Job summary
Horsham Central Primary Care Network are looking for a Paramedic Practitioner to join their team and work across the practices with each of the practice teams. This is a part time position of 22.5 hours a week.
The post holder will take referrals direct from
practices to carry out in practice clinics, home visits, telephone or online
triage as appropriate. The role will
involve the assessment, diagnosis, treatment or referral of patients presenting
with undifferentiated and undiagnosed conditions. The post holder will work
within their level of competency and will be clinically supervised by a General
Practitioner working in the area.
This role will
have completed or be working toward a Band 7 First Contact
Practitioner (Paramedic) role, based on the completion of stage 1 and
stage 2 of the Health Education England Competency Framework. You will
then be assisted to develop and enter the ACP pathway. You will be supported
through indirect supervision and will be responsible for assessing, diagnosing,
interpreting investigations and treating patients within Primary Care within a
developing scope of competence.
The post holder will be assigned a lead clinical and operational contact for each contract. ABC as employer will provide support and ensure access to the NHSE England training programme as required.
This post is part of the Additional Roles Reimbursement Scheme for Primary Care Networks funded by NHS England.
Main duties of the job
You will
monitor and assist with improving standards of care utilising clinical
expertise and experiences. You will teach and support colleagues and students
where appropriate, providing professional clinical leadership. Where
appropriate you will act as an expert in your field and lead and/or participate
in initiatives to improve standards of care for the client group and assisting
to advancing the ACP role.
The trainee
Advanced Clinical Practitioner is service driven, and you will be developing
around the Department of Health Guidance across the four domains of Advanced
Practice, those being:
- Expert Practice
- Practice and service development, Research
and Evaluation
- Education and Training
- Professional leadership and Consultancy
The Advanced
Clinical Practice MSc course can be completed through Brighton University or
the Open University. The PCN
welcomes all applicants who meet the criteria for the Trainee ACP role and will
support candidates who are at different stages of completing the FCP roadmap.
About us
Alliance
for Better Care CIC is a GP Federation that unites 79 NHS GP practices across
25 Primary Care Networks in Sussex and Surrey. We support our Primary Care
colleagues as well as their patients, to transform how healthcare is managed
within the community.
As a membership organisation, our focus is to work in partnership with our
members and help them to improve the provision of General Practices in the
local area.
We work with and listen to our GP Practices, PCNs, Hospitals, Community
Organisations and the Third Sector. These vital partnerships ensure that,
together, we deliver a truly integrated approach that offers the support and
expertise needed to effectively serve our communities.
Horsham Central Primary Care Network is a NHS Collaboration between
two GP Practices - Holbrook Surgery and Riverside Medical Practice - working
together to provide enhanced access services.
Our surgery teams work closely, sharing expertise and
resources to develop new services. Our vision is to continue to improve the
quality of care that we provide in alignment with the needs of our patient
population.
Job description
Job responsibilities
Clinical Responsibilities
- To provide assessment, diagnosis and
treatment at first point of contact by attending to patients according to
patient needs either in the Practice or patient's home.
- Work with practice teams to ensure the
process for referral of urgent on the day patients is smooth and appropriate
patients are referred making full use of the practitioners skills.
- To accurately triage and prioritise patients,
including in emergency situations, demonstrating the use of a variety of
techniques to elicit the history of an event/illness, including past medical
and drug history.
- To evaluate clinical information from
examination and history taking, and initiate appropriate treatment and/or
referral.
- To undertake and interpret diagnostics and
take appropriate action to manage patient care, whilst distinguishing between
abnormal and normal findings in order to relate them to a possible diagnosis.
To use broad clinical guidelines (NICE etc) relating them to individual cases,
providing assistance and feedback to the organisation and others on how these
should be interpreted.
- To signpost appropriately to other services
in the identified healthcare pathway.
- To refer patients to appropriate care
settings, within locally agreed healthcare pathways.
- To advise and support members of the public
on healthy lifestyles, health promotion and disease prevention.
- To maintain accurate and systematic
documentation of patient interactions and clinical care provided, including
adverse events.
Communication
- Ensure via use of clinical systems,
attendance at meetings and other means that are a core part of the practice MDT
supporting patients and work with the wider MDT including staff from SCFT,
SPFT, Local Authority and Voluntary Sector organisations.
- Ensure high quality, clear communication with
patients and carers including within challenging situations.
Professional
- To proactively support audit of own caseload
and that of colleagues to ensure the quality of the service is maintained an
continuously improved. To seek out feedback from other members of the MDT and
patients to support this.
- To undertake all necessary training and be
familiar with all policies to ensure that comply with expected procedures and
ways of working.
- To ensure practice is within good clinical
governance and based on sound up-to- date clinical evidence. Where appropriate,
to identify and assess any risks associated with patient care or to oneself and
communicate these risks to the appropriate clinical manager.
For further information, please see full job description.
Job description
Job responsibilities
Clinical Responsibilities
- To provide assessment, diagnosis and
treatment at first point of contact by attending to patients according to
patient needs either in the Practice or patient's home.
- Work with practice teams to ensure the
process for referral of urgent on the day patients is smooth and appropriate
patients are referred making full use of the practitioners skills.
- To accurately triage and prioritise patients,
including in emergency situations, demonstrating the use of a variety of
techniques to elicit the history of an event/illness, including past medical
and drug history.
- To evaluate clinical information from
examination and history taking, and initiate appropriate treatment and/or
referral.
- To undertake and interpret diagnostics and
take appropriate action to manage patient care, whilst distinguishing between
abnormal and normal findings in order to relate them to a possible diagnosis.
To use broad clinical guidelines (NICE etc) relating them to individual cases,
providing assistance and feedback to the organisation and others on how these
should be interpreted.
- To signpost appropriately to other services
in the identified healthcare pathway.
- To refer patients to appropriate care
settings, within locally agreed healthcare pathways.
- To advise and support members of the public
on healthy lifestyles, health promotion and disease prevention.
- To maintain accurate and systematic
documentation of patient interactions and clinical care provided, including
adverse events.
Communication
- Ensure via use of clinical systems,
attendance at meetings and other means that are a core part of the practice MDT
supporting patients and work with the wider MDT including staff from SCFT,
SPFT, Local Authority and Voluntary Sector organisations.
- Ensure high quality, clear communication with
patients and carers including within challenging situations.
Professional
- To proactively support audit of own caseload
and that of colleagues to ensure the quality of the service is maintained an
continuously improved. To seek out feedback from other members of the MDT and
patients to support this.
- To undertake all necessary training and be
familiar with all policies to ensure that comply with expected procedures and
ways of working.
- To ensure practice is within good clinical
governance and based on sound up-to- date clinical evidence. Where appropriate,
to identify and assess any risks associated with patient care or to oneself and
communicate these risks to the appropriate clinical manager.
For further information, please see full job description.
Person Specification
Experience
Essential
- Ability to manage and prioritise workload
- Proven ability to work autonomously and as part of a team
- Previous experience of non-medical prescribing and using PGDs
- Experience as an autonomous practitioner within a minor injury/illness centre or mobile service
- Experience of the ECP/Advanced Practitioner role within Primary or Secondary Care
- Experience in using I.T based patient documentation systems
- Experience of triage/initial assessment
- Experience of following referral pathways
- Evidence of experience / competency in the form of a professional portfolio
Desirable
- Experience of performing a social assessment
- Experience as a practitioner in an A&E Department or similar emergency care centre
- Experience of clinical audit
- Experience of research projects
Personal Qualities
Essential
- Able to work cooperatively with the multi-disciplinary team
- Able and willing to develop professionally
- Able to use own initiative
- Able to act as a role model
Desirable
- Able to motivate other team members
- Able to promote a learning environment
Other
Essential
- Able to deal with violence, aggression and extreme situations
- Vaccine and immunity status in accordance with UK Department of Health Guidelines
- Able to deal with sensitive issues e.g. sudden death/bereavement, child abuse, domestic violence
- Able to adjust and respond in rapidly changing environments
- Able to work in a calm and organized manner in situations of extreme workload
- Able to undertake home visits
- Hold a current driving licence with business insurance
- Enhanced DBS disclosure
Knowledge & Skills
Essential
- Current knowledge of government targets and initiatives and N.I.C.E. guidelines and their impact on clinical practice
- Understanding of the N.M.C/H.P.C Code of Professional Conduct
- Knowledge of child protection issues
- Understanding of clinical governance and its significance and impact upon practice
- Knowledge of medical model of documentation
- Understanding of health education/promotion
- Good communication skills
- Basic IT skills in word processing and e-mail
- Sound organisational skills
- Able to professionally and appropriately challenge differing opinions as a patient advocate
- Record keeping skills
- Able to act as shift leader as required
- Able to work autonomously, using own clinical judgment to form a diagnosis
- Skills for managing minor injuries
- Dispensing skills as per protocols and patient group directives
- Skills of multi system assessment
- Able to give appropriate telephone advice
- Able to give relevant discharge advice
Desirable
- Able to record/interpret ECG
- Leadership skills
Qualifications
Essential
- Current registered Nurse (NMC) or registered Paramedic (HPC)
- Evidence of continued professional development
- ALS/APLS provider
Desirable
- ENP/ ECP Minor Injuries and Minor Illness course Level 6
- Attended X-ray/IRMER course
- Teaching and assessing qualification
- Completed mentorship programme
- Relevant MSc or BSc
- Completed RCN Clinical Leadership Programme or similar
Person Specification
Experience
Essential
- Ability to manage and prioritise workload
- Proven ability to work autonomously and as part of a team
- Previous experience of non-medical prescribing and using PGDs
- Experience as an autonomous practitioner within a minor injury/illness centre or mobile service
- Experience of the ECP/Advanced Practitioner role within Primary or Secondary Care
- Experience in using I.T based patient documentation systems
- Experience of triage/initial assessment
- Experience of following referral pathways
- Evidence of experience / competency in the form of a professional portfolio
Desirable
- Experience of performing a social assessment
- Experience as a practitioner in an A&E Department or similar emergency care centre
- Experience of clinical audit
- Experience of research projects
Personal Qualities
Essential
- Able to work cooperatively with the multi-disciplinary team
- Able and willing to develop professionally
- Able to use own initiative
- Able to act as a role model
Desirable
- Able to motivate other team members
- Able to promote a learning environment
Other
Essential
- Able to deal with violence, aggression and extreme situations
- Vaccine and immunity status in accordance with UK Department of Health Guidelines
- Able to deal with sensitive issues e.g. sudden death/bereavement, child abuse, domestic violence
- Able to adjust and respond in rapidly changing environments
- Able to work in a calm and organized manner in situations of extreme workload
- Able to undertake home visits
- Hold a current driving licence with business insurance
- Enhanced DBS disclosure
Knowledge & Skills
Essential
- Current knowledge of government targets and initiatives and N.I.C.E. guidelines and their impact on clinical practice
- Understanding of the N.M.C/H.P.C Code of Professional Conduct
- Knowledge of child protection issues
- Understanding of clinical governance and its significance and impact upon practice
- Knowledge of medical model of documentation
- Understanding of health education/promotion
- Good communication skills
- Basic IT skills in word processing and e-mail
- Sound organisational skills
- Able to professionally and appropriately challenge differing opinions as a patient advocate
- Record keeping skills
- Able to act as shift leader as required
- Able to work autonomously, using own clinical judgment to form a diagnosis
- Skills for managing minor injuries
- Dispensing skills as per protocols and patient group directives
- Skills of multi system assessment
- Able to give appropriate telephone advice
- Able to give relevant discharge advice
Desirable
- Able to record/interpret ECG
- Leadership skills
Qualifications
Essential
- Current registered Nurse (NMC) or registered Paramedic (HPC)
- Evidence of continued professional development
- ALS/APLS provider
Desirable
- ENP/ ECP Minor Injuries and Minor Illness course Level 6
- Attended X-ray/IRMER course
- Teaching and assessing qualification
- Completed mentorship programme
- Relevant MSc or BSc
- Completed RCN Clinical Leadership Programme or similar
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).
