Published 1 September 2019
This job description is a template. It should be used as a guide and edited according to the specific needs of the practice and the duties required of the post.
The role described is equivalent to Band 7/8a
Job title: Practice paramedic
Contract type: [full time, part time, job share]
Hours: [number of hours]
Band: [NHS Agenda for Change Band 7/8a]
Salary: [salary, or reference to range within pay grade]
Reporting to: The partners for clinical matters. In non-clinical matters, the paramedic will report to the practice manager
Line management of: [include reports]
An experienced paramedic, while acting within their professional boundaries, will provide care for the 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 in the practice. The post holder will demonstrate critical thinking in the clinical decision-making process. They will need to triage the needs of the patients and prioritise accordingly, instigating appropriate investigations or referral to secondary care, working with the general practice team to meet the needs of patients, supporting the delivery of care both in the practice and in the patient’s own home.
1. Triage and treat patients wishing to see a healthcare professional, making any necessary referrals to other members of the primary care team.
2. Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an unknown condition.
3. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
4. Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs and seek appropriate advice from GP and other colleagues where necessary.
5. Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan.
6. Provide general and specific health screening and proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).
7. In conjunction with the clinical team, prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice.
8. Work with patients in order to support compliance with and adherence to prescribed treatments.
9. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
10. Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care.
11. Implement and participate in vaccination and immunisation programmes for both adults and children.
12. Meet the needs of patients presenting for opportunistic wound care.
13. 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.
14. Anticipate barriers to communication and take action to improve communication.
1. Maintain effective communication within the practice environment and with external stakeholders.
2. Produce accurate and complete records of patient consultations, consistent with legislation, policies and procedures.
3. Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
4. Deliver care according to NSF, NICE guidelines and evidence-based care.
5. Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
6. Use the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.
7. In partnership with other clinicians, collaborate on improving the quality of healthcare responding to local and national policies and initiatives as appropriate.
8. Perform other clinical duties as required, within the scope of competencies and training.
9. Provide learning opportunities for the whole multi-disciplinary team (MDT) within primary care.
10. Use specialist knowledge to refer to other clinicians as appropriate.
11. Demonstrate understanding of the process for effective resource utilisation.
12. Perform other non-clinical duties as required, within the scope of competencies and training.
1. Be professionally and legally accountable for all aspects of own work including the management of patients in their care. To work within professional and clinical codes of contact.
2. Undertake evaluation of their work and current practices through the use of evidence-based practice, audit and outcome measures.
3. To keep up to date with clinical developments, analysing current research and discussing and implementing changes in clinical practice accordingly.
4. Act as a mentor and positive role model to students and more junior members of staff, sharing information and good practice.
5. Prioritise own workload and collaborate effectively with others to prioritise team and practice workload.
6. Undertake training as required to ensure competencies for delivering all responsibilities, including attending and contributing to in-house training.
7. Maintain personal development and CPD plans and records of learning, clinical supervision, appraisals of more junior staff, feedback on performance.
8. Keep up to date with current evidence-based approaches to patient care and service delivery, in line with NICE and the National Service Framework.
9. Undertake regular mandatory training, such as emergency life support, manual lifting and handling, safeguarding vulnerable patients, child protection etc.
Maintaining confidentiality
The practice paramedic will, as an integral part of and in the course of carrying out their role, have access to confidential and sometimes sensitive information relating to patients, carers and family members, as well as similar information about colleagues. The practice paramedic might also have access to confidential commercial information about the practice and its business. All such information in whatever format and howsoever made available must be treated with strictest confidence. All such information held both within and outside of the practice will be shared only as necessary, and in accordance with practice’s confidentiality/data sharing policies, and in line with data protection legislation and the Freedom of Information Act.
Equality and diversity
The practice paramedic will comply with the practice’s own equality and diversity policy, and legislation relating to equality and diversity, including (but not limited to):
• Recognising the rights of patients, carers, family members and colleagues, and respecting their needs, beliefs, privacy and dignity.
• Not discriminating against patients, carers, family members or colleagues on the grounds of any of the protected characteristics in the Equality Act 2010 (or its amendments or later legislation).
• Supporting people who need help to understand and exercise their rights.
• Acting as a role model in relation to promoting equality, diversity and non-discriminatory practices.
• Identifying discriminatory practices and patterns of discrimination, taking appropriate action to tackle it and instead promote equality.
• Complying with, promoting and evaluating chaperoning policies where applicable.
• Recognising and promoting the right of patients to choose their care provider, and to participate in or refuse care.
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Internal |
External |
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– GPs – Partners – Lead practice nurse – Practice nurse – Healthcare assistants – Clinical staff in training – Practice manager – Reception and administration staff – Other employed professions |
– Patients – Patients’ carers and family members – CCG paramedics – Community and hospital paramedic teams – Locality managers – Other healthcare professionals, including dietitians, social care teams, dentists, optometrists, secondary care specialists
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