Job responsibilities
Main
purpose of the role: to manage a busy and interesting clinical
caseload. The appointee will also have the opportunity to take part in leading
on key disease areas (monitoring trends in the Quality and Outcomes Framework,
treatment, staff training and prescribing) and assist in developing appropriate
healthcare services for a diverse, patient list (practice based commissioning,
patient participation and health promotion).
In accordance with the practice timetable, as
agreed, the post-holder will make him/her-self available to undertake clinical
sessions. A clinical session is normally composed of 15 appointments which can be either
face to face, telephone, video or online. Clinics will be followed by a
variety of duties including queries, visiting patients at home, checking and
signing repeat prescriptions, actioning test results, actioning tasks and
clinical letters, completing medical reports and examinations (e.g. Insurance
Companies) on behalf of the Practice.
The above duties are shared amongst the GPs at the practice and should
be performed in a timely manner using practice protocols. Appointments will be 10 minutes duration. A student or
learner maybe attached to you for this session.
You will also be required to be
part of the GP oncall rota which comprises of clinical triage for both chronic
and acute cases and directing patients to the most appropriate resource or
clinical colleague within the practice. You will also be responsible for
actioning the econsult and 111 lists. The oncall requirement is from
08:00-19:00 Mon-Friday. This is shared out amongst the GPs. The oncall GP is responsible for assisting
the admin and clinical teams with patient queries and seeing any urgent
clinical cases if other clinics are fully booked.
You will be required to:
Contribute
to all practice targets such as QOF, Local Enhanced Services, IIF, PIS etc.
This will include acting upon most alerts and reminders on patients home
screens for national and local targets (e.g. QOF) during a routine consultation
i.e. (10 minutes).
Provide
all GP services required as part of the GMS contract held between the surgery
and the commissioning ICB, including all core services such as Child Health
Surveillance
Undertake
surgeries during extended hours in accordance with the access needs of the
practice population and the contractual obligation of the practice
Provide
cross cover, where necessary, to other PCN practices in line with business
continuity plans
Respond
to medical problems presented by patients, including history taking,
examination, investigation, diagnosis, treatment and referral where
appropriate.
Provide
appropriate preventative health care and advice.
Provide
medical support as required to patients referred by nursing staff
Provide
free certification in line with Schedule 9 of NHS GMS Regulations (1992).
Adhere to
the practice prescribing formulary, local and national guidelines.
Make
professional, autonomous decisions in relation to presenting problems, whether
self-referred or referred from other health care workers within the
organisation;
Record
clear and contemporaneous I.T. based consultation notes to agreed standards;
Take
a lead in a clinical area for the practice
Promote good communication with all
colleagues and patients
Promote practice, encourage positive
feedback from patients
Collect
data for audit purposes;
Be
involved in the practices teaching and educational initiatives which will
include Supervising students/trainees
Compile
and issue computer-generated acute and repeat prescriptions (avoiding
hand-written prescriptions whenever possible);
In general, the post-holder will be expected
to undertake all the normal duties and responsibilities associated with a GP
working within primary care.
Other
responsibilities with the Practice:
Engaging
in appropriate lifelong educational and audit activity in order to maintain
clinical competence and performance, including the completion of objectives
agreed by yourself and the practice, in an annual Personal Development Plan.
Your Personal Development Plan must be in line with the Practice Development
Plan.
Actively
participating in the training and development of nurses, medical students and
GP trainees in the practice.
Supporting
the practice staff and responding to requests for advice and assistance from
the practice reception, secretarial and nursing staff.
Attend
and participate in practice meetings for prescribing, palliative care,
clinical, MDT and safeguarding etc.
You will be
expected to take part in clinical meetings on a weekly basis, to chair these
and present clinical topics as required for the maintenance of educational
standards and high quality care. You
will receive feedback from the GP Partner and colleagues via peer review and to
act upon recommendations and demonstrate change
Provide
additional enhanced services to the practices that meet the needs of the
practices patient population and maximise the income streams to the practice
Undertake
additional training where necessary to provide these enhanced services
You are
required to actively participate in Practice Based Commissioning - this will include reducing first outpatient
attendances, demand management, monitoring of activity including peer review
and data validation
Awareness
of and compliance with all relevant practice policies/guidelines, e.g.
prescribing, confidentiality, data protection, health and safety, annual QOF
Assessment of the Practice.
Meet
all tight timescales/deadlines for audits and written returns to ensure that
the Practice meets quality standards and receives the designated funding (e.g.
Quarterly Enhanced Services returns, annual QOF audit etc.)
General Duties
The above responsibilities will be
undertaken upholding the following:
To be
available to take over the responsibility of patient care from the Out of Hours
service at 0800 on a working day or where
applicable maintain responsibility till the appropriate time when the Out of
Hours service takes over care in the evening. This will involve working a shift
pattern.
To
continue to work until all clinical tasks have been completed. To make
arrangements with others to cover when planning to leave before the end of the
session.
To
maintain the financial security of the organisation by ensuring accurate and
efficient responses to income generation such as reports, dispensed
prescriptions, private forms etc.
At all
times to behave in a professional way that encourages quality care and the
development of a team spirit.