Care Home Senior Clinician (Paramedic)

Using

advanced paramedic assessment, diagnostic reasoning and independent prescribing

skills, the practitioner will play a key role in admission avoidance, improving

resident outcomes and supporting high-quality care within care homes. The role

will also provide clinical leadership, service development and workforce

support in line with Agenda for Change Band 7 expectations.

The post holder will utilise advanced paramedic

assessment, diagnostic reasoning, prescribing and clinical decision-making

skills to assess, treat and manage residents with acute, chronic and complex

health needs. The role requires the ability to move seamlessly between

unplanned urgent care, frailty management, anticipatory care planning and

end-of-life support.

The post holder will work collaboratively with GP

practices, community teams, secondary care providers and care home staff to

improve outcomes for residents, reduce avoidable hospital admissions and

facilitate care closer to home.

Advanced Clinical

Practice & Acute Response

Main aspect of the role will be to support the practices and visit

patients in Care Homes following agreed pathways with the GP Practices.

Provide rapid, autonomous assessment of acutely unwell care home

residents, utilising advanced physical assessment and clinical

history-taking skills as directed by the patients GP practice.

Autonomous Decision Making: Diagnose, formulate, and execute

immediate treatment plans for patients presenting with complex,

undifferentiated, or unstable conditions.

Prescribing & Medicine Management: Safely prescribe medications

within individual scope of practice as an Independent Prescriber or work

under Patient Group Directions (PGDs) where applicable, ensuring rigorous

adherence to safety standards.

Admission Avoidance: Utilise expert clinical judgment to safely

manage high-risk patients in their place of residence, coordinating with

community assets to minimize unnecessary hospital admissions.

Work

across boundaries and in partnership with primary and secondary care

clinicians and social services, coordinating care promoting a

multi-disciplinary approach.

To act as a point of contact, where appropriate for the care home staff

when there is a request to see, treat or refer any patient whose health status

has deteriorated. To refer patients to the GP practice where appropriate.

Act as a specialist clinical resource for

care home staff regarding assessment, escalation and management of

deteriorating residents.

Maintain accurate, timely and legally

compliant clinical records using PCN and practice clinical.

Assess

patient needs through effective planning, implement and evaluate care according

to individualised patient needs. Ensure

that all patient computer records are maintained correctly.

Recognise

when patient presentation requires referral onto other health professional or

specialist teams and take appropriate actions.

Proactive Care

& Care Home Team Integration

Proactive

Holistic Reviews: The role will

predominantly work on the acute response but will be expected to also provide

pro-active Care as part of the function such as participate in scheduled

Multi-Disciplinary Team (MDT) reviews as required for care home residents to

optimise health, manage frailty, and prevent future health deterioration. The

postholder will be required to work closely with practices to manage patients

care.

Personalised Care Planning: To develop individualised

care management plans (PCSP for the patients in close discussion with them and

their careers, care home staff and GPs).

Anticipatory Care & DNACPR: Initiate and facilitate sensitive,

expert discussions regarding Advance Care Planning (ACP) forms with

residents, families, and staff.

Workforce Flexibility: Dynamically pivot daily priorities between

urgent acute requests and scheduled proactive reviews based on the

immediate clinical demand of the PCN care home population.

The post holder

will provide support for patients to remain in their own care setting,

improving their health outcomes and quality of life. The role will provide

clinical skills to patients and provide expert knowledge.

The

role will support patients with end-of-life support, enabling them to die in

their own care home if that is their wish.

Supporting the management of

residents with multiple long-term conditions, dementia and complex health

needs.

Leadership, Governance, & Service Development

Clinical Leadership: Act as a clinical role model and expert

resource for care home staff, PCN colleagues, and the wider

multidisciplinary team.

Quality Improvement (QI): Identify, design, and implement clinical

audits and QI projects to enhance the quality, safety, and efficiency of

care home services across the PCN.

Risk Management: Take a lead role in the investigation of clinical

incidents, near-misses, and safeguarding concerns within care homes,

ensuring lessons are learned and embedded into local practice.

Communicate

sensitive/contentious and occasionally highly complex medicine related

information and advice to patients, carers, GPs and other members of the

health care team.

Communicate on a

variety of different levels depending on whether you are dealing with

health professionals or patients. Information may be complex and require

translation into a more patient friendly format.

To be aware of the Data

Protection Act to ensure appropriate action is taken to ensure patient

confidentiality and protection of patient information.

Education & Training

Workforce Upskilling: Design and deliver evidence-based training

sessions for care home staff on topics such as early signs of

deterioration (e.g., RESTORE2), hydration, and falls prevention.

Mentorship: Supervise, mentor, and complete workplace-based

assessments for junior clinical staff, students, or PCN colleagues.

The Lytham St Annes Primary Care Network covers 5 GP Practices, Holland House, Fernbank, Parcliffe, Poplar, and Ansdell, serving a population of approximately 53,000 registered patients. The PCN serves a diverse population with relatively low deprivation with a complexity from an above average elderly population and above average residents in care homes.

The PCN has a large population that reside in Care/Nursing Homes with approximately 36 homes across the footprint and 900+ residents.

Qualifications

Skills and Knowledge

Experience