Physicians Associate (PA) General Practice

Federated4Health – Haringey GP Federation


This job is now closed

Job overview

F4H are looking for an experienced PA. As a PA you will be acting within your professional boundaries, providing care for patients from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care under the supervision of a GP. You will demonstrate safe, clinical decision-making and expert care for patients within the general practice, in consultation with the duty GP. You will work with the multi-disciplinary general practice team to support the delivery of policy and procedures and meet the needs of patients.

Mentorship and supervision will be provided by designated senior medical personnel. The level and type of supervision will be dependent on the post holders skills and knowledge and determined by the initial learning needs analysis which will develop into a personal development plans. You will follow recommended annual appraisals and commit to continuing professional development set out by the Faculty of Physician Associates (FPA).

Main duties of the job

To deliver a high standard of patient care using advanced autonomous clinical skills with in-depth theoretical knowledge and evidence based Practice working under the supervision of a GP.

To manage a clinical caseload and deal with presenting patient complaints in a primary care clinic.

To provide clinical leadership where appropriate within the Practice and support other members of the team to develop and maintain clinical skills appropriate to your role and expertise.

About us

We are the Haringey GP Federation, a young and growing organisation working with 36 member practices in the diverse and vibrant borough of Haringey in north London.

Our vision is to support the people of Haringey to be healthier and happier. We do this by strengthening, innovating and advocating for strong and sustainable General Practice in Haringey.

Our friendly, collaborative team has deservedly earned a strong reputation for providing best practice Primary Care services at scale. We are proud that our teams achievements have won external recognition, including at the recent HSJ awards for demonstrating professionally diverse clinical leadership in primary care.

We welcome and encourage innovative ways of working which respond to the changing needs of the population in Haringey. We are building a sustainable workforce that is fully equipped and motivated for the work we undertake and constantly seek to expand opportunities which allow development for our staff and practices alike.

Job description

Job responsibilities

See attached JD for further information. Summary provided as below:



The post holder will under appropriate supervision:

  • Provide first point of contact for 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.
  • Undertake surgery based or telephone consultation for emergency or routine problems including management of long term conditions.
  • 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 Practice Primary Health Care Team (PPHCT) 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 practice 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. This requires 50 hours of CPD every year: a minimum of 25 hours must be in accredited direct learning programmes.
  • 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.
  • Participate in Multi-Disciplinary Protocol and Patient Group Directions (PGDs) development as appropriate.
  • 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.


  • 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 Practice including the terms of the Quality and Outcomes Framework and locally enhanced services.
  • Ensure that all Practice policies are fully implemented.
  • This job description is intended to provide an outline of the key tasks and responsibilities required by a physicians associate. There may be other duties required of the post-holder commensurate with the position. This description will be open to regular review and may be amended to take into account developments of the role across primary care networks.

Person Specification



  • Ability to work well with colleagues and within a team
  • Ability to organise and prioritise workload effectively
  • Ability to exercise sound judgements when faced with conflicting pressures
  • Confident in use of email
  • Excellent record keeping skills
  • Sound IT knowledge
  • Ability to work flexibly to meet the needs of the Practice
  • Highly motivated
  • Energy and enthusiasm
  • The ability to work under pressure
  • An enquiring and critical approach to work
  • Caring attitude to patients
  • Ability to communicate effectively with colleagues, patients, relatives and agencies
  • Commitment to Continuing Clinical Education and Professional Development
  • Declared history of medical-legal cases including any pending


  • Proficient in use of EMIS
  • UK Driving licence



  • Advanced clinical practice skills
  • Clinical examination skills
  • Management of patients with common acute medical conditions
  • Management of patients with common acute medical conditions
  • Management of patients with long-term conditions
  • Knowledge of NHS
  • Understanding of the current issues and challenges facing primary care
  • Recent experience of working in a UK General Practice environment


  • Management of patients with complex needs
  • Experience of preventative medicine
  • Experience with chronic disease management
  • Experience of working to achieve standard within the Quality and Outcome Framework (QOF)



  • If UK Trained:
  • Degree at 2:1 level or above
  • Postgraduate Diploma/Masters in Physician Associate from an accredited UK University
  • OR: If US Trained:
  • Current and valid certification with the National Commission on Certification for Physician Assistants (NCCPA)
  • AND:
  • Registration with the UK Managed Voluntary Registry for physician Associates as soon as it is in place
  • DBS clearance
  • Current and valid certification or recertification by the Physician Associate National Examination


  • Member of Physician Associate Managed Voluntary Register
  • Evidence of Continuing Professional Development activities
  • Basic Life Support

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.

Tier 2 Certificate of Sponsorship

Applications from job seekers who require current Tier 2/skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

From 6 April 2017, Tier 2/skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.

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

Federated4Health – Haringey GP Federation



Haringey GP Federation

151 Park Road


N8 8JD

Employer's website

For help with your application, contact:

Jalak Shukla

Date posted

27 May 2021

Pay scheme



£38,000 to £41,000 a year


Fixed term


12 months

Working pattern

Full-time, Flexible working

Reference number


Job locations


Haringey GP Federation

151 Park Road


N8 8JD

Supporting documents

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