Job summary We are seeking a dynamic paramedic who either has prior experience of work in primary care or is motivated to develop the skills needed to offer care to our patients. You will be based at Sunbury Health Centre as an integral part of our team, visiting patients at home in Sunbury-on-Thames, conducting telephone consultations with patients, family and carers and occasionally seeing patients in the Health Centre. You will be employed by our local PCN. You will be joining our team of 2 highly experienced paramedics, one of whom carries out home visits. Your work will be a mixture of dealing with acute illness and also carrying out routine health checks for patients with chronic diseases and complex social problems. The post holder needs to be highly motivated and passionate aspiring to deliver a high quality service within general practice. You will need to be an efficient and effective team member building good relationships with colleagues within the GP Practice, The successful candidate is required to have a BSc in a training programme approved by the College of Paramedics, Health & Care Professions Council (HCPC) registration and able to operate at an advanced level of clinical practice. Main duties of the job Interview patients, take medical histories, perform physical examinations, analyse, diagnose and explain medical problems during home visits.You will be supported by the GPs in making management decisions. Perform investigatory procedures as required Communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required.Communicate effectively with patients families and carers where needed. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care Complete target-based work relevant to the patients that you visit Assist and support the duty doctor in carrying out telephone consultations and face to face consultations in the GP surgery for patients who have acute illnesses. About us The role will be based at Sunbury Health Centre Group Practice, a friendly and supportive practice with 19,300 patients in a pleasant location in Surrey. The Sunbury team comprises 6 Partners, 5 salaried GPs, trainee GP's, prescribing ANPs & Paramedics, Clinical Pharmacists, Nurses, HCAs and a supportive management and admin team. Sunbury Health Centre is a training practice rated Good in all areas by CQC, high QOF Achievers with strong links to the ICB and local GP Federation. Date posted 22 January 2025 Pay scheme Other Salary £42,000 to £46,000 a year Contract Permanent Working pattern Full-time Reference number A4770-25-0000 Job locations Green Street Sunbury-on-thames Middlesex TW16 6RH Job description Job responsibilities Key duties and responsibilities 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 Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services. Participate in all treatment and preventative healthcare services in the Practice as delegated and agreed by the supervising GP(s). Provide direct clinical care to patients using established clinical guidelines. Consult and refer patients to physicians, medical specialists and other health professionals as indicated. Interview patients, take medical histories, perform physical examinations, analyse, diagnose and explain medical problems during home visits. Perform specialist health checks and reviews Perform investigatory procedures as required Undertake the collection of pathological specimens including intravenous blood samples, swabs, etc. Support the delivery of anticipatory & PCN care plans and lead certain community services (e.g. monitoring blood pressure and diabetes risk of elderly patients living in sheltered housing) Communicate proactively and effectively with all colleagues across the multi-disciplinary team, 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 health care and registration with the practice Work with patients in order to support compliance with and adherence to prescribed treatments Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care Help implement new PCN DES specifications, personalised care plans, anticipatory care, cardiovascular disease finding. Help work on practice QOF domains and some selected chronic disease targets Quality Requirements Enhance own performance through continuous professional development, keep up to date with current evidence-based practice, and impart own knowledge and skills to colleagues to meet the needs of the service Recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate Administrative requirements Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures Be aware of data protection (GDPR) and confidentiality issues particularly within a PCN Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information Review and process data using accurate read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes. Supervision The post holder will have access to appropriate clinical supervision and an appropriate named individual in the PCN to provide general advice and support on a day to day basis. Confidentiality: In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential 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 assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include: Using personal security systems within the workplace according to practice guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks Making effective use of training to update knowledge and skills Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards Actively reporting of health and safety hazards and infection hazards immediately when recognised Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role Undertaking periodic infection control training (minimum annually) Reporting potential risks identified Demonstrate due regard for safeguarding and promoting the welfare of children. Equality and diversity: The post-holder will support the equality, diversity and rights of patients, carers and colleagues Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights. Personal/Professional development: The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work Quality: Alert other team members to issues of quality and risk Assess own performance and take accountability for own actions, either directly or under supervision Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance Effectively manage own time, workload and resources The post-holder will: Apply practice policies, standards and guidance Discuss with other members of the team how the policies, standards and guidelines will affect own work Participate in audit where appropriate Job description Job responsibilities Key duties and responsibilities 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 Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services. Participate in all treatment and preventative healthcare services in the Practice as delegated and agreed by the supervising GP(s). Provide direct clinical care to patients using established clinical guidelines. Consult and refer patients to physicians, medical specialists and other health professionals as indicated. Interview patients, take medical histories, perform physical examinations, analyse, diagnose and explain medical problems during home visits. Perform specialist health checks and reviews Perform investigatory procedures as required Undertake the collection of pathological specimens including intravenous blood samples, swabs, etc. Support the delivery of anticipatory & PCN care plans and lead certain community services (e.g. monitoring blood pressure and diabetes risk of elderly patients living in sheltered housing) Communicate proactively and effectively with all colleagues across the multi-disciplinary team, 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 health care and registration with the practice Work with patients in order to support compliance with and adherence to prescribed treatments Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care Help implement new PCN DES specifications, personalised care plans, anticipatory care, cardiovascular disease finding. Help work on practice QOF domains and some selected chronic disease targets Quality Requirements Enhance own performance through continuous professional development, keep up to date with current evidence-based practice, and impart own knowledge and skills to colleagues to meet the needs of the service Recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate Administrative requirements Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures Be aware of data protection (GDPR) and confidentiality issues particularly within a PCN Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information Review and process data using accurate read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes. Supervision The post holder will have access to appropriate clinical supervision and an appropriate named individual in the PCN to provide general advice and support on a day to day basis. Confidentiality: In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential 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 assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include: Using personal security systems within the workplace according to practice guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks Making effective use of training to update knowledge and skills Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards Actively reporting of health and safety hazards and infection hazards immediately when recognised Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role Undertaking periodic infection control training (minimum annually) Reporting potential risks identified Demonstrate due regard for safeguarding and promoting the welfare of children. Equality and diversity: The post-holder will support the equality, diversity and rights of patients, carers and colleagues Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights. Personal/Professional development: The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work Quality: Alert other team members to issues of quality and risk Assess own performance and take accountability for own actions, either directly or under supervision Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance Effectively manage own time, workload and resources The post-holder will: Apply practice policies, standards and guidance Discuss with other members of the team how the policies, standards and guidelines will affect own work Participate in audit where appropriate Person Specification Experience Essential Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans & PCN specifications. Working knowledge of Microsoft and GP practice and prescribing data monitoring systems. Ability to write comprehensive clinical notes, implement and evaluate care plans. Ability to evidence a sound understanding of the NHS principles and values. Ability to analyse and interpret complex/ often incomplete information, pre-empt and evaluate issues, and recommend and appropriate course of action to address the issues. Excellent interpersonal and organizational skills. Excellent interpersonal and communication skills, able to influence and persuade others articulating a balanced view and able to constructively question information. Ability to negotiate effectively. Build effective relationships with a range of stakeholders which are based on openness, honesty trust and confidence. Desirable 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. Experience of working within a primary care setting. Evidence of working across organizational boundaries within health and social care. Independent thinker with good judgement, problem-solving and analytical skills. Clear communicator with 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. Evidence of inspiring and motivating teams with the ability to communicate passionately, effectively and persuasively across a diverse set of stakeholders Experience working in Primary Care, aware of common chronic and acute illnesses in a GP setting Qualifications Essential 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. Full UK driving license. Desirable Pre-reg MSc in a training programme approved by the College of Paramedics. Non-medical prescribing qualification. Person Specification Experience Essential Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans & PCN specifications. Working knowledge of Microsoft and GP practice and prescribing data monitoring systems. Ability to write comprehensive clinical notes, implement and evaluate care plans. Ability to evidence a sound understanding of the NHS principles and values. Ability to analyse and interpret complex/ often incomplete information, pre-empt and evaluate issues, and recommend and appropriate course of action to address the issues. Excellent interpersonal and organizational skills. Excellent interpersonal and communication skills, able to influence and persuade others articulating a balanced view and able to constructively question information. Ability to negotiate effectively. Build effective relationships with a range of stakeholders which are based on openness, honesty trust and confidence. Desirable 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. Experience of working within a primary care setting. Evidence of working across organizational boundaries within health and social care. Independent thinker with good judgement, problem-solving and analytical skills. Clear communicator with 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. Evidence of inspiring and motivating teams with the ability to communicate passionately, effectively and persuasively across a diverse set of stakeholders Experience working in Primary Care, aware of common chronic and acute illnesses in a GP setting Qualifications Essential 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. Full UK driving license. Desirable Pre-reg MSc in a training programme approved by the College of Paramedics. Non-medical prescribing qualification. 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 Sunbury Health Centre Group Practice Address Green Street Sunbury-on-thames Middlesex TW16 6RH Employer's website https://sunburyhealthcentre.nhs.uk/ (Opens in a new tab)