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
___________________________________________________________
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
1. 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.
2. Leading and coordinating
across organisations.
3.
Promote
and deliver a multi-skilled team response that includes GP Acute Home Visits,
holistic assessment, care, pro-active follow up and care planning;
4.
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;
5.
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;
6.
Ensure
Acute Home Visiting and Community Urgent Response Service that links well to
routine and proactive services;
7. Developing expertise within
the community for improving the lives of people living with frailty.
8. Promoting the use of
supportive, non-statutory services to support self-care and social prescribing agendas.
9.
Maximise best care in the patient’s own home to reduce the need for hospital
or care home admissions.
10. Ensure that the care and
support people receive is based on their wishes, preferences, and aspirations,
particularly towards the end of their lives.
11. 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.