PCN Physicians Associate
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Aylesbury Central PCN has an exciting opportunity for a Physician Associate to join the team. We are a friendly, forward-looking PCN.
This new role will be as diverse as it is challenging as you will be working at part of the clinical team whilst developing this evolving role. You will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and management of care through face to face and telephone consultations. You will need to be able to provide treatment to the patient at home, within the Care Home and/or at one of the 2 surgeries within the network.
We would require you to have good communications skills, an ability to prioritise and manage your own workload and being motivated by delivering exceptional patient care.
The post holder will be a trained Physician Associate, who acting within their professional boundaries; will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision-making and expert care for patients through (but not limited to) clinics, triage clinic, on-call duties, home visits and relevant administrative work, ensuring the highest standards of care for all registered and temporary patients of CLICK PCN .
This includes the duty to record all patient data and measurements as directed by the PCN Practices where required to maximise Practice income under QOF, Enhanced Services and any other incentives which may be offered to the Practices from time to time and to follow Practice protocols and policies, including those relating to referrals and prescribing.
The post holder will work with colleagues to ensure the highest standards of care for all patients, dealing with a wide range of presenting health needs in a general practice setting.
The post holder will also contribute to planning and decision making as part of a Practice team (as appropriate).
The postholder will be subject to an enhanced DBS check.
- Assess, diagnose, plan, implement and evaluate treatment/interventions and care of patients presenting with an undifferentiated diagnosis;
- Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug based treatment methods into a management plan;
- Proactively identify, diagnose and manage treatment plans for patients at risk of developing long term conditions as appropriate.
- Working alongside the rest of the clinical team, the postholder will provide a first point of contact for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and decision-making to establish a diagnosis and management plan;
- Making professional, autonomous decisions in relation to presenting problems; offering care complementary to that offered by the GPs and other practitioners in the PCN;
- Undertaking visits to patients in their own home and to nursing homes, if required, to carry out assessment, diagnosis and treatment during urgent / acute episodes of care with the supervision and support of GPs;
- Develop integrated patient centred care by undertaking weekly virtual MDT’s within the residential and nursing home setting with support of GPs and other agencies;
- Instigate necessary investigations / diagnostic tests and interpret findings / reports;
- Screening patients for disease risk factors and early signs of illness;
- Prioritising health problems, intervening as appropriate, including initiation of emergency care;
- Promote health and well-being through use of health promotion, health education/prevention, screening and therapeutic communication skills
- Clearly communicate the health status of the patient using appropriate terminology, technology and format; ensuring accurate and comprehensive patient records to agreed standards including the recording of appropriate information for the Enhanced Services and Quality and Outcomes Framework and any other such data gathering to achieve targets set for the Practice;
- Utilise clinical guidelines and promote evidence-based practice and monitor and evaluate standards of care through appropriate clinical audits, taking appropriate remedial action if standards are not achieved.
- Significant event reviews and other research and analysis tasks may also be undertaken;
- Support the management of patient’s conditions through offering specialised clinics following appropriate training (but not limited to) COPD, asthma, diabetes and anticoagulation;
- Timely assessment of incoming electronic and paper correspondence relating to both patient and non-patient information as required. Using the appropriate electronic systems.
- Participate in duty rotas; undertaking face-to-face, telephone, and online consultations for emergency or routine problems as determined by the PCN, including management of patients with long-term conditions;
Education / Qualification / Experience
- Completed a post graduate Physician Associate course (either PG Diploma or MSc);
- Professional qualification with Faculty of Physicians Associates and/or General Medical Council following implementation of statutory regulation, working within the latest code of professional conduct (CIPD) and;
- Has passed UK Physician Associate National Re-Certification exam
- Management of patients with common acute medical conditions
- Management of patients with complex needs
- Experience of liaising effectively with hospitals and other outside agencies
- Experience of working in a similar role in primary care
- Degree at 2:1 level or above
- Evidence of continuing professional development activity
- Basic Life Support Training
- Knowledge of primary care services and frameworks (e.g. QOF)
- Recent experience of working in general practice
Skills & Knowledge
- Advanced clinical practice skills
- Clinical examination skills
- Knowledge of clinical governance within primary care
- Knowledge of local and national health policy
- Excellent communication skills
- IT literate
- Negotiating and conflict management skills
- Knowledge of public health issues
- Knowledge of the wider health economy
- Able to identify determinates of health in a local area
- Experience using the EMIS Web clinical system
- Experience using the EMIS Web clinical system
- An understanding, acceptance and adherence to the need for strict confidentiality
- Able to work under pressure
- Hard working, flexible, reliable, honest, pleasant and approachable
- Able to work autonomously with minimal supervision
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.