Job summary Sutton Primary Care Networks (PCNs) is looking to employ a Paramedic under the additional roles reimbursement scheme (ARRS) to work within our local Acute Home Visiting Service (AHVS), and directly with its GP Practices, to provide continuity of care for housebound patients. They will be accountable to the Primary Care Networks, working in individual PCNs and across PCNs to support the multi-disciplinary teams and relevant services required. These individuals may also work across more than one PCN in some cases where flexibility allows and for the purposes of cross cover and to ensure general practice resilience in Sutton. You'll be joining a great team in a great place, where your commitment will be genuinely valued, your skills respected, and your ambition rewarded. Main duties of the job To be responsible for the provision of care commensurate to the needs of the patient. This may require providing clinical intervention and resuscitation to prevent deterioration, promote recovery or in some cases, liaise with the end of life care team. To work within the community as an autonomous and accountable Paramedic Practitioner, in the provision of a holistic approach for individuals including assessment, diagnosis and treatment, to deliver quality patient services. Undertake home visits on behalf of the GP practice or PCN as directed and in accordance with relevant clinical guidelines. To work closely with the team of doctors and allied health care professionals to help manage their patients suffering acute/chronic diseases. Be prepared to assess, diagnose, treat, refer, signpost or educate patients who attend surgery with an undifferentiated or undiagnosed condition relating to minor illness or injury. Use advanced clinical skills to provide education to service users, promoting self-care and empower them to make informed choices about their treatment. Be involved in reducing unnecessary conveyance and hospital admissions, and engage effectively with patients, carers, families and other health and social care agencies when managing often complex situations. The post holder should have their own vehicle available for home visits with expenses remunerated in line with contractual terms. About us Sutton PCNs is forward-looking, friendly and focused on providing a wide range of excellent healthcare services to patients in Sutton and the surrounding area. Not only are we more resilient and efficient but we are able to invest in continuous quality improvement, enhanced care, new services and training and developing our workforce. We value the diversity of our colleagues and actively champion an inclusive culture and are committed to helping our colleagues achieve a work/life balance. Sutton Primary Care Networks CIC is the collaborative vehicle for the four Sutton PCNs and the former Sutton GP Federation working together as a single entity. We are a Community Interest Company that aims to reinvest surpluses back into general practice and primary care for the benefit of our practices and the people who form the communities we serve. Sutton has four PCNs whose boundaries are based on historical relationships and groupings of organisations. There are some similarities of residents health and care needs unique to a particular PCN, and many more needs that are shared across all 4 PCNs. Our four PCNs represent all 22 GP surgeries around Sutton. Their collective footprints covers all the London Borough of Sutton and its residents who are able to access and benefit from the services and improvements offered by Primary Care Networks. Date posted 18 February 2025 Pay scheme Other Salary Depending on experience Locum Contract Locum Duration 3 months Working pattern Full-time, Part-time Reference number A2700-25-0011 Job locations Thomas Wall Centre 52 Benhill Avenue Sutton Surrey SM1 4DP Job description Job responsibilities Clinical Responsibilities Triage, assess and treat patients at home, or in the surgery when directed to do so. Make any necessary referrals in collaboration with the referring or duty clinician to other members of the primary health care team, community or hospital teams or social care team as appropriate. Assess, diagnose, plan, implement and evaluate treatment, interventions and care for patients presenting with an undifferentiated diagnosis on an acute basis within the boundaries of competence, seeking the advice of the referring or duty clinician if outside level of knowledge and scope of practice. Where appropriate, discuss with the referring or duty clinician doctor the needs of patients presenting with complex health needs or conditions requiring specific treatment, hospital admission or referral. Clinically examine and assess patient needs from a physiological and psychological perspective, interpret test results and plan clinical care accordingly. Follow-up patients in the short term and post discharge / 999 call to ensure continuity of care and assist with reducing unnecessary hospital admission or re-admission. Ensure clinical practice is safe and effective and remains within the 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. Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care where appropriate. Work as an autonomous practitioner within general practice or in the community setting, caring for patients and families, in accordance with the Health and Care Professions Council Standards and Proficiency, Standards of Conduct, Performance and Ethics. Ensure that personal and professional clinical standards and development are maintained. Prescribe/issue medications as appropriate following national policies, patient group directives and local pathways and in accordance with own competence. Formally and informally impart knowledge and skills to colleagues promoting peer review and best practice within the work environment, ensuring the delivery of a safe and effective service. Undertake the collection of pathological specimens including intravenous blood samples, swabs etc. Perform investigatory procedures requested by the GPs, only accepting to carry out procedures that you are appropriately trained to complete. Other Responsibilities Maintain accurate, contemporaneous healthcare records appropriate to the consultation. Assist with the development of local policies and procedures and participate in audit. Participate in PCN MDT where appropriate. Explore the potential for collaborative working and take opportunities to initiate and sustain such relationships. Liaise with other stakeholders as needed for the collective benefit of patients, including but not limited to: - Patients and their representatives - GP, nurses, AHPs and other practice staff - Social prescribers, first contact physiotherapists, physician associates and pharmacists - Community pharmacists and support staff - End of life care teams - Mental health teams - PCN Clinical Directors and other PCN staff - Practice managers - Community nurses and other allied health professionals - Hospital staff with responsibilities for prescribing and medicines optimisation Job description Job responsibilities Clinical Responsibilities Triage, assess and treat patients at home, or in the surgery when directed to do so. Make any necessary referrals in collaboration with the referring or duty clinician to other members of the primary health care team, community or hospital teams or social care team as appropriate. Assess, diagnose, plan, implement and evaluate treatment, interventions and care for patients presenting with an undifferentiated diagnosis on an acute basis within the boundaries of competence, seeking the advice of the referring or duty clinician if outside level of knowledge and scope of practice. Where appropriate, discuss with the referring or duty clinician doctor the needs of patients presenting with complex health needs or conditions requiring specific treatment, hospital admission or referral. Clinically examine and assess patient needs from a physiological and psychological perspective, interpret test results and plan clinical care accordingly. Follow-up patients in the short term and post discharge / 999 call to ensure continuity of care and assist with reducing unnecessary hospital admission or re-admission. Ensure clinical practice is safe and effective and remains within the 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. Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care where appropriate. Work as an autonomous practitioner within general practice or in the community setting, caring for patients and families, in accordance with the Health and Care Professions Council Standards and Proficiency, Standards of Conduct, Performance and Ethics. Ensure that personal and professional clinical standards and development are maintained. Prescribe/issue medications as appropriate following national policies, patient group directives and local pathways and in accordance with own competence. Formally and informally impart knowledge and skills to colleagues promoting peer review and best practice within the work environment, ensuring the delivery of a safe and effective service. Undertake the collection of pathological specimens including intravenous blood samples, swabs etc. Perform investigatory procedures requested by the GPs, only accepting to carry out procedures that you are appropriately trained to complete. Other Responsibilities Maintain accurate, contemporaneous healthcare records appropriate to the consultation. Assist with the development of local policies and procedures and participate in audit. Participate in PCN MDT where appropriate. Explore the potential for collaborative working and take opportunities to initiate and sustain such relationships. Liaise with other stakeholders as needed for the collective benefit of patients, including but not limited to: - Patients and their representatives - GP, nurses, AHPs and other practice staff - Social prescribers, first contact physiotherapists, physician associates and pharmacists - Community pharmacists and support staff - End of life care teams - Mental health teams - PCN Clinical Directors and other PCN staff - Practice managers - Community nurses and other allied health professionals - Hospital staff with responsibilities for prescribing and medicines optimisation Person Specification Experience Essential - Minimum 2 yrs post-qualification experience - Triage and patient examination skills - Knowledge of the breadth of common acute and long term conditions that are likely to be seen in general practice - Collaborative working and of building relationships across a variety of organisations - Facilitating change to improve clinical practice - Undertaking policy review and clinical audit - Good knowledge of Emis / Clinical system - Understanding of clinical governance and quality issues Desirable - Working in an urgent care or primary care setting Aptitudes Essential - Sensitive to patient issues - Willingness to undertake continuing professional development. - Meet DBS reference standards and has a clear criminal record (not subject to the Rehabilitation of Offenders Act 1974) - Able to work as part of a team - Able to adapt new ways of delivering primary healthcare - Ability to recognise the importance of peoples rights and respect their privacy, dignity, needs and belief - Open and reflective - Willingness to work on a rota and flexible to working hours to meet the needs of the practice clinical commitment. - Reliable and punctual Qualifications Essential - BSc Paramedic Science or other relevant and equivalent qualification or training pathway - Health Care Professions Council (HCPC) Desirable - MSc degree - Prescribing qualification Competency Skills Essential - Communication and relational skills - Patient assessment - Managing workload - Evidence-based practice - Patient engagement - Understanding confidentiality - Safe practice / patient engagement - IT Knowledge & computer skills - Learning and development - Sutton PCN core values Person Specification Experience Essential - Minimum 2 yrs post-qualification experience - Triage and patient examination skills - Knowledge of the breadth of common acute and long term conditions that are likely to be seen in general practice - Collaborative working and of building relationships across a variety of organisations - Facilitating change to improve clinical practice - Undertaking policy review and clinical audit - Good knowledge of Emis / Clinical system - Understanding of clinical governance and quality issues Desirable - Working in an urgent care or primary care setting Aptitudes Essential - Sensitive to patient issues - Willingness to undertake continuing professional development. - Meet DBS reference standards and has a clear criminal record (not subject to the Rehabilitation of Offenders Act 1974) - Able to work as part of a team - Able to adapt new ways of delivering primary healthcare - Ability to recognise the importance of peoples rights and respect their privacy, dignity, needs and belief - Open and reflective - Willingness to work on a rota and flexible to working hours to meet the needs of the practice clinical commitment. - Reliable and punctual Qualifications Essential - BSc Paramedic Science or other relevant and equivalent qualification or training pathway - Health Care Professions Council (HCPC) Desirable - MSc degree - Prescribing qualification Competency Skills Essential - Communication and relational skills - Patient assessment - Managing workload - Evidence-based practice - Patient engagement - Understanding confidentiality - Safe practice / patient engagement - IT Knowledge & computer skills - Learning and development - Sutton PCN core values 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 Sutton Primary Care Networks Address Thomas Wall Centre 52 Benhill Avenue Sutton Surrey SM1 4DP Employer's website https://www.suttonpcns.co.uk/ (Opens in a new tab)