Primary Duties and Areas of ResponsibilityClinical Role The post-holder will: Provide a first point of contact within practices for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan. Undertake clinical reviews including diagnosis, treatment and management of both acute and chronic conditions. Provide assessment, treatment and diagnosis at point of first contact, by attending to patients in a variety of clinical or non-clinical settings according to patients needs. Undertake home visits and care home visits, in accordance with the relevant protocols. Make professionally autonomous decisions for which he/she is accountable. Refer patients to an alternative care setting or treat & discharge as appropriate. Instigate necessary invasive/non-invasive diagnostic tests/investigations and interpret findings/reports. Ensure that professional standards are maintained and within the guidance issued by the Department of Health, the Health and Care Professions Council and the College of Paramedics Ensure that there is a robust system in place for maintaining clinical governance. Work with multi-disciplinary teams within the Practice and across the broader healthcare community, to promote integrated and seamless pathways of care. Contribute to the Practice achieving its quality targets to sustain the high standards of patient care and service delivery. Participate in the assessment of community health needs and help to develop patient and family-centred strategies to address them. Help to develop and set up new patient services and participate in initiatives to improve existing patient services. Teaching and mentoring role The post-holder will desirably: Promote a learning environment for patients, colleagues and other health professionals. Contribute to the planning and implementation of the teaching of and support for new and existing staff in the Practice, including medical students, student Paramedics and newly recruited Paramedics. Professional role The post-holder will: Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research. Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review. Maintain any professional registration such as with the HCPC. Participate in continuing professional development (CPD) opportunities to ensure that up to date evidence-based knowledge and competence in all aspects of the role is maintained including maintaining up to date CPR training. Record accurate consultation data within the patients records. Keep up to date with pertinent health-related policy and work with the Practice team to consider the impact and possible strategies for implementation. Work collaboratively with colleagues within and external to the Practice. Pro-actively promote the Paramedic role within the practice and externally to key stakeholders and agencies. Identify own learning needs in order to remain current and improve service delivery. Non-clinical team role The post-holder will: Identify appropriate opportunities to delegate both clinical and administrative tasks to other appropriate staff. Help the practice operate in a cost-effective manner. Identify and manage care risks on a continuing basis. Participate in practice meetings as required. Participate in audits and inspections as appropriate. Work closely with the doctors and managers in the setting up and/or improving of practice systems for monitoring/measuring performance against clinical governance and quality targets. Ensure all practice policies are fully implemented. Health & Safety and Risk Management The post-holder must comply at all times with the Practice Health and Safety policies. The post-holder will comply with the Data Protection Act (2018) and the Access to Health Records Act (1990)Equality and Diversity The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc. Respect for patient confidentiality The post-holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role. Communication and working relationships The post-holder will establish and maintain effective communication pathways with the following: GPs within the practice and externally with the ICB as a whole Whole clinical team including Nurse Practitioners, pharmacists. Reception and Administration Teams Special Working Conditions The post-holder is required to travel independently between sites, patient homes and to attend meetings etc hosted by other agencies. The post-holder will have contact with bodily fluids, i.e., wound exudates, urine, blood etc whilst in clinical practice and must take precautions as required to minimise the risk of infection/contamination using PPE. Rehabilitation of Offenders Act 1994 Due to the nature of this work, this post is exempt from the provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1994 (Exceptions) Order 1995. Applicants for posts are not entitled to withhold information about convictions which for other purposes are spent under the provisions of the Act and in the event of employment, any failure to disclose such convictions could result in disciplinary action or dismissal by the Practice. Any information given will be completely confidential and will be considered only in relation to an applicant of a position to which the order applies. Job Description Agreement This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post-holder commensurate with this position. This description will be open to regular review and may be amended to take into account development or changes within the Practice. All members of staff should be prepared to take on additional duties or relinquish existing duties in order to maintain the efficient running of the Practice.