Job responsibilities
This
job plan outlines the employees normal duties, workload and important
non-clinical roles undertaken within paid work time. Clayton Medical Centre encourages any
opportunities to work in a Portfolio role as we feel this only enhances
existing skillsets and enriches the team.
An element of flexibility between both parties, for example regarding
working later when busy and leaving early when not so busy and for childcare reasons,
may be mutually agreed. This plan is
therefore subject to review and should be used as a guideline.
Job
Plan
The
daily arrangements for Salaried GP work sessions are as follows:
Morning
Session 4 hours and 10 minutes with a start time between 0800 and 0900
Afternoon Session 4 hours and 10
minutes with a start time between 1320 and 1420
Home
Visits will be allocated across the GPs on duty and triage time will be
allocated to one GP in order to facilitate this.
Admin
Where all other GPs are available additional admin slots will be allocated
to each GP to assist with completion of tasks, admin and CPD. During this time you will be expected to
ensure that all allocated documents, prescriptions, lab results and other tasks
and emails are reviewed and completed and to utilise this time to conduct
audits which should be shared with colleagues at clinical or other appropriate
meetings.
On
Call A rota of on call sessions will be produced and distributed to all
GPs. Any alterations should be agreed
with a partner. On average one on call
session per week will be allocated, it may be necessary to cover absence for
there to be more than one session per week.
Where this is necessary this change will be discussed in advance of the
rota being published with a partner.
Total
of average weekly sessions: 4 to 6 (Any additional sessions will be mutually
agreed in advance)
Frequency
of appointments: 15 minutes
Number
of appointments: will be based on a session of 2 hours .
Breaks
A statutory break of no less than 20 minutes must be taken each day where
more than 6 consecutive hours are worked.
This cannot be taken at the beginning or end of a working day and ideally
should be time taken away from your desk or consulting room.
Individual
clinicians are expected to take responsibility for their clinics running to
time and corresponding with colleagues when this is not possible, including
informing Reception. Where needed
additional break/catch up slots can be incorporated into sessions to assist.
Duties
The
workload of the Surgery is shared jointly by the clinicians available on the
day. The salaried GP is expected to take
part in the share of clinical duties including the below list.
The
needs of the patient population and medical practice should be taken into
consideration, meaning this list is not exhaustive and is subject to review and
amendment by mutual agreement.
Clinical
Duties Appointments, visits, dealing with queries from patients or other
health care professionals.
Home
Visits: These are shared amongst the GP team or the Specialist Practitioner
present on the day if patient appropriate and depending on workload. These are
in addition to the practice sessions. Carefully
consideration should be given and discussion before and after when allocating
visits to FY2 or GP Registrars. Where
the patient is not at the End of Life and meets the service criteria the Acute
Visiting Service can be utilised. You
must first hold a telephone consultation with the patient or carer and document
fully the information gathered prior to booking with AVS.
Administration/Paperwork
Arising both directly from own and Practice caseload (referrals,
investigations, results). The Salaried
GP is responsible for his own patient associated referrals, correspondence, administration,
and paperwork. They will be expected to
take a share of practice general incoming clinical correspondence (scanned
documents), repeat prescriptions, results and patient associated tasks (patient
enquiries and phone calls).
QoF
& Clinical Read coding Opportunistic and Ad-Hoc QoF monitoring, ensuring
accurate clinical read coding, using templates where available, to assist with
Practice contractual compliance and monitoring.
The Salaried GP is responsible for ensuring that they are familiar with
the protocols and procedures surrounding the collection of data, PPA and
invoicing for private or NHS chargeable (i.e QOF, Enhanced Services etc) to
ensure that the Practice is reimbursed accordingly. Ardens or MLCSU Data Quality templates
should be used as appropriate to ensure accurate data quality in consultation.
Team
Meetings The Salaried GP will be expected to attend relevant Practice
meetings, essential to the delivery of team based care, discussing clinical
practice standards, developing practice protocols, mutual professional support
for individual practitioners, audit, significant event analysis, meetings with PCN
colleagues including multidisciplinary team and educational meetings. We will vary the day of meetings to enable
every staff member not working full time the opportunity to attend at least
some of the meetings.
Private
reports/medical insurance/Crem Fees etc The Salaried GP will be expected to
carry out a share of non-NHS (Private) work.
Any non-NHS fees such as Crem Fees, GPRs and private consultations will
be made payable to the Salaried GP who must make appropriate arrangements to
account for the income and pay taxes as appropriate. The Practice Manager should be notified of
any such direct requests from patients/outside agencies and this work will be cascaded
to the GP team via the Practice Secretaries.
All non-NHS work should be invoiced according to Practice non-nhs fee
guidelines (available from Senior Administrator) and Dr Discretion is not
applicable unless by agreement of the Practice Partners. It is the Salaried GPs own responsibility to
ensure that appropriate additional medical indemnity insurance is in place
before undertaking such work.
Audits
All staff are expected to instigate and partake in the audit process
including initiating and running cyclical audits to assist in providing quality
of care for patients.
From
time to time to assist with planning annual leave/sickness etc, there may be
the requirement to act as Principle GP in a lone working or locum tandem
capacity.
Personal
CPD The Salaried GP is expected to keep up to date with all Practice
Protocols and Policies associated with their job role including the Practices e-learning
for Health Online Training program. If
agreed with the Practice Manager, Mandatory Training can be transferred from
another Health Organisation on production of a certificate, if certificates
cannot be produced you will have to undertake the e-lfh training. Professional CPD is expected to be maintained
by the Salaried GP as part of the revalidation process. The Practice will support personal CPD. This may include a mix of in-house meetings
and events, time away from the practice, either in private study, attending
educational events or through the Practice study leave allowance.
Clinical
Supervision & Colleague Education As a Senior Clinician, you will be
expected to provide clinical supervision to non-GP HCP colleagues where
appropriate. This may be in the case of
individual clinical learning opportunities or in the supervision and guidance
deemed appropriate in the course of supporting patient care. As a Teaching Practice the Partnership will
expect you to help supervise our FY1/FY2 or GP Registrar Doctors where
appropriate.
External
Engagements For safety purposes the practice should be given priority over
any external work engagements.
Appropriate rest time should be observed prior to practice working
days. For example it would not be deemed
safe by the practice for a salaried GP to work a night shift immediately
followed by a normal practice working day.
Locum sessions should not be undertaken during days contracted by the
practice.
Review
This
plan will be reviewed no less than annually with the Practice Manager and at
least one GP Partner. It is essential
that any problems relating to this plan are brought to the attention of the
Partners at the earliest opportunity.