Job summary Fairbrook Medical Centre has an exciting opportunity for a Paramedic Practitioner to join our forward thinking, patient focused team based in Borehamwood, providing high quality care to around 15,000 patients. We are interested in candidates who are already fully functioning paramedics who are looking for an opportunity to broaden their horizons, get more autonomy, and take on more clinical responsibility. Successful applicants will play a large role within the surgery with a specific focus on reducing the workload of our General Practitioners by undertaking daily home visits, as well as an element of assessment and consulting with patients on a day-to-day basis We have a paramedic working 2 days who is fully supported by the clinical team. We are looking for the other 3 days to replace a paramedic who is leaving. This set up has worked wonderfully having paramedic cover 5 days a week with direct access when needed to a GP and work under supervision of the GP. Main duties of the job You will need to be a registered Paramedic with a relevant degree-Educated to BSc, post-graduate Cert or Diploma level and would have had a minimum of three years post registration with demonstrable experience of using diagnostic skills. Experience in a primary care setting is desirable; however induction and training in a primary care setting will be given. A prescribing paramedic would also be desirable. About us This is an exciting opportunity to work with 1 Medical Centre in a great young team and develop care pathways for our Fairbrook patients. The successful candidate will join our energetic, positive team of 6 GP partners, 4 salaried GPs, 1 Paramedic working 2 days, 1 prescribing Advanced Nurse Practitioner, 2 prescribing Clinical Pharmacists, 2 practice nurses (1 prescribing) and our Health Care Assistance. Our PCN allied staff of CPs, FCPs, MH practitioner. We are looking forward to adding a Paramedic Monday to Wednesday to join our stable team that has a good sense of humour to enhance our Fairbrook Family. Date posted 16 December 2024 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Part-time Reference number A2124-21-9658 Job locations 4 Fairway Avenue Borehamwood Hertfordshire WD6 1PR Job description Job responsibilities JOB DESCRIPTION JOB TITLE: Paramedic Practitioner REPORTS TO: The Partners (Clinically) The Practice Manager (Administratively) HOURS: LOCATION: 28.5 hours per week Fairbrook Medical Centre, Borehamwood, WD6 1PR Monday - Wednesday 8-6.30 and holiday cover. Job summary: The role will provide a Paramedic Practitioner resource for health care professionals and service users, working in collaboration with other members of the Multidisciplinary Team. To work within the community, as an autonomous, accountable, Specialist / Advanced Paramedic, in the provision of a holistic approach for individuals including assessment, management and treatment, to deliver high quality patient services. To assess, manage, treat, refer and/or signpost patients/service users who attend surgery with undifferentiated or undiagnosed condition relating to minor illness or minor injury. The post holder will use advanced clinical skills to provide education to service users, promoting self-care and empower them to make informed choices about their treatment. Job responsibilities: Housebound home visit requests Managing and treating patients presenting with minor illness Triage and treat patients wishing to see a health care professional, making any necessary referrals to other members of the primary health care team Patients with problems needing referral to secondary care should be discussed with the registered GP before making such referral Ensure clinical practice is safe and effective and remains within boundaries of competence, and to acknowledge limitations Advise patients on general health care and minor ailments, with referral to other members of the primary and secondary health care team as necessary Work from the surgery and within communities as an autonomous practitioner caring for patients and families Work as an autonomous practitioner, in accordance with the Health and Care Professions Council. Ensure that personal and professional clinical standards are maintained Undertake assessment for patients within the community and those attending the surgery, using diagnostic skills and initiation of investigations where appropriate Prescribe/issue medications as appropriate following policy, patient group directives NICE (national) and local clinical guidelines and local care pathways. Formally and informally impart knowledge and skills to colleagues promoting peer review and best practice within the work environment Communicate at all levels within the team ensuring an effective service is delivered Maintain accurate, contemporaneous healthcare records appropriate to the consultation Ensure evidenced-based care is delivered at the highest standards ensuring delivery of high-quality patient care Work within local policies and procedures Enhance own performance through Continuous Professional Development, imparting own knowledge and behaviours to meet the needs of the service Achieve and demonstrate agreed standards of personal and professional development in order to meet the needs of the service Participate in the audit process, evaluation and implementing plans and practice change in order to meet patient need Actively participate in mentoring and supervision, plus practice-derived CPD opportunities Contribute positively to the effectiveness and efficiency of the team and work colleagues Pathological specimens and investigatory procedures Undertake the collection of pathological specimens including intravenous blood samples, swabs etc. Perform investigatory procedures needed by patients and those requested by the GPs Administration and professional responsibilities Participate in the administrative and professional responsibilities of the practice team Ensure the clinical computer system is kept up to date, with accurate details recorded and amended Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice Ensure collection and maintenance of statistical information required for regular and ad hoc reports and audit Attend and participate in practice meetings as required Training and personal development Training requirements will be monitored by yearly appraisal and will be in accordance with practice requirements. Complete the PCN road map course locally. Time and support will be given. Personal development will be encouraged and supported by the practice. It is the individuals responsibility to remain up to date with recent developments. Participate in the education and training of students of all disciplines and the introduction of all members of the practice team where appropriate Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development, ensuring PREP requirements are met If it is necessary to expand the role to include additional responsibilities, full training will be given. Develop and maintain a Personal Learning Plan Liaison Work closely with the multi-professional, management and administration teams to ensure the smooth running of the practice, reporting any problems encountered to the relevant person and ensuring everyone is aware of the different roles within the team There is also the need to establish and maintain good liaison with other surgeries and agencies, including secondary and social care Meetings: It will be necessary to attend and contribute to various practice meetings as requested. The only reason for not attending will be annual, study or sick leave Confidentiality: In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data Equality and diversity: The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues Personal/Professional development: The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development. Reflective practice and portfolio building. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work Quality: The post-holder will strive to maintain quality within the practice, and will: Alert other team members to issues of quality and risk. Assess own performance and take accountability for own actions, either directly or under supervision. Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance. Work effectively with individuals in other agencies to meet patients needs. Effectively manage own time, workload and resources. Communication: The post-holder should recognize the importance of effective communication within the team and will strive to: Communicate effectively with other team members. Communicate effectively with patients and carers. Recognise peoples needs for alternative methods of communication and respond accordingly. Contribution to the implementation of services: The post-holder will: Apply practice policies, standards and guidance. Discuss with other members of the team how the policies, standards and guidelines will affect own work. Participate in audit where appropriate. Job description Job responsibilities JOB DESCRIPTION JOB TITLE: Paramedic Practitioner REPORTS TO: The Partners (Clinically) The Practice Manager (Administratively) HOURS: LOCATION: 28.5 hours per week Fairbrook Medical Centre, Borehamwood, WD6 1PR Monday - Wednesday 8-6.30 and holiday cover. Job summary: The role will provide a Paramedic Practitioner resource for health care professionals and service users, working in collaboration with other members of the Multidisciplinary Team. To work within the community, as an autonomous, accountable, Specialist / Advanced Paramedic, in the provision of a holistic approach for individuals including assessment, management and treatment, to deliver high quality patient services. To assess, manage, treat, refer and/or signpost patients/service users who attend surgery with undifferentiated or undiagnosed condition relating to minor illness or minor injury. The post holder will use advanced clinical skills to provide education to service users, promoting self-care and empower them to make informed choices about their treatment. Job responsibilities: Housebound home visit requests Managing and treating patients presenting with minor illness Triage and treat patients wishing to see a health care professional, making any necessary referrals to other members of the primary health care team Patients with problems needing referral to secondary care should be discussed with the registered GP before making such referral Ensure clinical practice is safe and effective and remains within boundaries of competence, and to acknowledge limitations Advise patients on general health care and minor ailments, with referral to other members of the primary and secondary health care team as necessary Work from the surgery and within communities as an autonomous practitioner caring for patients and families Work as an autonomous practitioner, in accordance with the Health and Care Professions Council. Ensure that personal and professional clinical standards are maintained Undertake assessment for patients within the community and those attending the surgery, using diagnostic skills and initiation of investigations where appropriate Prescribe/issue medications as appropriate following policy, patient group directives NICE (national) and local clinical guidelines and local care pathways. Formally and informally impart knowledge and skills to colleagues promoting peer review and best practice within the work environment Communicate at all levels within the team ensuring an effective service is delivered Maintain accurate, contemporaneous healthcare records appropriate to the consultation Ensure evidenced-based care is delivered at the highest standards ensuring delivery of high-quality patient care Work within local policies and procedures Enhance own performance through Continuous Professional Development, imparting own knowledge and behaviours to meet the needs of the service Achieve and demonstrate agreed standards of personal and professional development in order to meet the needs of the service Participate in the audit process, evaluation and implementing plans and practice change in order to meet patient need Actively participate in mentoring and supervision, plus practice-derived CPD opportunities Contribute positively to the effectiveness and efficiency of the team and work colleagues Pathological specimens and investigatory procedures Undertake the collection of pathological specimens including intravenous blood samples, swabs etc. Perform investigatory procedures needed by patients and those requested by the GPs Administration and professional responsibilities Participate in the administrative and professional responsibilities of the practice team Ensure the clinical computer system is kept up to date, with accurate details recorded and amended Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice Ensure collection and maintenance of statistical information required for regular and ad hoc reports and audit Attend and participate in practice meetings as required Training and personal development Training requirements will be monitored by yearly appraisal and will be in accordance with practice requirements. Complete the PCN road map course locally. Time and support will be given. Personal development will be encouraged and supported by the practice. It is the individuals responsibility to remain up to date with recent developments. Participate in the education and training of students of all disciplines and the introduction of all members of the practice team where appropriate Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development, ensuring PREP requirements are met If it is necessary to expand the role to include additional responsibilities, full training will be given. Develop and maintain a Personal Learning Plan Liaison Work closely with the multi-professional, management and administration teams to ensure the smooth running of the practice, reporting any problems encountered to the relevant person and ensuring everyone is aware of the different roles within the team There is also the need to establish and maintain good liaison with other surgeries and agencies, including secondary and social care Meetings: It will be necessary to attend and contribute to various practice meetings as requested. The only reason for not attending will be annual, study or sick leave Confidentiality: In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data Equality and diversity: The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues Personal/Professional development: The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development. Reflective practice and portfolio building. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work Quality: The post-holder will strive to maintain quality within the practice, and will: Alert other team members to issues of quality and risk. Assess own performance and take accountability for own actions, either directly or under supervision. Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance. Work effectively with individuals in other agencies to meet patients needs. Effectively manage own time, workload and resources. Communication: The post-holder should recognize the importance of effective communication within the team and will strive to: Communicate effectively with other team members. Communicate effectively with patients and carers. Recognise peoples needs for alternative methods of communication and respond accordingly. Contribution to the implementation of services: The post-holder will: Apply practice policies, standards and guidance. Discuss with other members of the team how the policies, standards and guidelines will affect own work. Participate in audit where appropriate. Person Specification Qualifications Essential 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 Pre-reg MSc in a training programme approved by the College of Paramedics non-medical prescribing qualification Full UK driving license Desirable Pre-reg MSc in a training programme approved by the College of Paramedics non-medical prescribing qualification Experience Essential Essential Knowledge 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 Microsoft and GP practice and prescribing data monitoring systems ability to write comprehensive clinical notes, implement and evaluate care plans working towards advanced clinical practitioner status mentorship or supervisory skills training ability to undertake nails surgery assessments, procedure and post-operative care be aware of data protection (GDPR) and confidentiality issues particularly within a PCN cognitive behavioural and motivational interviewing approaches / skills Analysis skillsability to evidence a sound understanding of the NHS principles and values 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 Desirable Desirable Experience of general practice and/or secondary care Any desirable/additional specialty specific requirements Person Specification Qualifications Essential 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 Pre-reg MSc in a training programme approved by the College of Paramedics non-medical prescribing qualification Full UK driving license Desirable Pre-reg MSc in a training programme approved by the College of Paramedics non-medical prescribing qualification Experience Essential Essential Knowledge 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 Microsoft and GP practice and prescribing data monitoring systems ability to write comprehensive clinical notes, implement and evaluate care plans working towards advanced clinical practitioner status mentorship or supervisory skills training ability to undertake nails surgery assessments, procedure and post-operative care be aware of data protection (GDPR) and confidentiality issues particularly within a PCN cognitive behavioural and motivational interviewing approaches / skills Analysis skillsability to evidence a sound understanding of the NHS principles and values 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 Desirable Desirable Experience of general practice and/or secondary care Any desirable/additional specialty specific requirements 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 Fairbrook Medical Centre Address 4 Fairway Avenue Borehamwood Hertfordshire WD6 1PR Employer's website https://www.fairbrookmedical.co.uk/ (Opens in a new tab)