The post sits in the new primary care home visiting team at North Hampshire Urgent Care, covering four Primary Care Networks. The work centres on autonomous home visits to housebound patients with unplanned acute and subacute urgent care needs, assessing, diagnosing and then discharging or referring them within scope of practice. The fixed-term role runs on Monday to Wednesday day shifts from 10:00 to 18:00, and includes building working relationships with local GP practices and PCNs. Fit depends on HCPC registration and at least two years of operational clinical experience.
What the job involves
- Autonomously visit patients at home to assess and diagnose acute and subacute urgent and primary care presentations
- Give urgent primary care treatment, then discharge or refer patients within scope of practice under remote clinical supervision
- Make direct referrals to primary, secondary and social services under agreed pathways and protocols
- Assess wider care needs holistically
- Escalate to colleagues as needed under agreed protocols
- Ensure timely, high quality care and complete, accurate records of every patient contact
- Work within multidisciplinary and multiagency teams
- Build professional partnerships with the GP practices using the service
- Communicate with patients, carers and families, including complex care information
- Follow HCPC standards and NHUC policies, procedures and guidelines
- Take part in clinical audit and quality improvement, and help set standards of care
- Support clinical practice, coach new colleagues and take part in supervision and appraisal
What's required
Registration & licences
- HCPC registered paramedic
Experience
- At least two years operational clinical experience in primary, urgent or emergency care
- Experience of autonomously assessing, diagnosing and managing acute and subacute presentations
- Evidence of autonomous and team working
- Current CPD and proven ability to evaluate the safety and effectiveness of own practice
Skills & knowledge
- Assessing and managing patient risk safely and effectively
- Excellent interpersonal, verbal and written communication
- Reflective practice and prioritising workload
- Knowledge of primary care policy, clinical governance and evidence-based national standards such as NICE
- Understanding of HCPC standards of conduct and proficiency for paramedics
- Safeguarding adults and children at Level 3
Checks & eligibility
- Enhanced DBS check
- Full clean UK driving licence
Other
- Working without direct supervision, setting own priorities, under pressure and in a changing environment
- Working well in an integrated multi-skilled team
- Flexibility of working hours
Nice to have
- Experience of EMIS Web
- Post-registration qualification such as triage, mentoring or minor illness
- Experience in a primary care, community, triage and/or A&E setting
- Experience of engaging external stakeholders
What's offered
- Regular peer support and clinical supervision