Mewstone PCN

Community Paramedic

Information:

This job is now closed

Job summary

Are you an enthusiastic, experienced paramedic with an interest in frailty, looking to expand your skills further? A new opportunity has arisen for a compassionate Community Paramedic to join the Mewstone PCN Older Person team. You will work as part of a multidisciplinary team responsible for providing a comprehensive frailty service, supporting patients requiring care in various settings whilst providing appropriate information, advice, or referrals as per agreed protocols.

Our objectives are to prevent unnecessary hospital admissions, to improve care coordination, increase the use of anticipatory care plans, a reduction in falls and improved management of chronic conditions.

The role will work with our Older Person team across care homes and housebound patients, you will work collaboratively with the team to ensure the delivery of safe and effective care for patients, including advanced care planning, chronic disease management, treatment, preventative care, screening, and education. Ensuring the safety and wellbeing of service users and always working in a manner that promotes dignity and improved patient experience through the adoption of person-centred care principles.

As part of the role the Community Paramedic will play a key role in supporting local practices with their acute visits for older people and link into the Ageing Well MDTs, this will be done in conjunction with the Care Co-ordinator team. The role will require a collaborative approach with place based teams.

Main duties of the job

We are looking for an enthusiastic individual that have advanced skills in patient care delivery. These skills will include holistic, evidence-based patient care, illness assessment and diagnosis

The post holder will have special interest in primary care and acute assessment of patients within care homes, their own homes, liaison with colleagues from the multidisciplinary team and GP practices to support the patient at home.

We are looking for individuals who wish to make a difference to the care and treatment of patients and can embrace the 5 year forward view and NHS Long term plan to ensure the changes are delivered within both primary and urgent care.

About us

Mewstone Primary Care Network has a list size of approximately 32,000 patients. The PCN practices are Church View Surgery, Wembury Surgery, Yealm Medical Practice and Dean Cross Surgery, the practices share the same ethos of supportive learning.

You will work alongside our GPs, nurse teams, administrators and extended workforce including clinical pharmacists, pharmacy technicians, first contact physiotherapist, mental health practitioner, social prescribing link workers, health & wellbeing coaches and care co-ordinators.

All network practices are high achieving practices with a commitment to mentoring and supporting their staff.

Details

Date posted

13 February 2024

Pay scheme

Other

Salary

£37,350 to £42,618 a year

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

W0001-24-0001

Job locations

Church View Surgery

Holland Road

Plymstock

PL9 9BN


Dean Cross Surgery

21 Radford Park Road

Plymstock

PL9 9DL


Wembury Surgery

51 Hawthorn Drive

Wembury

Plymouth

PL9 0BE


Yealm Medical Centre

Market Street

Yealmpton

Plymouth

PL8 2EA


Job description

Job responsibilities

Job responsibilities

To practice as part of Mewstone PCN Older Person service working as a paramedic within the team. The role is to be part of a team that completes care home and home visits for primary care practices across the PCN. Providing on the day assessment for patients to prevent hospital admission. The role is to provide care for patients with a variety of illnesses, completing clinical assessment and formulating diagnosis which is discussed with the GP to formulate a treatment plan. The post holder will work collaboratively within the team and complete referrals to relevant organisations to support patient care.

The post holder will support the delivery of high-quality care and will support service development and improvement of frailty care, working within the team, across practices and with partners where appropriate. Committed to the development of innovative practice and expanding evidence-based care which will contribute to the enhancement of the paramedic role. The post holder will:

  • Assess patients health care needs using multiple methods and make professional autonomous decisions based on level of clinical knowledge and skills while remaining within your scope of practice
  • Make differential diagnosis using decision making and problem-solving skills.
  • Triage and prioritise patients appropriately so that they get the care need.
  • Screen patients for disease risk factors and early signs of illness.
  • Order and interpret necessary investigations, discuss results and plans with a doctor and implement those plans.
  • Provide treatment individually or as part of a holistic care team by using relevant referral pathways for example two week waits, imaging, etc.
  • Provide health education and advice to patients and support them with their decisions.
  • Work collaboratively with other health care professionals, carers, family and support structures.
  • Undertake the collection of pathological specimens including blood samples, swabs, etc.
  • Ensure that accurate documentation of all consultations and treatments are completed in the correct manor and all other administrative duties are completed.
  • Attend and participate in meetings, learning sessions and peer support groups.
  • Complete home visits, face to face appointments in clinic and discuss treatment plans via telephone, depending what is needed for the patient and considering their needs.

Clinical Responsibilities

  • Use appropriate skills as defined within the Mandatory and Essential to role training matrix.
  • To provide high quality holistic patient care and treatment.
  • Supply medications as appropriate following scope of practice, policy, patient group directives and local pathways.
  • To advise and support members of the team in the care, treatment and anticipatory care planning for patients.
  • Participate in setting standards for care and auditing clinical outcomes.
  • Identify and complete necessary interventions, within scope of practice and following guidance from existing policy and procedures.
  • When necessary refer to facilitate further advanced assessment and guidance from the wider team.
  • Work closely with other care providers and agencies to ensure quality and safety.
  • Refer any safeguarding concerns, using established safeguarding referral pathways.
  • Accurately and professionally document all patient contacts, following all relevant organisational policy and procedure.
  • Know own limits in relation to scope of practice and recognise when a requirement exists to refer to or seek advice from a more senior clinician.
  • Ensure compliance with organisational policy and procedure in relation to information sharing, patient confidentiality and other relevant policies.
  • Provide care in the patients home by holistic assessment, implementation and evaluation of programmes of care as appropriate.
  • Participate in setting and monitoring standards to ensure effective care and delivery of evidence-based practice.
  • Involvement in team discussions to ensure best practice.
  • Use appropriate physical and clinical examination skills to undertake the assessment of individuals with health care needs and those presenting with illnesses, using a range of evidence-based assessment tools and consultation models to enable accurate diagnostic decision making and recognition of other potential differential diagnoses.
  • Comply with set standards, policies and procedures, contributing to audit of clinical outcomes.

Job description

Job responsibilities

Job responsibilities

To practice as part of Mewstone PCN Older Person service working as a paramedic within the team. The role is to be part of a team that completes care home and home visits for primary care practices across the PCN. Providing on the day assessment for patients to prevent hospital admission. The role is to provide care for patients with a variety of illnesses, completing clinical assessment and formulating diagnosis which is discussed with the GP to formulate a treatment plan. The post holder will work collaboratively within the team and complete referrals to relevant organisations to support patient care.

The post holder will support the delivery of high-quality care and will support service development and improvement of frailty care, working within the team, across practices and with partners where appropriate. Committed to the development of innovative practice and expanding evidence-based care which will contribute to the enhancement of the paramedic role. The post holder will:

  • Assess patients health care needs using multiple methods and make professional autonomous decisions based on level of clinical knowledge and skills while remaining within your scope of practice
  • Make differential diagnosis using decision making and problem-solving skills.
  • Triage and prioritise patients appropriately so that they get the care need.
  • Screen patients for disease risk factors and early signs of illness.
  • Order and interpret necessary investigations, discuss results and plans with a doctor and implement those plans.
  • Provide treatment individually or as part of a holistic care team by using relevant referral pathways for example two week waits, imaging, etc.
  • Provide health education and advice to patients and support them with their decisions.
  • Work collaboratively with other health care professionals, carers, family and support structures.
  • Undertake the collection of pathological specimens including blood samples, swabs, etc.
  • Ensure that accurate documentation of all consultations and treatments are completed in the correct manor and all other administrative duties are completed.
  • Attend and participate in meetings, learning sessions and peer support groups.
  • Complete home visits, face to face appointments in clinic and discuss treatment plans via telephone, depending what is needed for the patient and considering their needs.

Clinical Responsibilities

  • Use appropriate skills as defined within the Mandatory and Essential to role training matrix.
  • To provide high quality holistic patient care and treatment.
  • Supply medications as appropriate following scope of practice, policy, patient group directives and local pathways.
  • To advise and support members of the team in the care, treatment and anticipatory care planning for patients.
  • Participate in setting standards for care and auditing clinical outcomes.
  • Identify and complete necessary interventions, within scope of practice and following guidance from existing policy and procedures.
  • When necessary refer to facilitate further advanced assessment and guidance from the wider team.
  • Work closely with other care providers and agencies to ensure quality and safety.
  • Refer any safeguarding concerns, using established safeguarding referral pathways.
  • Accurately and professionally document all patient contacts, following all relevant organisational policy and procedure.
  • Know own limits in relation to scope of practice and recognise when a requirement exists to refer to or seek advice from a more senior clinician.
  • Ensure compliance with organisational policy and procedure in relation to information sharing, patient confidentiality and other relevant policies.
  • Provide care in the patients home by holistic assessment, implementation and evaluation of programmes of care as appropriate.
  • Participate in setting and monitoring standards to ensure effective care and delivery of evidence-based practice.
  • Involvement in team discussions to ensure best practice.
  • Use appropriate physical and clinical examination skills to undertake the assessment of individuals with health care needs and those presenting with illnesses, using a range of evidence-based assessment tools and consultation models to enable accurate diagnostic decision making and recognition of other potential differential diagnoses.
  • Comply with set standards, policies and procedures, contributing to audit of clinical outcomes.

Person Specification

Qualifications

Essential

  • Professional Registration/ registered clinician & registered with regulatory body
  • Good communication skills and educated to GCSE grade A-C in English and Maths.
  • Basic IT skills

Desirable

  • Minor Illness course or equivalent
  • Advanced clinical examination skills
  • Teaching and assessing qualification.
  • Completed mentorship programme.
  • Relevant Degree / MSc
  • Completed Clinical Leadership Programme or similar
  • Non-medical prescribing

Experience

Essential

  • Ability to manage and prioritise workload.
  • Proven ability to work autonomously and as part of a team.
  • Current knowledge of government targets, initiatives and NICE guidelines and their impact on clinical practice.
  • Understanding of professional Code of Conduct.
  • Knowledge of adult and child protection issues.
  • Understanding of clinical governance and its significance and impact upon practice.
  • Good communication skills.
  • Basic IT skills in word processing and e-mail.
  • Experience in using I.T based patient documentation systems.
  • Sound organisational skills.
  • Able to professionally and appropriately challenge differing opinions as a patient advocate.
  • Record keeping skills.
  • Experience of triage/initial assessment.
  • Working in care home environment.
  • Able to work autonomously, completing clinical examination, using own clinical judgment to form a diagnosis.
  • Skills for managing minor illness
  • Skills of multi system assessment.
  • Knowledge of medical model of documentation.
  • Understanding of health education/promotion.
  • Able to give relevant discharge advice.
  • Experience of following referral pathways.
  • Evidence of experience / competency in the form of a professional portfolio.

Desirable

  • Ability to manage long term conditions
  • Ability to manage wounds
  • Experience of performing a social assessment.
  • Experience of clinical audit.
  • Leadership skills.
  • Able to motivate other team members.
  • Able to promote a learning environment.
Person Specification

Qualifications

Essential

  • Professional Registration/ registered clinician & registered with regulatory body
  • Good communication skills and educated to GCSE grade A-C in English and Maths.
  • Basic IT skills

Desirable

  • Minor Illness course or equivalent
  • Advanced clinical examination skills
  • Teaching and assessing qualification.
  • Completed mentorship programme.
  • Relevant Degree / MSc
  • Completed Clinical Leadership Programme or similar
  • Non-medical prescribing

Experience

Essential

  • Ability to manage and prioritise workload.
  • Proven ability to work autonomously and as part of a team.
  • Current knowledge of government targets, initiatives and NICE guidelines and their impact on clinical practice.
  • Understanding of professional Code of Conduct.
  • Knowledge of adult and child protection issues.
  • Understanding of clinical governance and its significance and impact upon practice.
  • Good communication skills.
  • Basic IT skills in word processing and e-mail.
  • Experience in using I.T based patient documentation systems.
  • Sound organisational skills.
  • Able to professionally and appropriately challenge differing opinions as a patient advocate.
  • Record keeping skills.
  • Experience of triage/initial assessment.
  • Working in care home environment.
  • Able to work autonomously, completing clinical examination, using own clinical judgment to form a diagnosis.
  • Skills for managing minor illness
  • Skills of multi system assessment.
  • Knowledge of medical model of documentation.
  • Understanding of health education/promotion.
  • Able to give relevant discharge advice.
  • Experience of following referral pathways.
  • Evidence of experience / competency in the form of a professional portfolio.

Desirable

  • Ability to manage long term conditions
  • Ability to manage wounds
  • Experience of performing a social assessment.
  • Experience of clinical audit.
  • Leadership skills.
  • Able to motivate other team members.
  • Able to promote a learning environment.

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

Mewstone PCN

Address

Church View Surgery

Holland Road

Plymstock

PL9 9BN


Employer's website

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

Employer details

Employer name

Mewstone PCN

Address

Church View Surgery

Holland Road

Plymstock

PL9 9BN


Employer's website

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

Employer contact details

For questions about the job, contact:

PCN Business Transformation Manager

Neil Parsons

neil.parsons6@nhs.net

07399749903

Details

Date posted

13 February 2024

Pay scheme

Other

Salary

£37,350 to £42,618 a year

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

W0001-24-0001

Job locations

Church View Surgery

Holland Road

Plymstock

PL9 9BN


Dean Cross Surgery

21 Radford Park Road

Plymstock

PL9 9DL


Wembury Surgery

51 Hawthorn Drive

Wembury

Plymouth

PL9 0BE


Yealm Medical Centre

Market Street

Yealmpton

Plymouth

PL8 2EA


Supporting documents

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