JOB SUMMARY

We have an exciting opportunity for a Paramedic to work within ASP PCN. This post will be based around its multiple practices.
Please note that the pay for this role will be dependant on the candidates expirience.
We are seeking an experienced paramedic who is a minimum of five years post qualification who will be able to transition their ability to deliver high quality pre-hospital care into the general practice environment.
This is an exciting opportunity to join a dynamic multidisciplinary team including Pharmacists, Technicians, Nurses, Doctors, GPA’s, Social Prescribers and Physiotherapists.
You will be supported by the multidisciplinary team (MDT) to develop and expand your clinical and diagnostic skills as well as fully funded training, various CPD opportunities and support from a Lead Paramedic, Paramedic peer review network and local primary care training hub.

ABOUT US

Our Health Partnership was set up by local GPs who are passionate about providing high quality primary care and using their time and skills effectively to benefit patients.
We are currently a GP partnership of 30 practices with 38 sites, serving around 280,000 patients in Birmingham, Wolverhampton, and Shropshire.
The partnership offers a shared administrative and management structure, cutting down the time doctors have to spend on admin. It opens up economies of scale to get best value from budgets and can access new funding streams that are only available to large GP organisations. It has the resources to develop innovative services and effective partnerships with local hospitals and care services.

Benefits of joining Our Health Partnership (OHP)

• NHS Pension
• Bank holidays off
• No Nights
• No weekends (opportunity to work additional hours
• Staff employee benefits through Vivup
• Blue light Card
• Cycle to work scheme.
• Octopus electric vehicle salary sacrifice scheme.
• Paramedic Peer Support Group with a Lead Paramedic
• BSOL Training Hub offers: Paramedic Ambassador support, free or subsidised CPD and personal CPD fund of up to one thousand pounds.
• Fully funded level 7 university module
• Possibility to have a fully funded non-medical prescriber or advanced clinical practice university course.

QUALITY REQUIREMENTS

The post-holder will strive to maintain quality within the PCN, and will:
14. 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.
15. Recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics.
16. Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
17. 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.
18. In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
19. Alert other team members to issues of quality and risk.

ADMINISTRATIVE REQUIREMENTS

1. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
2. Work in accordance with internal administrative systems relating to but not limited to the management of clinical data.
3. Send and receive written information on behalf of the patient, practice and PCN relating to the physical and social welfare of patients.
4. Work closely with other members of the MDT in the setting up and or improving of systems for monitoring and measuring performance against the PCN DES, QOF and any other relevant targets.
5. Ensure that all practice and organisational policies are fully implemented.

JOB DESCRIPTION AGREEMENT

This job description is intended as a basic guide to the scope and responsibilities of
the post and is not exhaustive. It will be subject to regular review and amendment as
necessary in consultation with the post holder.

QUALIFICATIONS

Essential

• BSc in a training programme approved by the College of Paramedics
• Health & Care Professions Council (HCPC) registration able to operate at an advanced level of clinical practice
• Framework for Higher Education Qualification (FHEQ) Level 7 or Scottish Credit and Qualifications Framework (SCOF) Level 11
• 5 years post registration
• Driving License and access to a vehicle

Desirable

• Pre-reg MSc in a training programme approved by the College of Paramedics non-medical prescribing qualification
• Evidence of verification against the paramedic primary care roadmap
• Non-Medical Prescriber
• Vaccination Qualifications
• Membership of the College of Paramedics
• BLS trainer
• Advanced Clinical Practitioner

EXPERIENCE

Essential

• Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans
• Working knowledge of the NHS, principles and values
• Ability to write comprehensive clinical notes, implement and evaluate care plans

Desirable

• Working towards advanced clinical practitioner status
• Mentorship or supervisory skills training
• Be aware of data protection (GDPR) and confidentiality issues particularly within a PCN
• Cognitive behavioural and motivational interviewing approaches / skills
• Minor illness management
• Telephone triage
• Chronic Disease Management

PERSONAL ATTRIBUTES AND ABILITIES

Essential

• Strong and inspirational leadership
• Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated
• Commitment to quality and best practice
• Flexible and adaptable
• Team player
• Willingness to attend meetings when required
• Smart and presentable
• A polite and helpful manner
• Honesty and Integrity
• A mature and responsible attitude to work

Desirable

• High degree of personal credibility, emotional intelligence, patience and flexibility
• Ability to cope with unpredictable situations
• Confident in facilitating and challenging others
• Demonstrates a flexible approach in order to ensure patient care is delivered

ANALYSIS SKILLS

Essential

• Ability to analyse and interpret complex/ often incomplete information, pre-empt and evaluate issues, and recommend and appropriate course of action to address the issues

Desirable

• Experience of working within a primary care setting
• Evidence of working across organisational boundaries within health and social care
• Independent thinker with good judgement, problem-solving and analytical skills
• Experience of clinical audit

MAIN DUTIES OF THE JOB

The role will provide a specialist Paramedic resource for Health Care Professionals and service users, working in collaboration with other members of the Primary Care Network (PCN) Multidisciplinary Team (MDT). You will be required to work in all GP Practices within the PCN. The role will involve working as an autonomous, accountable Paramedic, in the provision of a holistic approach for individuals including assessment, diagnosis and treatment to deliver quality patient services.
The post holder will use advanced clinical skills to provide education to patients and service users, promoting self-care and empower them to make informed choices about their treatment.
The post holder will assess, diagnose, treat, refer or signpost patients and or service users who attend the surgery with undifferentiated or undiagnosed conditions relating to minor illness or minor injury.
The post holder will coordinate telephone triage, taking clinical responsibility for all patients who have requested an urgent appointment.
The post holder will perform any other clinical and clinical administrative duties where trained and determined safe to do so by the organisation. This may include assisting with medical reports, safeguarding, and clinic support.

JOB RESPONSIBILITIES

The role will provide a specialist Paramedic resource for Health Care Professionals and service users, working in collaboration with other members of the Primary Care Network (PCN) Multidisciplinary Team (MDT). You will be required to work in all GP Practices within the PCN. The role will involve working as an autonomous, accountable Paramedic, in the provision of a holistic approach for individuals including assessment, diagnosis and treatment to deliver quality patient services.
The post holder will use advanced clinical skills to provide education to patients and service users, promoting self-care and empower them to make informed choices about their treatment.
The post holder will assess, diagnose, treat, refer or signpost patients and or service users who attend the surgery with undifferentiated or undiagnosed conditions relating to minor illness or minor injury. The post holder will coordinate telephone triage, taking clinical responsibility for all patients who have requested an urgent appointment.
The post holder will perform any other clinical and clinical administrative duties where trained and determined safe to do so by the organisation. This may include assisting with medical reports, safeguarding, and clinic support.

SCOPE AND PURPOSE OF THE ROLE:

A Paramedic is authorised to undertake treatments and procedures for which they are trained, and which are within the College of Paramedic Guidelines in line with the Health Care Professions Council (HCPC) standards framework. 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.

• To deliver a high standard of patient care using advanced autonomous clinical skills with in-depth theoretical knowledge and evidence-based practice working with the support and guidance from the GPs and other Independent clinicians working within the PCN MDT.
• To manage a clinical caseload and deal with presenting patient’s needs in both a PCN and general practice setting.
• To provide clinical leadership where appropriate within the MDT, supporting other members of the team to develop and maintain clinical skills appropriate to your role and expertise.

Primary Duties and Area of Responsibility
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 or practice team.
2. Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services and to self-care.
3. Be able to:
i. perform specialist health checks and reviews
ii. perform and interpret ECGs; alongside other results as appropriate
iii. perform investigatory procedures as required
iv. undertake the collection of pathological specimens including intravenous blood samples, swabs, etc.
v. perform investigatory procedures needed by patients and those requested by GPs and the wider PCN
vi. perform a domiciliary (home) visit
4. Support the delivery of anticipatory care and end of life care plans and lead certain community services (e.g. monitoring blood pressure and diabetes risk of elderly patients living in sheltered housing).
5. Provide an alternative model to urgent and same day home visits for the PCN and undertake clinical audits.
6. Communicate at all levels across PCNs and other organisations, 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 and accepting referrals and referring to specialist services where appropriate.
8. 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 N.B relevant if possesses prescribing qualification only.
9. Assess, diagnose, plan, implement and evaluate treatment and or interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs within the clinical and domiciliary setting.
10. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
11. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
12. Take an active part in achievement of contractual markers.
13. Implement and participate in vaccination programmes as appropriate.

26. Undertake a variety of research and analysis tasks associated with the improvement of clinical care, medical diagnosis and treatment where appropriate using the following means.

• Audit of clinical practice
• Significant event review / root cause analyses
• Review of relevant literature
• Research unusual symptoms and treatment options through consultation with general practitioners, and the wider MDT