The primary focus of the role is to work as an autonomous practitioner providing high quality and timely patient centred care. The post holder will be responsible as follows:
· to assess, diagnose, treat and provide advice, care and management and onward referral for a diverse range of patients with minor injuries/acute and minor illness. This will be for patients within their own homes or in a care home.
· To assess, diagnose, treat and provide advice, care and management and onward referral for urgent and primary care patients either via telephone or face to face, with either long term conditions, with diagnosed or undiagnosed undifferentiated illness within the primary care environment.
Where necessary, refer to other appropriate health care services e.g. Patients own GP, Secondary Care and Community Services and Social Services. Support the delivery of policy and procedures, and provide leadership as required. This may require outreach provision or telephone based support.
The post holder will be an experienced clinician who will act as a positive role model supporting junior staff (where experience supports this) whilst working flexibly across urgent and primary care to provide safe clinical, high quality services within their professional boundaries. They will have the opportunity to work within the wider healthcare team.
A key role for the post holder will be to undertake home visits assessed as requiring a visit by their own GP, duty doctor and through referrals reviewed by you directly.
Key duties and responsibilities
1. Clinical Practice
a) Work as part of the triage team with the Duty GP to assess patients needs through history taking, physical examination and appropriate use of investigations to confirm diagnosis, both through home visiting and as part of clinic based duties.
b) Work as part of the Emergency Practitioner Team in the organisation of MDTs for care home patients, both assisting with diagnosis, treatment and management. You will be required to foster excellent working relationships with local care home managers and staff in order to ensure the highest level of care is available to this vulnerable group of patients, with a focus on patient centred care delivery and admission avoidance.
c) Clinically examine and assess patient needs from a physiological, psychological and social perspective, and plan clinical care accordingly.
d) Plan, implement and evaluate an effective management plan for the patient, ensuring safe discharge/referral and/or transfer to an appropriate health care service.
e) Order, or provide if necessary, investigations and samples, provide treatment, counselling and health education
f) Diagnose and manage acute conditions supported by appropriate prescribing (where qualified).
g) Perform safe assessment and management of patients via telephone or face to face.
h) For Prescribing Practitioners you will prescribe medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice and antimicrobial stewardship. Alternatively, you will liaise with the duty doctor in order to ensure appropriate and timely prescribing is actioned according to patient need.
i) Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.
j) Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
k) Support patients to adopt health promotion strategies that promote healthy lifestyles
and apply principles of self-care where appropriate.
l) Take part in extended hour’s surgeries as part of core contract arrangements.
2. Communication
a) Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
b) Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
c) Anticipate barriers to communication and take action to improve communication.
d) Maintain effective communication within the organisation and with external stakeholders.
f) Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.
3. Delivering a Quality Service
a) Recognise and work within own competence and professional code of conduct as regulated by the HCPC. Understand own role and scope and identify how this may develop over time.
b) Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
c) Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
d) Ensure professional revalidation requirements are met.
e) Deliver care according to NSF, NICE guidelines and evidence-based care.
f) Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
g) Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.
h) In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
I) Support and participate in shared learning across the organisation and wider organisation.
J) Understand and apply guidance that supports the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patient’s
health procedures and local guidance.
4. Leadership – Personal and People Development
a) Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode.
b) Support staff development in order to maximise potential.
c) Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
d) Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services.
e) Critically evaluate and review innovations and developments that are relevant to the area of work.
f) Take a lead role in planning and implementing changes within the area of care and responsibility.
g) Work with senior clinical and management teams to ensure sufficient staff of appropriate ability, quality and skill-mix is available to meet current and future service delivery, that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes.
h) Contribute to the development of local guidelines, protocols and standards.
i) Maintain effective communication with those responsible for the overall commissioning and procurement process.
j) Promote the role of the ECP.
k) To attend and be proactively involved in professional meetings.
l) Take the lead/ develop a special interest within certain areas to allow the sharing of clinical knowledge and expertise.
An opportunity exists for an ambitious Paramedic Practitioner/ACP to join our Surgery to cover a 12 month period of maternity leave. You will be coming into an established team, working with an experienced and highly motivated group of clinicians.
The post holder will work as part of the triage service, alongside the duty doctor, undertaking home visits, assessing patients needs through history taking, physical examination and appropriate use of investigations to confirm diagnosis. Part of this role will be delivered through home visiting activities, as well as clinic based work. The successful candidate will be able to demonstrate an ability to work autonomously in prioritising health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
The primary focus of the role is to work as an autonomous practitioner providing high quality and timely patient centred care in a home visiting environment, as well as within the primary care setting. The post holder will be responsible as follows:
to assess, diagnose, treat and provide advice, care and management and onward referral for a diverse range of patients with minor injuries/acute and minor illness. This will be for patients within their own homes or in a care home. You will also help to manage urgent and primary care patients either via our on-line triage system, telephone or face to face, who may have long term conditions, with diagnosed or undiagnosed undifferentiated illness within the primary care environment.
The primary focus of the role is to work as an autonomous practitioner providing high quality and timely patient centred care. The post holder will be responsible as follows:
· to assess, diagnose, treat and provide advice, care and management and onward referral for a diverse range of patients with minor injuries/acute and minor illness. This will be for patients within their own homes or in a care home.
· To assess, diagnose, treat and provide advice, care and management and onward referral for urgent and primary care patients either via telephone or face to face, with either long term conditions, with diagnosed or undiagnosed undifferentiated illness within the primary care environment.
Where necessary, refer to other appropriate health care services e.g. Patients own GP, Secondary Care and Community Services and Social Services. Support the delivery of policy and procedures, and provide leadership as required. This may require outreach provision or telephone based support.
The post holder will be an experienced clinician who will act as a positive role model supporting junior staff (where experience supports this) whilst working flexibly across urgent and primary care to provide safe clinical, high quality services within their professional boundaries. They will have the opportunity to work within the wider healthcare team.
A key role for the post holder will be to undertake home visits assessed as requiring a visit by their own GP, duty doctor and through referrals reviewed by you directly.
Key duties and responsibilities
1. Clinical Practice
a) Work as part of the triage team with the Duty GP to assess patients needs through history taking, physical examination and appropriate use of investigations to confirm diagnosis, both through home visiting and as part of clinic based duties.
b) Work as part of the Emergency Practitioner Team in the organisation of MDTs for care home patients, both assisting with diagnosis, treatment and management. You will be required to foster excellent working relationships with local care home managers and staff in order to ensure the highest level of care is available to this vulnerable group of patients, with a focus on patient centred care delivery and admission avoidance.
c) Clinically examine and assess patient needs from a physiological, psychological and social perspective, and plan clinical care accordingly.
d) Plan, implement and evaluate an effective management plan for the patient, ensuring safe discharge/referral and/or transfer to an appropriate health care service.
e) Order, or provide if necessary, investigations and samples, provide treatment, counselling and health education
f) Diagnose and manage acute conditions supported by appropriate prescribing (where qualified).
g) Perform safe assessment and management of patients via telephone or face to face.
h) For Prescribing Practitioners you will prescribe medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice and antimicrobial stewardship. Alternatively, you will liaise with the duty doctor in order to ensure appropriate and timely prescribing is actioned according to patient need.
i) Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.
j) Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
k) Support patients to adopt health promotion strategies that promote healthy lifestyles
and apply principles of self-care where appropriate.
l) Take part in extended hour’s surgeries as part of core contract arrangements.
2. Communication
a) Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
b) Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
c) Anticipate barriers to communication and take action to improve communication.
d) Maintain effective communication within the organisation and with external stakeholders.
f) Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.
3. Delivering a Quality Service
a) Recognise and work within own competence and professional code of conduct as regulated by the HCPC. Understand own role and scope and identify how this may develop over time.
b) Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
c) Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
d) Ensure professional revalidation requirements are met.
e) Deliver care according to NSF, NICE guidelines and evidence-based care.
f) Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
g) Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.
h) In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
I) Support and participate in shared learning across the organisation and wider organisation.
J) Understand and apply guidance that supports the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patient’s
health procedures and local guidance.
4. Leadership – Personal and People Development
a) Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode.
b) Support staff development in order to maximise potential.
c) Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
d) Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services.
e) Critically evaluate and review innovations and developments that are relevant to the area of work.
f) Take a lead role in planning and implementing changes within the area of care and responsibility.
g) Work with senior clinical and management teams to ensure sufficient staff of appropriate ability, quality and skill-mix is available to meet current and future service delivery, that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes.
h) Contribute to the development of local guidelines, protocols and standards.
i) Maintain effective communication with those responsible for the overall commissioning and procurement process.
j) Promote the role of the ECP.
k) To attend and be proactively involved in professional meetings.
l) Take the lead/ develop a special interest within certain areas to allow the sharing of clinical knowledge and expertise.
An opportunity exists for an ambitious Paramedic Practitioner/ACP to join our Surgery to cover a 12 month period of maternity leave. You will be coming into an established team, working with an experienced and highly motivated group of clinicians.
The post holder will work as part of the triage service, alongside the duty doctor, undertaking home visits, assessing patients needs through history taking, physical examination and appropriate use of investigations to confirm diagnosis. Part of this role will be delivered through home visiting activities, as well as clinic based work. The successful candidate will be able to demonstrate an ability to work autonomously in prioritising health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
The primary focus of the role is to work as an autonomous practitioner providing high quality and timely patient centred care in a home visiting environment, as well as within the primary care setting. The post holder will be responsible as follows:
to assess, diagnose, treat and provide advice, care and management and onward referral for a diverse range of patients with minor injuries/acute and minor illness. This will be for patients within their own homes or in a care home. You will also help to manage urgent and primary care patients either via our on-line triage system, telephone or face to face, who may have long term conditions, with diagnosed or undiagnosed undifferentiated illness within the primary care environment.