Salaried GP

CITY WALLS MEDICAL CENTRE

The closing date is 30 September 2022

Job summary

  • Competitive sessional rate at £9,180 per session
  • Indemnity costs, outside of the state indemnity fully paid
  • Fully compliant with the BMA contract
  • In house weekly PDP sessions, in accordance with the BMA guidelines
  • 1 week study leave in addition to PDP time
  • 6 weeks annual leave, outside of study leave and PDP time
  • Bank holiday formula applied
  • GMS practice with 16,000 patients
  • An established GP team which includes 9 GP Partners, 1 Nurse Partner and 2 Salaried GPs
  • Well established, highly skilled Nursing Team which includes 5 Advanced Nurse Practitioners, Practice Nurses, and HCAs
  • Extended Team includes Clinical Pharmacist, Physiotherapist, Social Prescribing Link Worker (SPLW) and Wellbeing Co-ordinator (WBC)
  • Large supportive management and administrative team
  • Wide range of clinical specialties within the practice, to include teaching, minor surgery, contraception and sexual health clinic, post-natal and chronic disease management
  • Development and peer support opportunities
  • Emis Web, Docman and paperless
  • High achieving practice in QOF and enhanced services
  • Rated good for CQC
  • Established teaching practice, with the ability to pursue further
  • Well established Primary Care Network with in-house Clinical Director

Main duties of the job

  • Provide a full range of nGMS services to the list of patients.
  • Carry out work required to fulfil the requirements of QOF and all Enhanced Services.
  • Take full clinical and professional responsibility for the patients.
  • Make clear, sound and proactive decisions, reflecting good clinical judgement.
  • Maintain excellent clinical records and patients summaries.
  • Prescribe in accordance with the practice formulary.
  • Monitor own referral patterns, being mindful of in house and local clinical pathways
  • Attend practice meetings and training sessions as requested

About us

City Walls Medical Centre is located in Chester, just a short walk from the town centre and university.

We also have a branch doctors surgery located in the village of Saughall, situated approximately 5 miles north west of Chester.

City Walls Medical Centre is a training practice for both Doctors and Nurses and has three GP in-house trainers. We have a supportive and knowledgeable clinical team that provide a positive learning environment for the students to achieve their potential and gain experience of working in Primary Care.

The clinicians are supported by a well structuredadministrative andmanagement team.

Date posted

15 July 2022

Pay scheme

Other

Salary

£9,000 to £9,500 a session Competitive Rates

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A0538-22-4153

Job locations

St. Martins Way

Chester

CH1 2NR


Job description

Job responsibilities

The guidance below is based on 4 hours 10 minute sessions.

The practice appointments are subject to demand fluctuations and we appreciate flexibility on both sides.

Session Type

Emergency Surgery - Usual GP Surgery Routine - Telephone calls and Messages

Morning Session

08.30 12.40 includes 14 appointments, usually 2 visits (pro rata) medication requests (RIs), referrals, messages, phone calls, results.

Afternoon Session

1420 18-00 includes paperwork (DOCMAN, letters, reports), 13 appointments, medication requests (RIs), referrals, messages, phone calls, results.

On Call Duties

AM or PM only

Two on call Doctors run two morning urgent clinics side by side from 08.50 1230 including appointments, phone calls and prescription signing. They are available to staff until 1300 for queries but no visits, unless high demand deems necessary.

Two on call Doctors run a joint afternoon clinic 14.30 18.30 with a mix of telephone triage, face to face and possible late home visits. Prescriptions to be signed for the practice and urgent phone calls.

Home Visits

Each day one GP is allocated a visiting session to triage up to eight requests and visit five patients, this reduces the need for other GP's to visit but if demand is high, each GP, not on the emergency clinic will have visit requests to triage. GPs can allocate themselves visits up to 11am, after this they will be fairly distributed by the Office Manager.

Results

Complete on daily basis. View, add comment, forward to receptionist if action

required and File.

Docman

Highly skilled data entry team complete the majority of coding. Letters to be viewed daily and actioned appropriately.

Dictation

Lexicom software, Accenda, Medisec. Full training on practice software is given during induction.

Clinical Systems Emis Web - Full training on practice software is given during induction.

Sessional changes due to COVID

During COVID the practice altered the clinicians way of working to ensure the safety of both thepractice staff and patients, this included the use of telephone triage. Sessionscan be subject to change due to lifting of restrictions.

Routine clinics AM: 12 telephone consultations, 3 results calls, 2 home visit triage calls and 4 sessionholder only appointments (these are to be used by the session holder to see patients face to face based on thetelephone consultation)

Routine clinics PM: 12 telephone consultations, 3 results calls and 6 session holder onlyappointments (these are to be used by the session holder to see patients face to face based on the telephoneconsultation)

Urgent clinics AM: 10 urgent telephone consultations, 3 session holder only appointments (these areto be used by the session holder to see patients face to face based on the telephone consultation) and 5 urgentmessages (usually used for urgent x-rays etc.)

Urgent clinics PM (a joint clinic with 1 other GP (late calls until 18.30): (on expected busier days we alsohave an ANP or Registrar)

16 urgent telephone consultations, with ability to bring 8 patients to the practice for a face to faceappointment following the telephone consultation. There may be a need for a late visit, theclinicians will decide who leaves for the visit and who continues with the clinic (the visit can becompleted by an ANP if appropriate)

Job description

Job responsibilities

The guidance below is based on 4 hours 10 minute sessions.

The practice appointments are subject to demand fluctuations and we appreciate flexibility on both sides.

Session Type

Emergency Surgery - Usual GP Surgery Routine - Telephone calls and Messages

Morning Session

08.30 12.40 includes 14 appointments, usually 2 visits (pro rata) medication requests (RIs), referrals, messages, phone calls, results.

Afternoon Session

1420 18-00 includes paperwork (DOCMAN, letters, reports), 13 appointments, medication requests (RIs), referrals, messages, phone calls, results.

On Call Duties

AM or PM only

Two on call Doctors run two morning urgent clinics side by side from 08.50 1230 including appointments, phone calls and prescription signing. They are available to staff until 1300 for queries but no visits, unless high demand deems necessary.

Two on call Doctors run a joint afternoon clinic 14.30 18.30 with a mix of telephone triage, face to face and possible late home visits. Prescriptions to be signed for the practice and urgent phone calls.

Home Visits

Each day one GP is allocated a visiting session to triage up to eight requests and visit five patients, this reduces the need for other GP's to visit but if demand is high, each GP, not on the emergency clinic will have visit requests to triage. GPs can allocate themselves visits up to 11am, after this they will be fairly distributed by the Office Manager.

Results

Complete on daily basis. View, add comment, forward to receptionist if action

required and File.

Docman

Highly skilled data entry team complete the majority of coding. Letters to be viewed daily and actioned appropriately.

Dictation

Lexicom software, Accenda, Medisec. Full training on practice software is given during induction.

Clinical Systems Emis Web - Full training on practice software is given during induction.

Sessional changes due to COVID

During COVID the practice altered the clinicians way of working to ensure the safety of both thepractice staff and patients, this included the use of telephone triage. Sessionscan be subject to change due to lifting of restrictions.

Routine clinics AM: 12 telephone consultations, 3 results calls, 2 home visit triage calls and 4 sessionholder only appointments (these are to be used by the session holder to see patients face to face based on thetelephone consultation)

Routine clinics PM: 12 telephone consultations, 3 results calls and 6 session holder onlyappointments (these are to be used by the session holder to see patients face to face based on the telephoneconsultation)

Urgent clinics AM: 10 urgent telephone consultations, 3 session holder only appointments (these areto be used by the session holder to see patients face to face based on the telephone consultation) and 5 urgentmessages (usually used for urgent x-rays etc.)

Urgent clinics PM (a joint clinic with 1 other GP (late calls until 18.30): (on expected busier days we alsohave an ANP or Registrar)

16 urgent telephone consultations, with ability to bring 8 patients to the practice for a face to faceappointment following the telephone consultation. There may be a need for a late visit, theclinicians will decide who leaves for the visit and who continues with the clinic (the visit can becompleted by an ANP if appropriate)

Person Specification

Person Specification

Essential

  • Primary medical qualification MRCGP/nMRCGP
  • Hold current valid driving licence
  • Eligibility to work in the UK
  • Apply sound clinical knowledge and judgement.
  • Demonstrate effective judgement and decision-making skills.
  • Prioritise clinical need, manage acute situations under pressure.
  • Provide evidence of diagnostic and clinical judgement.
  • Handle a busy and varied primary care case load.
  • Good clinical care and ways of maintaining good medical practice
  • Professional behaviour and probity and how good relationships with patients are maintained
  • Good working relationships with patients & colleagues

Desirable

  • Show a good understanding of GMS contracting requirements and the operation of the Quality Outcomes Framework process (QOF).
  • Have knowledge of General Practice contract with the NHSE.
  • Understand the principles of business and financial management
Person Specification

Person Specification

Essential

  • Primary medical qualification MRCGP/nMRCGP
  • Hold current valid driving licence
  • Eligibility to work in the UK
  • Apply sound clinical knowledge and judgement.
  • Demonstrate effective judgement and decision-making skills.
  • Prioritise clinical need, manage acute situations under pressure.
  • Provide evidence of diagnostic and clinical judgement.
  • Handle a busy and varied primary care case load.
  • Good clinical care and ways of maintaining good medical practice
  • Professional behaviour and probity and how good relationships with patients are maintained
  • Good working relationships with patients & colleagues

Desirable

  • Show a good understanding of GMS contracting requirements and the operation of the Quality Outcomes Framework process (QOF).
  • Have knowledge of General Practice contract with the NHSE.
  • Understand the principles of business and financial management

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).

Additional information

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).

Employer details

Employer name

CITY WALLS MEDICAL CENTRE

Address

St. Martins Way

Chester

CH1 2NR


Employer's website

https://www.citywallsmedicalcentre.co.uk/ (Opens in a new tab)

Employer details

Employer name

CITY WALLS MEDICAL CENTRE

Address

St. Martins Way

Chester

CH1 2NR


Employer's website

https://www.citywallsmedicalcentre.co.uk/ (Opens in a new tab)

For questions about the job, contact:

ADIE SALTER

adie.salter@nhs.net

01244357802

Date posted

15 July 2022

Pay scheme

Other

Salary

£9,000 to £9,500 a session Competitive Rates

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A0538-22-4153

Job locations

St. Martins Way

Chester

CH1 2NR