Paramedic Practitioner

Job summary

We have a great opportunity for an experienced Advanced Care, Nurse or Paramedic Practitioner to join our established and growing Duty Team. Working alongside the Duty Doctor and our existing ACP/ANPs, you will triage and treat patients with acute medical needs, working autonomously within your areas of qualification and experience and collaboratively on your ongoing training and development.

Main duties of the job

We are active in our local Primary Care Network and boast a diverse clinical team supported by Clinical Pharmacists, Pharmacy Technicians, Social Prescribing Link Workers, Health & Wellbeing Coaches and First Contact Physiotherapists.

Hours would vary between 08:00am and 18:30pm Tuesday and Wednesday, with a later clinic on Wednesday evening. Pay rates are based on transferable skills and experience.

About us

We are an established and recently expanded GP Practice operating in the heart of historic St Ives in Cambridgeshire.We specialise in research and training and support the continued development of our teams and colleagues.We host GP registrars, medical and nursing students.

Job description

Job responsibilities

Job responsibilities:

Clinical:

• Work as part of a multi-disciplinary team to deliver safe and high-quality care.
• Carries out clinical practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

Delivery of care in line with NSF, NICE guidelines and evidence-based care

• Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.
• Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.

Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.

• Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.
• Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.

Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.

• Refers patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.
• Discuss patients continuing care with GP as required.
• Take responsibility for continuity of care for registered patients as appropriate.

Care Management

Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.

Provide highly specialised care advice beyond the scope of normal Nursing practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).

Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.

To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.

Health Improvement

Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.

Innovation in practice to meet ongoing demands on the practices delivery of care.

Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.

Supports practitioners in reporting the practice population to promote health improvement and disease prevention.

Makes referrals to appropriate agencies (statutory and voluntary) where necessary

Administration and professional responsibilities

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

• Participate in the administrative and professional responsibilities of the practice team
• Ensure clinical systems kept up to date, recording and/or amending accurate details
• Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator
• Work within codes of conduct and practice set out by relevant professional body.
• Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
• Attend and participate in practice meetings as required
• Contribute to the development, implementation, review and evaluation of clinical protocols.
• Restocking and maintenance of clinical areas and consulting rooms when necessary.

Training and personal development

• Maintain up to date skills and knowledge, through education, training and development activities related to the current and future demands of the role, seeking opportunities to enhance skills in order to maintain current Registration and achieve Revalidation standards.
• Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.

Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.

Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education.

• Participate in the education and training of students of all disciplines and in the induction of all members of the practice staff where appropriate. This will include, but is not limited to, GP Registrars and medical students.
• Act as a mentor for junior staff, assessing competence against set standards.
• Develop and maintain a Personal Learning Plan.
• Comply with the governance structure in keeping with the principles and standards set by the organisation.
• Regularly participate in clinical supervision.

Confidentiality:

In the course of seeking treatment, patients entrust practice staff with, or allow us to gather, sensitive information in relation to their health and other matters.

Comply with Legislation with regards to data protection act and ensure confidentiality is maintained at all times.

• The post-holder must regard all information relating to patients and their carers, practice staff and other healthcare workers (as well as information relating to the practice as a business organisation)as strictly confidential
• Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality, data protection legislation and the protection of personal and sensitive data, as well as other related healthcare legislation (e.g. the NHS Confidentiality Code of Practice)
• Health & Safety: The post-holder will comply with practice policies, procedures and clinical guidelines for self and others. This includes (but not limited to): Identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised Identifying issues and hazards / risks in relation to other work areas within the business Healthcare workers have a duty of care to patients and are expected to comply fully with the practices Infection Prevention and Control policies and attend yearly IP&C training, for personal and patient safety and for prevention of healthcare-associated infection. Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed, and weaknesses / training needs are identified, escalating issues as appropriate. Identifying the risks involved in work activities, raising them with appropriate management and managing those risks across clinical and patient processes. Safe management of sharps procedures, including training, use, storage and disposal Keeping own work areas and general / patient areas generally clean, sterile, assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other managers Individuals have a duty of care to children and vulnerable adults that they come into contact with whilst at work to safeguard and promote their welfare and to work to prevent, recognise, respond, appropriately refer and record potential neglect or abuse, adhering to the Practices Safeguarding Children and Safeguarding Vulnerable Adults and PREVENT policies and procedures. Routine management of own team / team areas, and maintenance of workspace standards; Waste management, including collection, handling, segregation, container management, storage and collection Spillage control procedures, management and training Decontamination control procedures, management and training, and equipment maintenance

Person Specification

Qualifications

Essential

• Registered General Nurse or BSc in Paramedic Science/IHCD Paramedic qualification.
• Advanced Nurse/ Practitioner MSc/Post Grad Diploma with evidence of clinical competencies sign off.
• Level 7 Module Advanced clinical assessment and management (30 credits).
• Level 7 Module Consultation skills

Desirable

• Minimum 3 years post registration.
• Prescribing.
• Recognising the sick child.
• Chronic disease management.
• Recognised mentorship qualification.

Experience

Essential

• Evidence of a range of clinical expertise.
• Experience of working in primary/urgent care.
• Evidence of competence in the clinical assessment, diagnosis and management of adults and paediatrics presenting with undifferentiated diagnosis.

Desirable

• Experience of working independently in a healthcare role.
• Experience of mentorship, leadership and research in clinical practice.

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

Grove Medical Practice

Address

Cromwell Place

St Ives

Cambridgeshire

PE27 5JD

Employer's website

https://www.cromwellplacesurgery.nhs.uk/ (Opens in a new tab)