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Clinical Responsibilities:

Overall service

• 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 under supervision
• Work across the Practices within the Primary Care Network, including a combination of in person, remote, telephone and video consultation
• Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner

Identification of suitable patients

• Work with practice teams under supervision 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

Triage

• To accurately triage and prioritise patients, including in emergency situations under supervision, demonstrating the use of a variety of techniques to elicit the history of an event/illness, including past medical and drug history

History taking

• To evaluate clinical information from examination and history taking and initiate appropriate treatment and/or referral

Diagnostics

• 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

Signposting and Referral

• To signpost appropriately to other services in the identified healthcare pathway
• To refer patients to appropriate care settings, within locally agreed healthcare pathways

Advice and Guidance

• To advise and support members of the public on healthy lifestyles, health promotion and disease prevention

Documentation

• To maintain accurate and systematic documentation of patient interactions and clinical care provided, including adverse events

Care planning

• Support delivery of anticipatory care plans and lead certain services (e.g. monitoring blood pressure and diabetes risk of housebound elderly patients)

Equality and Diversity

• Recognise opportunities to reduce inequalities and unwarranted variation in health care for the practice population. Play an active role in in-house practice and clinical meetings

Communication:

MDT Working

• 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

Communication with patients / carers

• Ensure high quality, clear communication with patients and carers including within challenging situations

Professional:

Audit and Quality Improvement

• 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

Conduct

• To undertake all necessary training and be familiar with all policies to ensure compliance with expected procedures and ways of working

Clinical Governance and risk

• 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 manager
• Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, equality, diversity and inclusion training and health and safety

Training and Development

• Mentored by a GP through Level 7 qualification
• Participate in the education and training of staff and students of all disciplines. Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development, ensuring CPD requirements are met
• Complete statutory training / updating and mandatory training as defined by the PCN

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 IT 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 requirements

Essential

• Able to deal with violence, aggression and extreme situations
• 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

• Registered Paramedic (HCPC)
• Evidence of continued professional development
• Has completed 2-year consolidation of learning period as a newly qualified paramedic; and, has a further 3-year experience as a band 6 (or equivalent) paramedic
• Working at Level 7 capability in paramedic areas or practice (or, aiming to achieve within 6 months of starting)
• ALS/APLS provider
• Completed mentorship programme

Desirable

• ENP/ECP Minor Injuries and Minor Illness course Level 6
• Attended X-ray/IRMER course
• Teaching and assessing qualification
• Relevant MSc or BSc

Personal qualities and attributes

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.