PCN Home Visiting Paramedic – Dartford Central PCN
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Role: PCN Home Visiting Paramedic
Salary: Equivalent to NHS Band 7
Hours: 37.5 hours per week
Who We Are
Dartford Central PCN covers around 40,000 patients registered with Temple Hill Group, Redwood Practice and Horsmans Place Surgery. Primary Care Networks (PCN) are groups of GP practices working closely together with other primary and community care staff and healthcare organisations to provide integrated services to their local populations. They work collectively to understand the health needs of their population and to deliver improvements to the quality of care in provided in primary care, care outside of hospital and across the PCNs.
Job Summary
An opportunity has arisen for a Paramedic to join our team at Dartford Central Primary Care Network.
The post holder will be an experienced clinician, who, acting within their professional boundaries will provide clinical assessment and management of patients who are identified as requiring a home visit in the Dartford area. You will be expected to provide and maintain a high standard of care for patients in their own homes working within the PCN team, across our 3x Dartford practices.
The post holder will primarily provide support with management of chronic disease, administration of flu & covid vaccinations, phlebotomy, foot checks and other clinical activities as necessary. Clinical assessments will be predominantly face-to-face but there may be times these need to be undertaken remotely by telephone or video call.
Supported by a skill mixed team, they will work within the community, as an autonomous, accountable, Paramedic Practitioner/Paramedic, in the provision of a holistic approach for patients including assessment, diagnosis and treatment, to deliver quality patient services.
- To assess, diagnose, treat, refer or signpost patients/service users who require a home visit with undifferentiated or undiagnosed condition relating to minor illness or minor injury.
- Use advanced clinical skills to provide education to patients, promoting self-care and empower them to make informed choices about their treatment.
- Put comprehensive care packages in place that lead to more optimal use of services
- Be open to learning from other professionals including General Practice and Nursing to expand the scope of your own practice and holistic care.
Clinical Responsibilities
• Use appropriate skills as defined within the Mandatory and Essential to role training matrix.
• To provide high quality holistic patient care and treatment
• Supply medications as appropriate following policy, patient group directives and local pathways.
• Participate in setting standards for care and auditing clinical outcomes.
• Identify and complete necessary interventions, within scope of practice and following guidance from existing policy and procedures.
• When necessary, refer to facilitate further advanced assessment and guidance from the wider team.
• Work closely with other care providers and agencies to ensure quality and safety.
• Refer any safeguarding concerns, using established safeguarding referral pathways.
• Accurately and professionally document all patient contacts, following all relevant organisational policy and procedure.
• Know own limits in relation to scope of practice and recognise when a requirement exists to refer to or seek advice from other clinicians.
• Ensure compliance with organisational policy and procedure in relation to information sharing, patient confidentiality and other relevant policies.
• Take responsibility for the safe storage and administration of drugs and equipment.
• Provide care in the patient’s home by holistic assessment, implementation and evaluation of programmes of care as appropriate.
• Participate in setting and monitoring standards to ensure effective care and delivery of evidence-based practice.
• Involvement in team discussions to ensure “best practice”.
• Ensure that professional standards are maintained and within the guidance by the Department of Health, the Health and Care Professions Council (HCPC) and the College of Paramedics (COP)
Team Working
• Understand own role and scope in the organisation and identify how this may develop over time.
• Ensure clear understanding and utilisation of referral mechanisms within the practice.
• Prioritise own workload and ensure effective time-management strategies are embedded in own practice.
• Work effectively with others to clearly define values, direction and policies impacting upon care delivery.
• Participate in service activities that create opportunities to improve patient care.
• Participate in and support local projects as agreed with the practice management team.
• Working with the wider multidisciplinary team to provide a holistic approach to care.
Communication
• Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment.
• 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.
• Utilise communication skills to support patients to adhere to prescribed treatment regimes.
• Anticipate barriers to communication and take action to improve communication.
• Maintain effective communication with individuals and groups within the practice environment and with external stakeholders.
Management of Risk
• Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.
• Ensure safe storage, rotation and disposal of vaccines and drugs is undertaken. Where appropriate, oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements.
• Undertake mandatory and statutory training.
• Apply infection-control measures within the practice according to local and national guidelines.
• Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all.
Delivering a Quality Service
• Recognise and work within own competence and professional code of conduct and other requirements as regulated by the Health and Care Professions Council (HCPC) and the College of Paramedics (COP) and to ensure familiarity with and adherence to those requirements.
• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
• Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
• Deliver care according to the NSF and the National Institute for Clinical Excellence (NICE) guidelines and evidence-based care.
• Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
• Participate in the maintenance of quality governance systems and processes across the organisation and its activities.
• Utilise the audit cycle as a means of evaluating
• In partnership with other clinical teams, collaborate on improving the quality of health care, responding to local and national policies and initiatives as appropriate.
• Evaluate the patient’ response to health care provision and the effectiveness of care.
• Support and participate in shared learning.
• Participate in the management and review of patient complaints and identify learning from clinical incidents and near-miss events using a structured framework (e.g. root cause analysis).
• Participate in the performance monitoring review of the service, providing feedback as appropriate.
• Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance.
• Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate.
General Duties and Responsibilities
• Enhance own performance through continuously developing own knowledge, skills and behaviours to meet the current and future requirements of the job and respond to the learning needs of the organisation.
• Act within acceptable parameters as an employee/ Manager for the organisation, having regard to the applicable ‘Code of Conduct for your role and ensuring own practice is in accordance with organisational policies.
• Maintain own CPD and contribute to own personal development by participating in annual appraisal with line manager, developing a PDP, and actively participating in agreed learning activities and evaluating effectiveness of learning in relation to role.
• Regularly review own practices and makes changes in accordance with current and/or best practice, makes suggestions for improved practice and identifies where other activities affect own practice.
• To achieve and demonstrate agreed standards of personal and professional development within agreed timescales.
• To contribute positively to the effectiveness and efficiency of the service in which he/she works.
• To contribute to a healthy, safe and secure working environment by adhering to health and safety regulations, organisational policies, procedures and guidance. Take necessary action in relation to risks in the workplace including supporting others to manage risks and reporting incidents as necessary.
• To act in ways that supports equality and diversity and the rights of individuals, ensuring own practice is in accordance with organisational policies. Identify and take action when own or others’ action undermines equality and diversity.
• To raise concerns around risk, malpractice or wrongdoing at work, this may affect patients, staff or the organisation, at the earliest reasonable opportunity.
• To maintain the highest standards of care and service, treating every individual with compassion, dignity and respect, taking responsibility not only for the care you personally provide, but also for your wider contribution to the aims of your team.
• The post holder will be required to adapt to and undertake different or new duties in line with professional and service developments.
Organisational Skills
• To maintain accurate records and data using General Practice computer clinical system.
• To work as an effective team member and promote a multi-agency collaborative approach to care.
• Maintain the established reporting documentation and communication system.
• To ensure efficient evaluation and monitoring.
• Report and record all clinical incidents.
Desired
- prescribing qualification
- previous experience of working in a PCN or GP practice
Essential
- have full driving licence or ability to travel independently for work purposes
- be able to work independently with confidence
- work in a timely manner and present professionally in appearance
- be flexible and adaptable across our 3x practices
Confidentiality, Equality and Diversity
• In the undertaking of the duties outlined above the post-holder will have access to confidential and sensitive information relating to patients, carers and practice staff. This must be kept strictly confidential at all times.
• Patients seeking information from the practice do so in confidence and as such have the right to expect that staff will respect their privacy and act appropriately.
• Policies and procedures relating to the protection of personal and sensitive data must be adhered to at all times and only divulged to authorised persons.
• The post-holder will support the equality, diversity and rights of patients in a manner that is consistent with practice policies and legislation.
• The privacy, dignity and beliefs of patients, carers and colleagues must be respected.
• The post-holder should behave in a manner which is welcoming, non-judgmental and respectful of the circumstances and rights of all visitors to the practice.
Data Protection
• Under the Data Protection Act 1998:
• You must not at any time use the personal data held by the organisation for a purpose not described in the Register entry or disclose such data to a third party.
• If you are in any doubt regarding what you should or should not do in connection with the Data Protection Act, then you must contact your Manager.
Health & Safety
• Employees must be aware of the responsibility placed on them under the Health and Safety at Work Act (1974) to maintain a healthy and safe working environment for both staff and visitors. Employees also have a duty to observe obligation under the organisation safety policies, and to maintain awareness of safe practices and assessment of risk.
Infection Prevention and Control
• Clinicians at all levels have a responsibility to act as role models to ensure that Infection Control is on the corporate and service agenda and remains a priority in terms of attention and resources.
• All staff providing direct patient care must ensure that they follow procedures aimed at reducing the risk of passing on the organisms that can cause infections.
• All staff, collectively and individually, have a duty of care in following best practice in adherence to guidelines which is a fundamental requirement in underpinning the management of Infection.
Safeguarding Children and Vulnerable Adults
• Safeguarding of individuals who come into contact with our services whether a child or young person, person with Learning Disabilities or an older or vulnerable adult, is the responsibility of all employees of the organisation in whatever capacity they are employed.
Safeguarding Children
• The organisation adheres to the KCC Child Protection Procedures, and all employees have a duty of care and a responsibility to safeguard and promote the welfare of children.
Please apply by email to michelle.day18@nhs.net
