Job responsibilities
Clinical
Participate in all treatment and preventative healthcare
services in the Practice as delegated and agreed by the supervising GP(s).
Provide direct clinical care to patients who access the
Practices services in a holistic fashion. This includes following the patient
up and focusing on the medical management of multi morbidity.
Consult and refer patients to secondary care consultants,
medical specialists and other health professionals as indicated.
Interview patients, take medical histories, perform physical
examinations, analyse, diagnose, and explain medical problems during
consultations and home visits.
Recommend and explain appropriate diagnostic tests and
treatment.
Request and interpret results of investigations when
necessary.
Perform specialised diagnostic physical exams and treatment
procedures.
Instruct and educate patients in preventative health care,
and utilise social prescribing as appropriate.
Conduct telephone and Skype consultations which may involve
discussing the result and implications of laboratory investigations with
patients as well as dealing appropriately with routine and urgent complaints.
Order investigative tests as required and agreed under
supervising GPs.
Fully document all aspects of patient care and complete all
required paperwork for statutory and administrative purposes.
Contribute to the clinical development of the Practice by
developing a special interest and to help establish appropriate systems to
manage common chronic medical conditions, ensuring compliance with NICE
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 GPs as appropriate and liaising with other key
team members as needed.
Give clinical instructions to the non-GP clinical team as
required.
Communicate when necessary with colleagues in community 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 services, other health care
providers, other community organisations to refer/consult on specific cases,
participate in community service and education projects and activities and the
like.
Policy Development/Audit/Quality Improvement/ResearchContribute to policy and process development relevant to
your scope of work or that of the practice.
Policy Development/Audit/Quality Improvement/Research
Contribute to policy and process development relevant to
your scope of work or that of the practice.
Support work related to audit and quality improvement.
Become familiar with codes and undertaking EMIS based
audits.
Support clinical research where relevant.
Work with clinical team on projects that will improve
clinical quality.
Work with GP leads to develop new services.
Administration
Send and receive written information on behalf of the
Practice regarding matters of insurance, housing, fitness for work, and other
issues relating to the physical and social welfare of patients.
Work to deliver with other members of the practice and the
Neighbourhood Team, the objectives of the GMS contract.
Training & Educational Development
Ensure continuing education, training and development is
undertaken to meet clinical governance guidelines for Continuing Professional
Development and a Personal Development Plan.
Keep up to date with relevant medical research, technology,
and evidence-based medical practice.
Undertake 50 hours of continuing medical education (CPD)
every year. A minimum of 25 hours must be in accredited direct learning
programmes.
Take and pass the national re-certification exam every 6
years in accordance with the requirements of the PA Managed Voluntary Register
and as recommended by the National Examination Sub Committee of the UKUBPAE (UK
Universities Board of Physician Associate Education) and subsequently as
required by the statutory regulating body when in place.
Register and retain registration on the Faculty of Physician
Associates Managed Voluntary Register.
Perform a variety of research and analysis tasks associated
with improvement of clinical care, medical diagnosis, and treatment where
appropriate using the following means:
Audit of clinical practice.
Review of relevant literature.
Research unusual symptoms and treatment options, through
consultation with physicians and other medical specialists.
Provide literature reviews and the like; review, analyse and
determine the significance of a variety of diagnostic test results.
Assist in clinical instruction and supervision of medical,
nursing, and pharmacy students as well other learners that may periodically be
attached to the practice, including the educational development, and mentoring
of Physician Associate students.
Attend regular multi-disciplinary meetings organised by the
Practice in order to discuss and learn from recent significant events relating
to clinical practice occurring within the Practice.
Attend regular educational meetings organised by the
practice in order to update clinical knowledge, practice policy and guidelines
and disseminate other useful information relevant to the provision of adequate
healthcare for patients.
Regularly reflect on own practice (and keep a record of
learning encounters) in order to identify learning needs and encourage
self-directed lifelong learning and continued professional development.
Professional Responsibilities
Adhere to the relevant NHS Codes of Practice and own
professional Code of Conduct.
Actively participate in the required revalidation process of
the Physician Associate Managed Voluntary Registration Commission (PAMVRC) and
the appropriate regulating body when this is in place.
Support the development of the role of Physician Associate
to ensure high delivery of care within their specialty and beyond.
Act as role model for Physician Associates and support the
promotion of this new role within the healthcare multi-disciplinary team.
It is expected that the post holder will undertake any other
duties which are deemed appropriate to the band/role when requested by
GPs/other clinical team members.
The above indicates the main duties of the post but this is
not intended to be an exhaustive list and may be amended from time to time to
reflect the changing requirements of the post, in light of experience and developments
within the service. Any review will be undertaken in conjunction with the post
holder.
General & Corporate Duties
Risk Management
It is a standard element of the role, and responsibility of
all staff of the Practice, to fulfil a proactive role towards the management of
risk in all of their actions. This entails the risk assessment of all
situations, the taking of appropriate actions and reporting of all incidents,
near misses and hazards.
Records Management/Data Protection
As an employee of the Practice, you have a legal
responsibility for all records that you gather or use as part of your work with
the Practice. The records may be paper, electronic, or audio. You must consult
your supervising GP if you have any doubt as to the correct management of the
records with which you work.
Confidentiality and Information Security
Practice Employees are required to uphold the
confidentiality of all records held by the Practice, whether patient records or
practice information. This duty lasts indefinitely and will continue after you
leave the practice employment. All employees must maintain confidentiality and
abide by the Data Protection Act.
Data Quality
All staff are personally responsible for the quality of data
entered by themselves, or on their behalf, on the Practices computerised
systems or manual records and must ensure that such data is entered accurately
to NHS data standards, in a timely manner to ensure high standards of data
quality in accordance with Practice information governance policies.
To ensure data is handled in a secure manner protecting the
confidentiality of any personal data held in meeting the requirements of the
Data Protection Act 1998, Caldicott recommendations and other relevant
legislation and guidance are applicable and should be adhered to.
Health and Safety
All employees of the Practice have a statutory duty of care
for their own personal safety and that of others who may be affected by their
acts or omissions. Employees are required to co-operate with management to enable
the Practice to meet its own legal duties and to report any circumstances that
may compromise the health, safety, and welfare of those affected by the
Practices undertakings.
Infection Prevention
As member of a clinical team your personal contribution to
reducing healthcare associated infections (HCAIs) require you to be familiar
with the Practices Infection Control policy (IPC). You must be aware of your
role in the decontamination of patient shared equipment and are required to
attend mandatory training in IPC and support the Practice in achieving
compliance with the Health Act 2006. You must ensure that you are compliant
with immunisation and vaccination requirements and attend Occupational health
service appointments as requested.
Practice Policies
All Practice employees must observe and adhere to the
provisions outlined in the policies available on the GP Team net system.
Equal Opportunities
The Practice provides a range of services and employment
opportunities for a diverse population. As a Practice employee you are expected
to treat all patients/customers and work colleagues with dignity and respect
irrespective of their background.
Safeguarding