Job summary This role provides post holders the opportunity to work across our hospital at home services including our virtual ward, urgent care wrap around service as well as assessing undifferentiated patients. The role will provide post holders with opportunities to develop their experience of urgent and primary care as part of a multidisciplinary team whilst supported by our clinical leads. GPN is an innovative patient focused organisation seeking to support patients to be cared for at home whenever possible. Main duties of the job The post holder will be practising as an experienced paramedic within urgent care to provide patient-centred quality care. This will encompass the skills of history taking, assessment, examination, differential diagnosis and treatment within an agreed scope of practice. Work as paramedic to Support assessment of undifferentiated patients referred to the service via a number of pathways including ambulance stack, ambulance crews, hospital teams and other community services whose condition can be managed in the community as an alternative to ED or inpatient admission. See and assess the patient, working with senior clinicians to develop treatment / care plans. Where advice is required or patient is outside of scope of practice link with service GP/ACP. Provide support, advice and supervision of more junior registered and unregistered staff within the service. About us Our vision:To provide the patients of Greater Peterborough with high quality, sustainable healthcare that supports them to stay well and at home for as long as possible. We are an ambitious at scale primary care organisation with a passion for integration and innovation. We provide: Enhanced evening and weekend access to General Practice. Deliver at scale services to improve the health and wellbeing of the populations we serve. Home visiting and community services Virtual ward services. Advice to ambulance crews to help patients remain at home or to see the most appropriate secondary care team. Recruitment, induction and support of workforce through a team dedicated to supporting Primary Care Networks and hosting of the Cambridgeshire & Peterborough Training Hub. Our principles To attract innovation and investment into primary care. To be dynamic always seeking out new opportunities. To be the primary care provider at scale -supporting delivery of services at place level that benefits our patients and members. To engage our clinical community identifying local clinical leaders to drive service redesign and delivery across our place. To face challenges head on, working collaboratively to deliver solutions. Date posted 20 October 2024 Pay scheme Other Salary £28 an hour uplift of 15% Saturdays, 25% Sundays/Bank Holidays Contract Bank Duration 2 years Working pattern Flexible working Reference number U0088-24-0068 Job locations Allia Future Business Centre London Road Peterborough Cambridgeshire PE2 8AL Job description Job responsibilities 1. Clinical To deliver and participate in the clinical care of patients, referred to the urgent care wrap around service or virtual ward. Using clinical knowledge provide a high standard of skilled care to patients based on a full assessment of the individuals needs in consultation with the multi-professional team. To devise and evaluate care plans based on the assessment process with realistic nursing goals with the consultation patients, family and the multi-professional team. Where appropriate to their presenting circumstances, to rigorously review all aspects of the patients plan of care. Provide clinical and professional advice and support to the multidisciplinary team within and outside of the specialty To ensure due regard to given customs, values and spiritual beliefs of patients, carers and their relatives. To contribute to the development and improvement of systems and processes that facilitate excellent patient care. Maintain own clinical development by keeping abreast of new treatments and technologies within primary, acute and emergency care. To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients. Practice with confidence and competence within professional bodies guidelines (e.g. NMC, HCPC). To ensure that accurate documentation and records of patient care are kept. Ability to adapt clinical knowledge and skills to different clinical settings and influence service delivery and patient care. Actively support the implementation of effective systems and processes for infection control management and relevant audit within their clinical area. Ensure the safety of vulnerable patients is maintained by carrying out risk assessments using a multi disciplinary team approach in planning care, 2. Management and Leadership Support the delivery of the service performance KPIs and play an active part in clinical governance. To act as a champion for the service. To act as a role model for infection control practice, nutritional standards, medicines management and falls prevention, ensuring best practice in these areas is intrinsic to care delivery. To develop and maintain effective communication with the multidisciplinary team to ensure high standards of care. To actively participate in the implementation of any change in practice. To provide supervision to non-registered clinical team members. Foster a creative and open working culture to encourage new ideas and new ways of working. Support other initiatives that provide an improved quality of care for patients Undertake the co-coordinating role for the service in exceptional circumstances 3. Education and Training To develop and maintain a positive learning environment for the team by providing support to more junior staff, ensuring developmental requirements are addressed. To develop own knowledge base, ensuring practice is evidence based and contributes to the enhancement of patient care. To act as a reflective practitioner, questioning clinical practice. To actively participate in departmental education programmes. To participate in reviewing Policies and Procedures to improve outcomes and the quality of service provided. 4. Audit and Research Contribute to multidisciplinary research and clinical audit in the service. All employees are subject to the requirements of the data protection act and must maintain strict confidentiality in respect of patients and staff records. All employees have a responsibility under the organisations health and safety policy, to be aware of and conform to the policy, ensuring all health and safety rules are adhered to and ensuring that all accidents, incidents, near misses, damages and irregularities are documented and reported to a manager in accordance with policy. This job description is not intended to be an exhaustive list of duties and it may be reviewed and altered in the light of changed service needs and developments after discussion with the post holder. Job description Job responsibilities 1. Clinical To deliver and participate in the clinical care of patients, referred to the urgent care wrap around service or virtual ward. Using clinical knowledge provide a high standard of skilled care to patients based on a full assessment of the individuals needs in consultation with the multi-professional team. To devise and evaluate care plans based on the assessment process with realistic nursing goals with the consultation patients, family and the multi-professional team. Where appropriate to their presenting circumstances, to rigorously review all aspects of the patients plan of care. Provide clinical and professional advice and support to the multidisciplinary team within and outside of the specialty To ensure due regard to given customs, values and spiritual beliefs of patients, carers and their relatives. To contribute to the development and improvement of systems and processes that facilitate excellent patient care. Maintain own clinical development by keeping abreast of new treatments and technologies within primary, acute and emergency care. To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients. Practice with confidence and competence within professional bodies guidelines (e.g. NMC, HCPC). To ensure that accurate documentation and records of patient care are kept. Ability to adapt clinical knowledge and skills to different clinical settings and influence service delivery and patient care. Actively support the implementation of effective systems and processes for infection control management and relevant audit within their clinical area. Ensure the safety of vulnerable patients is maintained by carrying out risk assessments using a multi disciplinary team approach in planning care, 2. Management and Leadership Support the delivery of the service performance KPIs and play an active part in clinical governance. To act as a champion for the service. To act as a role model for infection control practice, nutritional standards, medicines management and falls prevention, ensuring best practice in these areas is intrinsic to care delivery. To develop and maintain effective communication with the multidisciplinary team to ensure high standards of care. To actively participate in the implementation of any change in practice. To provide supervision to non-registered clinical team members. Foster a creative and open working culture to encourage new ideas and new ways of working. Support other initiatives that provide an improved quality of care for patients Undertake the co-coordinating role for the service in exceptional circumstances 3. Education and Training To develop and maintain a positive learning environment for the team by providing support to more junior staff, ensuring developmental requirements are addressed. To develop own knowledge base, ensuring practice is evidence based and contributes to the enhancement of patient care. To act as a reflective practitioner, questioning clinical practice. To actively participate in departmental education programmes. To participate in reviewing Policies and Procedures to improve outcomes and the quality of service provided. 4. Audit and Research Contribute to multidisciplinary research and clinical audit in the service. All employees are subject to the requirements of the data protection act and must maintain strict confidentiality in respect of patients and staff records. All employees have a responsibility under the organisations health and safety policy, to be aware of and conform to the policy, ensuring all health and safety rules are adhered to and ensuring that all accidents, incidents, near misses, damages and irregularities are documented and reported to a manager in accordance with policy. This job description is not intended to be an exhaustive list of duties and it may be reviewed and altered in the light of changed service needs and developments after discussion with the post holder. Person Specification Qualifications Essential Relevant registered professional qualification (eg HCPC) Driving licence Relevant degree level education Academic development within relevant clinical field Willingness to undertake formal study in autonomous practice and clinical assessment. Desirable Teaching and assessing qualification Other post-basic, health-related courses Evidence of continuing professional development and its application Experience Essential Significant urgent/acute/primary care experience with experience working as a competent proficient fully autonomous practitioner within a relevant environment such as emergency care setting. Established Autonomous Nurse Practitioner/Specialist Paramedic in Primary Care/Unscheduled Care Proven experience of utilising expert diagnostic and clinical skills to provide autonomous unscheduled medical care and management of patients presenting with undifferentiated and undiagnosed conditions. Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and treatment. Evidence of ability and knowledge on how to undertake audit and feedback Clear understanding of urgent and emergency care performance targets and ability to identify opportunities to improve service delivery Skills Essential Extended clinical care Excellent communication skills: interpersonal, written and verbal Confidence to adapt to an evolving and changing service. Well-developed IT skills Proven leadership skills, with a vision to work with others Person Specification Qualifications Essential Relevant registered professional qualification (eg HCPC) Driving licence Relevant degree level education Academic development within relevant clinical field Willingness to undertake formal study in autonomous practice and clinical assessment. Desirable Teaching and assessing qualification Other post-basic, health-related courses Evidence of continuing professional development and its application Experience Essential Significant urgent/acute/primary care experience with experience working as a competent proficient fully autonomous practitioner within a relevant environment such as emergency care setting. Established Autonomous Nurse Practitioner/Specialist Paramedic in Primary Care/Unscheduled Care Proven experience of utilising expert diagnostic and clinical skills to provide autonomous unscheduled medical care and management of patients presenting with undifferentiated and undiagnosed conditions. Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and treatment. Evidence of ability and knowledge on how to undertake audit and feedback Clear understanding of urgent and emergency care performance targets and ability to identify opportunities to improve service delivery Skills Essential Extended clinical care Excellent communication skills: interpersonal, written and verbal Confidence to adapt to an evolving and changing service. Well-developed IT skills Proven leadership skills, with a vision to work with others 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 Greater Peterborough Network Address Allia Future Business Centre London Road Peterborough Cambridgeshire PE2 8AL Employer's website https://greaterpeterboroughgps.nhs.uk/ (Opens in a new tab)