Come and join our friendly Clinical Team at Attenborough, an award-winning single Practice PCN and enjoy General Practice.
We have a big focus on teaching & training and the position comes with a competitive salary.
Main duties of the job
You will have a degree/diploma in Paramedicine or equivalent experience, working towards developing masters level, be at least a Band 6 & registered with the Health & Care Professions Council (HCPC).
Being a prescriber is desirable but not a requirement; we would support those wishing to become a prescriber.
Your role will be supportive, working in tandem with our team of Paramedics, GPs & other Clinical staff within the PCN to deliver health services. You will be part of an MDT assessing & triaging patients which will include same day triage, home visits for our housebound patients, working with our Duty Doctor team & as appropriate providing definitive treatment or referring to other Primary Care team members.
You will be able to perform specialist health checks & reviews including supporting the delivery of anticipatory care plans & leading community services, perform/interpret ECGs, perform investigatory procedures as required & undertake the collection of pathological specimens.
You will be advising on general health care, promoting self-management & signposting where appropriate.
You will be an effective & proactive communicator with all colleagues & attend/contribute to all meetings including working with our complex care team. You will be an effective communicator with patients & family members where appropriate, maintaining accurate & contemporaneous patient health care records, necessary documentation & paperwork as appropriate to the consultation.
About us
Attenborough Surgery is a training Practice with GP registrars & Medical students, as well as in-house teaching and a team of Salaried GPs, First Contact Physiotherapist, Clinical Pharmacists, Social Prescriber and dietitian, as well as an award-winning team of Mental Health Workers.
We are a large Practice of 30K+ patients, and you would be working across all 4 sites which use the same EMIS IT system and phone system. All sites are within 15 minutes drive of each other around Watford and our Main Site, Bushey, is a new purpose-built Medical Centre.
Easy access from Hertfordshire or North London - 5 mins from Junction 5 of the M1. Parking on all sites, with a dedicated space when working at Bushey in our underground car park.
Job responsibilities
The role will involve working as an autonomous, accountable Paramedic, in the provision of a holistic approach for individuals including assessment, diagnosis and treatment to deliver quality patient services.
1. Assess and triage patients, including same day triage, and as appropriate provide definitive treatment or make necessary referrals to other members of the practice team.
2. Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services and to self-care.
3. Be able to:
1. perform specialist health checks and reviews
2. perform and interpret ECGs; alongside other results as appropriate
3. perform investigatory procedures as required
4. undertake the collection of pathological specimens including intravenous blood samples, swabs, etc.
5. perform investigatory procedures needed by patients and those requested by GPs and the wider PCN
4. Support the delivery of anticipatory care and end of life care plans and lead certain community services (e.g. monitoring blood pressure and diabetes risk of elderly patients living in sheltered housing).
5. The post holder will use advanced clinical skills to provide education to patients and service users, promoting self-care and empowering them to make informed choices about their treatment.
6. The post holder will perform any other clinical and clinical administrative duties where trained and determined safe to do so by the organisation. This may include assisting with medical reports, safeguarding, and clinic support.
7. Prescribe, issue and review medications as appropriate following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways. This will be done in accordance with evidence-based practice and national and practice protocols, and within scope of practice N.B relevant if possesses prescribing qualification only - NOT ESSENTIAL.
Qualifications
* BSc in a training programme approved by the College of Paramedics Health & Care Professions Council (HCPC) registration able to operate at an advanced level of clinical practice.
* Educated to degree/diploma level in Paramedicine or equivalent experience.
* Registered with the Health and Care Professionals Council (HCPC).
* Completed two-year Consolidation of Learning period as a newly qualified paramedic.
* Have a further three years experience as a band 6 (or equivalent) paramedic and is working towards developing Level 7 capability in paramedic areas of practice and, within six months of the commencement of reimbursement (or longer time period as agreed with the commissioner), have completed and been signed off formally within the clinical pillar competencies of the Advanced Clinical Practice Framework.
* Pre-reg MSc in a training programme approved by the College of Paramedics non-medical prescribing qualification.
* Evidence of verification against the paramedic primary care roadmap.
Experience
* Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans.
* Ability to write comprehensive clinical notes, implement and evaluate care plans, mentorship or supervisory skills training, be aware of data protection (GDPR) and confidentiality issues particularly within a PCN cognitive behavioural and motivational interviewing approaches / skills minor illness management.
* Telephone triage, Chronic Disease Management, Clinical work in primary and/or an urgent care service.
* Working with extremely vulnerable groups, working knowledge of the NHS, principles and values.
* Ability to analyse and interpret complex/ often incomplete information, pre-empt and evaluate issues, and recommend an appropriate course of action to address the issues.
* Strong and inspirational leadership ability to co-ordinate and prioritise workloads, able to multi-task as well as be self-disciplined and highly motivated commitment to quality and best practice.
* Flexible and adaptable Team player, willingness to attend meetings when required, experience of working within a primary care setting, evidence of working across organisational boundaries within health and social care, independent thinker with good judgement, problem-solving and analytical skills.
* Experience of clinical audit.
* Excellent writing, report writing and presentation skills.
* Capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences.
* Evidence of success in efficient and effective project and programme management.
* High degree of personal credibility, emotional intelligence, patience and flexibility ability to cope with unpredictable situations confident in facilitating and challenging others.
* Demonstrates a flexible approach in order to ensure patient care is delivered excellent interpersonal and communication skills, able to influence and persuade others articulating a balanced view and able to constructively question.
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.
Depending on experience, 40K-45K competitive salary.
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