Paramedic (Maternity Leave Cover)

Balmoral Surgery

Role: Paramedic General Practice

Reports to: GP Partner

Hours: 24 hours per week

Contract: Fixed term maternity cover

Salary: Depending on experience

Job

Summary

The Paramedic will work as part of the multidisciplinary team (MDT)

within Balmoral Surgery to provide high quality, patient centred care,

primarily for onsite urgent/same day presentations, with a small

number of home visits as agreed.

The post holder will

See and manage appropriate same day / urgent cases on

site, within an agreed scope of practice and under GP supervision.

Undertake a limited number of home visits for suitable

patients, as agreed in the rota.

Support GPs by safely managing appropriate cases, while escalating

undifferentiated, complex or high risk presentations to a GP.

Overall clinical responsibility for patients remains with the GP

partners.

Key

Clinical

Within an agreed and regularly

reviewed scope of practice, and with access to a named GP supervisor, the

Paramedic will

Provide onsite same day / urgent care for appropriate

presentations, following practice protocols and escalation pathways.

Undertake face to face, telephone and video consultations for:

Minor illness and injuries

Selected long term condition reviews, where agreed and within

competence.

Perform comprehensive clinical assessments , including

history, examination and observations.

Formulate working diagnoses and management plans for

conditions within competence, using evidence based guidelines and practice

protocols.

Provide home visits for suitable patients (e.g. acute

but stable presentations, followup of known patients) as agreed in the

Practice rota, ensuring

Clear pre visit briefing where needed

Timely documentation on return to the practice

Escalation to a GP if concerns arise.

Implement management plans including

Self care advice and safety netting

Use of practice protocols and patient information

Arranging appropriate followup or GP review.

Recognise red flags and clinical risk , and promptly

Escalate to a GP when

Presentations are undifferentiated or complex

There is diagnostic uncertainty

The patient is clinically unstable or deteriorating.

Request and interpret basic investigations within

agreed scope (e.g. simple blood tests, urinalysis, ECG recording, basic

observations), and escalate abnormal results to a GP.

Make referrals to community and social care services in

agreement with a supervising GP and within local pathways.

If the post holder is an independent prescriber (or becomes one),

prescribing activity must be explicitly agreed, supervised and audited by the

GP partners, and remain within their competence and practice governance

Non Clinical /

Administrative

Document all patient contacts and clinical decisions contemporaneously in

the clinical record.

Manage clinical administration related to their

Caseload, such as

Coding and summarising relevant information

Actioning agreed test results within scope

Drafting referrals for GP review and sign off where required.

Participate in clinical audit, quality improvement and service

development projects relevant to urgent care and home visiting.

Contribute to practice meetings , including MDT

meetings, clinical governance and significant event reviews, as appropriate.

Support health promotion and prevention initiatives

(e.g. lifestyle advice, vaccination campaigns) within competence.

Professional and

Governance

Work at all times within HCPC standards of conduct,

performance and ethics, and within the scope of practice defined by the

practice.

Maintain professional registration with the HCPC and

comply with all revalidation and CPD requirements.

Participate in regular clinical supervision with a

named GP supervisor.

Engage in an annual appraisal and agree a personal

development plan aligned with practice priorities.

Adhere to all practice policies , including

Safeguarding (adults and children)

Infection prevention and control

Information governance and confidentiality

Health and safety and incident reporting.

Qualifications