Salaried GP

Job description

Job responsibilities

Clinical responsibilities:

Make him/her-self available to undertake a variety of duties including surgery consultations, telephone consultations, visiting patients at home and in nursing homes, checking and signing repeat prescriptions and dealing with queries, paperwork and correspondence in a timely fashion.

Be required to be on-call for clinically urgent and emergency problems and consequently be included in the doctors on-call- rota.

Be required to make home visits within the session time specified

Make professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation

Screen patients for disease risk factors and early signs of illness

Cover all the clinical management of the patients in surgery as appropriate including initiating investigations, reviewing results, making referrals to secondary care or to other providers as appropriate

Develop care and treatment plans in consultation with patients and in line with current Practice disease management protocols as well as wider guidance such as that from NICE

Ensure appropriate follow up of patients

Record clear and contemporaneous computerised consultation notes to agreed standards

Collect data for audit purposes

Compile and issue computer-generated acute and repeat prescriptions, avoiding hand-written prescriptions whenever possible

Prescribing in accordance with the Practice prescribing formulary, NICE guidance, Good Prescribing Practice or LHB guidelines

Work with and support other members of the primary health care team in delivering high quality primary care

Promote the application of standards and codes of Practice set by the Royal College of General Practice, General Medical Council and Department of Health

Play a leading role in the practice achieving agreed QOF and other key performance indicator targets.

Take lead responsibility for targets and services allocated, such as QOF areas and Enhanced Services.

Other responsibilities within the organisation:

• Awareness of and compliance with all relevant Practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety
• Commitment and contribution to achievement of the highest possible quality standards such as the QOF and other agreed Key Performance Indicator targets
• A commitment to life-long learning and audit to ensure evidence-based best practice
• Contributing to evaluation/audit and clinical standard setting within the organisation
• Attendance at regular in-house team meetings and educational meetings as well as events with other agencies as appropriate
• Assistance with the training of other staff members and also with the education of doctors and nurses in training as appropriate
• Other duties or activities as agreed by the partners

Confidentiality:

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

As a Salaried GP you will have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & safety:

The post-holder will be responsible for their own health and safety and infection control as defined in the practice health & safety policy, the practice health & safety manual, and the practice infection control policy and published procedures. This will include (but will not be limited to):

• Using personal security systems within the workplace according to practice guidelines
• Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines
• Providing advice on the correct and safe management of the specimens process, including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements
• Correct personal use of Personal Protective Equipment (PPE) and ensuring correct use of PPE by others, advising on appropriate circumstances for use by clinicians, staff and patients.
• Management of the full range of infection control procedures in both routine and extraordinary circumstances (e.g. pandemic or individual infectious circumstances)
• Hand hygiene standards for self and others
• Managing directly all incidents of accidental exposure
• Management and advice relating to infection control and clinically based patient care protocols, and implementation of those protocols across the practice
• Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed and weaknesses/training needs are identified, escalating issues as appropriate to the responsible person
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process
• Making effective use of training to update knowledge and skills, and initiate and manage the training of others across the full range of infection control and patient processes
• Monitoring practice facilities and equipment in relation to infection control, ensuring that proper use is made of hand-cleansing facilities, wipes etc., and that these are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate to the responsible manager
• Safe management of sharps use, storage and disposal
• Maintenance of own clean working environment
• Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile and safe way, free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management
• Actively identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised
• Keeping own work areas and general/patient areas generally clean, sterile, identifying issues and hazards/risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with responsible managers
• Correct waste and instrument management, including handling, segregation, and container use
• Maintenance of sterile environments

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 for PREP are met, the post-holder will participate in any training programme implemented by the practice as part of this employment, with such training to include:

• 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 recognize 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.

Person Specification

Qualifications

Essential

• A medical practitioner whose name is included in the General Practitioner Register under article 10 of the General and Specialist Medical Practice Order 2003
• - Not subject to suspension under section 41A of the Medical Act 1983
• - Qualified General Practitioner (completed certificate of Completion of Training CCT)
• - Currently on a PCT performers list and not suspended from that list or from the medical register
• - CRB clearance
• - Have had an annual NHS appraisal

Desirable

• Evidence of further postgraduate educational activities in relevant fields
• - MRCGP
• - DCH
• - DRCOG
• - RCGP Substance Misuse Certificate Level 1 or 2
• - F2 supervisor training/teaching diploma (this is essential for HDS)
• - DFSRFH & Competence in Coil insertion
• - Evidence of CPD activities
• - Minor surgery skills

Experience

Essential

• Recent experience of working in general practice in the UK
• Commitment to and experience of working as part of a multi-disciplinary and skill mixed team environment
• Experience of working to achieve standards within the Quality and Outcome Framework (QOF)

Desirable

• Evidence of independent working in General Practice
• - Experience of supporting service change
• - Teaching of GP Reg/F2/Medical students/Nursing students
• - Accredited GP Registrar trainer or F2 Supervisor
• - Evidence of participation in QOF
• - Evidence of participation in Audit

Knowledge

Essential

• Knowledge of NHS
• Have an understanding of the needs of the vulnerable groups of patients that are registered

Desirable

• Understanding/knowledge of:
• - Quality & Outcomes Framework (QOF)
• - Choose & Book
• - Practice Based Commissioning
• - Access
• - Demand management
• - Read codes
• - Audit
• - Experience working with the homeless, looked after children, asylum seekers, refugees and other vulnerable groups

Skills

Essential

• Understand the health and social needs of a local practice patient population
• - Commitment to personal and professional development
• - Commitment to education and training
• - Excellent verbal and written communication skills
• - Excellent record keeping skills
• - Understanding of the current issues and challenges facing primary care
• - Confident in using Word/excel
• - Confident in using Email
• - Excellent time management

Desirable

• - fully conversant with clinical IT systems e.g. EMIS Web, Docman, Informatica
• - Able to conduct Minor Operations/Joint injection/aspirations
• - Strong leadership skills

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.

UK Registration

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

Employer details

Employer name

St. George's Medical Centre

Address

7 Sunningfields Road

London

NW4 4QR

Employer's website

https://www.stgeorgesmc.co.uk/ (Opens in a new tab)