An exciting opportunity has become available for an enthusiastic and forward-thinking Paramedic to join First Coastal PCN in a new role that will be developed as it progresses. This role will work closely with our Primary Care Community Team, comprising of GPs, Practice Managers and their teams, Clinical Pharmacists, Specialist Practitioners, Care Coordinators, Health and Wellbeing Coaches and Social Prescribing Link Workers.
Interviews
Interviews are scheduled to take place on Wednesday 10th June 2026
Main duties of the job
Paramedics work autonomously within the community using their enhanced clinical assessment and treatment skills, to provide first point of contact for patients presenting with undifferentiated, undiagnosed problems relating to minor illness or injury, abdominal pains, chest pains and headaches. They are health professionals who have the capability to make sound judgements in the absence of full information and to manage varying degrees of risk when there are complex, competing or ambiguous information or uncertainty.
About us
First Coastal PCN covers a population of approximately 84,000 patients, this is made up of seven practices, Marsico Medical Practice (Mablethorpe), Hawthorn Medical Practice (Skegness), Beacon Medical Practice (Skegness), Merton Lodge (Alford), Spilsby Surgery, Stickney Surgery and Old Leake Medical Practice. These practices work together across coastal and rural to deliver care to the local population.
As an organisation, we are serious about supporting a diverse workforce that reflects our local community and are very much focused on being an inclusive and compassionate place to work.
Job responsibilities
Main Duties:
Assess and triage patients, including same day triage, and as appropriate provide definitive treatment or make necessary referrals to other members of the PCN team
Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services.
Be able to:
a. perform specialist health checks and reviews
b. perform and interpret ECGs; alongside other results as appropriate
c. perform investigatory procedures as required
d. undertake the collection of pathological specimens including intravenous blood samples, swabs, etc.
e. perform investigatory procedures needed by patients and those requested by GPs and the wider PCN
Support the delivery of anticipatory care plans and lead certain community services (e.g. monitoring blood pressure and diabetes risk of elderly patients living in sheltered housing)
Provide an alternative model to urgent and same day home visits for the PCN and undertake clinical audits
Communicate at all levels across PCNs and other organizations, ensuring effective, patient-centred service
Communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required
Collaborate with other members of the PCN including doctors, nurses and other AHPs, accepting referrals and referring to them for specialist care
Maintain accurate and contemporaneous health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associated with patient health care and registration with the practice
Prescribe, issue and review medications as appropriate following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways. This will be done in accordance with evidence-based practice and national and practice protocols, and within scope of practice
Work with patients in order to support compliance with and adherence to prescribed treatments
Provide information and advice on prescribed or over-the-counter medication, medication regimens, side-effects and interactions
Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs
Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan
Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care
Quality Requirements
Enhance own performance through continuous professional development, keep up to date with current evidence-based practice, and impart own knowledge and skills to PCN colleagues to meet the needs of the service
Be verified against the paramedic primary care roadmap
Recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics
Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
Participate in research and utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate
Administrative requirements
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Be aware of data protection (GDPR) and confidentiality issues particularly within a PCN
Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information
Review and process data using accurate read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.
Supervision
The postholder will have access to appropriate clinical supervision and an appropriate named individual in the PCN to provide general advice and support on a day to day basis.
Responsibilities underpinning the Role
As this is a new and evolving role, this is not an exhaustive list of duties and responsibilities, and the post holder may be required to undertake other duties that fall within the grade of the job, in discussion with their line manager.
The content of this job description will be reviewed regularly in the light of changing service requirements and any such changes will be discussed with the post holder.
Key working relationships
EHCH Multi-Disciplinary Team
GP Practices within the PCN
Practice Leaders (Partners and Practice Managers)
PCN Social Prescribers
PCN Clinical Directors and Business Manager
Clinical Commissioning Group (ICB) and NHSE
Community Health Teams both physical and mental health
Local Authority
CONFIDENTIALITY
In the course of seeking treatment, patients entrust us with, or allow us to gather sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the PCN as a business organisation. All such information from any source is to be regarded as strictly confidential.
Information relating to patients, carers, colleagues, other healthcare workers or the business of the PCN may only be divulged to authorised persons in accordance with the employing practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
EQUALITY AND DIVERSITY
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
Acting in a way that recognises the importance of people's rights, interpreting them in a way that is consistent with PCN and the member practices procedures and policies, and current legislation
Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
Behaving in a manner which is welcoming to and of the individual, is non-judgemental and respects their circumstances, feelings, priorities and rights
PERSONAL AND PROFESSIONAL DEVELOPMENT
The post-holder will participate in any training programme implemented by the PCN as part of this employment, with such training to include:
Participation in an annual individual performance review, including taking responsibility for maintaining a record of their own personal and/or professional development
Participation in the PCN mandatory training programme
Taking responsibility for own development, learning and performance, demonstrating skills and activities to others who are undertaking similar work.
QUALITY
The post-holder will strive to maintain quality within the PCN and will:
Alert other team members to issues of quality and risk
Assess own performance and take accountability for their own actions, either directly or under supervision
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team's performance
Work effectively with individuals in other agencies to meet patients needs
Effectively manage own time, workload and resources
COMMUNICATION
The post-holder should recognise the importance of effective communication within the team and will strive to:
Communicate effectively with patients and carers
Recognise people's needs for alternative methods of communication and respond accordingly
Communicate effectively with other team members
Person Specification
Experience
* Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans.
* Working knowledge of Microsoft and GP practice and prescribing data monitoring systems.
* Ability to write comprehensive clinical notes, implement and evaluate care plans.
* Ability to evidence a sound understanding of the NHS principles and values.
* Ability to analyse and interpret complex/ often incomplete information, preempt and evaluate issues, and recommend and appropriate course of action to address the issues.
* Excellent interpersonal and organisational skills
* Excellent communication skills, able to influence and persuade others articulating a balanced view and able to constructively question information.
* Ability to negotiate effectively.
* Ability to build effective relationships with a range of stakeholders which are based on openness, honesty trust and confidence
* strong and inspirational leadership.
* Ability to co-ordinate and prioritise workloads, able to multi-task as well as be self-disciplined and highly motivated.
* Working towards advanced clinical practitioner status.
* Mentorship or supervisory skills training.
* Ability to undertake nails surgery assessments, procedure and post-operative care.
* Be aware of data protection (GDPR) and confidentiality issues particularly within a PCN.
* Cognitive behavioural and motivational interviewing skills.
* Experience of working within a primary care setting.
* Evidence of working across organisational boundaries within health and social care.
* Independent thinker with good judgement, problem-solving and analytical skills.
* Clear communicator with excellent writing, report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences.
* Evidence of success in efficient and effective project and programme management.
* Evidence of inspiring and motivating teams with the ability to communicate passionately, effectively and persuasively across a diverse set of stakeholders.
* High degree of personal credibility, emotional intelligence, patience and flexibility.
* Ability to cope with unpredictable situations.
* Confident in facilitating and challenging others.
* Demonstrates a flexible approach in order to ensure patient care is delivered.
Qualifications
* BSc in a training programme approved by the College of Paramedics
* Health & Care Professions Council (HCPC) registration
* able to operate at an advanced level of clinical practice
* Framework for Higher Education Qualification (FHEQ) Level seven or Scottish Credit and Qualifications Framework (SCOF) Level eleven
* Pre-reg MSc in a training programme approved by the College of Paramedics
* Full UK driving license
* Evidence of verification against the paramedic primary care roadmap
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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