Physician Associate

2 weeks ago

London, United Kingdom MILLWAY MEDICAL PRACTICE Full time

**PRIMARY DUTIES & AREAS OF RESPONSIBILITY Clinical**: The post holder will under appropriate supervision: Participate in all treatment and preventative healthcare services in the Practice as delegated and agreed by the supervising GP(s). Provide first point of contact for patients presenting with undifferentiated, undiagnosed problems, utilising history taking, physical examination, problem-solving and clinical decision-making skills to establish a working diagnosis and management plan working in partnership with patients. Recommend and explain appropriate diagnostic tests and treatment to patents Undertake as agreed surgery-based consultations for emergency or routine problems including management of long-term conditions. In addition, undertake telephone consultations / home visits and participate in duty rotas Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports within the scope of a PAs practice and agreed by supervising GP(s).

Discuss the result and implications of laboratory investigations with patients Utilise clinical guidelines and promote evidence-based practice Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support with an emphasis on prevention and self-care Refer patients directly to other services or agencies using appropriate referral pathways Ensure safe handover of care within and outside the practice as appropriate Work directly with members of the practice primary health care team and support integrated patient centred care through appropriate working with wider primary care / social care networks Identify community health needs and participate in the development of patient/family-centred strategies to address them Contribute to the practice quality targets to consistently achieve high standards of safe, evidence-based, cost-effective patient care and service delivery Contribute to the clinical development of the Practice by developing a special interest and to help establish appropriate systems to manage common chronic medical conditions, ensuring compliance with NSF guidelines. Training and development: Participate in continuing professional development opportunities to keep up-to-date with evidence-based knowledge and competence in all aspects of the role to meet clinical governance guidelines for Continuing Professional Development (CPD) and a Personal Development Plan (PDP) utilising a reflective approach to practice. This requires 50 hours of CPD every year: a minimum of 25 hours must be in accredited direct learning programmes Undertake a variety of research and analysis tasks associated with the improvement of clinical care, medical diagnosis and treatment where appropriate using the following means. Audit of clinical practice Significant event review / root cause analysis Review of relevant literature Research unusual symptoms and treatment options through consultation with general practitioners, physicians and other specialists Promote and support a learning culture within the practice and assist in clinical instruction, mentoring and supervision of medical, nursing or physician associate students and other learners that may periodically be attached to the practice Contribute to regular multi-disciplinary and or practice educational meetings Work closely with other clinical staff and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets Regularly reflect on own practice (and keep a record of learning encounters) in order to identify learning needs and encourage self-directed lifelong learning and continued professional development.

**Administration**: Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes in accordance with relevant standards Work in accordance with internal administrative systems relating to but not limited to the management of clinical data, o Send and receive written information on behalf of the practice relating to the physical and social welfare of patients o Work closely with other clinical staff and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets and work to deliver the NHS contract pertinent to the practice including the terms of the Quality and Outcomes Framework and locally enhanced services o Ensure that all practice policies are fully implemented o Support, contribute to and participate in external inspections

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