Title: Physicians Associate
Responsible to: Site Lead Officer
Accountable to: Partner/Lead GP
1. Job Role/Purpose:
- The post holder will be responsible to deliver a high standard of patient care using advanced autonomous clinical skills with in-depth theoretical knowledge and evidence based practice working under the supervision of a GP
- To manage a clinical caseload and deal with presenting patient’s needs in a primary care setting
- To provide clinical leadership where appropriate within the practice and support other members of the team to develop and maintain clinical skills appropriate to your role and expertise.
2. Key Duties & Responsibilities:Clinical
- The post holder will under appropriate supervision:
- Provide first point of contact for patients presenting with undifferentiated, undiagnosed problems, utilising history taking, physical examination, problem-solving and clinical decision-making skills to establish a working diagnosis and management plan working in partnership with patients.
- Carry out telephone triage and appropriate clinical and non-clinical signposting in a clinical contact hub environment.
- Undertake as agreed surgery based consultations for emergency or routine problems including management of long term conditions. In addition, undertake telephone consultations / home visits and participate in duty rotas
- Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports within the scope of a PA’s practice. Discuss the result and implications of laboratory investigations with patients
- Utilise clinical guidelines and promote evidence-based practice
- Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support with an emphasis on prevention and self-care
- Refer patients directly to other services or agencies using appropriate referral pathways
- Ensure safe handover of care within and outside the practice as appropriate
- Work directly with members of the practice primary health care team and support integrated patient centred care through appropriate working with wider primary care / social care networks
- Identify community health needs and participate in the development of patient/family-centred strategies to address them
- Contribute to the practice quality targets to consistently achieve high standards of safe, evidence-based, cost-effective patient care and service delivery
Training and development
- Participate in continuing professional development opportunities to keep up-to-date with evidence-based knowledge and competence in all aspects of the role to meet clinical governance guidelines for Continuing Professional Development (CPD) and a Personal Development Plan (PDP) utilising a reflective approach to practice. This requires 50 hours of CPD every year: a minimum of 25 hours must be in accredited direct learning programmes
- Undertake a variety of research and analysis tasks associated with the improvement of clinical care, medical diagnosis and treatment where appropriate using the following means.
- Audit of clinical practice
- Significant event review / root cause analysis
- Review of relevant literature
- Research unusual symptoms and treatment options through consultation with general practitioners, physicians and other specialists
- Promote and support a learning culture within the practice and assist in clinical instruction, mentoring and supervision of medical, nursing or physician associate students and other learners that may periodically be attached to the practice
- Contribute to regular multi-disciplinary and or practice educational meetings
- Participate in multi-disciplinary protocol and patient group directions (PGDs) development as appropriate
- Work closely with other clinical staff and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets
- Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes in accordance with relevant standards
- Work in accordance with internal administrative systems relating to but not limited to the management of clinical data,
- Send and receive written information on behalf of the practice relating to the physical and social welfare of patients
- Work closely with other clinical staff and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets and work to deliver the NHS contract pertinent to the practice including the terms of the Quality and Outcomes Framework and locally enhanced services
- Ensure that all practice policies are fully implemented
- Support, contribute to and participate in external inspections
- Take the UK PA National Re-Certification Exam every six years – required for Physician Associates AND maintain your professional registration working within the latest Code of Professional Conduct (CIPD)
- Undertake statutory and mandatory training as required by the practice
- Demonstrate clinical leadership
- Pro-actively promote the role of the PA within the practice and externally to key stakeholders and agencies
- Respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.
3. Other Responsibilities:Health and Safety
- To comply with the Health and Safety at Work etc. Act 1974.
- To take responsibility for their own health and safety and that of other persons who may be affected by their own acts or omissions.
- To ensure you are fully trained and conversant with fire regulations and health and safety and understand what to do in an emergency.
Equality and Diversity
- To carry out at all times their responsibilities in line with Equal Opportunities Policy and Procedure.
Risk Management and Clinical Governance
- To work within the Clinical Governance Framework of the practice, incorporating Risk Management and all other quality initiatives and all aspects of CQC implementation.
- To maintain confidentiality of information relating to patients, clients, staff and other users of the services in accordance with the Data Protection Act 1998 including outside of the work environment. Any breach of confidentiality may render an individual liable for dismissal and/or prosecution.
- Whilst in post, Staff are expected to acquire and update their knowledge on safeguarding as per the Intercollegiate document requirements and MMP policies.
- To undertake any other duties commensurate with the role, within the bounds of his/her own competence as guided by the attached management framework.
- To work across the various MMP sites as required.
- Covering core working hours for MMP which may extend in line with future NHS policies.
- In light of national policy and due the needs of the business it may be necessary for the Partnership to alter the opening hours of the surgeries. This could incorporate different opening hours and weekend working which may affect when you are required to work. The post holder is expected to be flexible and accommodating, following consultation, in terms of any changes to operating times in the future.
Job Type: Full-time