Wigan Borough Federated Healthcare

Primary Care Network Physician Associate

Information:

This job is now closed

Job summary

To provide clinical care to care home patients of the Primary Care Networks you are based, supporting the other clinical staff. Including history taking, clinical assessment, diagnosis, treatment and evaluation of their care under the supervision of a named practitioners. You will demonstrate safe, clinical decision-making and expert care for patients within the care homes. You will work with the multi-disciplinary general practice team to support the delivery of policy and procedures and meet the needs of patients.

Main duties of the job

Clinical responsibilities

The post holder will under appropriate supervision:

  • Provide proactive care for patients in care homes and those patients presenting with undifferentiated, undiagnosed problems, utilising history taking, physical examination, problem-solving and clinical decision-making skills to establish a working diagnosis and management plan working in partnership with patients and their carers
  • Undertake as agreed care home consultations for routine problems including management of long-term conditions. In addition, undertake telephone consultations/care home visits
  • Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports within the scope of a PAs practice. Discuss the result and implications of laboratory investigations with patients
  • Utilise clinical guidelines and promote evidence-based practice
  • Refer patients directly to other services or agencies using appropriate referral pathways
  • Ensure safe handover of care within and outside the practice as appropriate
  • Work directly with members of the care home team and support integrated patient centred care through appropriate working with wider primary care / social care networks
  • Contribute to the PCN quality targets to consistently achieve high standards of safe, evidence-based, cost-effective patient care and service delivery

About us

Joining enthusiastic, dynamic, friendly and mature PCNs. You can expect a warm welcome, doors are always open and every voice is heard.

We constantly strive to improve patient pathways and health care outcomes. The post holder will play an integral role within the network and will be part of the MDT enabling this to happen.

KEY WORKING RELATIONSHIPS:

GPs, Practice Nurses and other practice staff

PCN/GP Prescribing Lead

PCN Managers

Community Nurses and other Allied Health Professionals

Community Pharmacists and support staff.

Details

Date posted

16 August 2023

Pay scheme

Other

Salary

Depending on experience Band 7 equivalent

Contract

Permanent

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

M0009-23-0048

Job locations

2nd Floor, Ashland House

Dobson Park Way

Ince

WN2 2DX


Job description

Job responsibilities

Clinical responsibilities

The post holder will under appropriate supervision:

  • Provide proactive care for patients in care homes and those patients presenting with undifferentiated, undiagnosed problems, utilising history taking, physical examination, problem-solving and clinical decision-making skills to establish a working diagnosis and management plan working in partnership with patients and their carers
  • Undertake as agreed care home consultations for routine problems including management of long-term conditions. In addition, undertake telephone consultations/care home visits and participate in duty rotas
  • Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports within the scope of a PAs practice. Discuss the result and implications of laboratory investigations with patients
  • Utilise clinical guidelines and promote evidence-based practice
  • Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support with an emphasis on prevention and self-care
  • Refer patients directly to other services or agencies using appropriate referral pathways
  • Ensure safe handover of care within and outside the practice as appropriate
  • Work directly with members of the care home team and support integrated patient centred care through appropriate working with wider primary care / social care networks
  • Identify community health needs and participate in the development of patient/family-centred strategies to address them
  • Contribute to the PCN quality targets to consistently achieve high standards of safe, evidence-based, cost-effective patient care and service delivery

Training and development

  • Participate in continuing professional development opportunities to keep up-to-date with evidence-based knowledge and competence in all aspects of the role to meet clinical governance guidelines for Continuing Professional Development (CPD) and a Personal Development Plan (PDP) utilising a reflective approach to practice.
  • Undertake a variety of research and analysis tasks associated with the improvement of clinical care, medical diagnosis and treatment where appropriate using the following means.
      • Audit of clinical practice
      • Significant event review / root cause analysis
      • Review of relevant literature
      • Research unusual symptoms and treatment options through consultation with general practitioners, physicians and other specialists
  • Promote and support a learning culture within the practice and assist in clinical instruction, mentoring and supervision of medical, nursing or physician associate students and other learners that may periodically be attached to the practice
  • Contribute to regular multi-disciplinary and or practice educational meetings
  • Work closely with other clinical staff and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets

Administration

  • Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes in accordance with relevant standards
  • Work in accordance with internal administrative systems relating to but not limited to the management of clinical data
  • Send and receive written information on behalf of the practice relating to the physical and social welfare of patients
  • Work closely with other clinical staff and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets and work to deliver the NHS contract pertinent to the PCN including the terms of the Quality and Outcomes Framework and locally enhanced services
  • Ensure that all federation policies are fully implemented
  • Support, contribute to and participate in external inspections

Professional

  • Take the UK PA National Re-Certification Exam every six years - required for Physician Associates AND maintain your professional registration working within the latest Code of Professional Conduct (CIPD)
  • Undertake statutory and mandatory training as required by the federation
  • Demonstrate clinical leadership
  • Pro-actively promote the role of the PA within the practice and externally to key stakeholders and agencies
  • Respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

Health and Safety

  • Comply at all times with the federations health and safety policies by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System (IRS)
  • Comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).

Equality, diversity and inclusion

The post-holder will support the equality, diversity and inclusion rights of patients, carers and colleagues, to include:

Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation.

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.

Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Communication and working relationships

Establish and maintain effective communication pathways with all care homes and visiting clinical team members such as district nurses, modern matrons, etc.

Confidentiality:

The federation is committed to maintaining an outstanding confidential service.

In the course of seeking treatment, patients across the PCN entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

General responsibilities

The federation will be responsible for:

- Annual appraisal and setting of a personal development plan and providing you with training and development opportunities relevant to the post

- Providing you with any necessary equipment, office and clinical space to carry out your duties

- Providing you with clear management, that you work within recommended policies and procedures and towards the goals of the service

- Ensuring that you have a safe and healthy environment to work in

- Ensuring that you are able to work flexibility.

You will be responsible for:

- Following network medical practice policies and procedures

- Completing mandatory training

- Keeping up to date with the knowledge and skills required for the job

- Making sure that you are vaccinated against coronavirus and hepatitis B infection.

Job description

Job responsibilities

Clinical responsibilities

The post holder will under appropriate supervision:

  • Provide proactive care for patients in care homes and those patients presenting with undifferentiated, undiagnosed problems, utilising history taking, physical examination, problem-solving and clinical decision-making skills to establish a working diagnosis and management plan working in partnership with patients and their carers
  • Undertake as agreed care home consultations for routine problems including management of long-term conditions. In addition, undertake telephone consultations/care home visits and participate in duty rotas
  • Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports within the scope of a PAs practice. Discuss the result and implications of laboratory investigations with patients
  • Utilise clinical guidelines and promote evidence-based practice
  • Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support with an emphasis on prevention and self-care
  • Refer patients directly to other services or agencies using appropriate referral pathways
  • Ensure safe handover of care within and outside the practice as appropriate
  • Work directly with members of the care home team and support integrated patient centred care through appropriate working with wider primary care / social care networks
  • Identify community health needs and participate in the development of patient/family-centred strategies to address them
  • Contribute to the PCN quality targets to consistently achieve high standards of safe, evidence-based, cost-effective patient care and service delivery

Training and development

  • Participate in continuing professional development opportunities to keep up-to-date with evidence-based knowledge and competence in all aspects of the role to meet clinical governance guidelines for Continuing Professional Development (CPD) and a Personal Development Plan (PDP) utilising a reflective approach to practice.
  • Undertake a variety of research and analysis tasks associated with the improvement of clinical care, medical diagnosis and treatment where appropriate using the following means.
      • Audit of clinical practice
      • Significant event review / root cause analysis
      • Review of relevant literature
      • Research unusual symptoms and treatment options through consultation with general practitioners, physicians and other specialists
  • Promote and support a learning culture within the practice and assist in clinical instruction, mentoring and supervision of medical, nursing or physician associate students and other learners that may periodically be attached to the practice
  • Contribute to regular multi-disciplinary and or practice educational meetings
  • Work closely with other clinical staff and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets

Administration

  • Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes in accordance with relevant standards
  • Work in accordance with internal administrative systems relating to but not limited to the management of clinical data
  • Send and receive written information on behalf of the practice relating to the physical and social welfare of patients
  • Work closely with other clinical staff and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets and work to deliver the NHS contract pertinent to the PCN including the terms of the Quality and Outcomes Framework and locally enhanced services
  • Ensure that all federation policies are fully implemented
  • Support, contribute to and participate in external inspections

Professional

  • Take the UK PA National Re-Certification Exam every six years - required for Physician Associates AND maintain your professional registration working within the latest Code of Professional Conduct (CIPD)
  • Undertake statutory and mandatory training as required by the federation
  • Demonstrate clinical leadership
  • Pro-actively promote the role of the PA within the practice and externally to key stakeholders and agencies
  • Respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

Health and Safety

  • Comply at all times with the federations health and safety policies by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System (IRS)
  • Comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).

Equality, diversity and inclusion

The post-holder will support the equality, diversity and inclusion rights of patients, carers and colleagues, to include:

Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation.

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.

Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Communication and working relationships

Establish and maintain effective communication pathways with all care homes and visiting clinical team members such as district nurses, modern matrons, etc.

Confidentiality:

The federation is committed to maintaining an outstanding confidential service.

In the course of seeking treatment, patients across the PCN entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

General responsibilities

The federation will be responsible for:

- Annual appraisal and setting of a personal development plan and providing you with training and development opportunities relevant to the post

- Providing you with any necessary equipment, office and clinical space to carry out your duties

- Providing you with clear management, that you work within recommended policies and procedures and towards the goals of the service

- Ensuring that you have a safe and healthy environment to work in

- Ensuring that you are able to work flexibility.

You will be responsible for:

- Following network medical practice policies and procedures

- Completing mandatory training

- Keeping up to date with the knowledge and skills required for the job

- Making sure that you are vaccinated against coronavirus and hepatitis B infection.

Person Specification

Skills and personal

Essential

  • Skills
  • Good clinical judgement
  • Good information technology skills
  • Able to work as an independent health care professional and as a member of the clinical team
  • Able to prioritise and organise workload effectively and efficiently
  • Good communicator with patients, family, carers and other health and social care professionals
  • Personal
  • An enthusiastic Interest in people, their health and general practice.
  • Able and willing to travel to Edgworth medical centre and other practices of the network
  • Satisfactory DBS check (this post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1965.
  • Received necessary vaccinations.

Experience

Essential

  • Experience of working in health services
  • Working in a multi-disciplinary team

Desirable

  • Experience of working in general practice as a physician associate.
  • Experience of working with doctors/general practitioners and advance health care professionals and making clinical decisions for diagnosis and treatment.
  • Experience of different health and social care organisations

Qualifications

Essential

  • Qualifications
  • University degree
  • Successfully completed post-graduate diploma/masters in physician associate from an accredited UK University.
  • Member of the Faculty of Physician Associates voluntary register (PAMVR).
Person Specification

Skills and personal

Essential

  • Skills
  • Good clinical judgement
  • Good information technology skills
  • Able to work as an independent health care professional and as a member of the clinical team
  • Able to prioritise and organise workload effectively and efficiently
  • Good communicator with patients, family, carers and other health and social care professionals
  • Personal
  • An enthusiastic Interest in people, their health and general practice.
  • Able and willing to travel to Edgworth medical centre and other practices of the network
  • Satisfactory DBS check (this post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1965.
  • Received necessary vaccinations.

Experience

Essential

  • Experience of working in health services
  • Working in a multi-disciplinary team

Desirable

  • Experience of working in general practice as a physician associate.
  • Experience of working with doctors/general practitioners and advance health care professionals and making clinical decisions for diagnosis and treatment.
  • Experience of different health and social care organisations

Qualifications

Essential

  • Qualifications
  • University degree
  • Successfully completed post-graduate diploma/masters in physician associate from an accredited UK University.
  • Member of the Faculty of Physician Associates voluntary register (PAMVR).

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

Wigan Borough Federated Healthcare

Address

2nd Floor, Ashland House

Dobson Park Way

Ince

WN2 2DX


Employer's website

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

Employer details

Employer name

Wigan Borough Federated Healthcare

Address

2nd Floor, Ashland House

Dobson Park Way

Ince

WN2 2DX


Employer's website

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

Employer contact details

For questions about the job, contact:

Vishika Rabadia

vishika.rabadia2@nhs.net

01942369690

Details

Date posted

16 August 2023

Pay scheme

Other

Salary

Depending on experience Band 7 equivalent

Contract

Permanent

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

M0009-23-0048

Job locations

2nd Floor, Ashland House

Dobson Park Way

Ince

WN2 2DX


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