CAM PCN Paramedic

Morecambe Bay Primary Care Collaborative

Information:

This job is now closed

Job summary

Work autonomously within the Primary Care Network community at an advanced level of practice, using 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. It is expected the health professionals will practice at an advanced level having 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 of the job

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.

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

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

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 care homes or residential settings.

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 centered service

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

Collaborate with other members of the PCN including doctors, nurses and other AHPs, accepting referrals and referring to them for specialist care 2

About us

Carnforth and Milnthorpe PCN is a two practice PCN, consisting of Ash Trees Surgery and Park View Surgery. We have around 31,000 patients within our PCN. We are led by Dr George Hobbs as Clinical Director and Dr Julia Smith as Deputy Clinical Director. We are a forward-thinking, supportive and innovative PCN fully committed to providing excellent care to our population.

Date posted

16 April 2024

Pay scheme

Other

Salary

Depending on experience Dependent upon experience - Band 7

Contract

Permanent

Working pattern

Full-time

Reference number

B0160-24-0013

Job locations

New Street Surgery

21 New Street

Carnforth

Lancashire

LA5 9BX


Job description

Job responsibilities

Key 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 care homes or residential settings.

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 centered service.

7. Communicate proactively and effectively with all colleagues across the multidisciplinary 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. Subject to achievement of Independent Supplementary Prescribing, 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:

18. 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.

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

20. Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.

21. Participate in research and utilize the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.

22. 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.

23. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.

24. Be aware of data protection (GDPR) and confidentiality issues particularly within a PCN.

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

26. 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.

Job description

Job responsibilities

Key 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 care homes or residential settings.

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 centered service.

7. Communicate proactively and effectively with all colleagues across the multidisciplinary 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. Subject to achievement of Independent Supplementary Prescribing, 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:

18. 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.

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

20. Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.

21. Participate in research and utilize the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.

22. 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.

23. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.

24. Be aware of data protection (GDPR) and confidentiality issues particularly within a PCN.

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

26. 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.

Person Specification

Qualifications

Essential

  • BSc in a training programme approved by the College of Paramedics with a minimum of 5 years post registration experience.
  • 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

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.
  • 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.
  • Experience of EMIS Web Clinical System.
  • Be aware of data protection (GDPR) and confidentiality issues particularly within a PCN.
  • Cognitive behavioural and motivational interviewing approaches / 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.
  • Ability 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.

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 and appropriate course of action to address the issue.

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.

Personal attributes and abilities

Essential

  • High degree of personal credibility, emotional intelligence, patience and
  • flexibility.
  • Ability to co-ordinate and prioritise workloads able to multi-task as well as be self disciplined and highly motivate.

Desirable

  • Ability 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 with a minimum of 5 years post registration experience.
  • 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

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.
  • 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.
  • Experience of EMIS Web Clinical System.
  • Be aware of data protection (GDPR) and confidentiality issues particularly within a PCN.
  • Cognitive behavioural and motivational interviewing approaches / 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.
  • Ability 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.

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 and appropriate course of action to address the issue.

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.

Personal attributes and abilities

Essential

  • High degree of personal credibility, emotional intelligence, patience and
  • flexibility.
  • Ability to co-ordinate and prioritise workloads able to multi-task as well as be self disciplined and highly motivate.

Desirable

  • Ability 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.

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

Morecambe Bay Primary Care Collaborative

Address

New Street Surgery

21 New Street

Carnforth

Lancashire

LA5 9BX


Employer's website

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

Employer details

Employer name

Morecambe Bay Primary Care Collaborative

Address

New Street Surgery

21 New Street

Carnforth

Lancashire

LA5 9BX


Employer's website

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

For questions about the job, contact:

HR Manager

Pam Compston

pamela.compston@nhs.net

Date posted

16 April 2024

Pay scheme

Other

Salary

Depending on experience Dependent upon experience - Band 7

Contract

Permanent

Working pattern

Full-time

Reference number

B0160-24-0013

Job locations

New Street Surgery

21 New Street

Carnforth

Lancashire

LA5 9BX


Supporting documents

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