Employed by the Meon Health Practice (MHP), the post holder willbe a registered Paramedic with post-graduate qualifications relevant to theposition. Acting within their professional boundaries, the post holder willprovide care for patients presenting with undifferentiated conditions. Thiswill l include initial history taking, clinical assessment, diagnosis, treatment,and evaluation of care. They will demonstrate safe clinical decision-making andcare for patients within the MHP.
The post holder will demonstrate critical thinking in the clinicaldecision-making process.
They will work collaboratively within the Complex Care Team tomeet the needs of patients, supporting the delivery of policy and procedures.
They will work as an autonomous practitioner to provideclinical case management for frail patients with acute / chronic / palliativecare needs and at risk of further deterioration in health that may result in unplannedavoidable hospital admissions or unnecessary length of hospital stay.
This vacancy is working 22.5 hours over 3 days
Main duties of the job
Remote consulting and visiting MHP patients in CQC registered Carehomes (nursing / residential) and housebound patients registered with thenetwork practices to achieve acute visiting and assessment early in the day(typically before mid-day) to optimise patient outcomes.
The role will comprise twospecific disciplines:
1.Working within the MHP complex care team you will undertakeproactive consultations with Nursing / Residential home and housebound patientswithin MHP. You will provide advice to care home staff on patient care andwider health policy. This includes patient specific care plans and DNACPRdecisions.
2.Working alongside a centrally based duty GP you will deliver ahigh standard of patient care to patients who have been placed onto a centralGP triaged visiting list by practices within MHP
As a Primary Care ParamedicPractitionerwithin the complex care team, you will be using advancedautonomous clinical skills and a broad, in-depth theoretical knowledge base, toprovide patient care. This will include referring patients to hospital or othercommunity services. You will be working autonomously (in the patients home ora care home) with access to electronic patient records and available escalationto the complex care GP/ANP or duty GP for advice and support as required. Youwill work alongside Clinical Pharmacists from within MHP and the CCG to deliverthe appropriate medicines related care.
About us
MHP delivers care to patients registered at either Whiteley, Jubilee or Highlands Practice in Fareham.
Our Organisation has a number of well established services and you will be working alongside GP's, ANP's, Practice Nurses, Pharmacists and Social Prescribers .
We offer membership to the NHS pension scheme, an employees assistance programme which is open to immediate family members as well, cycle to work scheme and eye care vouchers.
Job responsibilities
CLINICAL ROLE
Workalongside the complex care team to provide a first point of contact forpatients presenting with undifferentiated, undiagnosed problems, making useof skills in history taking, physical examination, problem-solving andclinical decision-making, to establish a diagnosis and management plan.
* Provide assessment, treatmentand diagnosis at point of first contact, by attending to patients in avariety of clinical or non-clinical settings according to patients needs.
* Undertake home/nursing andresidential care home visits, in accordance with the relevant protocols.
* Make professionally autonomousdecisions for which you will be accountable.
* Refer patients to an alternativecare setting or treat & discharge as appropriate.
* Instigatenecessary invasive/non-invasive diagnostic tests/investigations and interpretfindings/reports.
* Ensure that professionalstandards are maintained and within the guidance issued by the DoH(Department of Health), the HCPC (Health and Care Professions Council) andthe College of Paramedics (COP)
* Work withmulti-disciplinary teams within MHP and healthcare community, to promoteintegrated and seamless pathways of care.
* Contributeto MHP achieving its qualitative and quantitative targets to maintain highstandards of patient care and service delivery.
* Participate in the assessment ofcommunity health needs and help to develop patient and family-centredstrategies to address them.
* Help to develop and set up newpatient services and participate in initiatives to improve existing patientservices.
* Assist withdevelopment of patient care plans and ensure DNACPR are in place whereappropriate.
* Use Associated Clinical Groupsinformatics to identify patients needing additional care or at risk ofhospital admission.
* Assess frailty use Rockwoodfrailty scales/FI
B.Teaching and mentoring role: the post holder will desirably:
* Promote a learning environmentfor patients, colleagues and other health professionals.
C. Professional role
The post-holder will:
* Promote evidence-based practicethrough the use of the latest research-based guidelines and the developmentof practice-based research.
* Monitor the effectiveness oftheir own clinical practice through the quality assurance strategies such asthe use of audit and peer review.
* Maintain any professionalregistration such as with the HCPC,COP
* Participatein continuing professional development (CPD) opportunities to ensure that upto date evidence-based knowledge and competence in all aspects of the role ismaintained including maintaining up to date CPR training and other corecompetencies.
* Recordaccurate and timely consultation data within the patients records
* Keep up to date with pertinenthealth-related policy and work with the SHN team to consider the impact andpossible strategies for implementation.
* Work collaboratively withcolleagues within and external to MHP.
* Pro-actively promote theParamedic role within MHP and externally to key stakeholders and agencies.
* Identifyown learning needs in order to remain up to date and improve servicedelivery.
Non-clinical team role
The post-holder will:
* Identify appropriateopportunities to delegate both clinical and administrative tasks to otherappropriate staff
* Help MHP operate in acost-effective manner.
* Identify and manage care riskson a continuing basis.
* Participate in MHP meetings asrequired.
* Participate in audits andinspections as appropriate.
* Work closely with the doctorsand managers in the setting up and/or improving of MHP systems formonitoring/measuring performance against clinical governance and quality targets.
* Ensure all MHP policies arefully implemented.
E. Health & Safety and Risk Management
* The post-holder must comply atall times with MHP Health and Safety policies.
* The post-holder will comply withthe Data Protection Act (1998) and the Access to Health Records Act (1990)and GDPR.
F. Equality and Diversity
The post-holder must co-operatewith all policies and procedures designed to ensure equality of employment.Co-workers, patients and visitors must be treated equally irrespective ofgender, ethnic origin, age, disability, sexual orientation, religion etc.
G. Respect for patient confidentiality
The post-holder should respect patient confidentiality at alltimes and not divulge patient information unless sanctioned by therequirements of the role.
H. Communication and working relationships
The post-holder will establish and maintain effectivecommunication pathways with the following:
* GPs within MHP and externallywith the CCG as a whole
* Whole nursing team includingNurse Practitioners
* Reception and AdministrationTeams
I. Special Working Conditions
The post-holder is required to travel independently betweensites, patient homes and to attend meetings etc hosted by other agencies
Thepost-holder will have contact with bodily fluids, i.e. wound exudates, urine,blood etc whilst in clinical practice and must take precautions as requiredto minimise the risk of infection/contamination using PPE.
J. Rehabilitation of Offenders Act 1994
Due to the nature of this work, this post is exempt from theprovisions of Section 4 (2) of the Rehabilitation of Offenders Act 1994(Exceptions) Order 1995. Applicants for posts are not entitled to withholdinformation about convictions which for other purposes are spent under theprovisions of the Act and in the event of employment, any failure to disclosesuch convictions could result in disciplinary action or dismissal by thePractice. Any information given will be completely confidential and will beconsidered only in relation to an applicant of a position to which the orderapplies.
K. Job Description Agreement
This job description is intended to provide an outline of thekey tasks and responsibilities only.
There may be other duties required of the post-holdercommensurate with this position.
This description will be open to regular review and may beamended to take into account development or changes within MHP. All membersof staff should be prepared to work, flexibly within MHP.
Person Specification
Qualifications
* Registered Paramedic
* Post Graduate Qualification relevant to the position
* Able to work autonomously
* Proven ability/desire to learn and take on additional responsibilities
* Good communication skills communicate quickly and concisely
* Ability to work as part of a team and understand other members needs
* Ability to use own initiative
* Ability to assimilate information quickly
* Ability to remain calm under pressure & think logically
* Accurate/detailed record keeping
* Change-management skills and ability to support patients to change lifestyle
* Ability to motivate self and others
* Negotiation and conflict management skills
* Critical thinking in clinical decision making
* Evidence of continued professional development
* Assertive and confident
* Flexible working approach quick to adapt and respond to changing demands
* Multidisciplinary team working
* Discretion and confidentiality
* Full driving licence and access to own vehicle, which can be insured for business use
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.
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