Job responsibilities
The
duties of the post holder are to provide a full range of general medical
services as contained within the National Health Services (Primary Care) Act
1997 and which will include: Face to Face appointments, telephone consultations and queries,
triaging, video consultations, prescribing (including checking and authorising
repeat prescriptions and dealing with queries), patient test results, QOF
reviews, patient medical reports on
behalf of the Practice as well as referral letters and other paperwork and
correspondence in a timely manner.
As a Salaried GP for Beacon, you would be
expected to support the partners of Beacon Medical Group in providing all
Primary Medical Services in line with contractual and regulatory frameworks.
There is also an expectation that you will support the Board and Beacon Medical
Groups vision encompassing the NHS Strategy for Primary Care and
diversification of services outside the core business.
As
a Group we want to build our reputation. As an integral part of us, it
is expected that you will help support and input into the aims of the Group in
areas of clinical governance, good practice, quality outcomes framework,
enhanced services, practice audit, referral review and any other improvement
plans as determined by the Board.
As
a member of our clinical team, it is expected that you maintain and keep good
standards of clinical records on SystmOne and abide by Group policy, clinical templates,
and protocols at all times. We can provide full training if you feel that you
would like more support and will ensure that you are fully up to speed on our
processes for record keeping.
You will also be expected to utilise and
develop any skills for the improvement of services to patients, such as minor
operations, child health surveillance, family planning training etc and the
group encourages active engagement in developing and delivering new services.
This will be subject to presentation of the appropriatecertificates
and update of relevant courses, which the Group will fully support if
appropriate and in line with the groups aims.
Clinical Duties
The practice
operates a total triage system for all Routine and Urgent GP appointments. GP
appointment requests are made by phone and online consultation. GPs are
supported by a team of allied health professions to provide same day urgent
care and some routine care such as care provided by MSK First Contact
Physiotherapists. A Duty GP undertakes
the role of lead clinician each day and you will be expected to undertake a pro
rate share of duty clinics, covering the role of duty GP during practice
contracted operating hours.
In
accordance with the practice timetable, as agreed, the post-holder will make
themselves available to undertake a variety of duties including; remote
consultations, telephone consultations and queries, triaging, video
consultations, face to face appointments,
prescribing (including checking and authorising repeat prescriptions and
dealing with queries), patient test results, patient medical reports on behalf
of the Practice as well as referral letters and other paperwork and
correspondence in a timely manner.
Making professional, autonomous
decisions in relation to presenting problems, whether self-referred or
referred from other health care workers within the organisation
Assessing the health care needs of
patients with undifferentiated and undiagnosed problems
Screening patients for disease risk
factors and early signs of illness
Clinical duties will include consulting people with acute
conditions, on-going chronic conditions which will also include reviews based
on the QOF and you will be expected to add the relevant coding to any patient
file and report any errors. The Group will provide any QOF training on request.
Your clinical duties may also include delivery
of enhanced services such as minor ops, implant fitting or clinical research.
These clinics will be arranged with the Operational Managers and agreed in
advance. Such clinics are available to
the full practice population and are not limited to one GPs registered
patients.
Record
clear and contemporaneous consultation notes to agreed standards using IT
systems. Compile and issue computer-generated acute and repeat prescriptions
including EPS.
Prescribe
in accordance with locally agreed or nationally agreed prescribing formulary.
Work in accordance with all relevant clinical guidelines, pathways, and
protocols, including agreed standard data entry processes.
You
will undertake home visits to support housebound patients and those who it is
determine need a home visit; home visits are allocated on a fair share basis
and where possible you will be allocated patients on your registered list,
however allocation is not limited to one GPs registered patients.
You
will be providing telephone and face to face consultations in the morning and
in the afternoon, plus you will take your share of extra consultations where
demand is excessive in line with practice operational procedures.
You are expected to follow up
results, x-rays, correspondence related to your allocated clinical list of
patients and also those that you have generated yourself (investigations and
queries related to your consultations), in line with good practice as
recommended by GMC.
The
post holder may have tasks or responsibilities delegated to them, appropriate
to their level of competence. They may also be expected to delegate tasks or
responsibilities to other staff, as appropriate.
Undertake
a rotation of duty cover, online consultation sifting cover, and extended
access cover.
QOF clinics are allocated periodically throughout the year
and are booked face to face clinics. Amendments to normal programmed activities
are made based on the number of QOF appointments required.
Student supervising. Amendments are made to normal activities where supervision of students is required.
Patient List Allocation
The Group operates an own patient list as we
strongly believe this enhances patient care. Your patient list will be
allocated to you. As a guide the
current list size is based on 220 per session.
The Group may seek to increase or reduce that
number according to current patient numbers, however we will always use the
principles of equality of list sizes and pro rata list size according to that
of a current full-time practitioner.
Administration/paperwork
The
Board and Partners believe that the job plan allows sufficient time in the job
plan to complete all administrative duties related to your clinical work,
recognising the fact that all practitioners work at different rates.
Referrals should be completed on a daily basis in line with
Group policy.
Investigations and referrals should be completed and
associated documentation delay within appropriate timescales or communicated to
a colleague if you are prevented from keeping within the appropriate
timescales.
Results are normally communicated either electronically or by
letter, you will be expected to action these for your allocation of patients.
Remote working GPs who do not have their own patient list will be allocated a
share of admin workload for GPs not working that day.
You will be expected to complete examinations and reports for
any external agency in line with agreed policy and those expected under the PMS
contract on patients known to you. Additionally, you may be expected to
complete reported requested by other parties such as insurance companies, OFSTED,
and employers.
You will be expected to use appropriate processes for
computerised record keeping including computerised clinical templates and
protocols as well as ensuring that significant information as determined by the
practice is recorded accurately e.g. all QOF domains. You will take part in
reconciling information input periodically.
Group and Continual
Professional Development
We value your continual professional development and
professionalism and to that end we will allocate time for mentoring, buddying
and peer support. We encourage open dialogue and conversation that will assist
you with your personal development and growth.
The Group is committed to the highest standards of
evidence-based medicine and supporting colleagues in achieving this. You will
be encouraged to participate in discussions on clinical practice standards,
developing practice protocols, mutual professional support for individual
practitioners and colleagues, audit, significant event reporting and analysis,
meetings with external colleagues in the locality, ICBs, when these occur, it
is accepted that adjustments to clinical workload will be required. We really
value opportunities for you to share knowledge through effective team working
which will enhance your development.
The Group has access to an online training platform, and you
will be given log in access to the site and expected to undertake all Group
mandatory training. This is in addition to your own contractually obliged
professional training. It is expected that you attend Group training sessions
delivered on site when you are able. (In
date relevant training certificates will be considered in place of completion
of online training modules)
Study leave is detailed in your contract and will be added to
your annual leave allocation. It is expected that study leave is used for
mandatory and personal development training.
Individually agreed areas
of particular interest or responsibility
In order to support your development and learning we will
encourage you to become responsible for particular areas of practice
development.
We want you to feel that you can utilise your skills,
particular expertise, and interest. You may have the opportunity to develop and
provide an additional clinical service which enhances the Group, and we will
support you with formalised contractual arrangements once mutual agreement is
reached.
Your timetable is negotiable and will be agreed upon your
appointment. Any changes will be fully agreed with you.
