Pcn Paramedic

**About Us**:
The Confederation, Hillingdon CIC works with general practice and other healthcare providers in Hillingdon to deliver high quality clinical services to patients. Our aim is to improve care for patients by working collaboratively across primary care and our partners as part of the Integrated Care Partnership. The Confederation team also work to develop and support individual GP practices, PCNs and Neighbourhoods and their changing needs. We are of the NHS but independent, innovative and transformational.

General capacity across primary care is being expanded rapidly. The Confederation is determined to develop as an attractive place to work that provides rewarding roles and opportunities to grow in order to attract and retain great staff that in turn provides the highest quality care.

**Our Values**:
**Job Summary**:
Working as part of a Multi-Disciplinary Team (MDT), the job holder will play a key role in the development of Primary Care Networks in delivering enhanced care at GP practice level.

As a Primary Care Paramedic, the job holders primary role will be to work autonomously throughout the Hillingdon area, to provide first point of contact for patients presenting with undiagnosed problems relating to minor illness or injury using their existing enhanced clinical assessment and treatment skills.

The PCN Paramedic will also be given dedicated time to help develop services and clinics for the PCN, playing a key role in how the PCN functions going forward, strong involvement in teaching and taking on a leadership or managerial role where appropriate.

**Primary Responsibilities**
- 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
- Required to use their own car for transport/ patient home visiting.
- Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services.
- Perform specialist health checks and reviews.
- Perform and interpret ECGs; alongside other results as appropriate.Perform investigatory procedures as required.
- Undertake the collection of pathological specimens including intravenous blood samples, swabs, etc.
- 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 on 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.
- 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.

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