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FedBucks is a federation of 45 GP practices covering a population of over 485,000 patients across Buckinghamshire. We began in 2016 and now employ around 200 members of staff across our head office sites, and our planned and unplanned care services.
As a GP Federation, we are proud to represent our member practices and to champion primary care by working with local general practice and system partners in the provision of community-based healthcare services. We are dedicated to providing safe and compassionate care to our patients across our range of planned and unplanned healthcare services in Buckinghamshire and believe in continuous commitment to quality service delivery and positive patient outcomes.
Patients are at the heart of everything we do, and we pride ourselves in ensuring our patients feel safe, supported, communicated with and respected, at a time when they may be feeling vulnerable. Our vision is to provide high quality, seamless health care that enables people to lead healthier lives, whilst feeling supported and cared for.
Aylesbury Central Primary Care Network (PCN) is a collaboration of two practices in central Aylesbury, Whitehill Surgery and Berrycroft Community Health Centre, collectively we care for a patient population of 41,000. The successful applicant will be working with a team of clinical pharmacists and become part of a fast-moving PCN looking for innovative ways to meet our patient needs.
An exciting opportunity has arisen to help shape our new PCN home visiting service. Aylesbury Central PCN is looking to build a home visiting team that will visit patients both in their homes and places of care such as residential and nursing homes. In addition to being a part of the home visiting team there will also be some clinical sessions as part of acute services for minor illness . We are seeking an experienced paramedic with a vision to build this service for our patient population and build on our expanding PCN teams.
The role will provide a specialist Paramedic resource for Health Care Professionals and service users, working in collaboration with other members of the Primary Care Network (PCN) Multidisciplinary Team (MDT). You may be required to work in all GP Practices within the PCN. The role will involve working as an autonomous, accountable practitioner, in the provision of a holistic approach for individuals living in care homes 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.
The post holder will assess, diagnose, treat, refer or signpost patients and or service users who attend the surgery with undifferentiated or undiagnosed conditions relating to minor illness or minor injury. The post holder will engage in telephone consultations, taking clinical responsibility for all patients who have requested an urgent appointment.
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.
No previous experience in primary care is necessary as full and comprehensive training will be given to the successful applicant. In addition to the initial training given by the PCN ongoing clinical supervision and training will also be provided. The successful applicant, if hasn’t already, will need to complete the HEE Roadmap to Practice
A Paramedic is authorised to undertake treatments and procedures for which they are trained, and which are within the College of Paramedic Guidelines in line with the Health Care Professions Council (HCPC) standards framework. The postholder 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.
- To deliver a high standard of patient care using advanced autonomous clinical skills with in-depth theoretical knowledge and evidence-based practice working with the support and guidance from the GPs and other independent clinicians working within the PCN MDT.
- To manage a clinical caseload and deal with presenting patient’s needs in both a nursing a residential care home setting.
- To provide clinical leadership where appropriate within the MDT, supporting other members of the team to develop and maintain clinical skills appropriate to your role and expertise.
Primary Duties and Areas of Responsibility
- Alongside the medical team, to provide a first point of contact within the practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making to establish a diagnosis and management plan
- To provide assessment, treatment and diagnosis at point of first contact by attending to patients in a variety of clinical or non-clinical settings according to patients’ needs
- To undertake home visits in accordance with the relevant protocols
- To undertake visits in both residential and nursing homes.
- To make professionally autonomous decisions for which he/she is accountable
- To refer patients to an alternative care setting or treat and discharge as appropriate
- Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services, PCN services and to self-care.
- Be able to:
- Perform specialist health checks and reviews
- Perform investigatory procedures as required
- Undertake the collection of pathological specimens including intravenous blood samples, swabs, etc.
- Perform investigatory procedures needed by patients and those requested by GPs and the wider PCN
- perform a domiciliary (home) visit
- 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).
- Provide an alternative model to urgent and same day home visits for the PCN and undertake clinical audits.
- Communicate at all levels across PCNs and other organisations, ensuring effective, patient-centred service.
- Communicate proactively and effectively with all colleagues across the multidisciplinary team, attending and contributing to meetings as required and accepting referrals and referring to specialist services where appropriate.
- Assess, diagnose, plan, implement and evaluate treatment and or interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs within the clinical and domiciliary setting.
- 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.
- Take an active part in achievement of contractual markers.
- Implement and participate in vaccination programmes as appropriate.
The post-holder will strive to maintain quality within the PCN, and will:
- Enhance own performance through continuous professional development, keep up to date with current evidence-based practice, and impart own knowledge and skills to PCN 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.
- Participate in research and utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.
- In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
- Alert other team members to issues of quality and risk .
The postholder 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.
Training and Development
- Participate in continuing professional development opportunities to keep up to date with evidence-based knowledge and competence in all aspects of the role to meet clinical governance guidelines for Continuing Professional Development (CPD) and a Personal Development Plan (PDP) utilising a reflective approach to Practice.
- Undertake a variety of research and analysis tasks associated with the improvement of clinical care, medical diagnosis, and treatment where appropriate using the following means.
- Audit of clinical practice
- Significant event review / root cause analyses
- Review of relevant literature
- Research unusual symptoms and treatment options through consultation with general practitioners, and the wider MDT.
- Promote and support a learning culture within the PCN MDT and assist in clinical instruction, mentoring and supervision of medical, nursing or physician associate students and other learners that may periodically be attached to the PCN and partner practices.
- Contribute to regular multi-disciplinary, PCN and OHP educational meetings.
- Undertake Audits, Appraisals and teaching and mentoring staff.
- Participate in Multi-Disciplinary Protocol guideline development as appropriate.
- Work closely with other clinical staff and administrative managers in the setting up and or improving of PCN and practice systems for monitoring and measuring performance against PCN DES targets.
- Registration with Health Care Professions Council (HCPC) to be renewed every 2 years to maintain registration.
- Undertake statutory and mandatory training as required by the organisation.
- Demonstrate clinical leadership.
- Pro-actively promote the role of the Paramedic within the PCN, practices and OHP and externally to key stakeholders and agencies.
- Respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.
- Membership of the College of Paramedics Voluntary Register is not mandatory but desirable.
- Leader for the care homes multi-disciplinary team.
- GPs and General practice teams within the PCN
- PCN Clinical Director
- PCN Business Manager
- Multi-disciplinary team. members including but not exhaustive: Clinical Pharmacists, technicians, Physician Associates, Physios, Paramedics, Social Prescribing Link Workers, Care coordinators & Health and Well-being Coaches.
- OHP clinical and non-clinical staff.
Health and Safety/Risk Management
- The post-holder must comply at all times with the organisation and Practice’s Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisation’s Incident Reporting System.
- The post-holder will comply with the Data Protection Act (1984), The General Data Protection Regulations (2018) and the Access to Health Records Act (1990).
- The post-holder will comply with all necessary training requirements relevant to the role as identified by the organisation.
- To assist the with investigating untoward incidents or near misses in accordance with the internal Significant Events.
Equality and Diversity
- The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.
Respect for Patient Confidentiality
- The post-holder should always respect patient confidentiality and not divulge patient information unless sanctioned by the requirements of the role.
Special Working Conditions
- This role requires you to travel between practices within the PCN and/or to make visits to patients who cannot attend the surgery. The post holder is required to hold a full, clean UK driving license and have access to a suitable vehicle with a valid MOT and covered by business insurance.
Education / Qualification / Experience
- Full registration with the Health and Care Professions Council (HCPC)
- Educated to degree level in a Paramedic science
- Evidence of working at an advanced/specialist paramedic level – 5 years post qualification experience
- Evidence of relevant and up to date CPD
- Master’s degree in Advanced Clinical Practice or equivalent
- Advanced Life Support Provider
- Independent Non-Medical Prescribing Qualification
- Member of the College of Paramedics
- HEE ; Roadmap to Practice for FCP
Skills & Knowledge
- Experience of working within a multi-disciplinary team
- Ability to manage and prioritise workload
- Ability to work flexibly in core hours to meet the needs of the service
- Proven ability to work autonomously and as part of a team
- Sound organisational skills
- Excellent communication skills
- Able to professionally and appropriately challenge differing opinions as a patient advocate
- Basic IT skills in word processing and e-mail
- Experience in using I.T. based patient documentation systems
- Record keeping skills
- Understanding of health education/promotion
- Understanding of Confidentiality and the Data protection Act
- Understanding of clinical governance and its significance and impact upon practice
- Ability to participate in audit and standard setting
- Awareness of equality and valuing diversity principles
- Evidence of experience / competency in the form of a professional portfolio.
- Experience of clinical supervision
- Experience of working in Primary and community Care
- Car owner/driver, with exclusive access to a vehicle
- Ability to work alone in the primary care setting