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Job summary

Advanced Paramedic Practitioneropportunity working three days/week, circa hours.

A position has arisen foran enthusiastic and motivated individual to join our team. The registered Advanced Paramedic Practitioner willprovide a service to our patients presenting with urgent minor illness/conditions.Applicants must be educated to Masters levelin Advanced Practice or equivalent encompasses the four pillars of clinicalpractice, ideally with the Independent Prescribing qualification.

The position will be wellsuited to a skilled and experienced individual who is passionate about primary care and looking to joina cohesive team, where humour, mutual support and work life balance are valued.

Main duties of the job

The post holder will be an integral part of our GeneralPractice multi-disciplinary team, working within their scope of practice usingtheir enhanced clinical assessment and treatment skills to assess and managepatients presenting with urgent minor illness/conditions.

About us

Bramblehaies Surgery, in Cullompton,is a semi-rural practice in the heart of Devon serving a population of 7,500patients, providing high standards of care (CQC rating of Good) from a partnerowned modern, purpose-built building.

Our team currently consistsof four GP partners, two salaried GPs, Nurse Practitioner, Practice Manager, PatientServices Manager, Data Quality Administrator, Clinical Pharmacist and PharmacyTechnician, a team of three Practice Nurses headed up by a Lead Nurse, threeHCAs, a General Practice Assistant, a committed admin/reception team and our much-neededhousekeeping team.

We are a member practice ofCulm Valley Primary Care Network and are supported with Social Prescribers, Healthand Wellbeing Coach, First Contact Physio, Mental Health Worker, and a Care HomeTeam consisting of a Nurse Practitioner and an Occupational Therapist.

We are a training practice anda Visa-sponsoring practice hosting GP Registrars, and medical students. Our clinicalsystem is SystmOne; we hold a daily clinical huddle for all clinical members ofthe team and we very much encourage clinical development.

Job description

Job responsibilities

The Advanced Paramedic Practitioner will:

as part of a multi-disciplinary team (MDT) within Bramblehaies Surgery and aspart of the wider PCN clinical team.

and triage patients including same day triage and, as appropriate, providedefinitive treatment (including prescribing medications, following policy,patient group directives, national NICE and local clinical guidelines andlocal care pathways) or make necessary referrals to other members of theprimary care team.

undifferentiated undiagnosed conditions and identify red flags and underlyingserious pathology and take appropriate action.

complex decision making to inform the diagnosis, investigation, completemanagement of episodes of care within a broad scope of practice.

e.Activelytake a personalised care approach and population-centred care approach toenable shared decision making with the presenting person.

f.Beable to:

i.performspecialist health checks and reviews within their scope of practice and in linewith local and national guidance;

ii.performand interpret ECGs;

iii.performinvestigatory procedures as required; and undertake the collection ofpathological specimens including intravenous blood samples, swabs, and othersamples within their scope of practice, and within line of local and nationalguidance;

g.Supportthe delivery of anticipatory care plans and provide an alternative model tourgent and same day GP home visit for the Practice/PCN.

h.Completethe relevant training to provide multi-professional clinical practice and CPDsupervision to other roles within primary care, for example first contactpractitioners and the personalised care roles.

patients on general healthcare and promote self-management where appropriate,including signposting patients to the PCNs social prescribing service and,where appropriate, other community or voluntary services.

j.Communicateat all levels across organisations ensuring that an effective, person-centredservice is delivered.

k.Communicateproactively and effectively with all colleagues across the multi-disciplinaryteam, attending and contributing to meetings as required.

l.Maintainaccurate and contemporaneous health records appropriate to the consultation,ensuring accurate completion of all necessary documentation associated withpatient health care and registration with the practice.

m. Communicate effectively with patients, and whereappropriate family members and their carers, where applicable, complex andsensitive information regarding their physical health needs, results, findings,and treatment choices.

Person Specification

Qualifications

Essential

Is registered with the Health and Care Professions Council Has a Masters degree level award

Desirable

In an independent prescriber

Qualities/Attributes

Essential

Ability to listen, empathise with people and provide person centred support in a non-judgmental way. Courteous, respectful and helpful at all times and has the ability to use own initiative, discretion and sensitivity. Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity. High levels of integrity and loyalty and able to support people in a way that inspires trust and confidence, motivating others to reach their potential. Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines. Punctual and committed to supporting the team effort

Experience

Essential

Completed a two-year consolidation of learning period when a newly qualified paramedic and completed a further three years' experience as a Band 6 (or equivalent) paramedic and attained Level 7 capability in paramedic areas of practice. Completed and been signed off formally within the clinical pillar competencies of the Advanced Clinical Practice Framework. Has the ability to assess and triage patients, including same day triage and, as appropriate, provide definitive treatment (including prescribing medications following policy, PGDs, NICE and local clinical guidelines and local care pathways), or make necessary referrals to other members of the primary care team. Has the ability to manage undifferentiated undiagnosed conditions and identify red flags and underlying serious pathology and take appropriate action. Can demonstrate complex decision-making skills to inform the diagnosis, investigation and complete management of episodes of care within a broad scope of practice. Can demonstrate a personalised care approach and population centred care approach to enable shared decision making with the presenting person.

Desirable

Has previously worked in primary care setting or a Primary Care Network.

Knowledge and skills

Essential

Ability to communicate complex and sensitive information effectively with people at all levels by telephone, messaging in clinical system, email and face to face. Ability to identify risk and assess/manage risk when working with individuals. Understanding of their scope of experience and competence and when to seek advice and refer to another health or social care professional. Ability to maintain effective working relationships and to promote collaborative practice with all colleagues. High level of written and oral communication skills. Working knowledge of IT systems including ability to use word processing skills, emails and the internet to create simple plans and reports. Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety.

Desirable

SystmOne user skills

Other requirements

Essential

Willingness to work flexible hours when required to meet work demands, and undertake home visits. Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own home. Occupational health clearance

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