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Physician Associate

3 weeks ago


London, United Kingdom Waterloo Health Centre Full time

**JOB DESCRIPTION**

JOB TITLE: Physician Associate
LOCATION Waterloo Health Centre
HOURS: 37.5
RESPONSIBLE TO: Partnership
ACCOUNTABLE TO: Practice Manager

Job Summary
The Physician Associate role works in support of the clinical team. The role will require the PA running own consultations ensuring appropriate history, examination, diagnosis and management plan is formulated. The post involves mixture of appointments including on the day, pre-booked, follow-up, specialist and procedural appointments.

The post holder will be responsible for a range of Enhanced Services, QOF Domains, and
Prescribing markers, and these will be decided by the Partners and Senior Management team.

**PRINCIPAL DUTIES AND RESPONSIBILITIES**

**Clinical responsibilities**
- To perform initial patient assessment and examination, initiate diagnostic process and interpret investigations and recommend initial treatment.
- To exercise a high degree of personal autonomy when assessing and planning care for patients with a range of presenting complaints.
- To develop extensive specialist knowledge and experience, acting as a resource to the clinical team and allied health professionals.
- Practice under the supervision of the on call Duty Doctor on a day to day basis and the overall supervision of the named Practice Partner.
- Take patient histories and perform physical examinations of a patient recording all information in the patients’ medical records.
- Order and interpret diagnostic laboratory tests, radiological studies or various other therapies.

Discriminate between normal and abnormal findings to recognise early stages of serious medical, emotional or mental problems in the patient
- Establish differential diagnosis, make appropriate treatment plans and initiate emergency treatment.
- Work with the multi disciplinary team in an appropriate management plan for complex patients e.g. Social Services, Community Nurse Team, Clinical Nurse Specialists.
- Instruct and counsel patients regarding mental and physical health, including: a) Diet and lifestyle advice b) Disease and disease prevention c) Treatment d) Normal development
- Refer and converse with appropriate specialists in regard to patient management.
- To perform diagnostic/therapeutic procedures, as per skills and experience such as:

- IM/Sc Injections
- Venepuncture
- Ambulatory Blood pressure reading
- Spirometry
- Cervical Smear Taking
- Other interventions or procedures as directed by the supervising physician
- Work collaboratively with the medical team,
- Maintain knowledge and proficiency in medical practices through continuing education, CPD days, staff meetings, workshops and online training.
- Work towards prescribing independently when appropriate legislation is in place.
- Work with the teams to develop/improve and implement new models of working to ensuring efficiency within the area of work.
- Work within the team to support the achievement and maintenance of internal and external targets e.g. QOF/LCS/Prescribing incentive

**Communication**
- Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
- Communicate with and support patients who are receiving bad news
- Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating
- Anticipate barriers to communication and take action to improve communication

Maintain effective communication within the practice environment and with external stakeholders
- Act as an advocate for patients and colleagues
- Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate

**Delivering a quality service**
- Recognise and work within own competence
- Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
- Prioritise, organise and manage own workload in a manner that maintains and promotes quality
- Deliver care according to NSF, NICE guidelines and evidence-based care
- Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
- Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities
- Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
- In partnership with other clinical teams within the CCG, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate
- Evaluate patients’ response to health care provision and the effectiveness of care
- Support and participate in shared learning across the practice and wider organisation
- Use a structured framewo