The Paramedic will: a. Work as part of a multi-disciplinary team (MDT) within Cobham Health Centre and Oxshott Medical Practice b. Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing/recommending medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team c. Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to the organisations social prescribing service and, where appropriate, other community or voluntary services d. Be able to: Perform specialist health checks and reviews within their scope of practice and in line with local and national guidance Perform and interpret ECGs (if appropriately trained) Perform investigatory procedures as required and undertake the collection of pathological specimens including but not limited to venous blood samples (if appropriately trained), swabs, urine samples, and other samples within their scope of practice and within line of local and national guidance Support the delivery of anticipatory care plans and lead certain services (e.g., monitoring blood pressure and diabetes risk of elderly patients) Provide an alternative model to urgent and same day GP home visit for the practice Communicate at all levels across organisations ensuring that an effective, person-centred service is delivered Communicate proactively and effectively with all colleagues across the MDT, attending and contributing to meetings as required Maintain accurate and contemporaneous health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associated with patient healthcare and registration with the organisation Communicate effectively with patients and, where appropriate, family members and their carers, where applicable, complex and sensitive information regarding their physical health needs, results, findings and treatment choices Other Responsibilities ADMINISTRATION Contributes and participates in audits, evaluation and clinical standard setting within the Practice and/or PCN. Accurate and timely summarising of patient records and read-coding patient data Complete all required paperwork for legal and administrative purposes in accordance with relevant standards Ensure that all practice policies are fully implemented Work in accordance with all governance and internal systems relating to (but not limited to) the management of clinical data and systems TRAINING AND DEVELOPMENT Taking responsibility for own development with relevant evidence-based knowledge and competence in all aspects of the role to meet clinical governance guidelines for Continuing Professional Development (CPD) and a Personal Development Plan (PDP). Stay up to date through attendance at any courses and/or study days necessary to ensure that professional development requirements are met, demonstrating skills and activities to others who are undertaking similar work. Subject to a performance review, including taking responsibility for maintaining a record of own personal and/or professional development. Work closely with other clinical staff and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets Work to deliver the NHS contract requirements related to the practice (including the terms of the Quality and Outcomes Framework, locally enhanced services and other related targets) GOVERNANCE Produce complete and accurate records of patient consultation, in line with best practice, confidentiality, policies and procedures Deliver care according to NHS guidance, NICE guidelines and evidence-based care Take part in the maintenance of quality governance systems and processes across the Practice and its activities. Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required. Work with other clinical teams on improving the quality of healthcare in response to local and national policies and initiatives as appropriate Evaluate patients response to health care provision and the effectiveness of care Support and participate in shared learning across the practice and wider organisation Manage, review and identify learning from patient complaints, clinical incidents and near-miss events Awareness of statutory safeguarding, notification processes and local guidance for children/vulnerable patients, applying relevant policies and legislation to protect them Ensure compliance with policies, procedures and guidelines for self and others, by taking action or alerting senior management team if the practice appears to contravene policy, or if there are concerns over any aspect of patient care. CONFIDENTIALITY Maintain confidentiality of information, acting within the terms of the Data Protection Act and Caldicott guidance on patient confidentiality at all times. Maintain an awareness of the Freedom of Information Act. Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data HEALTH & SAFETY The post-holder will manage their own and others health & safety and infection control as defined in the Practices Health & Safety Policy, the Practice Health & Safety Manual, and the Practices Infection Control Policy and published procedures. Comply with Practice health and safety policies by following agreed safe working procedures Actively reporting of health and safety hazards and infection hazards immediately when recognised Keeping work and general areas clean and tidy, and using appropriate infection control procedures to keep work areas hygienic and safe from contamination. Undertaking periodic infection control training (minimum annually) Awareness and compliance with national standards of infection control, hygiene, regulatory / contractual / professional requirements, and good practice guidelines. Correct personal use of Personal Protective Equipment (PPE) and ensuring correct use of PPE by others, advising on appropriate circumstances for use by clinicians, staff and patients. Reporting incidents using the organisations Incident Reporting System Using personal security systems within the workplace according to Practice guidelines Making effective use of training to update knowledge and skills EQUALITY AND DIVERSITY The post-holder will support, promote and maintain the Practices Equality & Diversity Policy. No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc. The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families. OTHER DELEGATED DUTIES This job description is not intended to be exhaustive - it may be changed after consultation with the post holder. The employee shares with the employer the responsibility for review and modification of duties.