About this role
Job summary
The post holder will work across Holbrook Surgery and Riverside Medical Practice with each of the practice teams, joining the PCN team for Central Horsham. They will be assigned a lead clinical and operational contact for each contract. ABC as employer will provide support and ensure access to the NHSE England training programme as required.
This post is part of the Additional Roles Reimbursement Scheme for Primary Care Networks funded by NHS England.
The paramedics will take referrals direct from practices to carry out in practice clinics, home visits, telephone or online triage as appropriate. The role will involve the assessment, diagnosis, treatment or referral of patients presenting with undifferentiated and undiagnosed conditions. The post holder will work within their level of competency and will be clinically supervised by a GP working in the area.
This role will have completed or be working toward a Band 7 FCP Paramedic role, based on the completion of stage 1 and stage 2 of the Health Education England Competency Framework. You will then be assisted to develop and enter the ACP pathway. We will offer a fully funded ACP training package with a dedicated GP mentor and an Advanced Clinical Practitioner contract at the end of the MSc ACP. You will be supported through indirect supervision and will be responsible for assessing, diagnosing, interpreting investigations and treating patients within Primary Care within a developing scope of competence.
Main duties of the job
Horsham Central PCN are looking for a Paramedic to join their innovative and dynamic Primary Care Network to primarily focus on supporting them with their community and housebound patients. You will be provided with a range of clinical supervision and training opportunities to develop your skills in Primary Care.
You will work closely with clinicians from the practices and will play a vital role in increasing capacity for all appointments including home visits. The successful candidate will be provided with excellent support, the opportunity for development in the role, and will be clinically supervised by a General Practitioner.
As a Paramedic, you will be required to work autonomously in the community across the network practices, providing a range of services such as assessment, diagnosis, treatment, telephone triage, clinical decision-making, and referring patients appropriately under supervision.
You will be predominantly community based, undertaking home visits, and liaising with a multidisciplinary team including GPs as well as other services. The post holder will start their day at one of the surgeries and may be required to rotate accordingly.
The post holder will work within their level of competency and will report to a GP/Partner who will provide support and mentorship.
About us
Alliance for Better Care (ABC) is a GP Federation uniting 77 NHS GP member practices across 98 sites within 24 Primary Care Networks in Sussex and Surrey. We support our Primary Care colleagues - and their patients - to transform how healthcare is delivered in their communities.
We work closely with GP Practices, PCNs, Hospitals, Community Organisations, and the Third Sector. These vital partnerships enable us to deliver a truly integrated approach that offers the support and expertise needed to effectively serve our populations.
Benefits
Generous annual leave allowanceAccess to NHS pensionBespoke training programmeCycle to Work SchemeEmployee Assistance ProgrammeEnhanced maternity payNHS discountsLeadership Development ProgrammeSalary sacrifice schemes technology and electric vehicleOpportunities for secondmentsOur Values
We innovateIf we can do something better, we should
We are honestEven when it is difficult
We careAnd put the patient first
We are inclusiveWe listen and we act
We deliverAnd we're known to like a challenge!
Job description Job responsibilities
Clinical Responsibilities
To provide assessment, diagnosis and treatment at first point of contact by attending to patients according to patients needs either in the Practice or patients homes Work with practice teams to ensure the process for referral of urgent on the day patients is smooth, and appropriate patients are referred making full use of the practitioners skills To 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 To evaluate clinical information from examination and history taking and initiate appropriate treatment and/or referral To undertake and interpret diagnostics and take appropriate action to manage patient care, whilst distinguishing between abnormal and normal findings in order to relate them to a possible diagnosis. To use broad clinical guidelines (NICE etc) relating them to individual cases, providing assistance and feedback to the organisation and others on how these should be interpreted To signpost appropriately to other services in the identified healthcare pathway To refer patients to appropriate care settings, within locally agreed healthcare pathways To advise and support members of the public on healthy lifestyles, health promotion and disease prevention To maintain accurate and systematic documentation of patient interactions and clinical care provided, including adverse eventsCommunication
Ensure via use of clinical systems, attendance at meetings and other means that are a core part of the practice MDT supporting patients and work with the wider MDT including staff from SCFT, SPFT, Local Authority and Voluntary Sector organisations Ensure high quality, clear communication with patients and carers including within challenging situationsProfessional
To proactively support audit of own caseload and that of colleagues to ensure the quality of the service is maintained and continuously improved. To seek out feedback from other members of the MDT and patients to support this To undertake all necessary training and be familiar with all policies to ensure that comply with expected procedures and ways of working To ensure practice is within good clinical governance and based on sound up-to- date clinical evidence. Where appropriate, to identify and assess any risks associated with patient care or to oneself and communicate these risks to the appropriate clinical managerPlease see job description for further information.
Person Specification
Knowledge, Skills & Experience Essential
Ability to manage and prioritise workload Proven ability to work autonomously and as part of a team Previous experience of non-medical prescribing and using PGDs Experience as an autonomous practitioner within a minor injury/illness centre or mobile service Experience of the ECP/Advanced Practitioner role within Primary or Secondary Care Current knowledge of government targets and initiatives and N.I.C.E. guidelines and their impact on clinical practice Understanding of the N.M.C/H.P.C Code of Professional Conduct Knowledge of child protection issues Understanding of clinical governance and its significance and impact upon practice Good communication skills Basic IT skills in word processing and e-mail Experience in using I.T based patient documentation systems Sound organisational skills Able to professionally and appropriately challenge differing opinions as a patient advocate Record keeping skills Experience of triage/initial assessment Able to act as shift leader as required Able to work autonomously, using own clinical judgment to form a diagnosis Skills for managing minor injuries Dispensing skills as per protocols and patient group directives Skills of multi system assessment Knowledge of medical model of documentation Able to give appropriate telephone advice Understanding of health education/promotion Able to give relevant discharge advice Experience of following referral pathways Evidence of experience / competency in the form of a professional portfolio
Desirable
Able to record/ interpret ECG Experience of performing a social assessment Experience as a practitioner in an A&E Department or similar emergency care centre Experience of clinical audit Experience of research projects Leadership skills
Other Essential
Ability to perform in challenging environments, with appropriate support and adjustments as needed Vaccine and immunity status in accordance with UK Department of Health Guidelines Able to deal with sensitive issues e.g. sudden death/bereavement, child abuse, domestic violence Able to adjust and respond in rapidly changing environments Able to work in a calm and organized manner in situations of extreme workload Able to undertake home visits Hold a current driving licence with business insurance
Qualifications Essential
Current registered Nurse (NMC) or registered Paramedic (HPC) Evidence of continued professional development ALS/APLS provider
Desirable
ENP/ECP Minor Injuries and Minor Illness course Level 6 Attended X-ray/IRMER course Teaching and assessing qualification Completed mentorship programme Relevant MSc or BSc Completed RCN Clinical Leadership Programme or similar
Personal Qualities Essential
Able to work cooperatively with the multi-disciplinary team Able and willing to develop professionally Able to use own initiative Able to act as a role model
Desirable
Able to motivate other team members Able to promote a learning environment
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 Alliance for Better Care CIC
Address Holbrook Surgery
7 Bartholomew Way
Horsham
West Sussex
RH12 5JL
United Kingdom
Employer's website https://allianceforbettercare.org/ (Opens in a new tab)