Physician Associate
1 week ago
**Clinical Responsibilities**: East Park Medical Centre will be operating a Tier-Based Delivery of Care, with their patients being segmented into 3 Tiers 1, 2 and 3. Physician Associates will be expected to help deliver care to each of these tiers on a rota basis. Tier 1 represents those patients with the lowest physiological risk factors for illness and no other significant or combinations of chronic health problems. The Physician Associate (PA) will be part of a multidisciplinary team comprised of GPs, Nurse Practitioners, Advanced Clinical Practitioners, Paramedics and Pharmacists.
They will join the GP team in combined clinics and have their own appointment schedule working within the wider MDT team and have an available Tier 1 GP to consult with over any more complex problems and queries. Tier 2 represents patients who have one or more significant chronic health problem or are at a time in their life of increased physiological risk for example, pregnancy or older age. This is the group of patients where continuity of care can have the greatest impact on patient outcomes and the practice will be striving to achieve this. The PA here will work alongside GPs and the nursing team delivering chronic health management, with their own appointment schedule but also supporting the nursing team where appropriate.
The PA will be involved in liaising with PCN health professionals, community and secondary health regarding patient care. Tier 3 represents the most complex patients including the care home patients and those in the community care beds, the PA will be expected to support the MDT teams and meetings to plan these patients care. These patients are likely to require the PA at times to perform home visits where remote consults are not appropriate. Administrative duties such as issuing of prescriptions, checking pathology results, tasks and incoming letters/documents for the practice will be performed in dedicated working time in the appointment schedule or a dedicated session as part of the rota.
The PA with appropriate training may also be asked to participate and hold Group Consultations. The PA will also be expected to attend the daily team huddles. Under supervision of a GP, you will be required to: Work clinical sessions consisting of either telephone triage appointments, video consultations and face to face appointments. Conduct home visits (acute (on the day) and chronic (holistic assessments) Triage incoming pathology results and documents Act upon alerts (e.g.
QOF, local enhanced services etc.) and reminders during a consultation. Respond to medical problems presented by patients, including history taking and examination Provide confidence to supervising GP in your findings and in you using your clinical findings to justify the differential diagnosis Organise investigation, treatment and referral where appropriate. Be confident in explaining to patients their clinical management plan and able to modify plan according to age and comorbidity. Develop consultation skills to enable shared patient practitioner decision Be able to justify choice of medication.
Able to understand the impact of comorbidities and other medications, polypharmacy) on agent choice and prognosis Provide appropriate preventative health care and advice. Provide medical support as required to patients referred by nursing staff Adhere to the practice prescribing formulary, local and national guidelines. Ensure the practice EPS (electronic prescription rate, paperless prescription generation) is maximized Under supervision of the GPs in the practice, make professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation. During sessions supporting the Care Homes and Community Care Beds the PA will work within the multidisciplinary team including a care coordinator, Pharmacist and Lead GP They will carry out new resident reviews, including elements of the comprehensive geriatric assessment and advanced care planning They will support the pharmacist with structured medication reviews Participate in weekly home rounds to support the care homes Attend weekly MDT at the recovery hub and work alongside lead GP, Care of the Elderly Consultants, care home staff and allied health staff.
Respond to requests for advice and medical review of residents for acute and chronic general practice related problems Liaise with Lead GP for service on daily basis and update them Meet and discuss with residents, carers and their residents future care plans as needed Manage associated admin from visits including referrals and review of pathology results. Report and escalate any safeguarding concerns Record clear and contemporaneous IT based consultation notes to agreed standards Collect data for audit purposes
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