Paramedic / Advanced Practitioner

Job description

Job responsibilities

PARAMEDIC

To provide paramedic practitioner activities in a primary care setting to support the GPs, holding clinics and visiting patients within their own homes or visiting local care homes;

To treat both patients with acute and urgent problems as well as review chronic diseases and ongoing health issues as part of both local and national primary care performance targets such as Quality Outcome Framework (QoF);

To actively pursue policies that will promote healthy lifestyles for patients: promote health education and participate in relevant sessions within the practice;

Ensure the clinical records are up to date with accurate details recorded and amended, including appropriate use of SNOMED codes;

To screen patients for disease risk factors and early signs of illness;

You will be competent in triage, in collecting pathological specimens including blood samples, and in monitoring physiological observations using a structured approach along with ordering investigations;

You must be able to assess and diagnose patients both remotely and in person;

You will discuss patient-related concerns with the relevant staff, make onward referral if required; and when needed, you will be supported to follow appropriate safeguarding procedures;

You will administer medication and vaccinations within the relevant Patient Group Directions, or, if qualified and appropriate, via Independent Prescribing;

You will continue to develop and maintain your advanced clinical skills and continuously improve personal specialised skills through audit, research, review and fulfilling training needs;

You will work as part of a diverse team, collaborating with colleagues across the Network to provide the best care to our patients;

To develop with the patient an on-going nursing care plan for health;

You will ensure safe handover of care within and outside the GP Practices as appropriate;

You will have a key role in the delivery of the Network Contract DES specifications, and you will support the coordination and delivery of Multi-Disciplinary Teams and neighbourhood working where needed;

To contribute to the supervision, training, development and coaching of other paramedic staff through peer-support, ensuring a safe and high-quality service is delivered, promoting agreed medical and emergency activities and development programmes;

Work across the Primary Care Network practices which will require travel between different locations.

Advanced Clinical Practitioner

The Advanced Clinical Practitioner works autonomously and is accountable for own professional actions.

Undertakes Clinical Practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing primary health care services;

Assesses diagnoses and treats patients attending primary health care services with a range of acute, non-acute and chronic medical conditions as part of both local and national primary care performance targets such as Quality Outcome Framework (QoF);

Assesses diagnoses and treats patients in surgery, care homes or patients own home who require acute medical attention and refer onwards when appropriate;

Directly admits patients to secondary care hospital in acute medical need;

Refers patients to other medical specialities for assessment if deemed appropriate;

Refers patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations;

Ensure the clinical records are up to date with accurate details recorded and amended, including appropriate use of SNOMED codes;

Undertakes and interprets a range of diagnostic tests and routine clinical procedures;

Makes critical judgements of the highest order to satisfy the expectations and demands of the job e.g. first contact with patients presenting acutely and manages care in the presence and absence of protocols;

Makes decisions where precedents do not exist, where appropriate without recourse to others;

Advises and supports others where standard protocols do not apply;

Works within professional guidelines and codes of conduct;

Works within all relevant practice policies and procedural guidelines e.g. infection control, chaperoning, risk management;

Extended and supplementary prescriber.

Contribute to development of the Primary Care Network, including involvement with quality improvement and audit programmes;

Actively participates in clinical and practice meetings;

To contribute to the supervision, training, development and coaching of other clinical staff through peer-support, ensuring a safe and high-quality service is delivered, promoting agreed medical and emergency activities and development programmes.

Assists in the mentorship and assessment of students, pre-registration students and trainees within the Primary Care Network if required;

Develops own knowledge and practice to meet objectives/changes in service;

Work across the Primary Care Network practices which will require travel between different locations.

Person Specification

Experience

Essential

• Ability to work well with colleagues and within a team *Ability to organise and prioritise workload effectively *Ability to exercise sound judgements when faced with conflicting pressures *Ability to work flexibly to meet the needs of the Primary Care Network *Highly motivated *Energy and enthusiasm *The ability to work under pressure and organise workload effectively *An enquiring and critical approach to work *Caring attitude to patients *Ability to communicate effectively with colleagues, patients, relatives and agencies
• Professional registration (NMC, HCPC etc.) MSc in Advanced Clinical Practice. Evidence of CPD Evidence of teaching or assessing in clinical practice. Mentorship or teaching qualification. Degree or Level 7 equivalent

Experience

Essential

• Advanced clinical practice skills *Management of patients with common acute medical conditions *Management of patients with long-term conditions *Knowledge of the NHS *Understanding of the current issues and challenges facing primary care
• Broad range of clinical experience in a variety of settings with significant experience at Band 6 or above. Experience of working with a degree of autonomy and high level clinical decision making and accountability. Experience in taking patient history. Able to undertake assessment and critically analyse to make safe clinical decisions. Experience of multi-disciplinary working Demonstrable competency in wide range of clinical skills and willingness to learn. IT literacy

Qualifications

Essential

• Essential criteria
• Sound organisational skills with the ability to prioritise workload. Confident decision maker. Systematic approach to problem solving. Compassionate and empathetic with the ability to deal with distressing ,emotive and at times challenging situations. A leader by example with a strong sense of quality and compliance.
• OR
• *You must be a Registered Paramedic with the Health and Care Professions Council *Full Driving Licence

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

Bolton GP Federation

Address

Bolton G P Partnership Ltd

Bold Street

Bolton

BL1 1LS

Employer's website

http://www.boltongpfed.co.uk/ (Opens in a new tab)