Job summary
Castlegate & Derwent Surgery is recruiting a Paramedic on behalf of Cockermouth & Maryport PCN to join our friendly and dynamic team, this is an exciting opportunity to work at an advanced level of practice, using enhanced clinical assessment and treatment skills, to provide a first-point of contact for patients presenting with undifferentiated, undiagnosed problems.
Main duties of the job
We are looking for a motivated individual to work as part of a multi-disciplinary team to:
1. Assess and triage patients, including same day triage,
2. advise patients on general healthcare and promote self-management
3. be able to:-
a) perform specialist health checks and reviews
b) perform and interpret ECGs; alongside other results as appropriate
c) perform investigatory procedures as required
d) undertake the collection of pathological specimens including intravenous bloods samples, swabs etc.
e) perform investigatory procedures needed by patients and those requested by GPs and the wider PCN
4. Support the delivery of anticipatory care plans
About us
Castlegate & Derwent Surgery is a visionary forward thinking practice located in Cockermouth, in the heart of the Lake District with a growing population of 18180 patients.
We are committed to giving our patients the highest quality service by maintaining a caring, respectful and mutual confidence between Doctor and Patient. We have 7 GP partners working closely with 7 salaried GPs and a dedicated Practice team which includes a Paramedic, 3 Advanced Nurse Practitioners, a team of Practice Nurses, Treatment room Nurses, GPAs, Social Prescriber and Care Coordinators and are supported by Admin and Reception staff.
Job description
Job responsibilities
Key Duties and Responsibilities
5. assess and triage patients, including same day triage, and as appropriate provide definitive treatment or make necessary referrals
6. advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services
7. support the delivery of anticipatory care plans and lead certain community services ( monitoring blood pressure and diabetes risk of elderly patients living in sheltered housing)
8. diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan
9. assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs
10. clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
11. prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
12. provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions
13. prescribe, issue and review medications as appropriate following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways. This will be done in accordance with evidence-based practice and national and practice protocols, and within scope of practice
14. support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care
15. maintain accurate and contemporaneous health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associated with patient health care and registration with the practice
16. collaborate with other members of the PCN including doctors, nurses and other AHPs, accepting referrals and referring to them for specialist care
17. communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required
18. provide an alternative model to urgent and same day home visits for the PCN and undertake clinical audits
19. communicate at all levels across PCNs and other organizations, ensuring effective, patient-centred service
Quality Requirements
20. enhance own performance thorough continuous professional development, keep up to date with current evidence-based practice, and impart own knowledge and skills to PCN colleagues to meet the needs of the service
21. recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics
22. assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
23. participate in research and utilise the audit cycle as a means of evaluation the quality of work of self and the team, implementing improvements where required
24. in partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate
Administrative Requirements
25. produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
26. be aware of data protections (GDPR) and confidentiality issues
27. use technology and appropriate software as an aid to management planning, implementation and monitoring of care, presenting and communicating information
28. review and process data using accurate read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes
Supervision
The post holder will have access to appropriate clinical supervision and an appropriate named individual in the PCN to provide general advice and support on a day to day basis
Health and Safety
The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice Health & Safety Policy, to include:
29. Using personal security systems within the workplace according to Practice guidelines
30. Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
31. Making effective use of training to update knowledge and skills
32. Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
33. Reporting potential risks identified
Equality and Diversity
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
34. Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation
35. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
36. Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Communication
The post-holder should recognise the importance of effective communication within the team and will strive to:
37. Communicate effectively with other team members
38. Communicate effectively with patients and carers
39. Recognise peoples needs for alternative methods of communication and respond accordingly
40. Work effectively with individuals in other agencies to meet patient needs
Immunisation
Due to exposure to patients and potential risks that presents it will be a requirement of the postholder to have / have had the following immunisations:
41. Influenza
42. COVID in line with national guidance
43. Hepatitis B
This is not an exhaustive description of your job you may be required, from time to time, to fulfil other tasks within your capabilities and commensurate with the post.
Person Specification
Qualifications
Essential
44. BSc in a training programme approved by the College of Paramedics Health & Care Professions Council (HCPC) registration
45. able to operate at an advanced level of clinical practice
46. Framework for Higher Education Qualification (FHEQ) Level 7 or Scottish Credit and Qualifications Framework (SCOF) Level 11
Desirable
47. Pre-reg MSc in a training programme approved by the College of Paramedics
48. non-medical prescribing qualification
49. Full UK Driving License
Analysis Skills
Essential
50. ability to evidence a sound understanding of the NHS principles and values
51. ability to analyse and interpret complex/ often incomplete information, pre-empt and evaluate issues, and recommend an appropriate course of action to address the issues
Desirable
52. experience of working within a primary care setting
53. evidence of working across organisational boundaries within health and social care
54. independent thinker with good judgement, problem solving and analytical skills
Communication
Essential
55. excellent interpersonal and organisational skills
56. excellent interpersonal and communication skills, able to influence and persuade others articulating a balanced view and able to constructively question information
57. able to negotiate effectively
58. build effective relationships with a range of stakeholders which are based on openness, honesty trust and confidence
Desirable
59. clear communicator with excellent writing, report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences
60. evidence of success in efficient and effective project and programme management
61. evidence of inspiring and motivating teams with the ability to communicate passionately, effectively and persuasively across a diverse set of stakeholders
Experience
Essential
62. experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans
63. working knowledge of Microsoft and GP Practice and prescribing data monitoring systems
64. ability to write comprehensive clinical notes, implement and evaluate care plans
Desirable
65. working towards advanced clinical practitioner status
66. mentorship or supervisory skills training
67. ability to undertake nails surgery assessments, procedure and post-operative care
68. be aware of data protection (GDPR) and confidentiality issues particularly within a PCN
69. cognitive behavioural and motivational interviewing approaches / skills
Personal Attributes & Abilities
Essential
70. strong and inspirational leadership
71. ability to co-ordinate and prioritise workloads - able to multi-task as well as be self-disciplined and highly motivated
Desirable
72. high degree of personal credibility, emotional intelligence, patience and flexibility
73. able to cope with unpredictable situations
74. confident in facilitating and challenging others
75. demonstrates a flexible approach in order to ensure patient care is delivered