Home Team Lead GP

Job responsibilities

Job Summary

• To provide GP led continuity of care to our housebound and care home patient population within core primary care hours.
• Work closely with the urgent care team and duty doctors to facilitate this care.
• Management of GMS care for this case list, circa one thousand patients.
• Day to day operational responsibility for the Home Team.
• Provision and management of a responsive visiting service.
• Liaison with wider primary care MDT and community services, including OOH services to ensure high quality and timely care in the home.
• Lead daily community huddle.
• Attend monthly in house MDT Meetings, Complex Care, Palliative Care.
• Help develop a more proactive and preventative approach to housebound frailty.
• Be available to carry out all the duties reasonably expected of an NHS GP using the standards expected by the GMC, RCGP in line with appropriate national, local clinical guidelines.
• Maintain current membership of a recognised medical defence society.
• Must be included on the Medical Performers List and be registered with the General Medical Council.
• Will be subject to an enhanced DBS check.
• Full UK driving license essential.

Clinical Responsibilities and Requirements

• In accordance with the Practice rota, as agreed, be available to undertake a variety of duties including surgery, telephone and electronic consultations and queries, visiting patients at home, checking and signing repeat prescriptions and dealing with queries, paperwork and correspondence in a timely fashion.
• Make professional, autonomous decisions in relation to presenting problems, whether self referred or referred from other health care workers within the organisation.
• Assess the health care needs of patients with undifferentiated and undiagnosed problems.
• Screen patients for disease risk factors and early signs of illness.
• In consultation with patients and in line with SAH disease management protocols, develop care plans.
• Provide counselling and health education.
• Appropriately refer patients to other care providers as appropriate.
• Make appropriate and timely referrals using Choose and Book where possible. Following all local guidelines including those for urgent and Two week wait standards.
• Record clear and contemporaneous consultation notes to agreed standards including the recording of appropriate information for the Enhanced Services and Quality and Outcomes Framework and any other such data gathering to achieve targets set for the Practice.
• Collect data for audit purposes.
• Prescribing for both acute and repeat requirements must be in accordance with the Cornwall Joint formulary and guidelines and prescriptions should be generated electronically whenever possible.
• Undertake all the normal duties and responsibilities associated with a GP working within primary care and any other duties as reasonably required by the Practice.

Administration

• All relevant administration must be completed in a timely manner
• An awareness of and compliance with all relevant SAH policies, guidelines e.g. prescribing, confidentiality, data protection.
• A contribution to evaluation, audit, learning and clinical standard setting within the Practice will be expected.
• All Safeguarding Policies and processes must be adopted.
• To support SAH sustainability and recognise the shared responsibility of carrying out duties in a resource efficient way.
• To undertake any other duties as appropriate.

Equality and Diversity

The post holder will support the equality, diversity and rights of patients, carers and colleagues, to include

• Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
• Behaving in a manner which is welcoming to and of the individual, is non judgmental and respects their circumstances, feelings priorities and rights.

Personal Professional Development

In addition to maintaining continued education through attendance at any courses and or study days necessary to ensure that professional development requirements are met, the post holder will participate in any appropriate training programme implemented by the Practice together with

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and or professional development
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality

The post holder will strive to maintain quality within the Practice, and will

• Alert other team members to issues of quality and risk
• Assess own performance and take accountability for own actions, either directly or under supervision
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
• Work effectively with individuals in other agencies to meet patients needs
• Effectively manage own time, workload and resources.

Communication

The post holder should recognise the importance of effective communication within the team and will strive to

• Communicate effectively with other team members
• Communicate effectively with patients and carers
• Recognise peoples needs for alternative methods of communication and respond accordingly.

Contribution to the implementation of services

The post holder will

• Apply practice policies, standards and guidance.
• Discuss with other members of the team how the policies, standards and guidelines will affect own work.
• Participate in audit where appropriate.

Qualifications

Essential

• Fully qualified GP with GMC registration
• Evidence of annual appraisal and revalidation and continued professional development.
• Higher post graduate membership e.g. MRCGP
• General practice (Vocational Training Scheme) trained
• On a medical performers list
• UK driving licence
• Current CPR certificate
• UK work permit (if required)
• Medical defence union cover

Desirable

• Experience of teaching postgraduate and undergraduate students
• GP with specialist interest
• Additional post graduate qualifications/training

Experience

Essential

• Chronic disease management
• Primary prevention & screening services
• Clinical Governance
• Delivery of QOF targets
• Self audit and reflection
• Organised and efficient in record keeping and completion of paperwork
• Time management being able to prioritise work and work under pressure
• Computer literacy

Desirable

• Recent experience of a Leadership role
• Experience of working a variety of clinical software systems
• Adaptability to change
• Service Development leadership

Aptitude and Abilities

Essential

• Willingness to share and collaborate across entire primary health team
• Ability to develop and maintain effective working relationships with multidisciplinary teams
• Ability to work flexibly
• Ability to recognise own limitations and act upon them appropriately
• Willingness to learn new skills and to problem solve on a daily basis
• An understanding, acceptance and adherence to the need for strict confidentiality

Desirable

• Ability to input to strategic and practice development requirements
• Desire to develop specialist skills
• Ability to challenge traditional models of working and to suggest improvements for change in a positive and inclusive manner

Motivation

Essential

• Commitment to primary prevention and health improvement
• Addressing health inequalities
• Patient empowerment
• Patient advocate

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

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