Job summary
PCS has delivered a city wide home visiting service for over a year now. The service has previously been delivered using temporary staffing with the model while tested, now proven, we are now in a position to explore offering permanent contracts, with the associated clinical and supervision structure. The patients are booked in directly by GP practices for acute same day visits that typically have a primary care focus, the role is based around improving care outcomes for those patients who are unable to visit the surgery directly and easing pressure on primary care by working alongside the clinical workforce to provide acute same day visits.
You will have the full support of a remote clinical team and care coordinator to discuss cases and learning, asking for advice and learning is greatly encouraged.
Main duties of the job
We are seeking to appoint a paramedic with a compassionate nature, who will play a crucial role in delivering patient-centred care in addressing both acute and preventative medical needs within the comfort of patients homes. We offer a nurturing and supportive environment where you will autonomously assess, diagnose, treat and evaluate a diverse range of patients in adherence to local and national guidelines.
About us
Primary Care Sheffield (PCS) is a GP-led organisation. Our shareholders are 75 GP practices in Sheffield covering over half a million patients. As well as providing a unified voice for general practice in the city, we play an active role in the wider South Yorkshire and Bassetlaw Integrated Care System (ICS).
General practice working at scale through PCS enables us to:
Improve the quality of GP referrals into secondary care with the provision of education, support and referral guidance to practices across ten outpatient specialities.
Provide evening and weekend appointments, 52 weeks-a-year, with GPs, nurses, pharmacists, ANPs, physiotherapists and HCAs at multiple around the city.
Deliver core general practice through the Clover Group of seven GP practices
Provide governance and support to practices to enable them to work together in neighbourhoods
Were ambitious for our shareholders and so we continue to work hard, both with providers and commissioners, to find new ways of maximising positive patient outcomes and experiences.
Job description
Job responsibilities
General practice working at scale through PCS enables us to:
- Improve the quality of GP referrals into secondary care with the provision of education, support and referral guidance to practices across ten outpatient specialities.
- Provide evening and weekend appointments, 52 weeks-a-year, with GPs, nurses, pharmacists, ANPs, physiotherapists and HCAs at multiple around the city.
- Deliver core general practice through the Clover Group of seven GP practices
- Provide governance and support to practices to enable them to work together in neighbourhoods
Were ambitious for our shareholders and so we continue to work hard, both with providers and commissioners, to find new ways of maximising positive patient outcomes and experiences.
PCS has delivered a Paramedic home visiting service for over two yearsr now and whilst The service has been delivered using temporary staffing but we are now in a position to explore offering permanent contracts, with the associated clinical and supervision structure. The patients are booked in directly by GP practices
KEY RESPONSBILITIES:
- Managing and treating patients presenting with common and/or chronic illnesses in the patients home or at site
- Ensure clinical practice is safe and effective and remains within boundaries of competence and acknowledge own limitations
- Advise patients on general healthcare and common ailments with referral to other members of the primary and secondary healthcare team as necessary
- Undertake assessment for patients within the community using diagnostic skills and initiation of investigations where appropriate
- Prescribe/issue medications ( if qualified to do so ) following policy, Patient Group Directions, local and national clinical guidelines and local care pathways
- Formally and informally impart knowledge and skills to colleagues, promoting peer review and best practice within the work environment
- Communicate at all levels within the team ensuring an effective service is delivered
- Maintain accurate, contemporaneous healthcare records appropriate to the consultation
- Deliver evidenced-based care at the highest standards ensuring high quality patient care
- Work within local policies and procedures
- Enhance own performance through Continuous Professional Development (CPD) using this knowledge to meet the needs of the service
- Achieve and demonstrate agreed standards of personal and professional development in order to meet the needs of the service
- Participate in the audit process, evaluation and implementing plans and practice change in order to meet patient need
- Actively participate in mentoring and supervision plus practice-derived CPD opportunities
- Contribute positively to the effectiveness and efficiency of the team and work colleagues
- Undertake the collection of pathological specimens including swabs etc if required. Perform investigatory procedures needed by patients
ADMINISTRATION AND PROFESSIONAL RESPONSBILITIES:
- Participate in the administrative and professional responsibilities of the team
- Ensure the clinical computer system (S1) is kept up to date with accurate details recorded and amended
- Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator
- Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
- Ensure collection and maintenance of statistical information required for regular and ad hoc reports and audit
- Attend and participate in meetings as required
TRAINING AND PERSONAL DEVELOPMENT:
- Training requirements will be monitored by yearly appraisal and will be in accordance with PCS requirements
- Personal development will be encouraged and supported by PCS. It is the individuals responsibility to remain up to date with recent developments
- Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development
- Develop and maintain a Personal Development Plan
LIASON:
- Work closely with the multi-professional, management and administration teams to ensure the smooth running of the PCS, reporting any problems encountered to the relevant person and ensuring everyone is aware of the different roles within the team
- There is also the need to establish and maintain good liaison with other surgeries and agencies, including secondary and social care
MEETINGS:
- It will be necessary to attend and contribute to various meetings as requested including the monthly Paramedic team meeting chaired by the Paramedic Clinical Lead. The only reason for not attending will be annual, study or sick leave
QUALITY:
The post-holder will strive to maintain quality within the practice and will:
- Alert other team members to issues of quality and risk
- Assess own performance and take accountability for 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 teams 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 other team members
- Communicate effectively with patients and carers
- Recognise peoples needs for alternative methods of communication and respond accordingly
CONTRIBUTION TO THE IMPLEMENTATION OF SERVICES:
The post-holder will:
- Apply PCS policies, standards and guidance
- Discuss with other members of the team how the policies, standards and guidelines will affect own work
- Participate in audit where appropriate
SUPPLEMENTARY DUTIES AND RESPONSIBILITES
Mobility
- Employees may be travel on a daily basis
Health and Safety
- Employees have a legal responsibility not to endanger themselves, fellow employees and others by their individual acts or omissions. The post holder is required to comply with the requirements of any policy or procedure issued in respect of minimising the risk of injury or disease. There will be a large amount of lone working in patients homes
Data Protection and Confidentiality
- All employees are subject to the requirements of the Data Protection Act 2018 and must maintain strict confidentiality in respect of patient, client, and staff records.
Safeguarding Responsibilities
The organisation takes the issues of Safeguarding Children, Adults and addressing domestic violence very seriously. All employees have a responsibility to support the organisation in our duties by:
- Attending mandatory training on Safeguarding children and adults.
- Making sure they are familiar with their and the organisations requirements under relevant legislation.
- Adhering to all relevant national and local policies, procedures, and professional codes.
- Reporting any concerns to the appropriate authority.
Equality and Diversity
- The organisation is committed to promoting equal opportunities to achieve equity of access, experience, and outcomes and to recognising and valuing peoples differences. This applies to all activities as a service provider, as an employer and as a commissioner.
Information Management and Technology (IM&T)
- All staff are expected to utilise the relevant national and local IM&T systems necessary to undertake their role.
Flexible Working
- The organisation is committed to offering flexible, modern employment practices, which recognise that all staff need to strike a sensible balance between home and work life. All requests to work flexibly will be considered.
Resource Management
- Ensure the effective and efficient use of physical and financial resources, make recommendations regarding supplies and equipment
Freedom to Act
- Adhere to organisations policies and procedures, guided by occupational policies and procedures in primary and secondary care.
- Maintain up to date skills and knowledge and maintain awareness of professional issues.
- Maintain a professional portfolio.
- Works without supervision plans own workload, guidance sought if required from line manager and colleagues.
- The post holder should demonstrate good organization and time management skills
Physical and Mental Skills
- The post holder should be physically fit for the role with the necessary keyboard and IT skills.
- Required to communicate across the health community and with patients / carers where the nature of the information given may be sensitive and could be disputed.
- The post holder should be empathetic and skilled in listening, persuasion, and negotiation, and recognizes Care, Compassion, Courage, Competency, Communication, and Commitment in their role.
Effort and Environment
Physical effort:
- Frequent long periods of time spent writing up patient related information within agreed time limits. There is a need for speed and accuracy. This is a continuous requirement throughout each day.
- There will be a large amount of driving on a daily basis, travelling between base and the patients home
- There will be need to carry equipment in and out of the patients home
- Prolonged periods of time spent in a sitting position at a computer screen when answering the telephone and writing clinical information in patients notes at the same time.
- Frequent periods through the day of standing and walking to liaise with other Health and Social Professionals. The post holder is occasionally required to lift equipment several times throughout the week files or boxes or stationery.
Mental Effort:
- Prioritising work is essential, as often many tasks are required to be undertaken simultaneously. The post holder is required to work under pressure and meet deadlines.
Emotional Effort:
- Potential distressing situations liaising with homeless patient and their carers/families.
Exposure to vulnerable groups.
Working Conditions
- To function effectively across a variety of environments
Person Specification
Qualifications
Essential
1. Registered Paramedic
2. Minimum 3 yrs experience as a Paramedic
3. Active and relevant HCPC professional registration
4. Evidence of relevant CPD
5. Has training and skills to use NEWS2
Experience
Essential
6. Experience of working within a multi-disciplinary team
7. Experience in using IT based patient documentation systems
8. Excellent record keeping skills
9. Awareness of equality and valuing diversity principles
10. Evidence of experience/competency in the form of a
11. professional portfolio.
Desirable
12. Experience of working in Primary and Community Care
Knowledge and Skills
Essential
13. Ability to manage and prioritise workload
14. Ability to work flexibly to meet the needs of the service
15. Proven ability to work autonomously and as part of a team
16. Sound organisational skills
17. Excellent communication skills
18. Able to professionally and appropriately challenge differing
19. opinions as a patient advocate
20. Basic IT skills in word processing and email
21. Awareness of equality and valuing diversity principles
22. Excellent record keeping skills
23. Understanding of health education/promotion
24. Understanding of confidentiality and the Data Protection Act
25. Understanding of clinical governance and its significance
26. and impact upon practice
27. Awareness of equality and valuing
Circumstances
Essential
28. Car owner/driver with exclusive access to a vehicle for
29. business use
30. Ability to carry necessary equipment in and out of patients
31. homes
32. Ability to work alone in the primary care setting