Paramedic

Integrated Care System; Bridgwater; On-site; GBP 30,000 - 40,000; Full time

Job summary

A regional healthcare organization in Bridgwater seeks a qualified Paramedic to join their Proactive Care Team. You will deliver high-quality patient care in both community and healthcare settings, manage urgent caseloads, and work collaboratively with GPs and other healthcare professionals. The ideal candidate possesses a relevant degree and HCPC registration, along with excellent communication and clinical skills.

Qualifications

• BSc in paramedicine or equivalent.
• Health & Care Professions Council registration.
• Two years post-registration experience required.

Responsibilities

• Deliver high-standard patient care using advanced clinical skills.
• Manage clinical caseloads and assist with urgent cases.
• Communicate effectively across multidisciplinary teams.

Skills

Clinical leadership

Patient communication

Advanced clinical skills

Crisis management

Team collaboration

Education

BSc in a training programme approved by the College of Paramedics

Health & Care Professions Council (HCPC) registration

Tools

ECG equipment

Clinical software

Job description

The postholder will join the established Proactive Care Team based from Victoria Park Health and Wellbeing Hub. The team comprises lead GPs, Occupational Therapist, Advanced Community Practitioner, Pharmacist, Pharmacy Technician and care co-ordiantors. The main aim of the role is to provide an on-the-day home visiting service to community and care home patients

Main duties of the job

The successful applicant will join the Proactive Care Team based from Victoria Park Health and Wellbeing Hub. The team supports patients in care homes and the community under the leadership of GPs and the clinical director. The service is being developed and the postholder would ideally have primary care experience with the ability to carry out the following:

• Assess and triage patients, including same day triage
• Advise patients on general healthcare
• Support the delivery of anticipatory care and end of lifecare plans and lead certain community services
• Provide an alternative model to urgent and same day homevisits for the PCN and undertake clinical audits.

About us

Bridgwater Bay Primary Care Network(PCN) is the largest PCN in Somerset with 9 GP practices and a diversepopulation spread across town and rural locations.

As a PCN we are forwardthinking, innovate and driven to deliver the best patient care for ourpopulation. This includes health population management, and this role ties inwith supporting that and tracking the improvements we can make to patientslives.

Job responsibilities

Scope andpurpose of the role

A Paramedic is authorised to undertake treatments andprocedures for which they are trained, and which are within the College ofParamedic Guidelines in line with the Health Care Professions Council (HCPC)standards framework. The postholder will have access to appropriate clinicalsupervision and an appropriate named individual in the PCN to provide generaladvice and support on a day-to-day basis.

To deliver a high standard of patient care using advancedautonomous clinical skills with in-depth theoretical knowledge andevidence-based practice working with the support and guidance from the GPs andother Independent clinicians working within the PCN MDT.

To manage a clinical caseload and deal with presentingpatients needs in both a PCN and general practice setting.

To provide clinical leadership where appropriate withinthe MDT, supporting other members of the team to develop and maintain clinicalskills appropriate to your role and expertise.

Primary Dutiesand Areas of Responsibility

1. Assess and triage patients, including same day triage,and as appropriate provide definitive treatment or make necessary referrals toother members of the PCN or practice team.

2. Advise patients on general healthcare and promoteself-management where appropriate, including signposting patients to othercommunity or voluntary services and to self-care.

3. Be able to:

i. performspecialist health checks and reviews

ii. performand interpret ECGs; alongside other results as appropriate

iii. performinvestigatory procedures as required

iv. undertakethe collection of pathological specimens including intravenous blood samples,swabs, etc.

v. performinvestigatory procedures needed by patients and those requested by GPs and thewider PCN

vi. perform adomicillary (home) visit

4. Support the delivery of anticipatory care and end of lifecare plans and lead certain community services (e.g. monitoring blood pressureand diabetes risk of elderly patients living in sheltered housing).

5. Provide an alternative model to urgent and same day homevisits for the PCN and undertake clinical audits.

6. Communicate at all levels across PCNs and otherorganisations, ensuring effective, patient-centred service.

7. Communicate proactively and effectively with allcolleagues across the multidisciplinary team, attending and contributing tomeetings as required and accepting referrals and referring to specialistservices where appropriate.

8. Prescribe, issue and review medications as appropriatefollowing policy, patient group directives, NICE (national) and local clinicalguidelines and local care pathways. This will be done in accordance withevidence-based practice and national and practice protocols, and within scopeof practice N.B relevant if possesses prescribing qualification only.

9. Assess, diagnose, plan, implement and evaluate treatmentand or interventions and care for patients presenting with an undifferentiateddiagnosis, and patients with complex needs within the clinical and domiciliarysetting.

10. Clinically examine and assess patient needs from aphysiological and psychological perspective, and plan clinical care accordingly

11. Prioritise health problems and intervene appropriatelyto assist the patient in complex, urgent or emergency situations, includinginitiation of effective emergency care.

12. Take an active part in achievement of contractualmarkers.

13. Implement and participate in vaccination programmes asappropriate.

QualityRequirements

The post-holder will strive to maintain quality within thePCN, and will:

14. Enhance own performance through continuous professionaldevelopment, keep up to date with current evidence-based practice, and impartown knowledge and skills to PCN colleagues to meet the needs of the service.

15. Recognise and work within own competence andprofessional code of conduct as regulated by the HCPC and College ofParamedics.

16. Assess effectiveness of care delivery through self andpeer review, benchmarking and formal evaluation.

17. Participate in research and utilise the audit cycle as ameans of evaluating the quality of the work of self and the team, implementingimprovements where required.

18. In partnership with other clinical teams, collaborate onimproving the quality of health care responding to local and national policiesand initiatives as appropriate.

19. Alert other team members to issues of quality and risk .

Administrativerequirements

20. Produce accurate, contemporaneous and complete recordsof patient consultation, consistent with legislation, policies and procedures.

21. Work in accordance with internal administrative systemsrelating to but not limited to the management of clinical data.

22. Send and receive written information on behalf of thepatient, practice and PCN relating to the physical and social welfare ofpatients.

23. Work closely with other members of the MDT in thesetting up and or improving of systems for monitoring and measuring performanceagainst the PCN DES, QOF and any other relevant targets.

24. Ensure that all practice and organisational policies arefully implemented.

Training andDevelopment

25. Participate in continuing professional developmentopportunities to keep up-to-date with evidence-based knowledge and competencein all aspects of the role to meet clinical governance guidelines forContinuing Professional Development (CPD) and a Personal Development Plan (PDP)utilising a reflective approach to Practice.

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

a. Audit ofclinical practice

b. Significantevent review / root cause analyses

c. Review ofrelevant literature

d. Researchunusual symptoms and treatment options through consultation with generalpractitioners, and the wider MDT.

27. Promote and support a learning culture within the PCNMDT and assist in clinical instruction, mentoring and supervision of medical,nursing or physician associate students and other learners that mayperiodically be attached to the PCN and partner practices.

28. Contribute to regular multi-disciplinary, PCN and OHPeducational meetings.

29. Undertake Audits, Appraisals and teaching and mentoringstaff.

30. Participate in Multi-Disciplinary Protocol guidelinedevelopment as appropriate.

31. Work closely with other clinical staff andadministrative managers in the setting up and or improving of PCN and practicesystems for monitoring and measuring performance against PCN DES targets.

Professional

32. Registration with Health Care Professions Council (HCPC)to be renewed every 2 years to maintain registration.

33. Undertake statutory and mandatory training as requiredby the organisation.

34. Demonstrate clinical leadership.

35. Pro-actively promote the role of the Paramedic withinthe PCN, practices and OHP and externally to key stakeholders and agencies.

36. Respect patient confidentiality at all times and notdivulge patient information unless sanctioned by the requirements of the role.

37. Membership of the College of Paramedics VoluntaryRegister is not mandatory but desirable.

Communicationand working relationships

Establish and maintain effective communication pathways withall OHP, PCN and Practice staff including MDT members such as pharmacists,Physician Associates, district nurses, modern matrons, health visitors etc.

KeyRelationships

Key Working Relationships Internal:

Leader for the multi-disciplinary team.

GPs and General practice teams within the PCN

PCN Clinical Director

Multi-disciplinary team. members including but notexhaustive: Clinical Pharmacists, technicians, Physician Associates, Physios,Paramedics, Social Prescribing Link Workers, Care coordinators.

OHP clinical and non-clinical staff.

Key Working Relationships External:

GP practice and multi-disciplinary teams from neighbouringPCNs

Service providers

Social care Voluntary services

Carers/relatives

Health andSafety/Risk Management

The post-holder must comply at all times with theorganisation and Practices Health and Safety policies, in particular byfollowing agreed safe working procedures and reporting incidents using theorganisations Incident Reporting System.

The post-holder will comply with the Data Protection Act(1984), The General Data Protection Regulations (2018) and the Access to HealthRecords Act (1990).

The post-holder will comply with all necessary trainingrequirements relevant to the role as identified by the organisation.

To assist the with investigating untoward incidents ornear misses in accordance with the internal Significant Events.

Equality andDiversity

The post-holder must co-operate with all policies andprocedures designed to ensure equality of employment. Co-workers, patients andvisitors must be treated equally irrespective of gender, ethnic origin, age,disability, sexual orientation, religion etc.

The post-holder should always respect patientconfidentiality and not divulge patient information unless sanctioned by therequirements of the role.

Special WorkingConditions

This role requires you to travel between practices withinthe PCN and/or to make visits to patients who cannot attend the surgery. Thepost holder is required to hold a full, clean UK driving license and haveaccess to a suitable vehicle with a valid MOT and covered by businessinsurance.

Job DescriptionAgreement

This job description is intended as a basicguide to the scope and responsibilities of the post and is not exhaustive. Itwill be subject to regular review and amendment as necessary in consultationwith the post holder

Person Specification

Qualifications

• 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
• 2 years post registration
• Driving License and access to a vehicle
• Pre-reg MSc in a training programme approved by the College of Paramedics
• Full UK driving license
• Evidence of verification against the paramedic primary care roadmap
• Five years post registration
• Non-Medical Prescriber
• Membership of the College of Paramedics
• BLS trainer
• Advanced Clinical Practitioner

Experience

• 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
• experience of working in primary card
• 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

Analysis Skills

• 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
• 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

Communication

• excellent interpersonal and organisational skills
• excellent interpersonal and communication skills, able to influence and persuade others articulating a balanced view and able to constructively question information
• ability to negotiate effectively
• build effective relationships with a range of stakeholders which are based on openness, honesty trust and confidence
• Clear communicator excellent writing, report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences
• evidence of success in efficient and effective project and programme management
• evidence of inspiring and motivating teams with the ability to communicate passionately, effectively and persuasively across a diverse set of stakeholders

Personal Attributes

• strong and inspirational leadership
• ability to co-ordinate and prioritise workloads able to multi-task as well as be selfdisciplined 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
• 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

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.