Primary Care Paramedic Job Vacancy in South Tyneside, England, UK

Job description

Job responsibilities

Job Title: Allied Healthcare Professional (Paramedic/RGN) – Haringey Homeless Health Inclusion Team

Accountable to : Clinical Directors for Haringey PCNs and the CEO for Haringey GP Federation

Line manager: Integrated Services Manager/GP Clinical Lead

Hours of work: 37.5 Hours per week (Full time)

Remuneration: £41,000 – £44,000 per annum pro-rata, depending on experience

Contract length: One-year fixed term (with potential for extension)

Job summary

An exciting and unique opportunity to work with Haringeys homelesspopulation and to be part of a pioneering health inclusion team!

The Haringey GP Federation is looking for an experiencedparamedic or RGN who would be able to work within their professional boundariesfor the successfullyestablished Haringey Homeless Health Inclusion Team.

As an Allied HealthcareProfessional (Paramedic/RGN) youwill provide holistic medical care for patients experiencing homelessness andrough sleeping in Haringey.

The role will include:

• Clinicaloutreach shifts for patients living on the streets and in emergencyaccommodation. Outreach is a jointservice with the teams care navigator and currently takes place four days aweek. There is no lone working.
• Participation(and occasional chairing) at the weekly multidisciplinary meeting with alliedservices such as local drugs and alcohol teams.
• Weeklydrop-in sessions at the day centre for patients experiencing homelessness.
• Contributionto the services weekly GP led health inclusion clinic.
• Workingwith the Haringey Homeless Health Inclusion Team on service maintenance and servicebuild
• Workingwith the Haringey Homeless Health Inclusion Team on stakeholder and communityengagement by contributing to local and national presentations

Patient contact will require skilled history taking,clinical assessment, diagnosis, treatment, prescribing (if qualified as anindependent prescriber) and evaluation of their care. You will demonstrate safe, clinicaldecision-making and trauma informed care for patients.

Mentorship and supervision will beprovided by a senior clinician (the services clinical lead GP). You will haveopportunities for training, annual appraisals and will be required to follow continuingprofessional development set out by the HCPC.

1. SCOPE ANDPURPOSE OF THE ROLE

• To deliver a high standard of patient care using advanced autonomous clinical skills with in-depth theoretical knowledge and evidence-based practice.
• To manage a clinical caseload and deal with patients presenting needs in an outreach, in-reach, drop-in clinic and primary care setting.
• To provide clinical leadership where appropriate within the Haringey Homeless Health Inclusion Team and support other members of the team to develop and maintain clinical skills appropriate to your role and expertise.
• Recognise the need for alternative working patterns and flexibility.

2. KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

See personal specification.

3. PRIMARYDUTIES & AREAS OF RESPONSIBILITY

a. Clinical

The post holder will, under appropriate supervision:

• Provide first point of clinical contact for patients presenting with undifferentiated, undiagnosed problems, utilising history taking, physical examination, problem-solving and clinical decision-making skills to establish a working diagnosis and management plan working in partnership with patients experiencing homelessness.
• Undertake outreach, in-reach, drop in clinic and surgery based consultations for immediately necessary primary care problems and routine primary care problems (including advising on long term conditions). In addition, telephone calls and video consultations may be required.
• Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports within the scope of a paramedics practice. Discuss the result and implications of laboratory investigations with patients.
• Utilise clinical guidelines and promote evidence-based practice.
• Offer a holistic service to patients, developing where appropriate an on-going plan of care/support with an emphasis on prevention and self-care.
• Refer patients directly to other services or agencies using appropriate referral pathways.
• Ensure safe handover of care within and outside the Haringey Homeless Health Inclusion Team, as appropriate.
• Work directly with members of the Haringey Homeless Health Inclusion Team and support integrated patient centred care through appropriate working with wider primary care / social care networks / multiple agencies such as Mental Health, Substance Misuse and Local Authority teams.
• Identify community health needs and participate in the development of patient-centred strategies to address them.
• Contribute to the Haringey Homeless Health Inclusion Teams targets and key performance indicators, to consistently achieve high standards of safe, evidence-based, cost-effective patient care and service delivery.

b. Trainingand development

• Participate in continuing professional development (CPD) opportunities to keep up-to-date with evidence-based knowledge and competence in all aspects of the role to meet clinical governance guidelines for CPD.
• Participate in a Personal Development Plan (PDP) utilising a reflective approach to clinical practice.

• Undertake a variety of analysis tasks associated with the improvement of service delivery and clinical care using the following means:
• Audit of clinical practice
• Significant event review / root cause analysis
• Review of relevant literature
• Research unusual symptoms and treatment options through consultation with general practitioners, physicians and other specialists.
• Participate proactively in a learning culture within the Haringey Homeless Health Inclusion Team and assist in clinical instruction, mentoring and supervision of medical, nursing or physician associate students and other learners that may periodically be attached to the Haringey Homeless Health Inclusion Team

c. Administration

• Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes in accordance with relevant standards.
• Work in accordance with internal administrative systems relating to but not limited to the management of clinical data.

• Send and receive written information on behalf of the Haringey Homeless Health Inclusion Team relating to the physical and social welfare of patients.
• Work closely with other clinical staff and administrative managers in the setting up and/or improving of the Haringey Homeless Health Inclusion Service for monitoring/measuring performance against Clinical Governance and Quality Indicator targets and work to deliver the NHS contract pertinent to the Haringey Homeless Health Inclusion Team.
• Ensure that all Haringey Homeless Health Inclusion Team policies are fully adhered to and implemented.

d. Professional

• Maintain your professional registration.
• Undertake statutory and mandatory training as required by Haringey Homeless Health Inclusion Team.
• Demonstrate clinical leadership.
• Pro-actively promote the role of the paramedic within the Haringey Homeless Health Inclusion Team and externally to key stakeholders and agencies.
• Respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

4. Health and Safety

• Comply at all times with the Haringey GP Federations Health and Safety policies by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System (IRS).
• Comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).
• 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.

5. Equality and Diversity

• Co-operate with all policies and procedures designed to support equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.
• To promote a culture which respects and values diversity, and support patients, visitors and staff in exercising their rights.
• To recognise and report behaviour which undermines equality and diversity in accordance with organisation policies and current legislation.

6. Communication and working relationships

• Establishand maintain effective communication pathways with the Haringey Homeless HealthInclusion Team, visiting clinical team members and allied agency staff such as mentalhealth nurses, outreach workers, hostel staff, social workers, drugs andalcohol workers.
• Recognise peoples needs for alternative methods of communication and respond accordingly.

Person Specification

Qualifications

Essential

• Registered Allied Healthcare Professional (Paramedic/RGN) HCPC/RGN (minimum 1 year post registration).
• DBS clearance
• Current and valid certification

Desirable

• Independent Prescriber certification
• Minor Illness certification
• Member of College of Paramedics (if relevant)
• Evidence of Continuing Professional Development activities
• Basic Life Support
• Diploma in Primary and Urgent Care
• Experience working with patients experiencing homelessness

Experience

Essential

• Advanced clinical practice skills
• Clinical examination skills
• Management of patients with common acute medical conditions
• Management of patients with long-term conditions
• Knowledge of the NHS
• Understanding of the current issues and challenges facing primary care and the rough sleeping population
• Recent experience of working in an outreach service / General Practice environment

Desirable

• Management of patients with complex needs
• Experience of preventative medicine
• Experience with chronic disease management
• Experience of working to achieve standards and targets
• Experience of trauma informed care
• Experience of mental health, substance misuse management
• Experience of wound care
• Experience of working with patients across a range of settings
• Experience in managing conditions which affect rough sleeping and homeless populations

Abilities, Skills and Personal Attributes

Essential

• Ability to work well with colleagues and within a team
• Ability to chair meetings and give presentations
• Ability to organise and prioritise workload effectively
• Ability to exercise sound judgements when faced with conflicting pressures
• Confident in use of email
• Excellent record keeping skills
• Ability to work flexibly to meet the needs of the Haringey Homeless Health Inclusion Team
• Interest and enthusiasm in Inclusion Health and working with marginalised populations
• Highly motivated
• Energy and enthusiasm
• The ability to work under pressure and organise workload effectively
• An enquiring and critical approach to work
• Caring attitude to patients
• Ability to communicate effectively with colleagues, patients, relatives and agencies
• Commitment to Continuing Clinical Education and Professional Development
• Declared history of medical-legal cases including any pending

Desirable

• Experience and knowledge of the EMIS Clinical System
• Bi/Multilingual abilities desirable

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).