Job summary Taunton Deane West PCN are looking for an experienced paramedic to join their forward thinking team. To review, assess, help manage and treat patients who are housebound, including those in care homes. This includes regular chronic disease reviews as well as acute problems. To assess, manage, treat, refer and/or signpost patients who attend the surgery and on home visitswith undifferentiated or undiagnosed conditions relating to minor illness or minor injury. Main duties of the job Assess and triage patients, including same day triage, and as appropriate provide definitive treatment or make necessary referrals to other members of the PCN or practice team Support the delivery of anticipatory care plans a process designed to support patients living with a chronic long-term condition to help plan for an expected change at some time in the future. As part of this to work alongside the current PCN proactive care team Perform and interpret ECGs Undertake acute and planned home visits on behalf of GPs, especially for local elderly or immobile populations 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 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 Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan About us Located in Somerset, Taunton Deane West Primary Care Network consists of Three GP practices, Luson Surgery, Wellington Medical Centre and Lister House. You will be working in a team consisting of Care Coordinators, Complex Care Nurses, First Contact Physiotherapists, Occupational Therapists, Pharmacists, CYP Mental Health Link Practitioners, Digital Data Coordinators, in addition to Practice staff. Date posted 26 February 2025 Pay scheme Other Salary Depending on experience This is a role in the ARRS Scheme Contract Permanent Working pattern Full-time, Part-time Reference number M0037-25-0002 Job locations Wellington Medical Centre Mantle Street Wellington Somerset TA21 8BD Lister House Surgery Croft Way Wiveliscombe Taunton Somerset TA4 2BF Luson Surgery 41 Fore Street Wellington Somerset TA21 8AG Job description Job responsibilities Job responsibilities MAIN PURPOSE OF JOB As a member of the clinical team, to be responsible for providing high quality care and services, including minor illness, acute care, chronic disease management, and health promotion to the practice population within the PCN and to those that are housebound. POSITION IN ORGANISATION Accountable to PCN Clinical Director Reports to PCN Network Manager Liaises with GPs and Practice staff Liaises with Patients and Carers as necessary SCOPE OF JOB To review, assess, help manage and treat patients who are housebound, including those in care homes. This includes regular chronic disease reviews as well as acute problems. To assess, manage, treat, refer and/or signpost patients who attend the surgery and on home visits with undifferentiated or undiagnosed conditions relating to minor illness or minor injury. QUALIFICATIONS BSc in a training programme approved by the College of Paramedics Framework for Higher Education Qualification (FHEQ) Level 7 or Scottish Credit and Qualifications Framework (SCOF) Level 11 Enhanced Clinical Assessment course Prescribing qualification Health & Care Professions Council (HCPC) registration SKILLS AND EXPERIENCE Previous experience of autonomous practice in a community or practice setting Understanding of issues and developments in Primary Care Experience of management of chronic disease conditions in general practice, e.g. Diabetes, Asthma/COPD, Heart Disease, Dementia Excellent communication skills Able to build effective working relationships 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 PCN or practice team Perform specialist health checks and reviews Support the delivery of anticipatory care plans a process designed to support patients living with a chronic long-term condition to help plan for an expected change at some time in the future. As part of this to work alongside the current PCN proactive care team Perform and interpret ECGs Undertake acute and planned home visits on behalf of GPs, especially for local elderly or immobile populations 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 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 work with patients in order to support compliance with and adherence to prescribed treatments provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions 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 attend practice multi-disciplinary meetings as appropriate TRAINING AND SUPERVISION Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development Reflective practice and portfolio building. To impart knowledge and skills formally and informally to colleagues promoting peer review and best practice within the work environment. PROFESSIONAL Ensure clinical practice is safe and effective and remains within boundaries of competence, and to acknowledge limitations Maintain registration with Health & Care Professions Council (HCPC) GENERAL Attend and participate in practice and PCN meetings as required communicate at all levels across PCNs and other organizations, ensuring effective, patient-centred service communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required collaborate with other members of the PCN including doctors, nurses and other AHPs, accepting referrals and referring to them for specialist care Job description Job responsibilities Job responsibilities MAIN PURPOSE OF JOB As a member of the clinical team, to be responsible for providing high quality care and services, including minor illness, acute care, chronic disease management, and health promotion to the practice population within the PCN and to those that are housebound. POSITION IN ORGANISATION Accountable to PCN Clinical Director Reports to PCN Network Manager Liaises with GPs and Practice staff Liaises with Patients and Carers as necessary SCOPE OF JOB To review, assess, help manage and treat patients who are housebound, including those in care homes. This includes regular chronic disease reviews as well as acute problems. To assess, manage, treat, refer and/or signpost patients who attend the surgery and on home visits with undifferentiated or undiagnosed conditions relating to minor illness or minor injury. QUALIFICATIONS BSc in a training programme approved by the College of Paramedics Framework for Higher Education Qualification (FHEQ) Level 7 or Scottish Credit and Qualifications Framework (SCOF) Level 11 Enhanced Clinical Assessment course Prescribing qualification Health & Care Professions Council (HCPC) registration SKILLS AND EXPERIENCE Previous experience of autonomous practice in a community or practice setting Understanding of issues and developments in Primary Care Experience of management of chronic disease conditions in general practice, e.g. Diabetes, Asthma/COPD, Heart Disease, Dementia Excellent communication skills Able to build effective working relationships 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 PCN or practice team Perform specialist health checks and reviews Support the delivery of anticipatory care plans a process designed to support patients living with a chronic long-term condition to help plan for an expected change at some time in the future. As part of this to work alongside the current PCN proactive care team Perform and interpret ECGs Undertake acute and planned home visits on behalf of GPs, especially for local elderly or immobile populations 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 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 work with patients in order to support compliance with and adherence to prescribed treatments provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions 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 attend practice multi-disciplinary meetings as appropriate TRAINING AND SUPERVISION Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development Reflective practice and portfolio building. To impart knowledge and skills formally and informally to colleagues promoting peer review and best practice within the work environment. PROFESSIONAL Ensure clinical practice is safe and effective and remains within boundaries of competence, and to acknowledge limitations Maintain registration with Health & Care Professions Council (HCPC) GENERAL Attend and participate in practice and PCN meetings as required communicate at all levels across PCNs and other organizations, ensuring effective, patient-centred service communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required collaborate with other members of the PCN including doctors, nurses and other AHPs, accepting referrals and referring to them for specialist care Person Specification Experience Essential Previous experience of autonomous practice in a community or practice setting Understanding of issues and developments in Primary Care Experience of management of chronic disease conditions in general practice, e.g. Diabetes, Asthma/COPD, Heart Disease, Dementia Excellent communication skills Able to build effective working relationships Qualifications Essential BSc in a training programme approved by the College of Paramedics Framework for Higher Education Qualification (FHEQ) Level 7 or Scottish Credit and Qualifications Framework (SCOF) Level 11 Enhanced Clinical Assessment course Prescribing qualification Health & Care Professions Council (HCPC) registration Person Specification Experience Essential Previous experience of autonomous practice in a community or practice setting Understanding of issues and developments in Primary Care Experience of management of chronic disease conditions in general practice, e.g. Diabetes, Asthma/COPD, Heart Disease, Dementia Excellent communication skills Able to build effective working relationships Qualifications Essential BSc in a training programme approved by the College of Paramedics Framework for Higher Education Qualification (FHEQ) Level 7 or Scottish Credit and Qualifications Framework (SCOF) Level 11 Enhanced Clinical Assessment course Prescribing qualification Health & Care Professions Council (HCPC) registration 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 100Fold CIC Address Wellington Medical Centre Mantle Street Wellington Somerset TA21 8BD Employer's website https://www.100foldcommunity.co.uk/ (Opens in a new tab)