Job summary
Maternity Leave Paramedic (On Site, Few Home Visits)
Balmoral Surgery 24 hours per week (Ideally working on Mon/Wed & Fri)
Salary: competitive

We are looking for an experienced Paramedic to join our friendly, supportive GP team to cover Maternity Leave. This is a predominantly onsite role with a small number of home visits, designed to make best use of your urgent care skills while keeping your workload safe and sustainable.

About you

• HCPC registered Paramedic with substantial urgent/emergency care experience
• Confident in autonomous assessment within clear protocols and escalation routes
• Strong communicator, team player and keen to develop in primary care

Main duties of the job
What you'll do

• Run same day / urgent care clinics for appropriate presentations
• See patients face to face, by phone and video within an agreed scope of practice
• Carry out occasional home visits for suitable patients on a planned rota
• Request and interpret basic investigations, provide safety netting and clear followup
• Work closely with GPs, nurses and the wider MDT to improve access and patient care

About us
What we offer

• Supportive partners and practice team, with realistic expectations of your role
• Daily supervision
• Opportunities for CPD, audit and service development
• Induction tailored to your experience and our systems

Job responsibilities
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 Responsibilities
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 requirements.

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.

Supervision and Support
The Paramedic will have a named GP clinical supervisor responsible for day to day clinical support and oversight.

The post holder will have:

• Regular scheduled supervision sessions
• On the day access to a GP for advice and escalation
• Opportunities to discuss complex cases and learning needs.

The GP partners retain ultimate responsibility for clinical governance and for ensuring that the Paramedic's scope of practice is safe, clearly defined and regularly reviewed.

Person Specification
Essential Qualifications

• Degree / Diploma in Paramedicine or equivalent.
• HCPC registration as a Paramedic.
• Completion of the two year Consolidation of Learning period as a newly qualified paramedic.
• At least three years experience as a Band 6 (or equivalent) paramedic.
• Evidence of ongoing CPD relevant to urgent and primary care.

Desirable Qualifications

• Masters level modules or equivalent in advanced clinical practice / paramedic practice.
• Non medical prescribing qualification (V300), if prescribing is to be part of the role and supported by the practice.
• Additional training in minor illness, frailty, long term conditions or palliative care.

Essential Experience

• Substantial post registration experience in urgent / emergency care (e.g. ambulance service, urgent care centres, ED).
• Experience of autonomous clinical assessment within defined protocols and escalation frameworks.
• Experience of working within a multidisciplinary team.
• Experience of managing acutely unwell adults and recognising deterioration.

Desirable Experience

• Previous experience in general practice or community based services.
• Experience of home visiting or care of housebound/frail patients.
• Involvement in audit, quality improvement or service development.

Knowledge and Skills
Essential:

• Strong clinical assessment and decision making skills within scope of practice.
• Ability to recognise red flags and clinical risk and escalate appropriately.
• Understanding of how general practice operates, including appointment systems and triage.
• Excellent communication and interpersonal skills.
• Competent IT skills, including use of GP clinical systems (training can be provided).
• Ability to work autonomously within defined parameters, and as part of a wider MDT.

Desirable:

• Knowledge of NICE guidance and local clinical pathways relevant to urgent and primary care.

Personal Attributes

• Commitment to high quality, patient centred care.
• Flexible and adaptable approach to workload and service needs.
• Willingness to work collaboratively and accept clinical supervision and feedback.
• Strong organisational skills and ability to prioritise in a busy general practice environment.
• Commitment to ongoing professional development and reflective practice.

Other Requirements

• Ability to travel locally for home visits as required (car driver with access to a vehicle is usually essential).
• Enhanced DBS check.
• Compliance with all mandatory training requirements (e.g. safeguarding, BLS, infection control).

Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

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