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Danetre Medical Centre

Danetre Medical Centre

12,000 patient training and research practice in a rural town in Northamptonshire.

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Primary Care Specialist Paramedic

JOB TITLE: Primary Care Specialist Practitioner (Paramedic)

REPORTS TO: The Partners (Clinically)
The ANP Team Leader (Administratively)

HOURS: Negotiable up to Full Time 37.5 hrs per week

Job Summary
The role will provide a specialist Advanced Paramedic resource for health care professionals and service users, working in collaboration with other members of the Multidisciplinary Team.
To work within the community, as an autonomous, accountable, Advanced Paramedic Practitioner, in the provision of a holistic approach for individuals including assessment, diagnosis and treatment, to deliver quality patient services.
To assess, diagnose, treat, refer or signpost patients/service users who attend surgery with undifferentiated or undiagnosed condition relating to minor illness or minor injury.
The post holder will use advanced clinical skills to provide education to service users, promoting self-care and empower them to make informed choices about their treatment.
The post holder must own vehicle for home visits with expenses remunerated in overall financial package.
Job Responsibilities
Diagnosing and treating patients presenting with minor illness
Triage and treat patients wishing to see a health care professional, making any necessary referrals to other members of the primary health care team
Patients with problems needing referral to secondary care should be discussed with the registered GP before making such referral.
Ensure clinical practice is safe and effective and remains within boundaries of competence, and to acknowledge limitations.
Advise patients on general health care and minor ailments, with referral to other members of the primary and secondary health care team as necessary
Works from the surgery and within communities as an autonomous practitioner caring for patients and families.
Works as an autonomous practitioner, in accordance with the Health Professions Council. Ensure that personal and professional clinical standards are maintained.
To undertake assessment for patients within the community and those attending the surgery, using diagnostic skills and initiation of investigations where appropriate.
Prescribe/issue medications as appropriate following policy, patient group directives and local pathways.
To formally and informally impart knowledge and skills to colleagues promoting peer review and best practice within the work environment.
To communicate at all levels within the team ensuring an effective service is delivered.
To maintain accurate, contemporaneous healthcare records appropriate to the consultation.
Ensure evidenced-based care is delivered at the highest standards ensuring delivery of high quality patient care.
Works with local policies and procedures.
Enhance own performance through Continuous Professional Development, imparting own knowledge and behaviours to meet the needs of the service.
To achieve and demonstrate agreed standards of personal and professional development in order to meet the needs of the service.
To participate in the audit process, evaluation and implementing plans and practice change in order to meet patient need.
Contribute positively to the effectiveness and efficiency of the team and work colleagues.
Pathological specimens and investigatory procedures
Undertake the collection of pathological specimens including intravenous blood samples, swabs etc. Perform investigatory procedures requested by the GPs
Administration and professional responsibilities
Participate in the administrative and professional responsibilities of the practice team
Ensure accurate and legible notes of all consultations and treatments are recorded in the patient’s notes
Ensure the clinical computer system is kept up to date, with accurate details recorded and amended
Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
Ensure collection and maintenance of statistical information required for regular and ad hoc reports and audit
Attend and participate in practice meetings as required
Training and personal development
Training requirements will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice. It is the individuals’ responsibility to remain up to date with recent developments.
Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate
Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development, ensuring PREP requirements are met.
If it is necessary to expand the role to include additional responsibilities, full training will be given.
Develop and maintain a Personal Learning Plan
As well as the nursing team, there is a need to work closely with reception, office to ensure the smooth running of the practice, reporting any problems encountered to the relevant person and ensuring everyone is aware of the different roles within the nursing team
There is also the need to establish and maintain good liaison with other surgeries and agencies, including secondary care
It will be necessary to attend and contribute to various practice meetings as requested. The only reason for not attending will be annual, study or sick leave.
In the course of seeking treatment, patients entrust us with, or allow us 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

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data
Equality and diversity
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognizes the importance of people’s rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Personal/Professional development
The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:
Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work
The post-holder will strive to maintain quality within the practice, 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 agencies to meet patients’ needs
Effectively manage own time, workload and resources
The post-holder should recognize the importance of effective communication within the team and will strive to:
Communicate effectively with other team members
Communicate effectively with patients and carers
Recognize people’s needs for alternative methods of communication and respond accordingly
Contribution to the implementation of services
The post-holder will:
Apply practice policies, standards and guidance
Discuss with other members of the team how the policies, standards and guidelines will affect own work
Participate in audit where appropriate
Health and Safety Duties
The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the practice’s Health & Safety Policy, to include:
Using personal security systems within the workplace according to practice guidelines.
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.
Making effective use of training to update knowledge and skills.
Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards.
Reporting potential risks identified to the Practice Manager.
This job description reflects the current situation. It is subject to review and updating in the light of changing service needs. Details may be changed in consultation with the role holder and/or reviewed at their annual appraisal.
Job descriptions are not designed to be all-inclusive although they will, as far as practicable, be a reasonably accurate and understandable specification of duties. Whilst this job description sets out the duties this role normally entails, it should not be regarded as exhaustive. The nature of our practice demands a flexible approach in order to provide efficient and modern services to our patients. This job description may be amended by Danetre Medical Practice and you may be required to carry out additional or other duties as may be reasonably required.
PERSON SPECIFICATION:: Primary Care Specialist Practitioner (Paramedic)

QUALIFICATIONS AND TRAINING • Qualified paramedic or specialist paramedic registered with the HCPC
EXPERIENCE • A minimum of 3 years’ paramedic work experience
• Evidence of appropriate continuing professional development activity
• Proven ability to evaluate the safety and effectiveness of their own clinical practice

KNOWLEDGE • Understanding of equal opportunity and diversity issues
SKILLS • Full driving licence
• Ability to assess and manage patient risk effectively and safely
• Well-developed data collection and IT skills
• Excellent interpersonal, verbal and written communication skills
• Reflective practitioner
• Time management skills and the ability to prioritise workload
• Ability to analyse data and information, drawing out implications for the individual patient/impact on care plan
• Ability to establish and maintain effective communication pathways within the organisation, with commissioners, other providers and key external stakeholders
PERSONAL ATTRIBUTES • Demonstrates motivation, reliability and commitment to team working and development
• Demonstrates flexibility, commitment and adaptability
• Can demonstrate an ability to value the opinions of others
PHYSICAL & EMOTIONAL ATTRIBUTES • Hep B immune or willing to undergo an immunisation course
• Physical dexterity to undertake examinations and procedures
• Able to concentrate for long periods
• Able to multi-task and cope with an unpredictable work pattern
• Able to deal with exposure to distressing circumstances
• Recognises the need to work outside of normal hours as and when required
• Able to cope with exposure to verbally aggressive behavior

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