Paramedic BAND 6

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 t, Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.

• Assess patients presenting with acute illness or for review of chronic disease conditions.
• Undertake home visits for acute illness or chronic disease management.
• 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., 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.
South West London Acute Provider Collaborative
• 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.
  
  At Epsom and St Helier - we run high performing hospitals with a strong track record in providing high
quality care, delivering operational standards and meeting our financial targets. In addition to that, we are proud to host joint ventures with our partners in mental health, social care, community health and GPs in Surrey Downs and Sutton, providing adult community, children's therapy and sexual health services as part of Sutton Health and Care, and adult community services as part of Surrey Downs Health and Care. We are committed to providing seamless joined up care for the 500,000 people we serve as their local hospitals and community services. We also have the privilege of running the South West London Elective Orthopaedic Centre at Epsom Hospital and a GP practice in Leatherhead. Our future looks very bright and there has never been a better time to join our team.

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.