Paramedic / Paramedic Practitioner in Primary Care

Salus Medical Services Ltd; Aldershot; On-site; GBP 35,000 - 45,000; Full time

Job summary

A community healthcare provider in Aldershot seeks an experienced Paramedic Practitioner to support urgent care demands. This role involves patient assessments, triage, and collaboration with integrated care teams. Candidates should be HCPC registered with relevant postgraduate qualifications. The role offers a supportive environment for professional development to enhance community healthcare outcomes.

Benefits

Training and professional development

Supportive work environment

Potential for flexible working hours

Qualifications

• HCPC Registration as Paramedic with no restrictions on practice.
• Evidence of appropriate continuing professional development.
• Experience working autonomously and as part of a team.

Responsibilities

• Provide care from initial assessment to treatment.
• Triage and treat undiagnosed patients effectively.
• Ensure safety in clinical practice and make autonomous decisions.

Skills

Clinical assessment

Emergency patient management

Communication skills

Decision-making

Education

HCPC Registration as Paramedic

MSc Advanced Clinical Practice or equivalent

Post-registration study relating to urgent care

Job description

Paramedic / Paramedic Practitioner in Primary Care

We are ideally looking for aParamedic Practitioner (Specialist / Advanced Paramedic), but applications arealso welcomed by Paramedics with an interest in Primary Care who would beinterested in developing their career further and who have a view toundertaking a course of study leading to them becoming practitioners.

Within the varying roles, thesuccessful applicant will join the team providing the first point of call forpatients requesting on the day undifferentiated urgent care. This could be in a clinic setting, a homevisiting role or a mix of both roles.They will be responsible for initial patient assessment and formingdifferential diagnoses. With the support of the Duty Paramedic Practitioner andGP when required, they will decide on and implement further patient management.The Paramedic will work closely with our local community nurses and othermembers of our growing Integrated Care Teams.

Services that Salus operate spanoperational hours from 08:00-20:00, 7 days a week.

This role is 10:00-18:00 Monday-Friday.

Exact roles and responsibilitieswill vary depending on primary work location.

Main duties of the job

We are dedicated to enhancingpatient care and improving the health of the local population. The NHS haschanged during the pandemic; however, we continue to look after patients in thecommunity including reducing unplanned emergency hospital admissions.

We provide a stimulating andsupportive environment that helps our employees to deliver a professional andmeaningful contribution to the development and growth of our member practices.Your professional development will be supported and encouraged ensuring thatyou are able to deliver the best possible outcomes, encouraging benefits andimprovements in the health of the local community.

All Paramedics are also supportedthrough the HEE Roadmap in Primary Care.

About us

Salus Medical Services is afederation of 19 GP practices operating in the North-East Hampshire and Farnhamgeographical area. Our services aremainly aimed at improving healthcare for the local population. We also deliver services at scale which couldnot be achieved by individual practices for example the Paramedic home visitingservice.

We have experience supportingboth Specialist Paramedics and Paramedics with a special interest in primarycare who would like to move into this field and develop as autonomousclinicians. We pride ourselves in ourvery high staff retention. Our current Paramedic Practitioner workforce isemployed in a number of roles:

A rapid home visiting service;

Clinicians within our member practices; and

Primary Care Network based clinicians providingtargeted interventions for a health care population (e.g. care home residents)

Job responsibilities

The postholder is an experienced Specialist/Advanced Paramedic, who acting withintheir competence, will provide care for the presenting patient from initialhistory taking, clinical assessment, diagnosis, treatment and evaluation oftheir care. They will demonstrate safe clinical decision-making and expertcare for patients within primary care. There is a requirement to seeemergency patients and this may be either in a practice or in the patientshome. The practitioner will need to prioritise and triage the needs ofpatients accordingly making any necessary referrals for investigations in theappropriate manner.

Job responsibilities:

Diagnosingand treating patients presenting with undifferentiated primary care demand:

Triage and treat patients wishing to see ahealth care professional making any necessary referrals to other members ofthe primary health care team

Ensure clinical practice is safe and effectiveand remains within boundaries of competence and acknowledges limitations

Make professionally autonomous decisions forwhich he/she is accountable

Provide first point of contact within theservice for patients presenting with undiagnosed problems, making use ofskills in history taking, physical examination, problem-solving and clinicaldecision-making to establish a diagnosis and management plan

Provide health education / health promotion topatients, relatives and carers.

Refer patients to other members of the primaryand secondary health care team as necessary

ECG (Lead II interpretation)

Minor injuries including wound care

AdmissionAvoidance Work

Accept referrals from other Health CareProfessionals, providing telephone/face to face support and assisting withclinical management.

Follow up phone calls and consultations withpatients, relatives and other Health Care Professionals regarding a patientscare.

Creation of patient specific care plans toreduce avoidable hospital admissions, especially out of hours.

Intercept 999 calls by utilising the SECAmbIBIS system, either performing telephone triage call / visit to reduceavoidable hospital admissions.

Pathologicalspecimens and investigatory procedures

Undertake the collection of pathologicalspecimens.

Perform investigatory procedures eitherclinically indicated or requested by other members of the primary health careteam.

Administrationand professional responsibilities

Maintain their professional registration inline with HCPC standards.

Maintain a high personal standard ofprofessionalism.

Participate in the administrative andprofessional responsibilities of the Paramedic Practitioner team.

Ensure accurate and legible notes of allconsultations, treatments and referrals are recorded in the patients electronicnotes.

Ensure the clinical computer system is kept upto date with accurate details recorded and amended when required.

Ensure expense claims are made accurately,reporting any problems to the Office Manager.

Ensure collection and maintenance ofstatistical information required for regular and ad hoc reports and audit.

Attend and participate in meetings asrequired.

Restocking and maintenance of clinical areasand administrative rooms used.

Supplies andequipment

Maintenance of equipment and stock relating topatient care.

Training andpersonal development

Training requirements will be monitored byyearly appraisal and will be in accordance with team/locality requirements.Personal development will be encouraged and supported by the organisation. Itis the individuals responsibility to remain up to date with recentdevelopments.

Participate in the education and training ofstudents of all disciplines and the introduction of all members of staffwhere appropriate.

Maintain continued education by attendance atcourses and study days as deemed useful or necessary for professionaldevelopment ensuring HCPC requirements are met.

If it is necessary to expand the role toinclude additional responsibilities, full training will be given.

Develop and maintain a Personal Learning Plan.

Completion of annual mandatory online andbasic life support training.

Liaison andCommunication

Work with multi-disciplinary practice teamswithin the locality Practices

Work with the wider multi-disciplinarycommunity integrated teams working with the Locality

As well as the nursing teams there is a needto work closely with reception and office staff to ensure the smooth runningof the practices, reporting any problems encountered to the relevantperson.

There is also the need to establish andmaintain good liaison with other surgeries and agencies including secondarycare.

The post-holder will establish and maintaineffective communication pathways with colleagues, patients and their carers,recognising the need for flexibility to overcome different levels ofunderstanding and cultural backgrounds.

Confidentiality:

Maintain confidentiality in accord with HCPCand local organisation and practice confidentiality policies.

Health &safety:

The post-holder will implement and lead on afull range of promotion and management their own and others health andsafety and infection control as defined in the organisation Health &Safety policy.

Correct usage of Personal Protective Equipment(PPE).

Identifying the risks involved in workactivities and undertaking such activities in a way that manages those risksacross clinical and patient process

Safe management of clinical waste and sharpsprocedures including use, storage and disposal

Using appropriate infection controlprocedures, maintaining work areas in a tidy, clean and sterile, and safeway, free from hazards. Initiation of remedial / corrective action whereneeded or escalation to responsible management

Actively identifying, reporting, andcorrection of health and safety hazards and infection hazards immediatelywhen recognised

Keeping own work areas and general / patientareas generally clean, sterile, identifying issues and hazards / risks inrelation to other work areas within the business.

Spillage control procedures andmanagement

Decontamination control procedures, managementand equipment maintenance

Equality anddiversity: The post-holder willsupport the equality, diversity and rights of patients, carers and colleagues,to include:

Acting in a way that recognizes the importanceof peoples rights, interpreting them in a way that is consistent with organisationprocedures and policies, and current legislation

Respecting the privacy, dignity, needs andbeliefs of patients, carers and colleagues

Behaving in a manner which is welcoming to andof the individual, is non-judgmental and respects their circumstances,feelings priorities and rights.

Quality:

Thepost-holder will strive to maintain quality within the locality andorganisation, by:

Contribute to the practice achieving itsquality targets to sustain the high standards of patient care and servicedelivery

Alert other team members to issues of qualityand risk

Assess own performance and take accountabilityfor own actions, either directly or under supervision

Contribute to the effectiveness of the team byreflecting on own and team activities and making suggestions on ways toimprove and enhance the teams performance

Work effectively with individuals in otheragencies to meet patients needs

Effectively manage own time, workload andresources

If anIndependent Prescriber (with HCPC registration annotation), the followingalso apply:

Generate EPS and FP10 prescriptions withinscope of practice, considering local and national guidelines including butnot limited to:

oSouth Central Antimicrobial Network Guidelines

oNICE guidelines

oRoyal Pharmacological Society PrescribingCompetency Framework

Prescriptions outside of scope of practicewill be valid in the following circumstances:

oLife threatening emergencies

oClinical Management Plan (prescribing as asupplementary prescriber)

oEXCEPTany medicines governed under the Misuse of Drugs Act as these cannot beprescribed by Paramedics until the law is amended.

Maintain accurate EMIS records ofprescriptions issued / generated.

Maintain up to date with prescribing byundertaking continued professional development including but not limited to:

oAttending Prescribing Forums

oDiscussing cases routinely with GeneralPractitioners / Non-Medical Prescribers

oReviewing updated guidance

Be part of the regular review of the prescribing scope of practice.

Provide support and guidance to otherParamedic Prescribers.

When required, act in role of Duty ParamedicPractitioner for the Rapid Home Visiting Service.

Person Specification

Qualifications

• HCPC Registration as Paramedic with no restrictions on practice
• MSc Advanced Clinical Practice qualification or equivalent recognised specialist/advanced practice qualification at minimum degree level
• Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and ongoing competence in all aspects of role
• Evidence of working autonomously and as part of a team
• Proven ability to evaluate the safety and effectiveness of their own clinical practice
• Placement / employment experience within primary care
• Post-registration study relating to urgent care / minor illness / minor injury

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.