Are you a skilled Paramedic or Advanced Nurse Practitioner with a passion for delivering high-quality, patient-centred care? If so, we have an exciting opportunity for you at Cowley Road Medical Practice, a vibrant, community-focused GP practice in East Oxford. As a small, close-knit practice, working with us will feel like being part of a second family. You will join a team with a rich mix of skills, experience, and knowledge, ensuring there is always someone available to answer your questions and support your development.
To ensure you hit the ground running, experience of primary care is essential, having a broad understanding of medical presentations and the ability to carry out assessment is key. Furthermore, the additional endorsement as a Non-Medical Prescriber (v300) will ensure timely autonomous patient management. With fully funded development and training, this is an opportunity to broaden your skills, knowledge and scope of practice. If you are a proactive, compassionate professional who values continuous learning and strives for excellence in patient care, we encourage you to apply and make a meaningful impact with us.
Main duties of the job
To provide a high-quality service to the patients of Cowley Road Medical Practice; diagnosing and recommending/prescribing treatments and medication while working within defined procedures and protocols. You will be working as part of a clinical team, with GPs, Pharmacists, Practice nurses, and Healthcare Assistants.
Job responsibilities
* To provide assessment, diagnosis and treatment at first point of contact from a triage list and act as an autonomous clinician, with the support and guidance from the GPs and Prescribing Paramedic. It would be desirable to have the skills to assess children as well as adults.
* Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).
* Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug-based treatment methods into a management plan.
* To accurately triage and prioritise patients, including in emergency situations, demonstrating the use of a variety of techniques to elicit the history of an event/illness, including past medical and drug history.
* As required, to provide assessment, diagnosis and treatment for those patients who need to be seen in their place of residence.
* To evaluate clinical information from examination and history taking and initiate appropriate treatment and/or referral, including admission to hospital if required.
* To signpost appropriately to other services in the identified healthcare pathway and to refer patients to appropriate care settings, within locally agreed healthcare pathways.
* To maintain accurate and systematic documentation of patient interactions and clinical care provided, including adverse events.
* To advise and support members of the public on healthy lifestyles, health promotion and disease prevention.
* Ability to support GP administrative workload (pathology results and Docman) with suitable training and support.
Communication
* To liaise and interact with multi-professional teams across organisational boundaries, including primary care, social services and secondary care providers according to patient needs and appropriate care pathways.
* To maintain communication with all healthcare professionals and outside agencies to ensure seamless, patient-centred service provision.
* To ensure effective communication so that the patient receives the appropriate level of care and wherever possible avoid unnecessary hospital admission.
* To take an active role in maintaining expert communication with all patients, carers and relatives which meets their individual needs.
* To deal with complaints in a calm and courteous manner, ensuring that, wherever possible, complaints are dealt with efficiently and satisfactorily in accordance with local protocols.
* To communicate effectively in demanding and challenging situations, where there may also be hostility.
Professional
* To input to and extract information from clinical IT system.
* To work collaboratively with other members of the health care team such as the District Nursing Team, Mental Health Services, staff in Care Homes, Ambulance Service, and Secondary Care etc.
* To ensure that the wellbeing of patients and staff is maintained in accordance with Practice policies. To undertake clinical audits in line with the organisations clinical audit plan, and to participate as required in equipment testing and other research.
* To contribute to the analysis of information to inform future development of the service.
* To participate and contribute to clinical meetings.
* To identify risks to service provision and highlight them to the Clinical Lead.
* To work within the requirements of Data Protection legislation as it applies to patient records.
* To maintain current professional registration and indemnity.
Organisational
* To operate as an effective member of the Practice team.
* To maintain accurate and systematic documentation of patient interactions and clinical care provided, including any adverse events, child protection issues or other notifiable matters.
* To provide information to inform the evaluation and efficiency of the role and for performance management purposes as requested.
* To engage in self-appraisal and utilise reflective practice to enhance and develop personal and organisational practice.
Managerial
* To ensure effective time management and prioritisation of workload.
* To ensure the security, safe storage and maintenance of any allocated equipment and goods.
* To ensure practice is within good clinical governance and based on sound up-to-date clinical evidence. Where appropriate, to identify and assess any risks associated with patient care or to oneself and communicate these risks to the appropriate clinical manager.
Person Specification
Qualifications
* You must be an independent prescriber (completed Non-Medical Prescriber v300 course).
* Degree in Nursing/Paramedic.
Experience
* Evidence of a commitment to continuing professional development.
* Experience in a primary care, urgent care Centre or emergency medicine setting.
* Proven track record of delivering autonomous and patient-centred care.
* Experience in managing a varied clinical caseload, including chronic and minor conditions.
* Strong clinical reasoning, assessment, and diagnostic skills.
* Proficiency in minor illness and minor injury treatment.
* Excellent communication and interpersonal skills, with the ability to provide compassionate patient care.
* Ability to work independently and as part of a multidisciplinary team.
* IT literacy, including experience with electronic health records (EMIS).
* Knowledge of primary care frameworks and guidelines, including NICE guidelines and CQC requirements.
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.
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