Paramedic Practitioner (Home Visiting) - Park & Orchard PCN
Park and Orchard Primary Care Network have an exciting opportunity to expand their Primary Care workforce by employing an additional Paramedic Practitioner to join their innovative and dynamic Primary Care Network.
Park and Orchard PCN is an NHSCollaboration between 2 GP practices - Park Surgery and Orchard Surgery - covering the Horsham Locality. The practices have a combined population of30,000 patients. There is a wide socio-economic and demographic served withinthis area which will provide an interesting and varied case mix.
You will be joining an enthusiasticteam of clinicians and administrators including GPs, Paramedic Practitioners,Pharmacy Technicians, Clinical Pharmacists, Physician Associates, First ContactPhysiotherapists, Social Prescribers, Health and Wellbeing Coaches, CareCoordinators, Practice Nurses, Healthcare Assistants and more.
Our surgery teams work closely, sharing expertise andresources to develop new services including ambitions to soon establish aWomen's Health project and an Anticipatory Care/Frailty project. Our vision isto continue to improve the quality of care that we provide in alignment withthe needs of our patient population and find innovative solutions in generalpractice to deliver the best care we can for our patients.
This is a part-time position up to 30 hours per week.
Main duties of the job
Park andOrchard PCN are looking for a Paramedic Practitioner to join their innovativeand dynamic Primary Care Network to primarily focus on supporting them withtheir community and housebound patients. You will be provided with a range ofclinical supervision and training opportunities to develop your skills inPrimary Care.
You will workclosely with clinicians from the practices and will play a vital role inincreasing capacity for all appointments including home visits. The successfulcandidate will be provided with excellent support, the opportunity fordevelopment in the role, and will be clinically supervised by a GeneralPractitioner.
As a ParamedicPractitioner, you will be required to work autonomously in the community acrossthe network practices (Park Surgery and Orchard Surgery), providing a range ofservices such as assessment, diagnosis, treatment, telephone triage, clinicaldecision-making, and referring patients appropriately under supervision.
You will bepredominantly community based, undertaking home visits, and liaising with amultidisciplinary team including GPs as well as other services. The postholder will start their day at one of the surgeries and may be required torotate accordingly.
The post holderwill work within their level of competency and will report to a GP/Partner whowill provide support and mentorship.
Alliance forBetter Care CIC will provide support and ensure access to training programmesas required.
About us
Alliance for Better Care (ABC) is aGP Federation uniting 77 NHS GP member practices across 98 sites within 24Primary Care Networks in Sussex and Surrey. We support our Primary Carecolleagues - and their patients - to transform how healthcare is delivered intheir communities.
We work closely with GP Practices,PCNs, Hospitals, Community Organisations, and the Third Sector. These vitalpartnerships enable us to deliver a truly integrated approach that offers thesupport and expertise needed to effectively serve our populations.
* Generous annual leave allowance
* Access to NHS pension
* Bespoke training programme
* Cycle to Work Scheme
* Employee Assistance Programme
* Enhanced maternity pay
* NHS discounts
* Leadership Development Programme
* Salary sacrifice schemes technology andelectric vehicle
* Opportunities for secondments
Job responsibilities
Clinical Responsibilities:
* Toprovide assessment, diagnosis, and treatment at first point of contact byattending to patients according to patients needs either in the Practice orpatients homes under supervision.
* Workacross the Practices within the Primary Care Network, including a combinationof in person, remote, telephone and video consultation.
* Undertake any tasks consistent with the level of the post and the scopeof the role, ensuring that work is delivered in a timely and effective manner.
* Work with practice teams under supervision toensure the process for referral of urgent on the day patients is smooth andappropriate patients are referred making full use of the practitioners skills.
* To accurately triage and prioritise patients,including in emergency situations under supervision, demonstrating the use of avariety of techniques to elicit the history of an event/illness, including pastmedical and drug history.
* To evaluate clinical information fromexamination and history taking and initiate appropriate treatment and/orreferral.
* Toundertake and interpret diagnostics and take appropriate action to managepatient care, whilst distinguishing between abnormal and normal findings inorder to relate them to a possible diagnosis.
To use broad clinical guidelines (NICE etc) relating them to individualcases, providing assistance and feedback to the organisation and others on howthese should be interpreted.
Tosignpost appropriately to other services in the identified healthcare pathway.
To refer patients to appropriate care settings, within locally agreedhealthcare pathways.
To advise and support members of the public onhealthy lifestyles, health promotion and disease prevention.
To maintain accurate and systematicdocumentation of patient interactions and clinical care provided, includingadverse events.
Support delivery of anticipatory care plansand lead certain services (e.g., monitoring blood pressure and diabetes risk ofhousebound elderly patients).
Recognise opportunities to reduce inequalitiesand unwarranted variation in health care for the practice population. Play anactive role in in-house practice and clinical meetings.
Communication:
* Ensure via use of clinical systems, attendanceat meetings and other means that are a core part of the practice MDT supportingpatients and work with the wider MDT including staff from SCFT, SPFT, LocalAuthority and Voluntary Sector organisations.
* Ensure high quality, clear communication withpatients and carers including within challenging situations.
Professional:
* To proactively support audit of own caseload andthat of colleagues to ensure the quality of the service is maintained andcontinuously improved. To seek out feedback from other members of the MDT andpatients to support this.
* To undertake all necessary training and befamiliar with all policies to ensure compliance with expected procedures andways of working.
* To ensure practice is within good clinicalgovernance and based on sound up-to-date clinical evidence. Where appropriate,to identify and assess any risks associated with patient care or to oneself andcommunicate these risks to the appropriate clinical manager.
* Adhereto organisational policies and procedures, including confidentiality,safeguarding, lone working, information governance, equality, diversity andinclusion training and health and safety.
* Participate in the education and training of staff and students ofall disciplines. Maintain continued education by attendance at courses andstudy days as deemed useful or necessary for professional development, ensuringCPD requirements are met.
Complete statutory training / updating and mandatorytraining as defined by the PCN.
Please see full job description for further information.
Person Specification
Personal Qualities
* Ability to work cooperatively with the multi-disciplinary team
* Ability and willingness to develop professionally
* Demonstrated ability to foster an inclusive and supportive environment for colleagues and patients of all backgrounds
* Committed to bringing diverse perspectives to the team and fostering a culture of equity and inclusion
* Ability to use own initiative
* Ability to demonstrate professionalism and commitment to high standards of care, including equity and inclusion
* Ability to motivate other team members
* Ability to promote a learning environment
Knowledge, Skills & Experience
* Ability to manage and prioritise workload
* Proven ability to work autonomously and as part of a team
* Previous experience of non-medical prescribing and using PGDs
* Experience as an autonomous practitioner within a minor injury/illness centre or mobile service
* Experience of the ECP/Advanced Practitioner role within Primary or Secondary Care
* Understanding of and commitment to cultural competency, with the ability to work effectively with patients and colleagues from diverse backgrounds
* Current knowledge of government targets and initiatives and N.I.C.E. guidelines and their impact on clinical practice
* Understanding of the N.M.C/H.P.C Code of Professional Conduct
* Knowledge of child protection issues
* Understanding of clinical governance and its significance and impact upon practice
* Ability to communicate effectively with patients, carers, and colleagues, using various methods (written, verbal, assistive technology, etc.)
* Basic IT skills or the ability to learn to use IT systems, with appropriate adjustments or support as needed
* Experience in using IT based patient documentation systems
* Ability to demonstrate good organisational skills including effective time management
* Ability to professionally and appropriately challenge differing opinions as a patient advocate
* Experience of triage/initial assessment
* Ability to demonstrate leadership skills, with or without formal designation, including problem-solving, decision-making, and collaboration
* Ability to work autonomously, using own clinical judgment to form a diagnosis
* Skills for managing minor injuries
* Dispensing skills as per protocols and patient group directives
* Skills of multi system assessment
* Knowledge of medical model of documentation
* Ability to give appropriate telephone advice
* Understanding of health education/promotion
* Ability to give relevant discharge advice
* Experience of following referral pathways
* Evidence of experience / competency in the form of a professional portfolio
* Ability to record/interpret ECG
* Experience of performing a social assessment
* Experience as a practitioner in an A&E Department or similar emergency care centre
* Experience of clinical audit
* Experience of research projects
Other
* Ability to perform in challenging environments, with appropriate support and adjustments as needed
* Vaccine and immunity status in accordance with UK Department of Health Guidelines
* Ability to address sensitive issues with cultural awareness and respect for individual beliefs and identities e.g. sudden death/bereavement, child abuse, domestic violence
* Ability to adjust and respond in rapidly changing environments
* Ability to work in a calm and organised manner in situations of extreme workload
* Ability to undertake home visits
* Hold a current driving licence with business insurance
Qualifications
* Registered Paramedic (HCPC)
* Evidence of continued professional development
* Relevant MSc or BSc
* ALS/APLS provider
* Has completed 2-year consolidation of learning period as a newly qualified paramedic; and, has a further 3-year experience as a band 6 (or equivalent) paramedic
* Working at Level 7 capability in paramedic areas or practice (or, aiming to achieve within 6 months of starting)
* ENP/ECP Minor Injuries and Minor Illness course Level 6
* Attended X-ray/IRMER course
* Experience or qualification in teaching, assessing, or mentoring
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.
£42,509.63 to £49,806.81 a yearper annum dependent on experience (pro rata)
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