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Paramedic London, England

K & W Healthcare

Full Time London, England 39000 - 45000 GBP ANNUAL Today

Job description

Job Summary

You will provide a specialist paramedic resource as part of a multi-disciplinary team in a patient facing role. That is the key technical skill you will have. Just as important are your listening and team skills, along with your caring and compassionate nature.
Working across a group of practices, you will work as an autonomous, accountable paramedic providing holistic care whilst assessing, diagnosing and providing treatment to patients; or referring / directing to other services. Patient groups include patients who attend surgery in hours or request domiciliary visits relating to unscheduled minor conditions, injuries or acute illness.
To promote self-care and educate service users to allow them to be empowered to make informed choices about treatment. You will provide appropriate leadership within a self-managed team and be committed to learning and improving the service we offer to patients.
You will work with patients to reach shared decisions about how to support people minimize the impact of their condition(s) on their life, especially for older people and those with multiple co-morbidities. You will provide support for chronic disease management for practices and will also spend a proportion of your time working offering telephone and face to face consultations.
You will ensure that, where applicable, responses integrate with community and hospital services
You will be passionate about and supported in clinical learning and professional development through a structured programme of education and support.
Peer-support will be provided from within the multi-disciplinary team, supported by the GP supervisors.
An enhanced DBS check will be carried out for all successful candidates.
You will be expected to travel between named practices and meetings across the patch.
You must have full driving license with suitable insurance and access to suitable vehicle.

Key responsibilities and Clinical Duties

To support people to live and die well, minimizing the impact of their condition on their life by taking effective action based on an understanding on what really matters to people.
To ensure that patients make informed choices about their care and that shared decisions are made based on an understanding of their context and what matters to them, not just the presenting condition.
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.
Patients requiring care and onward referral to secondary care to be discussed with available GP and this process to be reviewed ongoing with the relevant practice Partners.
To see patients within their own home and care home setting and in clinics, provide care to patients on domiciliary visits and to develop skills within triage and telephone consultations.
To develop care plans for patients when required and to be involved with the continuity of care of our patients such as in end of life care, chronic disease management as developed and supervised with the relevant practice Partners.
Maintain clinical knowledge and practice to known capabilities and competencies.
Ensure registration and qualifications with the Health and Care Professionals Council is maintained.
Prescribe/issue medications with suitable prescribing training and supervision and within patient group directives. This is to include with development patient specific instructions such as vaccinations, nebulized medications, oxygen administration and intravenous / muscular medications in medical emergencies.
Undertake the collection of pathological specimens with appropriate training and supervision including intravenous blood sampling, point of care testing and swab collection.
Maintain accurate, contemporaneous and concise electronic records within the practice clinical system and for service KPIs; having received suitable training and supervision in the use of EMIS software and read coding/template submission.
Involve in ongoing education and improvement work; and to support and provide training to staff members as identified.
To work collaboratively alongside administration staff and to ensure that service user needs are met.
Provide professional input to named practice teams and network multidisciplinary teams working to improve patient outcomes
Liaise across providers to ensure accurate and effective medication management
Provide direct care to patients with long term conditions, minor ailments and other clinical areas within the scope of practice
Support the care of complex patients in their own homes (including nursing or residential accommodation) as part of a multidisciplinary team
Discuss patients with complex needs at the local MDT meetings and refer to the named professional in line with recommendations
Provide professional telephone and email advice and support to patients and their cares.
To ensure adequate and appropriate indemnity is in place.

Administration

Participate in the administrative and professional responsibilities of the practice team.
Ensure all necessary paperwork and registration documentation is completed and kept up to date.
You have a legal responsibility to comply with the Health and Safety at Work Act, other relevant information and any risk or safety related issues introduced by in the interests of staff, patients and contractors.
You must be aware of your responsibilities under the Health Act 2008 Code of Practice for the Prevention and control of Healthcare Associated Infections.
You will be shown how to access relevant polices within practices during induction.
To provide Home Visits for the PCN practices.
To provide Care Home support as required.
To provide emergency support as required.

Training / Educational development

Ensure continuing education, training and development is undertaken to meet clinical governance guidelines for Continuing Professional Development and a Personal Development Plan.
Keep up to date with relevant medical research, technology and evidence-based medical practice by attending continuing education courses and professional meetings, reading journals etc.
Attend regular multi-disciplinary meetings organised by practices in order to discuss and learn from recent significant events relating to clinical practice occurring within practices.
Attend regular educational meetings organised by practices in order to update clinical knowledge, practice policy and guidelines and disseminate other useful information relevant to the provision of adequate healthcare for patients.
Regularly reflect on own practice (and keep a record of learning encounters) in order to identify learning needs and encourage self-directed lifelong learning and continued professional development.
Demonstration of learning which contributes either directly to performance within the role or to personal development. This should be discussed at the annual appraisal and courses and learning should be agreed with the clinical supervisor.
The learning may take the form of attendance at courses or audits or other activities agreed by the appraiser or supervisor.
Learning activities should be supported by reflective learning entries demonstrating the application of learning to clinical scenarios.

Key Relationships

Patients and their families / Carers
GP, nurses and other practice staff
Other healthcare professionals including CCG pharmacists, optometrists, dentists, health and social care teams and dieticians etc.
Primary Care Network Leads
Social prescribers, community nurses and other allied health professionals
Community and Hospital teams

Key Outcomes

Provide care closer to home
Reduce and/or maintain a reasonable level of Non-Elective admissions
Integration of community services to help provide seamless service closer to home
Improve productivity within primary care
Increase capacity within primary care
Reduce pressures of GP workload

Audit and risk stratification

Participate in the effective care planning and management of high risk patients as part of the multidisciplinary team
Participate in audit activities in practices and with groups of practices to optimise the use of prescribing resource
Feedback results of clinical audit activities in areas agreed with GPs and implement recommendations and completing full audit cycle
Make recommendations based on the outcomes of audit and shared learning activities
Work with practices to proactively identify and recall patients due for review ensuring all appropriate monitoring tests performed
Analyse, interpret and present prescribing information at practice and population level to support effective decision making and change in evidence based clinical practice

Other conditions:

Communication

The post-holder will recognise the importance of effective communication and will strive to:

Communicate effectively with colleagues.
Communicate effectively with patients and carers.
Communicate effectively with providers and members of the general public.
Be polite and courteous at all times and communicate relevant information where appropriate.
Recognise people’s needs for alternative methods of communication and respond accordingly.

Confidentiality

In the course of seeking treatment, patients entrust providers with, or allow the providers to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. Under the Data Protection Act 1998, the post-holder must maintain the confidentiality of information about patients. This work is of a confidential nature and information gained must not be communicated to other persons except in the recognised course of duty. Unauthorised disclosure of confidential information will result in disciplinary action and may lead to the post-holder’s dismissal.

Equal Opportunities

It is the aim of K&W Healthcare Ltd. to ensure that no job applicant or employee receives less than favourable treatment on grounds of sex, marital status, race, colour, creed, religion, physical disability, mental health, learning difficulty, age or sexual orientation and is not placed at a disadvantage by conditions or requirements that cannot be shown to be justifiable. To this end K&W Healthcare Ltd. has an equal opportunities policy and it is for each employee to contribute to its success.

Equality and Diversity

The post-holder will support the equality, diversity and rights of patients and colleagues, which will include:

Acting in a way that recognises the importance of people’s rights, interpreting them in a way that is consistent with the company’s procedures and policies and current legislation.
Respecting the privacy, dignity, needs and beliefs of patients and colleagues.
Behaving in a manner which is welcoming to the individual, is non-judgmental and respects their circumstances, feelings, priorities and rights.

Health and Safety

Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act (1974 & subsequent acts and amendments) to ensure that the agreed procedures are carried out to maintain a safe environment for patients, visitors and staff. The post-holder will assist in the promotion and maintenance of their own and others health, safety and security as defined in the company’s Health and Safety Policy, which will include:

Using personal security systems within the workplace according to company’s guidelines.
Identifying the risks involved in work activities and undertaking such activities in a way that manages these risks.
Making effective use of training to update skills and knowledge.
Using appropriate infection-control procedures; maintaining work areas in a tidy and safe way and ensure that they are free from hazards.
Reporting any potential risks identified.

Data Protection and the Access to Health Records

The post holder will comply with the Data Protection Act (1984) and the Access to Health Records Act ( 1991)

No Smoking Policy

The company has a strict No Smoking Policy as part of its responsibility for the provision of health. The post-holder will be required to work within the framework of this policy. Smoking is not permitted anywhere in or on the grounds.

Personal and Professional Development

The post-holder will participate in any training programme implemented by the company, which will include:

Participation in an annual individual performance review. They will take responsibility for maintaining a record of their own personal and professional development.
Taking responsibility for their own development, learning and performance, demonstrating skills and activities to others who are undertaking similar work.

Quality

The post-holder will strive to maintain quality within the company, and will:

Alert other team members to issues of quality and risk.
Assess own performance and take accountability for own actions, either directly or under supervision.
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance.
Work effectively with individuals in other providers to meet patients’ needs.
Effectively manage own time, workload and resources.
Participate in audit where appropriate.

Flexibility

The company is currently working in a climate of great change within the NHS. It is, therefore, expected that all staff will develop flexible working practices to be able to meet the challenges and opportunities of working within the evolving NHS.

Job Type: Full-time

Salary: £39,000.00-£45,000.00 per year

Schedule: