Job summary Employed by the Meon Health Practice (MHP), the post holder will be a registered Paramedic with post-graduate qualifications relevant to the position. Acting within their professional boundaries, the post holder will provide care for patients presenting with undifferentiated conditions. This will l include initial history taking, clinical assessment, diagnosis, treatment, and evaluation of care. They will demonstrate safe clinical decision-making and care for patients within the MHP. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively within the Complex Care Team to meet the needs of patients, supporting the delivery of policy and procedures. They will work as an autonomous practitioner to provide clinical case management for frail patients with acute / chronic / palliative care needs and at risk of further deterioration in health that may result in unplanned avoidable hospital admissions or unnecessary length of hospital stay. This vacancy is working 22.5 hours over 3 days Main duties of the job Remote consulting and visiting MHP patients in CQC registered Care homes (nursing / residential) and housebound patients registered with the network practices to achieve acute visiting and assessment early in the day (typically before mid-day) to optimise patient outcomes. The role will comprise two specific disciplines: 1. Working within the MHP complex care team you will undertake proactive consultations with Nursing / Residential home and housebound patients within MHP. You will provide advice to care home staff on patient care and wider health policy. This includes patient specific care plans and DNACPR decisions. 2. Working alongside a centrally based duty GP you will deliver a high standard of patient care to patients who have been placed onto a central GP triaged visiting list by practices within MHP As a Primary Care Paramedic Practitioner within the complex care team, you will be using advanced autonomous clinical skills and a broad, in-depth theoretical knowledge base, to provide patient care. This will include referring patients to hospital or other community services. You will be working autonomously (in the patients home or a care home) with access to electronic patient records and available escalation to the complex care GP/ANP or duty GP for advice and support as required. You will work alongside Clinical Pharmacists from within MHP and the CCG to deliver the appropriate medicines related care. About us MHP delivers care to patients registered at either Whiteley, Jubilee or Highlands Practice in Fareham. Our Organisation has a number of well established services and you will be working alongside GP's, ANP's, Practice Nurses, Pharmacists and Social Prescribers. We offer membership to the NHS pension scheme, an employees assistance programme which is open to immediate family members as well, cycle to work scheme and eye care vouchers. Date posted 24 January 2025 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Part-time Reference number A1583-25-0002b Job locations 102 Highlands Road Fareham Hampshire PO15 6JF 102 Highlands Road Fareham Hampshire PO15 6JF High Street Titchfield Fareham Hampshire PO14 4EH Yew Tree Drive Whiteley Fareham Hampshire PO15 7LB Job description Job responsibilities CLINICAL ROLE Work alongside the complex care team to provide a first point of contact 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. 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/nursing and residential care home visits, in accordance with the relevant protocols. Make professionally autonomous decisions for which you will be 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 DoH (Department of Health), the HCPC (Health and Care Professions Council) and the College of Paramedics (COP) Work with multi-disciplinary teams within MHP and healthcare community, to promote integrated and seamless pathways of care. Contribute to MHP achieving its qualitative and quantitative targets to maintain 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. Assist with development of patient care plans and ensure DNACPR are in place where appropriate. Use Associated Clinical Groups informatics to identify patients needing additional care or at risk of hospital admission. Assess frailty use Rockwood frailty scales/FI B. Teaching and mentoring role: the post holder will desirably: Promote a learning environment for patients, colleagues and other health professionals. C. 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,COP 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 and other core competencies. Record accurate and timely consultation data within the patients records Keep up to date with pertinent health-related policy and work with the SHN team to consider the impact and possible strategies for implementation. Work collaboratively with colleagues within and external to MHP. Pro-actively promote the Paramedic role within MHP and externally to key stakeholders and agencies. Identify own learning needs in order to remain up to date 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 MHP operate in a cost-effective manner. Identify and manage care risks on a continuing basis. Participate in MHP 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 MHP systems for monitoring/measuring performance against clinical governance and quality targets. Ensure all MHP policies are fully implemented. E. Health & Safety and Risk Management The post-holder must comply at all times with MHP Health and Safety policies. The post-holder will comply with the Data Protection Act (1998) and the Access to Health Records Act (1990) and GDPR. F. 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. G. 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. H. Communication and working relationships The post-holder will establish and maintain effective communication pathways with the following: GPs within MHP and externally with the CCG as a whole Whole nursing team including Nurse Practitioners Reception and Administration Teams I. 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. J. 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. K. 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 MHP. All members of staff should be prepared to work, flexibly within MHP. Job description Job responsibilities CLINICAL ROLE Work alongside the complex care team to provide a first point of contact 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. 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/nursing and residential care home visits, in accordance with the relevant protocols. Make professionally autonomous decisions for which you will be 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 DoH (Department of Health), the HCPC (Health and Care Professions Council) and the College of Paramedics (COP) Work with multi-disciplinary teams within MHP and healthcare community, to promote integrated and seamless pathways of care. Contribute to MHP achieving its qualitative and quantitative targets to maintain 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. Assist with development of patient care plans and ensure DNACPR are in place where appropriate. Use Associated Clinical Groups informatics to identify patients needing additional care or at risk of hospital admission. Assess frailty use Rockwood frailty scales/FI B. Teaching and mentoring role: the post holder will desirably: Promote a learning environment for patients, colleagues and other health professionals. C. 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,COP 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 and other core competencies. Record accurate and timely consultation data within the patients records Keep up to date with pertinent health-related policy and work with the SHN team to consider the impact and possible strategies for implementation. Work collaboratively with colleagues within and external to MHP. Pro-actively promote the Paramedic role within MHP and externally to key stakeholders and agencies. Identify own learning needs in order to remain up to date 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 MHP operate in a cost-effective manner. Identify and manage care risks on a continuing basis. Participate in MHP 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 MHP systems for monitoring/measuring performance against clinical governance and quality targets. Ensure all MHP policies are fully implemented. E. Health & Safety and Risk Management The post-holder must comply at all times with MHP Health and Safety policies. The post-holder will comply with the Data Protection Act (1998) and the Access to Health Records Act (1990) and GDPR. F. 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. G. 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. H. Communication and working relationships The post-holder will establish and maintain effective communication pathways with the following: GPs within MHP and externally with the CCG as a whole Whole nursing team including Nurse Practitioners Reception and Administration Teams I. 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. J. 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. K. 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 MHP. All members of staff should be prepared to work, flexibly within MHP. Person Specification Qualifications Essential Registered Paramedic Post Graduate Qualification relevant to the position Desirable Able to work autonomously Proven ability/desire to learn and take on additional responsibilities Good communication skills communicate quickly and concisely Ability to work as part of a team and understand other members needs Ability to use own initiative Ability to assimilate information quickly Ability to remain calm under pressure & think logically Accurate/detailed record keeping Change-management skills and ability to support patients to change lifestyle Computer literate Ability to motivate self and others Negotiation and conflict management skills Critical thinking in clinical decision making Evidence of continued professional development Assertive and confident Flexible working approach quick to adapt and respond to changing demands Multidisciplinary team working Discretion and confidentiality Full driving licence and access to own vehicle, which can be insured for business use Person Specification Qualifications Essential Registered Paramedic Post Graduate Qualification relevant to the position Desirable Able to work autonomously Proven ability/desire to learn and take on additional responsibilities Good communication skills communicate quickly and concisely Ability to work as part of a team and understand other members needs Ability to use own initiative Ability to assimilate information quickly Ability to remain calm under pressure & think logically Accurate/detailed record keeping Change-management skills and ability to support patients to change lifestyle Computer literate Ability to motivate self and others Negotiation and conflict management skills Critical thinking in clinical decision making Evidence of continued professional development Assertive and confident Flexible working approach quick to adapt and respond to changing demands Multidisciplinary team working Discretion and confidentiality Full driving licence and access to own vehicle, which can be insured for business use 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 The Highlands Practice Address 102 Highlands Road Fareham Hampshire PO15 6JF Employer's website http://www.meonhealthpractice.co.uk/ (Opens in a new tab)