Homeless Outreach Paramedic

**KEY ROLE & RESPONSIBILITIES**

**1.** **Manage Health Interventions**

The post holder will have the responsibility for the autonomous management of their own caseload of patients, providing a comprehensive, specialist clinical service for patients with often complex health and social care needs. The post holder will provide a city wide service for patients that are homeless, many of whom are experiencing addiction, mental health and physical health problems. The post holder also has a key role in promoting and developing the role within the Street Outreach Team, Bradford’s Homeless Outreach Project and Bevan House. The post holder will be expected to liaise with patients and members of the team within the organisation.

The Homeless Outreach Paramedic will be responsible for developing and implementing interventions in relation to substance misuse, wound management and addiction support which can often be complicated by a high incidence of complex comorbidities, mental health issues, learning difficulties, chaotic lifestyle choices, drug and alcohol issues.

The post holder will have responsibility for assisting with clinical governance activity within the organisation which will include the monitoring of standards of care and service, staff support, continuous professional development, supporting practice education, clinical supervision and the implementation of policy and clinical guidelines.

The post holder will promote a culture of engagement with patients which includes core principles and values. They will be responsible for assessment and delivery of care autonomously and expected to review effectiveness and interventions.

Works in partnership with General Practitioners, Consultants, Nursing and Social Care colleagues, community addiction staff and other primary/secondary care professionals. to manage patients with a range of acute, non-acute and chronic health conditions.

Refers patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations.

Provides and promotes evidence based care in line with appropriate clinical guidelines and works within clinical protocols, professional guidelines and codes of conduct. Be familiar with all local, regional and national policies, procedures and guidelines in the pursuit of highest standards of patient care

Works within all relevant policies and procedural guidelines.

Communicates highly sensitive condition related information to patients, relatives and carers.

Audits outcomes of care against standards and initiates changes as necessary.

**2.** **Promote Health**

Proactively works with the community and other statutory and voluntary agencies empowering, enabling, encouraging and supporting individuals, families and groups to address issues which affect their health and social well-being.

Initiates and carries out programmes of health screening.

**3.** **Communication**

Uses developed communication, negotiation, conflict management skills which require empathy, reassurance and persuasive skills where there can be significant barriers to acceptance which need to be overcome.

Keep accurate, contemporaneous documentation and care plans in accordance with the Nursing and Midwifery Council/Health and Care Professions Council, local and national guidelines.

Develop effective communication links with other professionals and agencies across all boundaries, at all levels of the organisation including users, carers, social care and the voluntary sector to ensure effective delivery of care that provides the best outcome possible for service users.

To listen and empathise with the needs of individuals interfacing with the service adjusting communication styles accordingly. Work effectively with interpreters.

**4.** **Training**

To maintain competencies and professional development by regularly attending appropriate updates and workshops to ensure a high standard of quality care is delivered.

**5.** **Manage/Lead Self/Others**

Works collaboratively and in partnership with other practitioners on care practices, delivery and service development.

Plans and delivers own clinics.

Acts as a role model for other staff within the team and provides strong leadership across the organisation.

Research and facilitate change in practice designed to improve clinical outcomes and meet the needs of patients and care givers that are consistent with local/national standards and current research.

Works collaboratively as a team member to achieve the objectives of the team.

To recognise ethical and legal issues which have implications for nursing practice and clinical governance and contribute to the implementation of systems to ensure clinical governance processes.

Partakes in clinical supervision for own development.

Actively participates in clinical and practice meetings.

Acts as mentor for nurses, HCAs, AHPs and other professionals.

Acts with honesty and integrity at all times and acts