Hertford and Rurals Primary Care Network

**Job Title**:Paramedic Prescriber

**Responsible to**:PCN Clinical lead

**Accountable to**: PCN Clinical lead

**Hours of work**:Full time 37.5 hours

**Salary**:Indicative AfC Band 7

**Role Summary**

Your main duties will involve the same day assessment and management of patients presenting with acute medical complaints or injuries either in their own homes or in care homes. Another aspect of the role will involve holistic reviews of patients with long term conditions and frailty.

**Key duties and responsibilities**

1. 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

2. advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services.

3. be able to:
a. perform specialist health checks and reviews

b. perform investigatory procedures as required

c. undertake the collection of pathological specimens

d. perform investigatory procedures needed by patients and those requested by GPs and the wider PCN

4. support the delivery of anticipatory care plans

5. provide an alternative model to urgent and same day home visits for the PCN

6. communicate at all levels across PCNs and other organizations, ensuring effective, patient-centred service

7. communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required

8. collaborate with other members of the PCN including doctors, nurses and other AHPs, accepting referrals and referring to them for specialist care

9. 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

10. 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

11. work with patients in order to support compliance with and adherence to prescribed treatments

12. provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions

13. assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs

14. clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly

15. prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care

16. diagnose and manage both acute and chronic conditions, integrating both drug
- and non-drug-based treatment methods into a management plan

**Quality Requirements**

18. enhance own performance through continuous professional development, keep up to date with current evidence-based practice, and impart own knowledge and skills to PCN colleagues to meet the needs of the service

19. recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics

20. assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

21. participate in research and utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

22. in partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate

**Administrative requirements**

23. produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

24. be aware of data protection (GDPR) and confidentiality issues particularly within a PCN

25. use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information

26. review and process data using accurate read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.

**Supervision**

The postholder will have access to appropriate clinical supervision and an appropriate named individual in the PCN to provide general advice and support on a day to day basis.

**Job Types**: Full-time, Part-time, Permanent
Part-time hours: 20-37 per week

**Salary**: £25.00-£28.00 per hour

**Benefits**:

- Company pension
- Flexitime

Schedule:

- Flexitime
- Monday to Friday

Ability to commute/relocate:

- Hertford, Hertfordshire: reliably commute or plan to relocate before