Primary Care Paramedic

Job summary

· OakTree Health Centre, Tyne Ave, Didcot OX11 7GD.

· JobType: Permanent. Full time or Part time.

· Workinghours: normal hours of work are not variable. However, working pattern mayvary. Your normal hours of work are between am. and pm. Monday toSaturday. Candidates who cannot commit to these hours may not apply.

· Salary:dependant on experience.

Purpose: Toassist the practice team in the service and delivery of the care management ofthe practice population.Responsible to: GP Partners andbusiness manager.

Main duties of the job

RoleSummary

· Adhere to HCPC code of conduct and, at all times, work within thescope of professional practice.

· To perform as an autonomous practitioner working independently andwith other health care professionals to assess, diagnose and treat patientswith a range of acute, non-acute and chronic medical conditions, initiatingdirect referrals as appropriate.

· To manage daily surgeries comprising face-to-face consultations,telephone/email consultations and telephone triage work. There may also be arequirement for some visiting of patients either in their own home or in a carehome environment.

· To collaborate with GPs, Advanced Practitioners, Nursing staff, Pharmacistsand non-clinical support staff alike. Use his/her individual skill andexperience to make a positive contribution to the organisation and the developmentof a ‘One Team’ approach.

· To support new working methods and emerging technologies designedto manage the increasing demand in primary care.

· To support the education and training to other staff and studentsas appropriate and to take a role in encouraging teamwork and sharing bestpractice.

· To support on the delivery of relevant QOF and enhanced servicespecifications, monitoring and reacting to achievement and targets.

About us

Would you like to bepart of a Practice that value, recognise and celebrate staff members? Who workas a team to provide a high-level service? If yes, Oak Tree Health Centre isthe place for you. What perks are we offering in return?

· 28 days’ annual leave peryear plus 8 public holidays *based on a full time per week.

· Access to the NHS pensionscheme

· Health and wellbeing support

· Flexible working options

· We offer plenty of tea,coffee, biscuits, and healthy snacks to keep you going throughout the day.

We are lookingfor a highly motivated Paramedic with good interpersonal and communicationskills to join our busy and friendly team with a patient population of around 10,800 patients. Oak Tree Health Centre was opened in 1997 to offer acomprehensive range of health care services to the people of Didcot and itssurrounding area, and in particular the residents of the Ladygrove Estate.

Job description

Job responsibilities

MAINDUTIES AND RESPONSIBILITIES

ClinicalResponsibilities

· Undertake clinical practice at a specialist level using expertknowledge and clinical skills to deliver holistic care to people accessingprimary care services in both the practice and home environments.

· Assess undiagnosed patients with a range of acute, non-acute andchronic medical conditions. Take history, make appropriate physical examinations,formulate diagnoses and carry through management treatment plans ensuringrelevant follow up.

· Discuss with GP where appropriate and make referrals to otherhealth professionals in primary and secondary care.

Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug based treatment methods into a management plan. Utilisation of either prescribing qualification (if held), senior support or PGDs. Accurately triage and prioritise patients, including in emergency situations. Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance. Be aware of Safeguarding issues and responsibilities with regards to reporting. Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate. Perform health checks and reviews.

· Perform and interpret ECGs; alongside other results as appropriate.

· Undertake the collection of specimens including intravenous bloodsamples, swabs, etc.

· Perform investigatory procedures needed by patients and thoserequested by GPs and the wider surgery team.

· Maintain accurate record keeping and coding in clinical software andutilise clinical and non-clinical tools and resources.

· Provide and administer medication inline with PSD and PGD requirements or under independent prescribingqualification (if held).

· Support the effective management ofInfection Prevention & Control.

· Ensure clinical practice is safe, effective and responsive andremains within the boundaries of competence and acknowledge limitations.

· Ability to support GP administrative workload (pathology resultsand Document recording software with suitable training and support.

*Oncompletion of Independent Prescribing Qualification:

· Prescribe and review medication for therapeutic effectiveness,appropriate to patient needs and in accordance with evidence-based practice,national and local guidelines and within scope of own qualifications.

Supervision and Professional Development

· Enhance own performance through continuous professional development,keep up to date with current evidence-based practice, and impart own knowledgeand skills to surgery colleagues to meet the needs of the service.

· Recognise and work within own competence and professional code ofconduct as regulated by the HCPC.

· Participate in and successfully complete 6-month probationaryphase including monthly meetings with line manager to set targets.

· Participate in and contribute to quarterly reviews after completionof probationary phase and agreement of substantive employment.

· Participate in regular clinical supervision utilising facilitatorsin both the practice and PCN.

· Identify and access development opportunities / courses to increasethe scope of their role with agreement and support of line manager.

· To maintain current professional registration and indemnity.

QualityManagement

· Support the successful management of QOF requirements within thesurgery.

· Participate in research and utilise the audit cycle as a means ofevaluating the quality of the work of self and the team, implementingimprovements where required.

· In partnership with other clinical teams, collaborate on improvingthe quality of health care responding to local and national policies andinitiatives as appropriate.

DemandManagement

· Create opportunities to address patients care needs in the mostexpedient way, taking into account that continuity of care and access toservices are often in direct conflict.

· Influence patients to recognise the difference between their needsand their wants and manage their expectations of what we can realisticallydeliver in a manner that is fair and proportionate for all care priorities.

· Make improved use of the telephone and other technologiesincluding active signposting to services and healthcare professionals.Encourage patients to rely on face-to-face consultation only where there is aclinical need to do so.

Communication

· Provide and receive highly complex, sensitive or contentious informationand occasionally deal with situations which are hostile or emotive.

· Use developed communication, negotiation, and conflict managementskills which require empathy, reassurance and persuasive skills to overcomebarriers to acceptance.

· Regularly communicate service-related information to Partners, SalariedGPs, Management, Nursing Services, Dispensary and non-clinical staff as well asto patients, relatives and carers.

· Make operational judgements, manage conflicting views andreconcile differences in professional opinion.

· Build and communicate effective working relationships with a wide arrayof statutory and voluntary organisations for the benefit of patient care and tofacilitate good working relationships.

· Develop and deliver presentations to large groups and to take anactive role in clinical meetings.

Equalityand Diversity

Therole holder will:

· Support the equality, diversity and rights of patients, carers andcolleagues and act in a way that recognises the importance of people’s rights,interpreting them in a way that is consistent with Practice policies and currentlegislation.

· Respect the privacy, dignity, needs and beliefs of patients,carers and colleagues.

· Behave in a manner which is welcoming to, and of, the individual,is non-judgemental and respects their circumstances, feelings, priorities andrights.

Healthand Safety

· The role-holder must comply at all times with all local Health andSafety policies, in particular by following agreed safe working procedures andreporting incidents using the organisations Incident Reporting System.

· The role-holder will comply with the Data Protection Act (1984)and the Access to Health Records Act (1990).

Confidentiality

· In the course of seeking treatment, patients entrust us with, orallow us to gather, sensitive information in relation to their health and othermatters. They do so in confidence and have the right to expect that staff willrespect their privacy and act appropriately.

· In the performance of the duties outlined in this job description,the role holder will have access to confidential information relating topatients and their carers, Practice staff and other healthcare workers. Theymay also have access to information relating to the Practice as a businessorganisation. All such information from any source is to be regarded asstrictly confidential.

· Information relating to patients, carers, colleagues, otherhealthcare workers, or the business of the Practice may only be divulged toauthorised persons in accordance with the Practice policies and proceduresrelating to confidentiality and the protection of personal and sensitive data.

Person Specification

Qualifications

Essential

Current HCPC Registration as Paramedic with no restrictions on practice. Educated to degree/diploma level in Paramedicine. Minimum of Level 6 qualification in management of Minor Illness and Minor Injuries. Full UK Driving License

Desirable

Independent Prescriber qualification and experience or willingness and ability to complete this qualification. Advanced History Taking qualification at level 6 (minimum). Teaching and mentorship qualification. Clinical supervision training and experience. MSc Advanced Clinical Practice.

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