Pcn Physician Associate (Pa)

The Physician Associate role works in support of the clinical team. This role will require the PA primarily undertaking their own consultations in the surgery or in a patients home/care home ensuring appropriate history, examination, diagnosis and management plan is formulated. The post involves mixture of home visits, appointments including on the day, pre-booked, follow-up, specialist and procedural appointments. They may work within a primary care home visiting team to ensure the patients requiring home visits changing needs are addressed by considering local priorities, health inequalities and/or population health management risk stratification. They will also work on other case loads as applicable. The summary above and duties below are not intended to be exhaustive and may be subject to change according to the needs of the PCN. 1. KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED See Person Spec PRINCIPAL DUTIES AND RESPONSIBILITIES Clinical responsibilities To perform initial patient assessment and examination, initiate diagnostic process and interpret investigations and recommend initial treatment. To exercise a high degree of personal autonomy when assessing and planning care for patients with a range of presenting complaints. To develop extensive specialist knowledge and experience, acting as a resource to the clinical team and allied health professionals. Practice under the supervision of the on call Duty Doctor within each practice on a day to day basis and the overall supervision of the Named PCN Clinical Lead/Clinical Director Take patient histories and perform physical examinations of a patient recording all information in the patients medical records. Order and interpret diagnostic laboratory tests, radiological studies or various other therapies. Discriminate between normal and abnormal findings to recognise early stages of serious medical, emotional or mental problems in the patient Establish differential diagnosis, make appropriate treatment plans and initiate emergency treatment. Work with the multi disciplinary team in an appropriate management plan for complex patients e.g. Social Services, Community Nurse Team, Clinical Nurse Specialists. Instruct and counsel patients regarding mental and physical health, including: Diet and lifestyle advice Disease and disease prevention Treatment Normal development Refer and converse with appropriate specialists in regard to patient management. To perform diagnostic/therapeutic procedures, as per skills and experience such as: IM/Sc Injections Venepuncture Ambulatory Blood pressure reading Spirometry Cervical Smear Taking Other interventions or procedures as directed by the supervising physician Work collaboratively with the medical team, Maintain knowledge and proficiency in medical practices through continuing education, CPD days, staff meetings, workshops and online training. Work towards prescribing independently when appropriate legislation is in place. Work with the teams to develop/improve and implement new models of working to ensuring efficiency within the area of work. Work within the team to support the achievement and maintenance of internal and external targets at practice levels e.g. QOF/LES/Prescribing incentive Long term condition management