Stowhealth is looking for an enthusiastic visiting clinician, to join our team for between 4 to 6 sessions per week, part time/full time considered. We are looking for a Paramedic/ACP or ANP; prescribing would be an advantage but not essential.
Salary will be dependent on experience and qualifications.
Main duties of the job
As a visiting clinician you will be responsible for seeing and visiting patients in their place of residence, who present with a wide range of minor illness, urgent and same day requests for treatment and chronic disease management; providing care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.
When not visiting, you may support us with managing patients in the Practice and ideally you will take on the role of Palliative Care Lead with responsibility for running our End of Life MDTs.
Mostly you will be visiting patients in their own homes - as the majority of Care Home visits are undertaken by our PCN Paramedic team.
About us
Stowhealth is an inclusive, friendly, flexible, forward-thinking, multi-disciplinary Primary Care team, based in Stowmarket, Suffolk. We currently care for over 23,000 patients.
We have a reputation for award-winning innovation and novel working practices, developed to fit around our individual clinicians.
We are part of the Stowmarket locality of East Suffolk PCN. We have easy access to the A14, are near the beautiful town of Bury St Edmunds, surrounded by lovely countryside and not far from the Suffolk coast.
We use the askmyGP online consultation service allowing us to manage our own workload, with control over face-to-face appointment lengths and timings.
Job responsibilities
To provide a high-quality, cost-effective service to the patients of Stowhealth diagnosing and prescribing treatments and medication while working within defined procedures and protocols as laid down by the GPs.
To work as part of a clinical team, with GPs, Advanced Nurse Practitioners, Physician Associates, Practice Nurses and Healthcare Assistants.
To be responsible for seeing patients and visiting patients in their place of residence, who present with a wide range of minor illness, urgent and same day requests for treatment and chronic disease management; providing care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.
The post holder will need to demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills. There will be the need to prioritise and triage the needs of patients accordingly making any necessary referrals for investigations in the appropriate manner.
Key Responsibilities
1. Provide assessment, diagnosis and treatment at first point of contact by attending to patients according to their needs either in the practice sites or patients homes. Act as an autonomous clinician, with the support and guidance from the GPs.
2. Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).
3. Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug based treatment methods into a management plan.
4. 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.
5. Recognise, assess and refer patients presenting with mental health needs.
6. Telephone triage as appropriate for clinics and home visits and provide access to GPs as necessary.
7. Evaluate clinical information from examination and history taking and initiate appropriate treatment and/or referral, including admission to hospital if required.
8. Signpost appropriately to other services in the identified healthcare pathway and to refer patients to appropriate care settings, within locally agreed healthcare pathways.
9. Maintain accurate and systematic documentation of patient interactions and clinical care provided, including adverse events.
10. Advise and support members of the public on healthy lifestyles, health promotion and disease prevention.
11. Provide clinical advice to other members of the team where appropriate.
12. Support the GPs in other duties as required for example assisting with ECGs or other nursing duties where a nurse is not available.
Person Specification
Experience
* Able to provide clear and useful guidance and reports on complex matters to stakeholders at all levels.
* Evidence of excellent clinical record keeping.
* Ability to support patients during acute episodes of illness and to self-manage long term conditions where feasible.
* Evidence of excellent communication skills including diplomatic and negotiation skills.
* Able to work under pressure and to meet deadlines.
* Able to articulate personal development needs.
* Ability to reflect & appraise own performance.
* Ability to relate to people from differing backgrounds.
* Experience of working in Primary care.
* Experience of working with vulnerable patients.
Qualifications
* Registered Paramedic with HCPC.
* Minimum of three years post registration with demonstrable experience of using diagnostic skills.
* Experience of dealing with vulnerable patients.
* Advanced Clinical Practitioner/Advanced Nurse Practitioner.
* Demonstrates accountability for delivering professional expertise and direct service provision.
* Evidence of working in a community/primary care setting.
* Experience in teaching & supporting junior staff/students.
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.
£42,509 to £58,660 a year Depending on qualifications and experience.
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