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 Paramedics 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.
Job description
Job responsibilities
Job responsibilities
Conduct weekly ward rounds to Wigan Central and North PCN aligned nursing/care homes, supported by the Enhanced Health in Care Homes multi-disciplinary team
Provide reactive care to Wigan Central and NorthPCN aligned nursing/care homes, supported by the Enhanced Health in Care Homes multi-disciplinary team
Support the Enhanced Health in Care Homes multi-disciplinary team to develop personalised care plans for care home residents
Participate in all treatment and preventative healthcare services within the Primary Care Networks as delegated and agreed by the supervising GP(s)
Provide direct clinical care to patients using established clinical guidelines
Consult and refer patients to physicians, medical specialists and other health professionals as indicated
Interview patients, take medical histories, perform physical examinations, analyse, diagnose and explain medical problems within the consultation
Recommend and explain appropriate diagnostic tests and treatment
Request and interpret results of laboratory investigations when necessary
Perform specialised diagnostic physical exams and treatment procedures
Instruct and educate patients in preventative health care
Conduct telephone consultations which may involve discussing the result and implications of laboratory investigations with patients as well as dealing appropriately with routine and emergency complaints
Order laboratory tests as required and agreed under supervising doctor
Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes
Contribute to the clinical development of the Primary Care Networks by developing a special interest and to help establish appropriate systems to manage common chronic medical conditions, ensuring compliance with NSF guidelines
Participate fully in the clinicians duty rota including the provision of home visits when appropriate
Formulate diagnoses and treatment plans, in consultation with or referring to Supervising doctor(s) as appropriate
Communicate when necessary with colleagues in Primary Care and hospital specialists in order to discuss or refer specific patients, plan and co-ordinate activities or exchange information in order to improve the quality of patient care
Deal regularly with community hospitals, consultants and other health care providers, insurance companies and other community organisations to refer/consult on specific cases, participate in community service and education projects and activities and the like
Send and receive written information on behalf of the Practice regarding matters of insurance, housing and other issues relating to the physical and social welfare of patients
Work to deliver with other members of the Primary Healthcare team, the objectives of the GMS and PCN contract, including the terms of the Quality and Outcomes Framework and Practice Based Commissioning
Attend regular multi-disciplinary meetings organised by the Primary Care Networks in order to discuss the health and social needs of particular patients
Job description
Job responsibilities
Job responsibilities
Conduct weekly ward rounds to Wigan Central and North PCN aligned nursing/care homes, supported by the Enhanced Health in Care Homes multi-disciplinary team
Provide reactive care to Wigan Central and NorthPCN aligned nursing/care homes, supported by the Enhanced Health in Care Homes multi-disciplinary team
Support the Enhanced Health in Care Homes multi-disciplinary team to develop personalised care plans for care home residents
Participate in all treatment and preventative healthcare services within the Primary Care Networks as delegated and agreed by the supervising GP(s)
Provide direct clinical care to patients using established clinical guidelines
Consult and refer patients to physicians, medical specialists and other health professionals as indicated
Interview patients, take medical histories, perform physical examinations, analyse, diagnose and explain medical problems within the consultation
Recommend and explain appropriate diagnostic tests and treatment
Request and interpret results of laboratory investigations when necessary
Perform specialised diagnostic physical exams and treatment procedures
Instruct and educate patients in preventative health care
Conduct telephone consultations which may involve discussing the result and implications of laboratory investigations with patients as well as dealing appropriately with routine and emergency complaints
Order laboratory tests as required and agreed under supervising doctor
Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes
Contribute to the clinical development of the Primary Care Networks by developing a special interest and to help establish appropriate systems to manage common chronic medical conditions, ensuring compliance with NSF guidelines
Participate fully in the clinicians duty rota including the provision of home visits when appropriate
Formulate diagnoses and treatment plans, in consultation with or referring to Supervising doctor(s) as appropriate
Communicate when necessary with colleagues in Primary Care and hospital specialists in order to discuss or refer specific patients, plan and co-ordinate activities or exchange information in order to improve the quality of patient care
Deal regularly with community hospitals, consultants and other health care providers, insurance companies and other community organisations to refer/consult on specific cases, participate in community service and education projects and activities and the like
Send and receive written information on behalf of the Practice regarding matters of insurance, housing and other issues relating to the physical and social welfare of patients
Work to deliver with other members of the Primary Healthcare team, the objectives of the GMS and PCN contract, including the terms of the Quality and Outcomes Framework and Practice Based Commissioning
Attend regular multi-disciplinary meetings organised by the Primary Care Networks in order to discuss the health and social needs of particular patients
Person Specification
Qualifications
Essential
- HCPC Registration as a Paramedic
Desirable
- HEE Primary Care FCP training must be completed.
Experience
Essential
- Paramedics must have completed their two-year Consolidation of Learning period as a Newly Qualified Paramedic and have a further three years experience as a AFC Band 6 (or equivalent) Paramedic. In addition, they need to be working towards developing academic Level 7 capability in Paramedic areas of practice and, within six months of commencement of reimbursement for that individual, have completed and been signed off formally within the clinical competencies of the FCP Roadmap.
Person Specification
Qualifications
Essential
- HCPC Registration as a Paramedic
Desirable
- HEE Primary Care FCP training must be completed.
Experience
Essential
- Paramedics must have completed their two-year Consolidation of Learning period as a Newly Qualified Paramedic and have a further three years experience as a AFC Band 6 (or equivalent) Paramedic. In addition, they need to be working towards developing academic Level 7 capability in Paramedic areas of practice and, within six months of commencement of reimbursement for that individual, have completed and been signed off formally within the clinical competencies of the FCP Roadmap.
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).
