Primary Care Practitioner (Paramedic)
This job is now closed
Job summary
An exciting opportunity has arisen for Central Manchester Network to recruit a Paramedic within Ardwick & Longsight network, based at Dickenson Road Medical Practice.
The role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver excellent service.
Primary Care Practitioners (PCPs) will provide remote and face-to-face assessment of health and clinical needs for patients presenting to primary care settings. The post holder will triage, clinically assess, examine and develop a clinical impression / differential diagnosis / final diagnosis as appropriate to inform their preferred treatment plan for patients across placement settings.
Main duties of the job
You willl be arranging tests, providing self-care advice and medication (within scope of formulary or any PGDs). The post holder will typically work under the remote supervision / direction of a GP or Advanced Clinical Practitioner, developing their clinical skills and knowledge in order to work more independently and benefit patients across the entire healthcare system. The post holder will also take an active role in the provision of clinical supervision, mentoring and support within both placements to peers or junior clinical staff in order to support their development.
Your role is an essential part of our evolving dynamic and forward-thinking PCN, working to provide enhanced care experience to patients in line with a with a view to improving health inequalities.
About us
Central Manchester Primary Care Networks (PCN) serve a population of c266k patients across four networks covering Ardwick & Longsight, Gorton & Levenshulme, Hulme, Moss Side, Rusholme and West Central Manchester. This exciting opportunity is to work directly within one practice, within one network within the locality to support patients from varying background and patient demographics.
Details
Date posted
19 April 2024
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Full-time, Part-time
Reference number
E0035-24-0008
Job locations
Dickenson Road Medical Centre
Dickenson Road
Manchester
M13 0WQ
Job description
Job responsibilities
Key duties and responsibilities
As part of our leadership population, you will be required to promote and role model Central Manchester Network philosophy, ensuring that you support team members by being the best leaders we can be for ourselves and each other.
Clinical Responsibilities
1. Develop and maintain a specialist level of knowledge across a range of clinical procedures and practices to use as part of a rotation between clinical placements. This will typically involve specialist knowledge and skills in triage, history taking, structured physical examination skills, problem-solving and clinical decision-making in order to develop a clinical impression/differential/final diagnosis for patients.
2. Work alongside a nominated GP and/or Advanced Clinical Practitioner in providing a first point of contact for patients presenting with undifferentiated, undiagnosed problems across a variety of clinical or non-clinical settings according to patients needs (e.g. at the patients home). Develop clinical skills in assessing complex needs of patients/clients.
3. Evaluate information from clinical examinations and/or triage (incl. remote) in order to initiate appropriate treatment and/or referral. This includes appropriate signposting of patients to plan care for patients.
4. Instigate relevant physiological observations, point of care or diagnostic tests/investigations and interpret these within an agreed scope. Discuss the result and implications of these investigations with patients as necessary.
5. Plan provision of care for patients as appropriate e.g. onward referral to clinical services, self-care advice and prevention advice. Consider holistic aspects and work in accordance with wider guidelines, protocols, policies and patient care pathways.
6. Supply and/or administer medication or treatments in accordance with agreed scope of practice, agreed protocols, any Patient Group Directives (PGD) and Trust formulary.
7. Work in partnership and liaise with multi-disciplinary teams within primary/urgent care, community care and across secondary care, to promote integrated approaches to patient care and seamless patient referral into appropriate healthcare services/pathways. Ensure safe handover of care within and outside GP and NWAS as appropriate.
8. Communicate sensitive or highly sensitive, confidential information concerning patients/clients requiring empathy, persuasion and reassurance (e.g. unwelcome news). Some patients may have special care needs, understanding needs or may be hostile or antagonistic, requiring a specific approach.
9. Display a sound understanding of consent and capacity, ensuring consent is granted for any treatment undertaken and best interests are considered as necessary
10. Where trained and directed to do so, undertake specific duties that are relevant to the practice and/or population needs (e.g. in primary/urgent care). These may include:
Participating in the assessment of local community health needs and assisting to develop patient and family-centred strategies.
Assisting within the development of new patient services and participation in initiatives to improve or develop existing patient services.
Assisting the practice/treatment setting to review emergency care protocols (e.g. by providing updates and training to primary care staff within scope of practice).
Participating in outreach, drop-in and surgery based services for patients with long term or routine problems (e.g. immunisation using approved PGDs).
11. Support the education of patients and the public in preventative health issues and relevant health improvement programmes as appropriate
12. Provide role appropriate clinical advice and support to operational resources and EOC staff as appropriate (voice-to-voice and face-to-face).
13. Communicate effectively with other healthcare professionals, colleagues and a range of other partner agencies. This includes liaison with the Police, Fire and other statutory or Government agencies as necessary.
15. Fully document all aspects of patient care and complete all required documentation for legal and administrative purposes in accordance with relevant standards & policies. Work in accordance with administrative systems in practice relating to, but not limited to, the management of clinical data and written information.
16. Report any adverse events or incidents in accordance with agreed local policies and protocols e.g. safeguarding and medicines management related incidents.
17. Empower others within clinical practice and demonstrate an ability to make effective clinical decisions based on recent events and evidenced based practice.
18. Work by appropriate infection control procedures/policies at all times, maintaining work areas in a tidy and safe way and free from hazards.
Professional Practice
1. Work at all times within the boundaries of the delegated/agreed duties and scope of clinical practice, at no time undertaking procedures/interventions that have not been agreed by the respective clinical lead/nominated deputy.
2. Contribute to multi-disciplinary, case conferences and practice educational meetings across primary care.
Promote a culture of involvement of patients and their carers in all aspects of care provision.
3. Contribute to the achievement of agreed quality, cost and performance targets within placement settings in order to sustain high standards of patient care and service delivery.
4. Contribute to policy development and policy review within practice areas. This will include making comments on proposals for change alongside implementing changes to work practices and procedures in own work areas following review.
5. Represent the Trust/Placement at meetings as delegated by the lead GP or Senior Clinician. Actively participate in primary care practice/unit meetings and training sessions
6. Assist with the development of the service, rotational working models and placements.
7. Participate in research, audit, service development or service improvement projects within all placement settings.
8. Ensure effective time management and prioritisation of your clinical workload across placement settings, escalating any concerns as appropriate.
9. Challenge professional behaviours/practices in a constructive and supportive manner to ensure that patient care & service delivery is of a high standard (e.g. standards of dress or conduct).
10. Use initiative in carrying out any immediately necessary tasks to ensure continued service provision across clinical placement settings in the absence of a more senior clinical or operational lead.
11. Deputise and/or operate under the delegated authority of more senior clinicans or managers as required, expanding on the knowledge, skills and experience for personal professional development.
General duties and Responsibilities
1. Enhance own performance through continuously developing own knowledge, skills and behaviours to meet the current and future requirements of the job and respond to the learning needs of the Trust.
2. Act within acceptable parameters as an employee/ Manager for the trust, having regard to the applicable Code of Conduct for your role and ensuring own practice is in accordance with Trust policies.
3. Maintain own CPD and contribute to own personal development by participating in annual appraisal with line manager, developing a PDP, and actively participating in agreed learning activities and evaluating effectiveness of learning in relation to role.
4. Regularly review own practices and makes changes in accordance with current and/or best practice, makes suggestions for improved practice and identifies where other activities affect own practice
5. To achieve and demonstrate agreed standards of personal and professional development within agreed timescales.
6. To contribute positively to the effectiveness and efficiency of the teams in which he/she works.
7. To contribute to a healthy, safe and secure working environment by adhering to health and safety regulations, Trust policies, procedures and guidance. Take necessary action in relation to risks in the workplace including supporting others to manage risks and reporting incidents as necessary.
8. To act in ways that support equality and diversity and the rights of individuals, ensuring own practice is in accordance with Trust policies. Identify and take action when own or others action undermines equality and diversity.
9. To raise concerns around risk, malpractice or wrongdoing at work, which may affect patients, staff or the organisation, at the earliest reasonable opportunity.
10. To abide by the NHS values and the NHS Constitution, all staff must maintain the highest standards of care and service, treating every individual with compassion, dignity and respect, taking responsibility not only for the care you personally provide, but also for your wider contribution to the aims of your team and the NHS as a whole;
11. The post holder will be required to adapt to and undertake different or new duties in line with professional and service developments This Job Description is intended as a general guidance to the duties and responsibilities of the post and is not, therefore, exhaustive. It will be subject to review, in light of changing circumstances and in consultation with the post-holder.
Job description
Job responsibilities
Key duties and responsibilities
As part of our leadership population, you will be required to promote and role model Central Manchester Network philosophy, ensuring that you support team members by being the best leaders we can be for ourselves and each other.
Clinical Responsibilities
1. Develop and maintain a specialist level of knowledge across a range of clinical procedures and practices to use as part of a rotation between clinical placements. This will typically involve specialist knowledge and skills in triage, history taking, structured physical examination skills, problem-solving and clinical decision-making in order to develop a clinical impression/differential/final diagnosis for patients.
2. Work alongside a nominated GP and/or Advanced Clinical Practitioner in providing a first point of contact for patients presenting with undifferentiated, undiagnosed problems across a variety of clinical or non-clinical settings according to patients needs (e.g. at the patients home). Develop clinical skills in assessing complex needs of patients/clients.
3. Evaluate information from clinical examinations and/or triage (incl. remote) in order to initiate appropriate treatment and/or referral. This includes appropriate signposting of patients to plan care for patients.
4. Instigate relevant physiological observations, point of care or diagnostic tests/investigations and interpret these within an agreed scope. Discuss the result and implications of these investigations with patients as necessary.
5. Plan provision of care for patients as appropriate e.g. onward referral to clinical services, self-care advice and prevention advice. Consider holistic aspects and work in accordance with wider guidelines, protocols, policies and patient care pathways.
6. Supply and/or administer medication or treatments in accordance with agreed scope of practice, agreed protocols, any Patient Group Directives (PGD) and Trust formulary.
7. Work in partnership and liaise with multi-disciplinary teams within primary/urgent care, community care and across secondary care, to promote integrated approaches to patient care and seamless patient referral into appropriate healthcare services/pathways. Ensure safe handover of care within and outside GP and NWAS as appropriate.
8. Communicate sensitive or highly sensitive, confidential information concerning patients/clients requiring empathy, persuasion and reassurance (e.g. unwelcome news). Some patients may have special care needs, understanding needs or may be hostile or antagonistic, requiring a specific approach.
9. Display a sound understanding of consent and capacity, ensuring consent is granted for any treatment undertaken and best interests are considered as necessary
10. Where trained and directed to do so, undertake specific duties that are relevant to the practice and/or population needs (e.g. in primary/urgent care). These may include:
Participating in the assessment of local community health needs and assisting to develop patient and family-centred strategies.
Assisting within the development of new patient services and participation in initiatives to improve or develop existing patient services.
Assisting the practice/treatment setting to review emergency care protocols (e.g. by providing updates and training to primary care staff within scope of practice).
Participating in outreach, drop-in and surgery based services for patients with long term or routine problems (e.g. immunisation using approved PGDs).
11. Support the education of patients and the public in preventative health issues and relevant health improvement programmes as appropriate
12. Provide role appropriate clinical advice and support to operational resources and EOC staff as appropriate (voice-to-voice and face-to-face).
13. Communicate effectively with other healthcare professionals, colleagues and a range of other partner agencies. This includes liaison with the Police, Fire and other statutory or Government agencies as necessary.
15. Fully document all aspects of patient care and complete all required documentation for legal and administrative purposes in accordance with relevant standards & policies. Work in accordance with administrative systems in practice relating to, but not limited to, the management of clinical data and written information.
16. Report any adverse events or incidents in accordance with agreed local policies and protocols e.g. safeguarding and medicines management related incidents.
17. Empower others within clinical practice and demonstrate an ability to make effective clinical decisions based on recent events and evidenced based practice.
18. Work by appropriate infection control procedures/policies at all times, maintaining work areas in a tidy and safe way and free from hazards.
Professional Practice
1. Work at all times within the boundaries of the delegated/agreed duties and scope of clinical practice, at no time undertaking procedures/interventions that have not been agreed by the respective clinical lead/nominated deputy.
2. Contribute to multi-disciplinary, case conferences and practice educational meetings across primary care.
Promote a culture of involvement of patients and their carers in all aspects of care provision.
3. Contribute to the achievement of agreed quality, cost and performance targets within placement settings in order to sustain high standards of patient care and service delivery.
4. Contribute to policy development and policy review within practice areas. This will include making comments on proposals for change alongside implementing changes to work practices and procedures in own work areas following review.
5. Represent the Trust/Placement at meetings as delegated by the lead GP or Senior Clinician. Actively participate in primary care practice/unit meetings and training sessions
6. Assist with the development of the service, rotational working models and placements.
7. Participate in research, audit, service development or service improvement projects within all placement settings.
8. Ensure effective time management and prioritisation of your clinical workload across placement settings, escalating any concerns as appropriate.
9. Challenge professional behaviours/practices in a constructive and supportive manner to ensure that patient care & service delivery is of a high standard (e.g. standards of dress or conduct).
10. Use initiative in carrying out any immediately necessary tasks to ensure continued service provision across clinical placement settings in the absence of a more senior clinical or operational lead.
11. Deputise and/or operate under the delegated authority of more senior clinicans or managers as required, expanding on the knowledge, skills and experience for personal professional development.
General duties and Responsibilities
1. Enhance own performance through continuously developing own knowledge, skills and behaviours to meet the current and future requirements of the job and respond to the learning needs of the Trust.
2. Act within acceptable parameters as an employee/ Manager for the trust, having regard to the applicable Code of Conduct for your role and ensuring own practice is in accordance with Trust policies.
3. Maintain own CPD and contribute to own personal development by participating in annual appraisal with line manager, developing a PDP, and actively participating in agreed learning activities and evaluating effectiveness of learning in relation to role.
4. Regularly review own practices and makes changes in accordance with current and/or best practice, makes suggestions for improved practice and identifies where other activities affect own practice
5. To achieve and demonstrate agreed standards of personal and professional development within agreed timescales.
6. To contribute positively to the effectiveness and efficiency of the teams in which he/she works.
7. To contribute to a healthy, safe and secure working environment by adhering to health and safety regulations, Trust policies, procedures and guidance. Take necessary action in relation to risks in the workplace including supporting others to manage risks and reporting incidents as necessary.
8. To act in ways that support equality and diversity and the rights of individuals, ensuring own practice is in accordance with Trust policies. Identify and take action when own or others action undermines equality and diversity.
9. To raise concerns around risk, malpractice or wrongdoing at work, which may affect patients, staff or the organisation, at the earliest reasonable opportunity.
10. To abide by the NHS values and the NHS Constitution, all staff must maintain the highest standards of care and service, treating every individual with compassion, dignity and respect, taking responsibility not only for the care you personally provide, but also for your wider contribution to the aims of your team and the NHS as a whole;
11. The post holder will be required to adapt to and undertake different or new duties in line with professional and service developments This Job Description is intended as a general guidance to the duties and responsibilities of the post and is not, therefore, exhaustive. It will be subject to review, in light of changing circumstances and in consultation with the post-holder.
Person Specification
Experience
Essential
- Consolidated experience of clinical practice in
- Ambulance and/or primary care settings, including assessing patients with minor illnesses/injuries.
- Understanding of patient management within primary and urgent care settings.
- Experience of clinically supervising peers or junior colleagues in practice.
- Experience of coaching and mentoring in practice.
- Working knowledge of 999 primary and secondary triage systems within UK Ambulance Services.
- Experience of participating in and leading on clinical audits in the practice setting.
Desirable
- Proven background of building positive rapport with a diverse range of clinical colleagues, services and patients
- Previous experience of working with Patient Group Directives (PGDs) or similar
- Previous experience of remote working/triage
- Previous experience of supporting or managing change
Qualifications
Essential
- Paramedic with current professional registration
- Educated to Diploma / DipHE level or equivalent demonstrable experience in practice
- Working towards or completed module in clinical assessment/diagnostics (or equivalent course) or equivalent experience in clinical practice
Desirable
- Coaching & Mentoring and/or leadership qualification
- Minor injuries / illness course or equivalent experience
Person Specification
Experience
Essential
- Consolidated experience of clinical practice in
- Ambulance and/or primary care settings, including assessing patients with minor illnesses/injuries.
- Understanding of patient management within primary and urgent care settings.
- Experience of clinically supervising peers or junior colleagues in practice.
- Experience of coaching and mentoring in practice.
- Working knowledge of 999 primary and secondary triage systems within UK Ambulance Services.
- Experience of participating in and leading on clinical audits in the practice setting.
Desirable
- Proven background of building positive rapport with a diverse range of clinical colleagues, services and patients
- Previous experience of working with Patient Group Directives (PGDs) or similar
- Previous experience of remote working/triage
- Previous experience of supporting or managing change
Qualifications
Essential
- Paramedic with current professional registration
- Educated to Diploma / DipHE level or equivalent demonstrable experience in practice
- Working towards or completed module in clinical assessment/diagnostics (or equivalent course) or equivalent experience in clinical practice
Desirable
- Coaching & Mentoring and/or leadership qualification
- Minor injuries / illness course or equivalent experience
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
Primary Care Manchester Ltd
Address
Dickenson Road Medical Centre
Dickenson Road
Manchester
M13 0WQ
Employer's website
Employer details
Employer name
Primary Care Manchester Ltd
Address
Dickenson Road Medical Centre
Dickenson Road
Manchester
M13 0WQ
Employer's website
Employer contact details
For questions about the job, contact:
Details
Date posted
19 April 2024
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Full-time, Part-time
Reference number
E0035-24-0008
Job locations
Dickenson Road Medical Centre
Dickenson Road
Manchester
M13 0WQ
Supporting documents
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