GP - General Practitioner – Belper PCN
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If you are General Practitioner who is looking to fulfil a team leadership role at start of a new initiative with combined home and office working and patient engagement, we have the solution.
Join us at the beginning of our venture to provide a successful and integrated acute home visiting and anticipatory care service to our patients in the Belper area. Your leadership and clinical prowess can be fully applied from the start as you manage and develop an excellent community team to deliver acute home visiting service, enhanced care into care homes, anticipatory and proactive care for older people with frailty and for patients with multifaceted health problems.
We are looking for a General Practitioner with a strong interest in working with people with frailty and who aspires to promote a continuous improvement approach to leading and delivering responsive, safe, patient-centered and effective care. The successful candidate will work alongside other clinicians to develop new and responsive clinical pathways for seamless working, shape and champion the introduction of new clinical roles, challenge ways of working and proactively support individuals within the team to develop the necessary skills, competencies and expertise required to deliver the service.
Hours can be flexible. Number of sessions per week negotiable. Ad hoc locum sessions can be considered and Belper PCN offers the NHS pension scheme.
Main duties of the job
To lead a team of highly skilled and dedicated practitioners including ACPs, paramedics and care coordinators to provide acute visits to patients in their own homes or care homes. To provide clinical leadership and promote a multidisciplinary team response.
To ensure the national goals and targets for response are met and to help with auditing and reporting metrics for the service.
To work well with other agencies including social care, mental health, therapy and district nursing to promote continuity of care
To help lead regular MDTs to discuss complex patients and support the team with debrief sessions as needed.
To lead hand over to the out of hours team at the end of the working day.
About us
Belper PCN is a formal association of 4 GP practices, based in and around Belper, that are working together to provide a selection of health services to our combined list of 45,000 patients.
The two keystones of our approach to healthcare are teamwork and innovation. We believe that by working together and being open to new ideas we can both improve the lives of our patients and contribute to the sustainability and growth of the primary care sector. We offer a flexible approach to working with support and development offered across all areas.
The PCN has a history of adopting new approaches in community care and already has an existing team of Allied Health Practitioners who have delivered real change and improvements to patient care.
Job description
Job responsibilities
Community GP
Accountable to : Clinical Director
Reporting to: Clinical Operations Manager
Location: Belper area
Hours: Number of sessions per week negotiable
Working in conjunction with community GP colleagues to cover service hours (Initially 8:00 – 18:30 Monday to Friday)
Salary: Circa £10,500 per session per annum
Type of contract: Permanent
Annual Leave; 6 weeks
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Belper Primary Care Network consisting of 4 practices (Appletree Medical Practice, Arthur Medical Centre, Riversdale Surgery & Whitemoor Medical Centre) and serving a population of 45,000 patients
KEY RELATIONSHIPS:
- PCN Clinical Director, Clinical Leads & Management
- PCN Board
- PCN Pharmacy Team
- PCN Neighbourhood Teams
- PCN and Practice Multidisciplinary Teams
- Secondary Care
- Community Health Care Providers
- Mental Health Teams
- General Practices
- Practice / DCHS Community Matrons & Care co-ordinators
- Members of the front line integrated teams
- Learning Disabilities Team
- Care Homes
- Independent Living Teams
- Safeguarding Teams
- Hospital Teams / Out of Hours & Urgent Care (A&E / Discharges)
- Voluntary Sector Providers
- Other health and social care service professionals
- Patient, service users, carers and their families.
JOB ROLE
The post holder will lead a clinical team for the multidisciplinary acute home visiting service on a day-to-day basis. They will provide senior clinical triage as well as clinical support and mentorship where appropriate and undertake home visits where necessary.
Working in conjunction with the PCN Clinical Director and PCN Operational Manager the post holder will develop and deliver a safe and effective service, developing new ways of working and clinical pathways in accordance with key local and national clinical standards, for the service areas of Acute Home visiting, urgent community response, enhanced health in care homes and anticipatory care.
The post holder will work with key stakeholders and partners locally to contribute to the ongoing development of the service, promoting a cross organisational and multi-agency approach to the delivery of care for local residents.
KEY DUTIES AND RESPONSIBILITIES
- Leading a clinical team to provide proactive and reactive general medical services to the housebound population, including those in care homes, in collaboration with registered practices where appropriate.
- Leading and coordinating across organisations.
- Promote and deliver a multi-skilled team response that includes GP Acute Home Visits, holistic assessment, care, pro-active follow up and care planning;
- Develop and deliver an efficient, high quality, multi-disciplinary Acute Home Visiting and Community Urgent Response Service to people who have an urgent need that is best provided in their own home, or wherever they call home;
- Ensure that the Acute Home Visiting and Community Rapid Response Service that supports and links well to system infrastructure provided at a bigger scale e.g. Acute Hospitals, 999, 111, Ambulance services;
- Ensure Acute Home Visiting and Community Urgent Response Service that links well to routine and proactive services;
- Developing expertise within the community for improving the lives of people living with frailty.
- Promoting the use of supportive, non-statutory services to support self-care and social prescribing agendas.
- Maximise best care in the patient’s own home to reduce the need for hospital or care home admissions.
- Ensure that the care and support people receive is based on their wishes, preferences, and aspirations, particularly towards the end of their lives.
- Provide medical expertise in the management of older people living with frailty in the defined community. To support ACP’s and wider MDT members working in the community by:
- Providing Senior GP clinical triage for all Acute Home Visit requests to determine the urgency and type of response needed, according to clinical need.
- Regular debrief sessions for patients on their caseload.
- Lead and support the ACPs in their role in the MDT
- Deliver formal and informal education for the ACPs during clinical interactions
- Advising on complex clinical situations including;
- Complex prescribing decisions,
- Where there are difficult clinical risk decisions.
- Where there is disagreement between professionals, patients or their carers.
- Diagnosis is uncertain
- Identification of end of life is difficult;
12. Liaison with GPs and frailty unit when needed.
13. Chairs and Contribute to multidisciplinary meetings/rounds;
14. Contribute to the development and implementation of new care pathways, systems and processes to support the service delivery;
15. Contribute towards the development and implementation of new standards, policies and procedures;
16. Advise local GP practices within the defined population to implement effective multidisciplinary working for people with frailty;
17. Contribute to CPD programmes for the members of the ageing well team:
Clinical Mentorship/educational supervision of the team members including GP Registrars, Trainee ACPs, First contact practitioners;
18. Ensure contemporaneous notes are recorded and clinical tasks are updated and completed within the agreed timescales.
19. To work collaboratively with other teams and services to maintain an effective and efficient service;
20. Participate in quality improvements and innovations, e.g. audits, significant events analysis and development of protocols and new services.
CONFIDENTIALITY
All staff working for Belper PCN have both a common law duty and a statutory duty of confidentiality to protect patient information and only use it for the purposes for which it is intended. The disclosure and use of confidential patient information needs to be both lawful and ethical.
PROFESSIONAL DEVELOPMENT
- Work with your line manager to undertake continual personal and professional development.
- Undertake relevant training as required. Continually update own knowledge and skills within the job role.
- Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
- Participate in annual individual performance review.
POLICIES & PROCEDURES
- All staff working for Belper PCN are bound by the organisation's policies and procedures, a clinical handbook and access to all policies will be provided upon commencement of employment.
MISCELLANEOUS
- Work as part of the team to seek feedback, continually improve the service.
- Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.
- Duties may vary from time to time, without changing the general character of the post or the level of responsibility.
- Act at all times in a manner consistent with legislation, policy and procedures in respect of Equality and Diversity, and safeguarding.
- To develop and maintain effective working relationships with colleagues.
- To abide by all relevant policies and procedures.
- An enhanced DBS check will be carried out for all successful candidates.
The list of duties in this job description is not exhaustive and is intended to outline the main activities of the post holder. Duties and responsibilities may be subject to change taking into account the development needs for Ageing Well Service and Belper Primary Care Network.
Person Specification
Qualifications
Essential
- A vocationally trained and accredited GP
- Current registration with GMC
- On the GP performers list
- Desirable
MRCGP
- Recognised qualification in Care of the Elderly
- Recognised qualification in medical education/clinical supervision
- Evidence of leadership development
Experience
Essential
- Experience and evidence of an interest in care of the Elderly
- Understanding of adult safeguarding and Deprivation of liberty
- procedures
- Experience of multidisciplinary working
- Experience of senior clinical triage for the Acute Home Visiting to determine the urgency and type of response needed, according to clinical need.
SKILLS & ABILITIES:
- The ability to understand the competencies of others and support them to work within and at the top of those competencies. Also, to recognise and act when others are going beyond their competency.
- Ability to work effectively and provide leadership across traditional organisational and professional boundaries.
- Ability to demonstrate leadership skills within a multidisciplinary team.
- Excellent organisational and communication skills.
- Ability to work effectively as a member of a team.
- Ability to work effectively with colleagues, patients and external organisations.
- Ability to triage patients in order of clinical need.
- Effective communication, verbally and in writing.
- Full driving license required as travelling required for the role.
- Committed to the development of integrated community teams.
- Flexible, supportive, collaborative.
- Recognise the benefits of multi agency & multidisciplinary team working.
- Ability to work as part of a multi-disciplinary team.
- Willingness to contribute to and participate in a peer support group
VALUES & MOTIVATORS:
- Committed to the ongoing development of team members
- A Passion for excellent, holistic, patient centred care for older people with frailty
Desirable
EXPERIENCE & KNOWLEDGE:
- Knowledge and experience of carrying out Comprehensive Geriatric Assessment
- Experience of medical education/clinical supervision
- Experience of using SystmOne or another clinical device
- Experience of working in a multi-disciplinary team.
SKILLS & ABILITY:
- Leadership of service delivery / change.
To apply, please apply using the NHS Jobs website
