Paramedic Primary Care

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 sheltered housing)

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-centred service

7. communicate proactively and effectively with all colleagues across the multi-disciplinary 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. 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

18. The post holder will perform clinical duties where trained and determined safe to do so by the PCN. This may include assisting with medical reports, safeguarding, and clinic support. To provide assessment, treatment and diagnosis at point of first contact by attending to patients in a variety of clinical or non-clinical settings according to patients’ needs. Attending home visits and residential/ nursing care homes within the PCN

Quality Requirements

19. 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

20. be verified against the paramedic primary care roadmap

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

22. assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

23. participate in research and utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

24. 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

25. produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

26. be aware of data protection (GDPR) and confidentiality issues particularly within a PCN

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

28. review and process data using accurate read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.

Supervision

The postholder 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.

Personal Attributes and 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
• ability to cope with unpredictable situations
• confident in facilitating and challenging others
• demonstrates a flexible approach in order to ensure patient care is delivered

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
• Working knowledge of Microsoft and GP practice and prescribing data monitoring systems
• Be aware of data protection (GDPR) and confidentiality issues particularly within a PCN
• Cognitive behavioural and motivational interviewing approaches / skills

Analysis Skills

Essential

• Ability to evidence a sound understanding of the NHS principles and values
• Ability to analyse and interpret complex/ often incomplete information, preempt and evaluate issues, and recommend and 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

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
• Full UK driving licence and willing to use own vehicle for work purposes (mileage paid)
• Framework for Higher Education Qualification (FHEQ) Level 7 or Scottish Credit and Qualifications Framework (SCOF) Level 11
• Be a minimum of 3 years post registration

Desirable

• Pre-reg MSc in a training programme approved by the College of Paramedics
• College of Paramedics Diploma in Urgent Care
• Non-medical prescribing qualification
• Evidence of verification against the paramedic primary care roadmap

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
• evidence of inspiring and motivating teams with the ability to communicate passionately, effectively and persuasively across a diverse set of stakeholders

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).