Job responsibilities: Clinical To undertake assessment for patients within the community and those attending the surgery, using diagnostic skills and initiation of investigations where appropriate. Patients with problems needing referral to secondary care should be discussed with the registered GP before making such referral. Ensure clinical practice is safe, effective and remains within boundaries of competence, and to acknowledge limitations. Advise patients on general health care, with referral to other members of the primary and secondary health care team as necessary Works from the surgery and within the locality as a paramedic operating within boundaries of competence caring for patients and families. Works in accordance with the Health Professions Council Standards of Conduct to ensure that personal and professional clinical standards are maintained. Carry out planned consultations to record observations, create agreed care plans, provide sign posting to other services that may help and advice how to improve general health outcomes with patients who have long term conditions in which you have undertaken training and demonstrated competency. To impart knowledge and skills formally and informally to colleagues promoting peer review and best practice within the work environment. To communicate at all levels within the team ensuring an effective service is delivered. To maintain accurate, contemporaneous healthcare records appropriate to the consultation. Ensure evidenced-based care is delivered at the highest standards ensuring delivery of high quality patient care. Works with local policies and procedures. Enhance own performance through Continuous Professional Development, imparting own knowledge and behaviours to meet the needs of the service. To achieve and demonstrate agreed standards of personal and professional development in order to meet the needs of the service. To participate in the audit process, evaluation and implementing plans and practice change in order to meet patient need. Contribute positively to the effectiveness and efficiency of the team and work colleagues. Pathological specimens and investigatory procedures Undertake the collection of pathological specimens including intravenous blood samples, swabs etc. Perform investigatory procedures requested by the GPs Administration and professional responsibilities Participate in the administrative and professional responsibilities of the practice team Ensure accurate and legible notes of all consultations and treatments are recorded in the patients notes Ensure the clinical computer system is kept up to date, with accurate details recorded and amended Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice Ensure collection and maintenance of statistical information required for regular and ad hoc reports and audit Attend and participate in practice meetings as required Restocking and maintenance of clinical areas and consulting rooms Training and personal development Training requirements will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice. It is the individuals responsibility to remain up to date with recent developments. Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development. If it is necessary to expand the role to include additional responsibilities, full training will be given. Develop and maintain a Personal Learning Plan Liaison As well as the nursing team, there is a need to work closely with reception, office to ensure the smooth running of the practice, reporting any problems encountered to the relevant person and ensuring everyone is aware of the different roles within the nursing team There is also the need to establish and maintain good liaison with other surgeries and agencies, including secondary care Meetings It will be necessary to attend and contribute to various practice meetings as requested. The only reason for not attending will be annual, study or sick leave. For the full job description please see attached