This community-based PCN Paramedic post sits in the EHCH team at Deal and Sandwich Primary Care Network, covering 25 care and nursing homes. The role centres on assessing, treating and managing health needs in patients' own homes and care homes to reduce avoidable admissions. Weekly care home ward rounds, ReSPECT work and joint working with the wider PCN team set it apart. Candidates need HCPC registration and must commit to the paramedic FCP clinical pillar competencies within six months of starting.
What the job involves
- Triage, examine, assess and diagnose patients, provide clinical care and management, and write a care plan for each patient
- Carry out clinical reviews of new care home residents and hospital discharges within 7 working days, including treatment escalation plans, personalised care planning and DNACPR discussions
- Run regular care home ward rounds under the EHCH framework
- Make clinical decisions to prioritise caseloads, start investigations and escalation care
- Ensure continuity of care by arranging follow-ups and reviews and changing treatment to improve outcomes
- Manage long-term conditions proactively, promote self-care and patient education, and guide care home and community staff
- Identify, signpost or refer patients at risk of developing long-term conditions
- Liaise with the wider PCN team and external services including KCHFT, frailty, mental health and social care
- Take part in PCN multidisciplinary team meetings
- Communicate sensitive information, prepare patients and families for changes in condition, and support choices about end-of-life care
- Record patient contacts accurately on clinical systems using set templates
Qualifications
- BSc in a training programme approved by the College of Paramedics
- Completed two-year Consolidation of Learning period as a newly qualified paramedic
- Three further years' experience as a band 6 (or equivalent) paramedic
- Commitment to obtaining the clinical pillar competencies of the paramedic FCP/AP roadmap to practice within six months of starting
Registration & licences
- Active and relevant HCPC registration
Experience
- Managing care of patients with undifferentiated conditions and/or a designated caseload, including assessment, care planning, interventions, referrals and evaluating outcomes
- Working within a multidisciplinary team
- Working under own direction in a patient-focused environment
- Strong clinical assessment and decision-making
Skills & knowledge
- Acting in line with HCPC professional standards
- Compassionate, adaptable, community-focused approach
- Commitment to safe, effective and person-centred care
- Good IT skills and comprehensive, accurate clinical notes
- Excellent interpersonal and communication skills with patients, relatives, carers and colleagues
- Confidence working independently in patients' homes and community settings
Other
- Ability to work under pressure and meet deadlines
Nice to have
- Experience of working within a primary care environment
- Evidence of working across organisational boundaries within health and social care
- Experience of EMIS
- Evidence of verification against the FCP roadmap to practice
- Independent or supplementary prescribing qualification, or willingness to undertake one
- Knowledge of primary care networks and collaborative working
- Knowledge of the EHCH framework