Job overview Summary of Role
The post-holder is an experienced Paramedic who, acting within their professional boundaries will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision-making and expert care including assessment and diagnostic skills, for patients within the @home Service. The post-holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the Leads and the whole team to meet the needs of patients, supporting the delivery of policy and procedures, providing leadership. Paramedics have a key role within both supported discharge and prevention of admission to support individuals to optimise their independence and wellbeing. Main duties of the job ·To have clinical responsibility for assessment and treatment planning for adults referred from community as well as active case finding within the Emergency Department and Acute Medical Unit as required
·To work autonomously and in collaboration with all members of the Surrey Downs Health and Care team to deliver a safe, comprehensive and effective service including assessment, care planning, implementation of required care and review of care provision and deliver expert, specialist service for older people with complex health and social needs who may be benefit from, or who are under the care of, the @home Service for both new and patients already on the caseload Carry out proactive holistic assessments to create care plans to help reduce risk of future hospital admission.
Demonstrate clinical expertise and act as a professional role model to all colleagues, both internal and external on behalf of SDHC, working as part of an integrated team taking the lead and developing services in line with the needs of the patient
To ensure that accurate and complete records of care are kept and that your own practice and practice of other team members is compliant with agreed policies, procedures, guidance and legislation in order to deliver effective patient care
·To coordinate a seamless service through the development of enhanced interdisciplinary team processes and communication, within the @home Service and across the wider Surrey Downs Health and Care whole system.
·To empower patients and carers to make informed decisions regarding their goals and outcomes and the care they will receive to support them to meet these and collaborate with colleagues across Surrey Downs Health and Care and within the wider health and social care network to optimise patient journey, care, wellbeing and outcomes.
·To support the development and evaluation of clinical protocols and systems of inter-agency documentation to enhance both continuity and the standards of care.
·To understand and apply the Mental Capacity Act in regard of mental capacity in decision making and appropriate application of Deprivation of Liberty requirements and working with other agencies within the Safeguarding framework.
·To attend meetings as required including deputising for the Leads and Operational Manager as requested.
·To develop close links with the wider community to enhance both care for individual patients and assist in the overall development of integrated care pathways within Surrey Downs Health and Care.
·To attend meetings as required including deputising for the Leads and Operational Manager as requested.
·To participate in flexible working patterns covering extended hours across a seven day service.
·To supervise junior colleagues and assistants
Detailed job description and main responsibilities KEY TASKS AND RESPONSIBILITIES Clinical To undertake holistic clinical assessments of patients referred to SDHC@Home to enable prompt assessment, diagnosis and treatment according to agreed policies, protocols and guidelines. ·To contribute towards single assessment and trusted assessment processes. To manage a complex caseload requiring specialist skills and interventions. To ensure the coordination of appropriate input from relevant individuals and services taking account of the degree of acuity, illness and disability experienced, the expressed wishes of the patient and carer and the existence of clinical, social and psychological factors for new and patients already on the caseload
To promote and implement research / evidence based practice and audit clinical outcomes to inform and lead clinical practice and set clinical standards.
Ensure that accurate and complete records of care are kept and that own practice and practice of other team members is compliant with agreed policies, procedures, guidance and legislation in order to deliver effective patient care.
Assess, diagnose, plan, implement and evaluate treatment / interventions and care for patients presenting with an undifferentiated diagnosis.
Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly.
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including the initiation of effective emergency care
Support patients to adopt health promotion strategies that apply principles of self-care.
To promote and implement research / evidence based practice and audit clinical outcomes to inform and lead clinical practice and set clinical standards ·Ensure that accurate and complete records of care are kept and that own practice and practice of other team members is compliant with agreed policies, procedures, guidance and legislation in order to deliver effective patient care and that can be shared with colleagues and carers where appropriate.
·To utilise rapid assessment skills to enable a ‘discharge to assess’ model of care within agreed policies and pathways.
·The post holder will be supported to undertake new skills traditionally performed by other professionals e.g. physiotherapy, occupational therapy; according to clinical need and within agreed competence framework. These additional skills may include for example
·The assessment of equipment for independent living
·Cognitive and frailty screening and assessments. Person specification communication Essential criteria Strengthen the bridge between primary, secondary and acute services. Promoting good practice and effective communication within and between primary care, statutory and voluntary organisations on all matters relating to the patient. Communicate complex information to staff, stakeholders, patients and carers where there may be barriers of understanding such as a lack of knowledge about service delivery or care pathways. Diffuse potentially hostile, antagonistic and emotive situations with staff, patients and relatives. Desirable criteria 6 months Skills Essential criteria To liaise closely with the Leads and senior clinicians in monitoring the level and quality of service provided, working within service standards and response times. To line manage junior colleagues and unqualified staff, ensuring competencies and appraisals are completed within Trust policy. To participate in team objectives, to lead on service development projects alongside Team Leads. To participate at meetings where appropriate for professional and educational purposes. To chair or minute take when required. Desirable criteria experience Our mission: ‘to put the patient first by delivering great care to every patient, every day.’
There’s never been a better time to join the Epsom and St Helier team. Our hospitals are facing a bright and busy future, and our staff have a proven track record in providing high quality, compassionate care for our patients.
Boasting incredible staff benefits and dedicated training schemes, working for us will not only take your career forward, but could help to transform the lives of our patients and visitors.
We offer all employees some fantastic staff benefits, and are the only hospitals in Surrey to offer staff the London high cost area supplement. Our hospitals also benefit from great locations, so whether you're attracted to the bright lights of the city or the countryside of Epsom Downs, both are within easy reach.
FURTHER INFORMATION
**PLEASE NOTE THAT THIS POSITION MAY CLOSE EARLIER THAN THE STATED CLOSING DATE IF A SUFFICIENT NUMBER OF APPLICATIONS ARE RECEIVED. IF YOU WISH TO APPLY FOR THIS POSITION, YOU ARE ADVISED TO SUBMIT YOUR APPLICATION AS SOON AS POSSIBLE**
**PLEASE NOTE THAT WE CONTACT ALL APPLICANTS VIA EMAIL AND NOT BY POST. YOU ARE ADVISED TO CHECK YOUR RECRUITMENT SYSTEM ACCOUNT ON A REGULAR BASIS. YOU CAN ACCESS THIS ACCOUNT VIA OUR WEB SITE> Work for Us > Current Vacancies > My Job Account**
For new entrants into the NHS, your pay under the Agenda for Change or Medical & Dental Pay Bands, will normally be set at the minimum of the pay band as advertised.
If you apply for this position and do not hear from us within 4 weeks of the closing date, please assume that you have not been short-listed for interview on this occasion.
ESTH values diversity and is committed to the recruitment and retention of underrepresented minority groups. We particularly welcome applications from black, Asian and minority ethnic candidates, LGBTQ+ candidates and candidates with disabilities.
As a Disability Confident Employer we are working to create a workplace that enables all staff to reach their full potential. We are committed to this because we know that greater diversity and inclusion will lead to an even greater positive impact for the people we serve.
Internal applicants from underrepresented minority groups are encouraged to seek development support such as work shadowing and interview skills coaching.
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