Employer: Epsom and St Helier University Hospitals NHS Trust
Employer type: NHS
Site: Epsom & St Helier
Town: Epsom & St Helier
Salary: £25.89 - £46.60 pro rata
Closing: 31/07/2025 23:59
Paramedic Bank position - Band 6
As an NHS Trust we strongly encourage and support vaccination uptake as this remains the best line of defence against COVID19.
At Epsom and St Helier Hospitals, above all we value respect. We put respect at the heart of all we do, by living up to our shared behaviours of kindness, professionalism, positivity and teamwork. This enables us to provide great patient care and make ESTH a great place to work. When you sign up to work with us, you sign up to this and we welcome applicants who share our values.
Job overview
The post-holder is an experienced Paramedic who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision-making and expert care including assessment and diagnostic skills, for patients within the @home Service. The post-holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the Leads and the whole team to meet the needs of patients, supporting the delivery of policy and procedures, providing leadership. Paramedics have a key role within both supported discharge and prevention of admission.
Main duties of the job
1. Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.
2. Assess patients presenting with acute illness or for review of chronic disease conditions.
3. Undertake home visits for acute illness or chronic disease management.
4. Diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.
5. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
Working for our organisation
At Epsom and St Helier – we run high performing hospitals with a strong track record in providing high-quality care, delivering operational standards and meeting our financial targets. In addition to that, we are proud to host joint ventures with our partners in mental health, social care, community health and GPs in Surrey Downs and Sutton, providing adult community, children’s therapy and sexual health services as part of Sutton Health and Care, and adult community services as part of Surrey Downs Health and Care. We are committed to providing seamless joined up care for the 500,000 people we serve as their local hospitals and community services. We also have the privilege of running the South West London Elective Orthopaedic Centre at Epsom Hospital and a GP practice in Leatherhead. Our future looks very bright and there has never been a better time to join our team.
Detailed job description and main responsibilities
1. To undertake holistic clinical assessments of patients referred to SDHC@Home to enable prompt assessment, diagnosis and treatment according to agreed policies, protocols and guidelines.
2. To contribute towards single assessment and trusted assessment processes.
3. To manage a complex caseload requiring specialist skills and interventions. To ensure the coordination of appropriate input from relevant individuals and services taking account of the degree of acuity, illness and disability experienced, the expressed wishes of the patient and carer and the existence of clinical, social and psychological factors for new and patients already on the caseload.
4. To promote and implement research/evidence based practice and audit clinical outcomes to inform and lead clinical practice and set clinical standards.
5. Ensure that accurate and complete records of care are kept and that own practice and practice of other team members is compliant with agreed policies, procedures, guidance and legislation in order to deliver effective patient care.
6. Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.
7. Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly.
8. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including the initiation of effective emergency care.
9. Support patients to adopt health promotion strategies that apply principles of self-care.
10. To utilise rapid assessment skills to enable a ‘discharge to assess’ model of care within agreed policies and pathways.
11. The post holder will be supported to undertake new skills traditionally performed by other professionals e.g. physiotherapy, occupational therapy; according to clinical need and within agreed competence framework.
Person specification
Communication
* Strengthen the bridge between primary, secondary and acute services. Promoting good practice and effective communication within and between primary care, statutory and voluntary organisations on all matters relating to the patient. Communicate complex information to staff, stakeholders, patients and carers where there may be barriers of understanding such as a lack of knowledge about service delivery or care pathways. Diffuse potentially hostile, antagonistic and emotive situations with staff, patients and relatives.
* 6 months experience.
Skills
* To liaise closely with the Leads and senior clinicians in monitoring the level and quality of service provided, working within service standards and response times. To line manage junior colleagues and unqualified staff, ensuring competencies and appraisals are completed within Trust policy. To participate in team objectives, to lead on service development projects alongside Team Leads. To participate at meetings where appropriate for professional and educational purposes. To chair or minute take when required.
* Relevant experience.
Our mission: ‘to put the patient first by delivering great care to every patient, every day.’
There’s never been a better time to join the Epsom and St Helier team. Our hospitals are facing a bright and busy future, and our staff have a proven track record in providing high quality, compassionate care for our patients.
Boasting incredible staff benefits and dedicated training schemes, working for us will not only take your career forward, but could help to transform the lives of our patients and visitors.
We offer all employees some fantastic staff benefits, and are the only hospitals in Surrey to offer staff the London high cost area supplement. Our hospitals also benefit from great locations, so whether you're attracted to the bright lights of the city or the countryside of Epsom Downs, both are within easy reach.
FURTHER INFORMATION
**PLEASE NOTE THAT THIS POSITION MAY CLOSE EARLIER THAN THE STATED CLOSING DATE IF A SUFFICIENT NUMBER OF APPLICATIONS ARE RECEIVED. IF YOU WISH TO APPLY FOR THIS POSITION, YOU ARE ADVISED TO SUBMIT YOUR APPLICATION AS SOON AS POSSIBLE**
**PLEASE NOTE THAT WE CONTACT ALL APPLICANTS VIA EMAIL AND NOT BY POST. YOU ARE ADVISED TO CHECK YOUR RECRUITMENT SYSTEM ACCOUNT ON A REGULAR BASIS. YOU CAN ACCESS THIS ACCOUNT VIA OUR WEBSITE > Work for Us > Current Vacancies > My Job Account**
For new entrants into the NHS, your pay under the Agenda for Change or Medical & Dental Pay Bands, will normally be set at the minimum of the pay band as advertised.
If you apply for this position and do not hear from us within 4 weeks of the closing date, please assume that you have not been short-listed for interview on this occasion.
ESTH values diversity and is committed to the recruitment and retention of underrepresented minority groups. We particularly welcome applications from black, Asian and minority ethnic candidates, LGBTQ+ candidates and candidates with disabilities.
As a Disability Confident Employer we are working to create a workplace that enables all staff to reach their full potential. We are committed to this because we know that greater diversity and inclusion will lead to an even greater positive impact for the people we serve.
Internal applicants from underrepresented minority groups are encouraged to seek development support such as work shadowing and interview skills coaching. Please contact the recruitment team for more information.
Employer certification / accreditation badges
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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