  • assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs
  • clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
  • prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
  • provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions
  • 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
  • support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care
  • 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
  • collaborate with other members of the PCN including doctors, nurses and other AHPs, accepting referrals and referring to them for specialist care
  • communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required
  • provide an alternative model to urgent and same day home visits for the PCN and undertake clinical audits
  • communicate at all levels across PCNs and other organizations, ensuring effective, patient-centred service

Quality Requirements

  • enhance own performance thorough 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
  • recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics
  • assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
  • participate in research and utilise the audit cycle as a means of evaluation the quality of work of self and the team, implementing improvements where required
  • 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

  • produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
  • be aware of data protections (GDPR) and confidentiality issues
  • use technology and appropriate software as an aid to management planning, implementation and monitoring of care, presenting and communicating information
  • review and process data using accurate read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes

Supervision

The post holder 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

Health and 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 recognizes 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.

    Communication

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

    • Communicate effectively with other team members
    • Communicate effectively with patients and carers
    • Recognise peoples needs for alternative methods of communication and respond accordingly
    • Work effectively with individuals in other agencies to meet patient needs

    Immunisation

    Due to exposure to patients and potential risks that presents it will be a requirement of the postholder to have / have had the following immunisations:

    • Influenza
    • COVID in line with national guidance
    • Hepatitis B

    This is not an exhaustive description of your job you may be required, from time to time, to fulfil other tasks within your capabilities and commensurate with the post.

    Job description

    Job responsibilities

    Key Duties and Responsibilities

    • assess and triage patients, including same day triage, and as appropriate provide definitive treatment or make necessary referrals
    • advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services
    • 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)
    • diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan
    • assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs
    • clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
    • prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
    • provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions
    • 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
    • support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care
    • 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
    • collaborate with other members of the PCN including doctors, nurses and other AHPs, accepting referrals and referring to them for specialist care
    • communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required
    • provide an alternative model to urgent and same day home visits for the PCN and undertake clinical audits
    • communicate at all levels across PCNs and other organizations, ensuring effective, patient-centred service

    Quality Requirements

    • enhance own performance thorough 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
    • recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics
    • assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
    • participate in research and utilise the audit cycle as a means of evaluation the quality of work of self and the team, implementing improvements where required
    • 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

    • produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
    • be aware of data protections (GDPR) and confidentiality issues
    • use technology and appropriate software as an aid to management planning, implementation and monitoring of care, presenting and communicating information
    • review and process data using accurate read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes

    Supervision

    The post holder 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

    Health and 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 recognizes 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.

    Communication

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

    • Communicate effectively with other team members
    • Communicate effectively with patients and carers
    • Recognise peoples needs for alternative methods of communication and respond accordingly
    • Work effectively with individuals in other agencies to meet patient needs

    Immunisation

    Due to exposure to patients and potential risks that presents it will be a requirement of the postholder to have / have had the following immunisations:

    • Influenza
    • COVID in line with national guidance
    • Hepatitis B

    This is not an exhaustive description of your job you may be required, from time to time, to fulfil other tasks within your capabilities and commensurate with the post.

    Person Specification

    Qualifications

    Essential

    • BSc in a training programme approved by the College of Paramedics Health & Care Professions Council (HCPC) registration
    • able to operate at an advanced level of clinical practice
    • 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

    Analysis Skills

    Essential

    • ability to evidence a sound understanding of the NHS principles and values
    • ability to analyse and interpret complex/ often incomplete information, pre-empt and evaluate issues, and recommend an appropriate course of action to address the issues

    Desirable

    • experience of working within a primary care setting
    • evidence of working across organisational boundaries within health and social care
    • independent thinker with good judgement, problem solving and analytical skills

    Communication

    Essential

    • excellent interpersonal and organisational skills
    • excellent interpersonal and communication skills, able to influence and persuade others articulating a balanced view and able to constructively question information
    • able to negotiate effectively
    • build effective relationships with a range of stakeholders which are based on openness, honesty trust and confidence

    Desirable

    • clear communicator with excellent writing, report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences
    • evidence of success in efficient and effective project and programme management
    • evidence of inspiring and motivating teams with the ability to communicate passionately, effectively and persuasively across a diverse set of stakeholders

    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

    Personal Attributes & Abilities

    Essential

    • strong and inspirational leadership
    • ability to co-ordinate and prioritise workloads - able to multi-task as well as be self-disciplined and highly motivated

    Desirable

    • high degree of personal credibility, emotional intelligence, patience and flexibility
    • able to cope with unpredictable situations
    • confident in facilitating and challenging others
    • demonstrates a flexible approach in order to ensure patient care is delivered
    Person Specification

    Qualifications

    Essential

    • BSc in a training programme approved by the College of Paramedics Health & Care Professions Council (HCPC) registration
    • able to operate at an advanced level of clinical practice
    • 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

    Analysis Skills

    Essential

    • ability to evidence a sound understanding of the NHS principles and values
    • ability to analyse and interpret complex/ often incomplete information, pre-empt and evaluate issues, and recommend an appropriate course of action to address the issues

    Desirable

    • experience of working within a primary care setting
    • evidence of working across organisational boundaries within health and social care
    • independent thinker with good judgement, problem solving and analytical skills

    Communication

    Essential

    • excellent interpersonal and organisational skills
    • excellent interpersonal and communication skills, able to influence and persuade others articulating a balanced view and able to constructively question information
    • able to negotiate effectively
    • build effective relationships with a range of stakeholders which are based on openness, honesty trust and confidence

    Desirable

    • clear communicator with excellent writing, report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences
    • evidence of success in efficient and effective project and programme management
    • evidence of inspiring and motivating teams with the ability to communicate passionately, effectively and persuasively across a diverse set of stakeholders

    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

    Personal Attributes & Abilities

    Essential

    • strong and inspirational leadership
    • ability to co-ordinate and prioritise workloads - able to multi-task as well as be self-disciplined and highly motivated

    Desirable

    • high degree of personal credibility, emotional intelligence, patience and flexibility
    • able to cope with unpredictable situations
    • confident in facilitating and challenging others
    • demonstrates a flexible approach in order to ensure patient care is delivered

    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).

    Additional information

    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

    Castlegate & Derwent Surgery

    Address

    Cockermouth Health Centre

    Isle Road

    Cockermouth

    Cumbria

    CA13 9HT


    Employer's website

    https://www.castlegateandderwentsurgery.nhs.uk/ (Opens in a new tab)

    Employer details

    Employer name

    Castlegate & Derwent Surgery

    Address

    Cockermouth Health Centre

    Isle Road

    Cockermouth

    Cumbria

    CA13 9HT


    Employer's website

    https://www.castlegateandderwentsurgery.nhs.uk/ (Opens in a new tab)

    For questions about the job, contact:

    Operations Manager

    Julie Bates

    Julie.Bates12@nhs.net

    01900705750

    Date posted

    01 July 2024

    Pay scheme

    Other

    Salary

    £21.81 an hour

    Contract

    Permanent

    Working pattern

    Part-time

    Reference number

    A5229-24-0015

    Job locations

    Cockermouth Health Centre

    Isle Road

    Cockermouth

    Cumbria

    CA13 9HT


    Privacy notice

    Castlegate & Derwent Surgery's privacy notice (opens in a new tab)