Role Summary: To assess, diagnose, treat, refer or signpost patients/service users who attend the surgery with undifferentiated or undiagnosed condition relating to minor illness or minor injury. To coordinate telephone triage, taking clinical responsibility for all patients who have requested an urgent appointment. The role will provide a specialist Paramedic resource for health care professionals and service users, working in collaboration with other members of the Multidisciplinary Team. To work within practices as an autonomous, accountable Paramedic, in the provision of a holistic approach for individuals including assessment, diagnosis and treatment to deliver quality patient services. The post holder will use advanced clinical skills to provide education to patients and service users, promoting self-care and empower them to make informed choices about their treatment. To perform any other clinical and clinical administrative duties where trained and determined safe to do so by the partners. This may include assisting with medical reports, safeguarding, and clinic support. Authority: The Paramedic is authorised to undertake treatments and procedures as directed by the GPs for which they are trained in, and which are within the College of Paramedic Guidelines and in line with the HCPC standards framework. Job responsibilities: You will act as an autonomous clinician, with the support and guidance from the GPs Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate) Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug based treatment methods into a management plan Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence based practice and national and practice protocols, and within scope of practice Manage caseload of housebound chronic disease management patients 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 Telephone triage as appropriate for clinics and home visits and provide access to GPs as necessary. Take part in clinics if and when needed and appropriate. Undertake home visits, manage referrals and admit patients when required. Take an active part in QOF management Prioritise health problems and intervene appropriately to assess the patient in complex, urgent or emergency situations, including initiation of effective emergency care Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care. To give advice on Health Promotion and Health Education To undertake Audits, Appraisals, Health Promotions and Teaching/Mentoring Staff Implement and participate in vaccination programme as appropriate. Be able to: o perform specialist health checks and reviews within their scope of practice and in line with local and national guidance; o perform and interpret ECGs; o perform investigatory procedures as required; and o undertake the collection of pathological specimens including intravenous blood samples, swabs, 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 community services (e.g. monitoring blood pressure and diabetes risk of elderly patients living in sheltered housing)