PCN Paramedic – Wyvern Health Partnership
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It is an exciting time to join primary care; The NHS Five Year Forward View (2014) put GP surgeries at the heart of the vision for improved healthcare. The transformation of local healthcare and the formation of Primary Care Networks (PCNs) has provided the opportunity for pharmacy teams to work alongside a range of health professionals to play a key role enhancing health, improving safety, and advancing quality.
Wyvern Health Partnership (WHP) is a PCN of 5 surgeries in Swindon, supporting approximately 52000 patients. The partnership incorporates Hawthorn Medical Centre, The Lawn Medical Centre, Merchiston Surgery, Old Town Surgery and Priory Road Medical Centre.
You will join the PCN’s clinical team of GPs, Nurse Practitioners, Nurses, Health Care Assistants, Nursing Associate, Pharmacists, Pharmacy Technicians, First Contact Physiotherapists, Social Prescribers, Mental Health Nurse and Dietician.
The Specialist Practitioner will utilise skills such as those of paramedics to support the first contact needs of patients in unscheduled care. Supported by GPs and triage teams from the practices, the Specialist Practitioner will triage home visits to either facilitate an early presentation in A&E, thereby reducing the likelihood of admission, or referral to other services as necessary. The Specialist Practitioner will independently provide definitive care that may not require further intervention of a GP.
Job Summary
The post holder will liaise with individual surgeries to manage home visit requests on a daily basis and triage such visits with a view to an improved and more rapid response and a reduction in unplanned admissions. The role will involve travel in the locality and between surgeries and remote access to IT systems.
The post holder will be responsible for planning, implementing, evaluating and prioritising their workload.
This post will work collectively across the 5 surgeries and the teams employed within these surgeries.
Main responsibilities
• Completing emergency assessments of elderly patients in their home and at the surgery when presenting for urgent care, including those patients with long term conditions.
• Undertaking an in-depth patient examination and assessment beyond existing JRCALC (current practice framework for paramedics) guidelines.
• Treating minor illness and minor injury in the patient’s home and at the surgeries.
• Carrying out and interpreting diagnostic tests within the limits of personal clinical competence.
• Administering medications within the remit of local Prescribing Guidelines.
• Taking a holistic approach to patient care, bringing together their medical, social and psychological needs.
• Encouraging the promotion of health education in the community.
• Empowering patients to take responsibility for managing their own care and treatment where it is safe and appropriate to do so.
• Referring patients to alternative health and/or social services if necessary.
• Communicating regularly and effectively with GPs and the surgery teams
• Communicating and collaborating with members of the Community Integrated Team as needed.
• Writing up full and discursive notes of patient encounters in the practices clinical system.
• Breaking down existing professional boundaries and encourage collaboration.
• Identifying and providing alternative care pathways for the provision of emergency care.
• Undertaking audit and research; be personally responsible for self-directed learning.
Administration and professional responsibilities
· Participate in the administrative and professional responsibilities of the PCN.
· Ensure accurate and legible notes of all consultations and treatments are recorded in the individual patient notes.
· Ensure the clinical information is recorded and amended accurately.
· Ensure collection and maintenance of statistical information required for regular and ad hoc reporting and auditing.
· Work collaboratively with colleagues within and external to the locality group.
· Be responsible for own health policy knowledge and keep up to date with amendments.
Meetings
It will be necessary to attend locality meetings.
Flexibility
This job description is not intended to be exhaustive. The post holder will be expected to adopt a flexible attitude towards the duties outlined, which may be subject to adjustments at any time in line with the needs of the locality group and their development plan
Essential requirements
- Educated to degree/diploma in Paramedicine or equivalent experience
- Registered with the Health and Care Professions Council (HCPC)
- Completed two-year “Consolidation of Learning” period as a “newly qualified paramedic”.
- Has 3 years’ experience as band 6 (or equivalent) paramedic
- Working towards developing master’s level or equivalent capability in paramedic areas or practice and has completed and been signed off formally within the clinical pillar competencies of the paramedic FCP/AP roadmap to practice
Confidentiality
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
In the performance of the duties outlined in above, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential
Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data
Health & Safety
The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the Practice Health & Safety Policy, to include:
Using personal security systems within the workplace according to Practice guidelines
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
Making effective use of training to update knowledge and skills
Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
Reporting potential risks identified
Equality and Diversity
Acting in a way that recognises the importance of people’s rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation
Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights
Personal/Professional Development
Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work
Attend all relevant annual updates
Inform the lead GP of any concerns regarding the role and any professional development needed
Be aware of own professional boundaries and what to do when you have reached them
Collaborate with colleagues to develop and deliver training to non-clinical staff and patients
Complete all statutory and mandatory training as required.
Quality
The post-holder will strive to maintain quality within the Practice, and will:
Alert other team members to issues of quality and risk
Work to practice protocols
Assess own performance and take accountability for own actions, either directly or under supervision
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance
Work effectively with individuals in other agencies to meet patients’ needs
Effectively manage own time, workload and resources
Communication
The post-holder should recognise the importance of effective communication within the team and will strive to:
Communicate effectively with other team members
Be familiar in all mediums of communications such as email, tasks, telephone etc
Communicate effectively with patients and carers
Recognise people’s needs for alternative methods of communication and respond accordingly
Communicate effectively to outside agencies
Communicate clearly with their lead GP
Develop mutual working relationships with colleagues in Wyvern Health Partnership.
Contribution to the implementation of services
The post-holder will:
Apply Practice policies, standards, and guidance
Discuss with other members of the team how the policies, standards and guidelines will affect own work
Participate in audit where appropriate
Benefits
- 25 days of annual leave and Bank Holidays pro rata
- 2–4-week induction plan
- Annual professional development training courses
- Clinical systems training
- NHS pension
Resources
https://www.england.nhs.uk/wp-content/uploads/2022/11/B1847-Paramedics-in-general-practice-1.pdf
