Anticipatory Care Hub - Frailty GP

Job description

Job responsibilities

The Frailty General Practitioner will be responsible for the following (there may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels):

• using clinical skills to diagnose and treat patients accordingly
• liaising with other professionals responsible for the patient’s care
• liaising with secondary care, community care, social care, mental health services and other local providers
• developing a care plan for those patients at risk of hospital admission (including ReSPECT forms where appropriate)
• making referrals to other teams as necessary
• entry in medical records using Ardens Templates and accurate clinical coding
• The delivery of highly effective medical care to the entitled population
• Generic prescribing adhering to local and national guidance
• Effective management of long-term conditions
• Processing of administration in a timely manner, including referrals, repeat prescription requests and other associated administrative tasks
• Undertake telephone triage and prioritise home visits accordingly
• Maintain accurate clinical records in conjunction with good practice, policy and guidance
• Working collaboratively across the PCN with all practices and partner organisations and agencies
• Discussing patients at both PCN level MDTs and at Practice level MDTs
• Adhere to best practice recommended through clinical guidelines and the audit process
• Contribute to the successful implementation of continuous improvement and quality initiatives with the Practices and PCN
• Accept delegated responsibility
• Contribute effectively to the development and maintenance of the practice including; clinical governance, training, financial management and HR
• Commit to self-learning and instill an ethos of continuing professional development
• Support the training of clinical/medical students from all clinical disciplines
• Support the partners in achieving the strategic aims of the PCN
• Review and adhere to Practice/ PCN protocols and policies at all times
• Encourage collaborative working, liaising with all staff regularly, promoting a culture of continuous improvement at all times
• Regular audit of work which is made available/presented to PCN boards at quarterly or 6 monthly intervals.

Equality, Diversity & Inclusion

A good attitude and positive action towards ED&I creates and environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that you treat our patients and their colleagues with dignity and respect.

Safety, Health, Environment and Fire

This practice within the PCN is committed to supporting and promoting opportunities for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others, and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

Confidentiality

This PCN is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters, pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality at all times. It is essential that if, the legal requirements are to be met and the trust of our patients is to be retained that all staff protect patient information and provide a confidential service.

Quality and Continuous Improvement

This practice within the PCN continually strive to improve work processes which deliver health care with improved results across all areas of our service provision. We promote a culture of continuous improvement, where everyone counts and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Induction Training

There will be a period of induction across the PCN, the Practice Manager’s will ensure you have induction at each practice.

Collaborative Working

All staff are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.

Delivery

The project will be delivered in two phases, an initial brief planning phase, followed by an implementation and monitoring phase that will review the impact on practices & patients.

By the end of the project a summary report will be produced that addresses effectiveness and possible continuation of the service.

This report will be available to other practices, PCNs and the commissioner.

The GP Federation (ABC) will support delivery of the project throughout with additional help from Mid-Downs Training Hub regarding workforce.

Each participating practice will designate a responsible GP partner to lead on this project. A project working group will meet at least bi-monthly to monitor progress and receive interim reports.

Security

The security of all practice is the responsibility of all personnel.

Professional Conduct

Across the Care Collaborative PCN staff are required to dress appropriately for their role.

Leave

Leave will be authorised by your Clinical Supervisor who will ensure you are afforded the opportunity to take a minimum of 30 days (pro-rata) leave within this one-year contract. It is your responsibility to ensure that your annual leave is in line with any leave from your host practice and Educational provider.

Person Specification

Qualifications

Essential

• Qualified GP
• Vocational Training Certificate, or equivalent JCPTGP
• General Practitioner (Certificate of Completion of Training CCT)

Desirable

• MRCGP
• Diploma in Geriatric Medicine (a grant toward completing this qualification can be given)
• Recognised qualifications for GP registrar training

Eligibility

Essential

• Full GMC Registration
• National Performers List registration
• Appropriate defence indemnity (MPS/MDU)
• Eligibility to practice in the UK independently

Skills

Essential

• Excellent communication skills (written and verbal)
• Strong IT skills
• Clear, polite telephone manner
• Competent in the use of Office and Outlook
• Effective time management (Planning & Organising)
• Ability to work as a team member and autonomously
• Excellent interpersonal skills
• Problem solving & analytical skills
• Ability to follow clinical policy and procedure
• Experience with clinical risk management
• Understanding of Clinical Governance and quality issues as well as health and social policy

Desirable

• EMIS user and Docman skills
• Experience with audit and able to lead audit programmes
• Ability and success in the implementation of change and/or service development within an organisation

Other requirements

Essential

• Flexibility of working hours to meet the needs of the PCNs clinical commitment
• Car driver
• Disclosure Barring Service (DBS) check (will be required again at start of contract)
• Occupational Health Clearance

Desirable

• Project lead as required with CQC, CCG and QOF

Experience

Essential

• Experience of working in a primary care environment
• Experience of continued professional development

Desirable

• Experience of QOF and clinical audit
• Two years as a salaried GP/locum
• Experience of medicines management
• Experience of CCG initiatives
• General understanding of the GMS contract

Clinical Knowledge & Skills

Essential

• Outstanding level of clinical knowledge and skills commensurate with that of an experienced GP
• Understands the importance of evidence-based practice and clinical effectiveness

Desirable

• Knowledge of the current issues facing primary care and the wider NHS

Personal Qualities

Essential

• Polite and confident
• Flexible and cooperative
• Motivated, forward thinker
• Problem solver with the ability to process information accurately and effectively, interpreting data as required
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations
• Ability to work under pressure
• Effectively able to communicate and understand the needs of the patient
• Commitment to ongoing professional development
• Effectively utilises resources
• Punctual and committed to supporting the team effort
• A demonstrable commitment to professional development
• Evidence of recent self-directed learning or development
• Ability to use own judgement, resourcefulness, and common sense
• Observance of strict confidentiality

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

Alliance for Better Care Ltd.

Address

Horley Health Hub

120 Victoria Road

Horley

Surrey

RH6 7BL

Employer's website

https://abcltd.org.uk/ (Opens in a new tab)