Job summary Boughton Health Centre has an exciting opportunity for an enthusiastic and motivated individual to join our vibrant, forward-thinking practice as a paramedic. You will have an interesting position, working as a part of our team within the Practice using your skills and clinical judgement to provide a first point of contact for our patients who present with minor illnesses or conditions. The benefits of a Paramedic to our practice We feel the introduction of a Paramedic to our practice will be in-valuable, and will continually support our different practice teams with reducing wait times for appointments, providing a greater access to home visits to our housebound patients, and potentially provide an alternative to visit A&E. The benefits of working at Boughton Health Centre: Full induction 6 weeks holiday days plus Bank Holidays, rising on service Access to the NHS pension scheme Training leading to career progression Supportive, initiative-taking & friendly team Whole practice team building/social events Access to Employment Assistance Programme Network/peer support from others in similar roles across the Primary Care Network Practices Incentives for meeting joint targets Closing date for applications is 18th November 2024 with interviews starting to be held on Monday 25th November 2024. Applicants are advised to apply early as if a large number of applications are received for this post, we reserve the right to close the vacancy prior to the advertised date. Main duties of the job Undertake urgent/same day clinics Carry out home visits to support the clinical team Conduct and interpret diagnostic tests Independently decide on and conduct treatment working under the remit of local PGDs Assess and evaluate, with patients, the effectiveness of the treatment and care provided Refer patients for investigations and/or the appropriate specialist where appropriate Ensure the provision of continuity of care including follow-up visits Take a holistic approach to patient care, bringing together their medical, social, and psychological needs Empower patients to take responsibility for managing their own care and treatment where it is safe and appropriate to do so Full details regarding the role responsibilities and skills required can be found in the attached Job Description and Person Specification. About us Boughton Health Centre is a large, well-established practice located in the beautiful and historic city of Chester. We are a supportive, high-performing practice situated in a modern purpose-built GP building, with approximately 13000 patients. You will work alongside a large Practice Team comprising of a GP Partner, 7 salaried GPs, 2 Advanced Nurse Practitioners, Nurse Manager, 3 Practice Nurses, 1 Nurse Associate and 2 HCA's supported by a well-structured Management Team. Date posted 28 October 2024 Pay scheme Other Salary £46,148 to £63,792 a year (Agenda For Change Band 7 equivalent) Contract Permanent Working pattern Full-time Reference number A2666-24-0007 Job locations Hoole Lane Boughton Chester Cheshire CH2 3DP Job description Job responsibilities The Paramedic will provide care for the presenting patient from initial history taking and clinical assessment through to the diagnosis, treatment and evaluation of care. They will demonstrate critical thinking in the clinical decision-making process, including assessment and diagnostic skills, leading to the delivery of safe care for all patients. They will work collaboratively with the healthcare team to meet the needs of the patients, supporting the delivery of policy and procedures. The Paramedic will provide a holistic and clinical service, with support from GPs as required, implementing agreed management plans and following approved protocols as appropriate. On a typical day, the Paramedic will be expected to carry out both face to face and telephone triage, there may also be a number of home visits depending on the demand. The role will involve a consultation with patients who present on the day and via booked appointments. The Paramedic may also perform ward rounds at Care Homes, which will include the construction and implementation of individual patient care plans. Mentorship and supervision will be provided by designated senior medical personnel. The level and type of supervision will be dependent on the post holders acquisition of skills and knowledge and determined by the organisations clinical governance arrangements. The practices hold regular education meetings and the Paramedic would be expected to attend and partake in these. Duties and Responsibilities Clinical Participate in all treatment and preventative healthcare services in the Practice as delegated and agreed by the supervising GP(s). Provide direct clinical care to patients using established clinical guidelines. Consult and refer patients to physicians, medical specialists and other health professionals as indicated. Interview patients, take medical histories, perform physical examinations, analyse, diagnose, and explain medical problems during surgery consultations and home visits. Recommend and explain appropriate diagnostic tests and treatment. Request and interpret results of laboratory investigations when necessary. Perform specialised diagnostic physical exams and treatment procedures. Instruct and educate patients in preventative health care. Conduct telephone consultations which may involve discussing the result and implications of laboratory investigations with patients as well as dealing appropriately with routine and emergency complaints Order laboratory tests as required and agreed under supervising doctor(s). Be involved with the triaging requests from patients that arrive by electronic communication. Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes. Participate fully in the clinicians duty rota including the provision of home visits when appropriate. Formulate diagnoses and treatment plans, in consultation with or referring to Supervising doctor(s) as appropriate. Give clinical instructions to nursing staff and Primary Care Team as required. Have a good understanding of and adhere to current Safeguarding principles and PCN policies and know how to affect these when required in order to act in patients best interests. Training/Educational Development Ensure a Personal Development Plan is in place which shows continuing training and professional development to meet clinical governance guidelines. Keep up to date with relevant medical research, technology and evidence-based medical practice by attending education courses and professional meetings, reading journals etc. Perform a variety of research and analysis tasks associated with improvement of clinical care, medical diagnosis and treatment where appropriate using the following means: Audit of clinical practice. Review of relevant literature. Attend regular educational meetings organised by the practice in order to update clinical knowledge, practice policy and guidelines and disseminate other useful information relevant to the provision of adequate healthcare for patients. Regularly reflect on own practice (and keep a record of learning encounters) in order to identify learning needs and encourage self-directed lifelong learning and continued professional development. Administration Send and receive written information on behalf of the Practice regarding matters of insurance, housing and other issues relating to the physical and social welfare of patients. Work to deliver with other members of the practice and Primary Healthcare Team, the objectives of the GMS contract, including the terms of the Quality and Outcomes Framework and Practice Based Commissioning. Attend regular multi-disciplinary meetings organised by the Practice in order to discuss the health and social needs of particular patients. Other responsibilities Supporting the practice staff and responding to requests for advice and assistance from the practice reception, secretarial and nursing staff. Attend multidisciplinary, clinical and practice meetings. Provide additional enhanced services to the practices that meet the needs of the practices patient population and maximise the income streams to the practice Awareness of and compliance with all relevant practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety, annual QOF Assessment of the Practice. Please see the full job description attached to this job advert for further details of all responsibilities. Job description Job responsibilities The Paramedic will provide care for the presenting patient from initial history taking and clinical assessment through to the diagnosis, treatment and evaluation of care. They will demonstrate critical thinking in the clinical decision-making process, including assessment and diagnostic skills, leading to the delivery of safe care for all patients. They will work collaboratively with the healthcare team to meet the needs of the patients, supporting the delivery of policy and procedures. The Paramedic will provide a holistic and clinical service, with support from GPs as required, implementing agreed management plans and following approved protocols as appropriate. On a typical day, the Paramedic will be expected to carry out both face to face and telephone triage, there may also be a number of home visits depending on the demand. The role will involve a consultation with patients who present on the day and via booked appointments. The Paramedic may also perform ward rounds at Care Homes, which will include the construction and implementation of individual patient care plans. Mentorship and supervision will be provided by designated senior medical personnel. The level and type of supervision will be dependent on the post holders acquisition of skills and knowledge and determined by the organisations clinical governance arrangements. The practices hold regular education meetings and the Paramedic would be expected to attend and partake in these. Duties and Responsibilities Clinical Participate in all treatment and preventative healthcare services in the Practice as delegated and agreed by the supervising GP(s). Provide direct clinical care to patients using established clinical guidelines. Consult and refer patients to physicians, medical specialists and other health professionals as indicated. Interview patients, take medical histories, perform physical examinations, analyse, diagnose, and explain medical problems during surgery consultations and home visits. Recommend and explain appropriate diagnostic tests and treatment. Request and interpret results of laboratory investigations when necessary. Perform specialised diagnostic physical exams and treatment procedures. Instruct and educate patients in preventative health care. Conduct telephone consultations which may involve discussing the result and implications of laboratory investigations with patients as well as dealing appropriately with routine and emergency complaints Order laboratory tests as required and agreed under supervising doctor(s). Be involved with the triaging requests from patients that arrive by electronic communication. Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes. Participate fully in the clinicians duty rota including the provision of home visits when appropriate. Formulate diagnoses and treatment plans, in consultation with or referring to Supervising doctor(s) as appropriate. Give clinical instructions to nursing staff and Primary Care Team as required. Have a good understanding of and adhere to current Safeguarding principles and PCN policies and know how to affect these when required in order to act in patients best interests. Training/Educational Development Ensure a Personal Development Plan is in place which shows continuing training and professional development to meet clinical governance guidelines. Keep up to date with relevant medical research, technology and evidence-based medical practice by attending education courses and professional meetings, reading journals etc. Perform a variety of research and analysis tasks associated with improvement of clinical care, medical diagnosis and treatment where appropriate using the following means: Audit of clinical practice. Review of relevant literature. Attend regular educational meetings organised by the practice in order to update clinical knowledge, practice policy and guidelines and disseminate other useful information relevant to the provision of adequate healthcare for patients. Regularly reflect on own practice (and keep a record of learning encounters) in order to identify learning needs and encourage self-directed lifelong learning and continued professional development. Administration Send and receive written information on behalf of the Practice regarding matters of insurance, housing and other issues relating to the physical and social welfare of patients. Work to deliver with other members of the practice and Primary Healthcare Team, the objectives of the GMS contract, including the terms of the Quality and Outcomes Framework and Practice Based Commissioning. Attend regular multi-disciplinary meetings organised by the Practice in order to discuss the health and social needs of particular patients. Other responsibilities Supporting the practice staff and responding to requests for advice and assistance from the practice reception, secretarial and nursing staff. Attend multidisciplinary, clinical and practice meetings. Provide additional enhanced services to the practices that meet the needs of the practices patient population and maximise the income streams to the practice Awareness of and compliance with all relevant practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety, annual QOF Assessment of the Practice. Please see the full job description attached to this job advert for further details of all responsibilities. Person Specification Personal Attributes and Behaviours Essential A desire to work with a diverse patient group Ability to use own initiative Ability to work as a part of a team or as an individual Aptitude and keenness to learn new skills Ability to work under pressure Ability to be flexible, adaptable and thrive in a rapidly changing environment. Commitment to equal opportunities and a non-judgmental working practice Time management skills and the ability to prioritise, plan and problem solve. Negotiation and conflict management skills Good administrative and organisational skills, with the ability to prioritise work Qualifications Essential Hold a BSc in a training programme approved by the College of Paramedics Registration with the Health & Care Professions Council (HCPC) Hold or working towards a non-medical prescribing qualification Hold a full UK driving license. Desirable Completion of the FCP programme Knowledge & Experience Essential A minimum of 3 years experience working as a paramedic (in Primary or Secondary care) or a band equivalent role. Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans Demonstrates accountability for delivering professional expertise and direct service provision Exercise a critical understanding of personal scope of practice and to identify when a patient needs referring on Through patient assessment and working in partnership with patients and their carers, make decisions about the best pathways of care, informed by the urgency and severity of patient need, patient acuity and dependency, and the most appropriate deployment of resources. Manage risk in unpredictable, uncertain situations to uphold patient safety, including by referring on to other primary care team members and to specialist services Able to follow legal, ethical, professional and organisational policies / procedures and codes of conduct. Involves patients in decision making and supporting adherence as per NICE guidance. Able to write comprehensive clinical notes and use clinical coding Desirable Experience of working in primary care. Experience of working with primary care clinical systems including EMIS, Docman etc. An awareness and understanding of the HEE (Health Education England) Primary Care Paramedic Roadmap to Practice. Person Specification Personal Attributes and Behaviours Essential A desire to work with a diverse patient group Ability to use own initiative Ability to work as a part of a team or as an individual Aptitude and keenness to learn new skills Ability to work under pressure Ability to be flexible, adaptable and thrive in a rapidly changing environment. Commitment to equal opportunities and a non-judgmental working practice Time management skills and the ability to prioritise, plan and problem solve. Negotiation and conflict management skills Good administrative and organisational skills, with the ability to prioritise work Qualifications Essential Hold a BSc in a training programme approved by the College of Paramedics Registration with the Health & Care Professions Council (HCPC) Hold or working towards a non-medical prescribing qualification Hold a full UK driving license. Desirable Completion of the FCP programme Knowledge & Experience Essential A minimum of 3 years experience working as a paramedic (in Primary or Secondary care) or a band equivalent role. Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans Demonstrates accountability for delivering professional expertise and direct service provision Exercise a critical understanding of personal scope of practice and to identify when a patient needs referring on Through patient assessment and working in partnership with patients and their carers, make decisions about the best pathways of care, informed by the urgency and severity of patient need, patient acuity and dependency, and the most appropriate deployment of resources. Manage risk in unpredictable, uncertain situations to uphold patient safety, including by referring on to other primary care team members and to specialist services Able to follow legal, ethical, professional and organisational policies / procedures and codes of conduct. Involves patients in decision making and supporting adherence as per NICE guidance. Able to write comprehensive clinical notes and use clinical coding Desirable Experience of working in primary care. Experience of working with primary care clinical systems including EMIS, Docman etc. An awareness and understanding of the HEE (Health Education England) Primary Care Paramedic Roadmap to Practice. 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Boughton Health Centre Address Hoole Lane Boughton Chester Cheshire CH2 3DP Employer's website https://www.boughtonhealthcentre.co.uk (Opens in a new tab)