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Job description

Central and North West London NHS Foundation Trust is a Top Employer Award Winner and works in partnership to provide responsive and dependable primary care, mental health, intellectual disability and substance misuse services to the diverse and culturally rich communities we serve.

In our quest to deliver patient-focused quality care we are looking to recruit a highly motivated, innovative and enthusiasticParamedicto join our forward thinking, friendly and expandingHealth & Justiceteam atHMP High Down. By joining our Prisons Health Care Team, you will not only look after the healthcare needs of our patients residing in secure environments, but who also have the opportunity to have a real impact on promoting health and well-being. Our healthcare services work to a7 day week working model, to ensure our patient's healthcare is managed and maintained to the highest of standards at all times.

Our motto is“Caring NOT Judging”so by working in partnership with the criminal justice system and other agencies, we provide responsive, dependable and high-quality primary care and mental health services to those who may have offended and those at risk of offending in the communities we serve, to improve their health status and to encourage social inclusion.

• To provide high quality emergency care and minor injury treatment to patients with both primary care and acute care needs in a prison setting by playing an active part in the assessment, planning, implementation and evaluation of the patients care.
• This role requires a Registered Paramedic to work as part of a team delivering care to patients both within the Healthcare Centres and on the Wings / Houseblocks within the prison environment.
• The Registered Paramedic will work as part of a team of Primary Care Nurses within a HMP site.
• The role requires you to function autonomously and within your sphere of competency, whilst being a support and resource to less experienced members of staff. You must be able to assess patients, plan their care, administer treatment and discharge them or refer them as appropriate to other healthcare professionals / external agencies. The HMP sites are clinical facilities which require an individual to have the ability to work effectively as part of a multi professional team within a fast pace environment, in line with the protocols and policies of the local Service and CNWL, and professional bodies.

Central and North West London NHS Foundation Trust offers its staff ongoing career progression through:

• Monthly supervision
• Annual personal development plans/appraisals
• Access to exciting internal and external training opportunities.

Excellent progression through various career pathway opportunities such as but not limited to:

• Preceptorship Programme
• Support and guidance with Revalidation
• Hidden Gem and annual award ceremonies

Excellent staff benefits, our benefit packages are amongst the best in London and include:

• Health and wellbeing services
• Season ticket loans
• Cycle to work scheme
• Relocation package

The trust also values its staff and you are entitled to become a member of MyTrustBenefits. MyTrustBenefits is an online portal for all CNWL staff, as well as their family and friends. It offers over 1400 discounts at hundreds of retailers nationwide. Save money on your weekly food shops, toiletries, cosmetics, cinema, meals out, holidays, travel and entertainment. You can also access free online courses on a variety of topics, professional and personal, ranging from business management, languages, law and teaching.

All of our sites in Surrey offer free use of the onsite leisure facilities and free parking for staff.

As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

Managerial:

• Prioritise patient care throughout the unit, assuming shift leader responsibility allocating staff and resources effectively, as and when rostered to this function.
• Assist in orientation and support to new staff to the service.
• Support junior staff with development.

Communication:

• Ensure that identified lines of communication are maintained with patients, colleagues and external agencies to demonstrate politeness and courtesy and sensitivity promoting the corporate image of CNWL.
• Communicate and liaise with all healthcare staff.
• Play an integral role in ensuring that junior team members are aware of local and general Health & Safety matters, Clinical Governance and other on-going issues, which arise including patient safety issues.
• Provide and organise support through the means of clinical supervision in accordance with CNWL Trust policies.
• Demonstrate the ability to be able to motivate and persuade others through advanced communication skills.
• Effectively communicate.

Clinical governance:

• To participate and assist in the systematic monitoring, review and evaluation of paramedic practice through clinical audit.
• To participate and assist in the setting of standards of patient care based on sound research findings.
• Work within the Trust’s Clinical Governance framework.
• Take a personal responsibility to maintain HCPC registration and professional development in line with the expectations of the role.
• Promote clinical excellence and best evidence based practice reflecting the Trust’s nursing philosophy.
• Maintain confidentiality of information regarding patients, families and friends at all times.
• Ensure full and accurate records are maintained and confidentially policy adhered to.
• Participates in the reporting of Clinical and Non-Clinical Risk Assessments and incidents.
• Be conversant and comply with the Trust’s Health and Safety Policy.
• Assist in the investigation of verbal and written complaints according to the Trust’s Policy.

Clinical Professional Responsibilities:

• Act as a positive role model to staff and patients.
• Conduct Invasive procedures where appropriately trained and competent
• To respond to all emergency codes in accordance with agreed protocols. This will include being the emergency responder covering the prison on night shifts.
• Procedures where appropriately trained and competent i.e suturing, IV access, haemorrhage control, wound care
• Cardiac & CVA intervention / competent in the monitoring of physiological observations by undertaking a full assessment using a structured and prioritised approach and the recognition of the acutely ill patient e.g. ABCDE approach, ECG recognition, pathways for CVA and the diagnosis and referral of a range of cardiac conditions
• To determine the appropriate destination for the patient to include the initiation of treatment linked to an agreed and regulated care pathway in association with other health, mental and social care professionals in cases where transport to hospital is not required.
• Assess individual’s health needs.
• To undertake first and secondary reception screens
• Provision of holistic care.
• Administer treatment within local guidelines / protocols within one’s own scope of practice.
• To maintain competencies associated with the role ensuring you are working within your own limitations / scope of practice.
• Administer prescribed medication and medication within Patient Group Directions or if qualified and appropriate to the centre via Independent Nurse Prescribing.
• Advise within the smoke-free prison environment
• Develop / maintain advanced clinical skills. i.e., suturing, paramedic led clinics
• Develop/maintain advanced clinical skills and knowledge in relation to dynamic patient case mix.
• Referral / sign posting to appropriate health professionals / services.
• Provide patient information and education.
• Ensure the Trust’s clinical protocols are adhered to at all times.
• Work at all times within the relevant code of professional conduct.
• Support line managers.
• To participate and assist in the setting of standards of patient care based on sound research findings.
• Maintain own personal and professional development plan, in line with the Trust’s policy and service objectives.
• Appraise own performance and discuss development needs with mentors, supervisors and line manager.
• Participate in regular clinical supervision.
• Support junior staff/students.
• Be conversant and comply with the Service’s fire precautions and procedures for evacuation and emergency resuscitation.
• Assist with the triage role as appropriate
• To maintain standards of infection control within the unit and during clinical care and to assist patients to maintain their own infection control needs.

Education and Training:

• To have a proactive approach to self-development, working within the appropriate professional bodies code of conduct (HCPC).
• Be involved in health care initiatives and health promotion within the unit and local community.
• To participate and assist in the systematic monitoring, review and evaluation of Paramedic practice through clinical audit. Providing feedback results to line managers and staff to improve patient care in the unit.
• To research, develop, introduce and apply up to date research-based findings to paramedic practice, thus ensuring best evidence based practice is followed.
• Show commitment to lifelong learning and a learning environment through personal example and dissemination of skills, attitude and knowledge to others.
• Maintain registration with the appropriate professional body (HCPC) and professional development in line with the expectations of the role.
• Comply with the appraisal system and attend appraisal annually.
• To participate in and deliver training within the unit.
• Ensure updated mandatory training requirements are met and equipment training records are maintained.

Quality Issues:

• Promote clinical excellence and best evidence practice reflecting CNWL’s clinical philosophy.
• Participate in annual review of protocols and evidence based documentation.
• Participate in Primary Care division clinical audit strategy.
• Act responsibly as an employee to maintain a safe and healthy environment for service users, visitors and staff.
• Reporting any incidents as per local guidelines.
• Advocate for patients where feedback has been received.

Performance Assessment:

• Participate fully in an annual appraisal process and agree a personal development plan that will ensure that the objectives of the individual, the team are achieved.