Physician Associate - Crays PCN

Bromley GP Alliance Ltd

Information:

This job is now closed

Job summary

The Crays Network is a PCN involving six GP practices working together with a vision to grow stronger, more resilient workforce equipped to provide an excellent standard of care for all our patients now and in the future.

Supported by Bromley GP Alliance, The Crays PCN is looking to recruit an experienced, dependable, flexible, positive, team-oriented Physician Associate, for a full-time position.

The member practices of the Crays PCN are:

  • Broomwood Medical Practice
  • Poverest Medical Centre
  • St Mary Cray Practice
  • Derry Downs Surgery
  • Gillmans Road Surgery
  • Crescent Surgery

Main duties of the job

The PA will provide care for the presenting patient from initial history taking and clinical assessment through to the diagnosis, treatment and evaluation of care. They will demonstrate critical thinking in the clinical decision-making process, including assessment and diagnostic skills, leading to the delivery of safe care for all patients. They will work collaboratively with the healthcare team to meet the needs of the patients, supporting the delivery of policy and procedures. The PA will provide a holistic and clinical service, with support from GPs as required, implementing agreed management plans and following approved protocols as appropriate. The PA will be expected on a typical day to carry out some home visits and consult with patients who present on the day and via booked appointments. The PA will also review and act appropriately on blood results and referrals/correspondence regarding their patients.

About us

Bromley GP Alliance (BGPA) is a network of 42 Bromley Practices which are working collaboratively to enhance the health and wellbeing of Bromley residents, covering over 310,000 patients, nearly 95% of the Bromley population

Bromley GP Alliance aims to work strategically with all Bromley practices, to help secure the best services for patients whilst working together, to support the member practices in the challenges of a changing NHS. Bromley GP Alliance aims to improve the morale of general practice in Bromley, by sharing expertise, services and supporting its workforce. The Alliance will make a positive impact on medical services in Bromley, by working closely with the CCG, local NHS trusts, local providers and patient groups, to improve the delivery of healthcare to the local population.

BGPA is supporting Primary Care Networks (groups of practices that are working together to shape and develop services and care in their geographical areas.

Date posted

24 April 2023

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

B0166-23-0008

Job locations

Kelsey Park Farmhouse

379 Croydon Road

Beckenham

BR3 3QL


Job description

Job responsibilities

DUTIES AND RESPONSIBILTIES

CLINICAL

  • Participate in all treatment and preventative healthcare services in the Practice as delegated and agreed by the supervising GP(s).

  • Provide direct clinical care to patients using established clinical guidelines.

  • Consult and refer patients to physicians, medical specialists and other health professionals as indicated.

  • Interview patients, take medical histories, perform physical examinations, analyse, diagnose and explain medical problems during surgery consultations and home visits.

  • Recommend and explain appropriate diagnostic tests and treatment.

  • Request and interpret results of laboratory investigations when necessary.

  • Perform specialised diagnostic physical exams and treatment procedures.

  • Instruct and educate patients in preventative health care.

  • Conduct telephone consultations which may involve discussing the result and implications of laboratory investigations with patients as well as dealing appropriately with routine and emergency complaints

  • Order laboratory tests as required and agreed under supervising doctor(s).

  • Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes.

  • Contribute to the clinical development of the Practice by developing a special interest and to help establish appropriate systems to manage common chronic medical conditions, ensuring compliance with NSF guidelines.

  • Participate fully in the clinicians duty rota including the provision of home visits when appropriate.

  • Formulate diagnoses and treatment plans, in consultation with or referring to Supervising doctor(s) as appropriate.

    Give clinical instructions to nursing staff and Primary Care Team as required.

  • Communicate when necessary with colleagues in Primary Care and hospital specialists in order to discuss or refer specific patients, plan and co-ordinate activities or exchange information in order to improve the quality of patient care.

  • Deal regularly with community hospitals, consultants and other health care providers, insurance companies and other community organisations to refer/consult on specific cases, participate in community service and education projects and activities and the like.

    TRAINING / EDUCATIONAL DEVELOPMENT

  • Ensure continuing education, training and development is undertaken to meet clinical governance guidelines for Continuing Professional Development and a Personal Development Plan.

  • Keep up to date with relevant medical research, technology and evidence-based medical practice by attending continuing education courses and professional meetings, reading journals etc.

  • Undertake 50 hours of continuing medical education (CPD) every year. A minimum of 25 hours must be in accredited direct learning programmes.

  • Take and pass the national re-certification exam every 6 years in accordance with the requirements of the PA Managed Voluntary Register and as recommended by the National Examination Sub Committee of the UKUBPAE (UK Universities Board of Physician Associate Education) and subsequently as required by the statutory regulating body when in place.

  • Perform a variety of research and analysis tasks associated with improvement of clinical care, medical diagnosis and treatment where appropriate using the following means:

    • Audit of clinical practice.

    • Review of relevant literature.

    • Research unusual symptoms and treatment options, through consultation with physicians and other medical specialists.

  • Provide literature reviews and the like; review, analyse and determine the significance of a variety of diagnostic test results

  • Assist in clinical instruction and supervision of medical and nursing students as well other learners that may periodically be attached to the practice, including the educational development and mentoring of Physician Associate students.

  • Attend regular multi-disciplinary meetings organised by the Practice in order to discuss and learn from recent significant events relating to clinical practice occurring within the Practice.

  • Attend regular educational meetings organised by the practice in order to update clinical knowledge, practice policy and guidelines and disseminate other useful information relevant to the provision of adequate healthcare for patients.

  • Regularly reflect on own practice (and keep a record of learning encounters) in order to identify learning needs and encourage self-directed lifelong learning and continued professional development.

    ADMINISTRATION

  • Send and receive written information on behalf of the Practice regarding matters of insurance, housing and other issues relating to the physical and social welfare of patients.

  • Work to deliver with other members of the practice and Primary Healthcare Team, the objectives of the GMS contract, including the terms of the Quality and Outcomes Framework.

  • Attend regular multi-disciplinary meetings organised by the Practice in order to discuss the health and social needs of particular patients.

    Scope and Purpose of Job Description

    The job description does not constitute a term and condition of employment. It is provided only as a guide to assist the employee in the performance of their job. The practice is a fast moving organisation and therefore changes in employees duties may be necessary from time to time. The job description is not intended to be an inflexible or finite list of tasks and may be varied from time to time after consultation/discussion with the post holder.

    This is an exciting opportunity for the right person wishing to develop their clinical and management practice in a fast moving practice in the heart of the community. The supervising team have a wealth of experience in general practice which will undoubtedly provide the opportunity for the new appointee to develop their knowledge and shape the position within a dynamic clinical team.

    Other Information:

General

The duties of this post are a guide to the range of responsibilities that may be required. These may change from time to time to meet the needs of the service and/or the development needs of the post holder. This job description will be revised regularly to take account of changes within the organisational structure and the practice business plan.

Other duties

The post holder will be required to undertake any other duties according to the needs of the service. This job description is not intended to be an exhaustive list of activities, but rather an outline of the main areas of responsibility. Any reasonable changes will be discussed and agreed with the post holder before any variations to the job description are made.

Travel to other sites

The post holder may be required to travel.

Medical Examinations

All appointments are conditional upon prior health clearance by the practice.

Failure to provide continuing satisfactory evidence will be regarded as a breach of contract.

Professional Registration

Staff undertaking work which requires professional/state registration are responsible for ensuring that they are so registered and that they comply with any Codes of Conduct applicable to that profession. Proof of registration must be produced on appointment and, if renewable, proof of renewal must also be produced.

Criminal Records Bureau

Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974. All applicants who are offered employment will be subject to a criminal record check from the Criminal Records Bureau before the appointment is confirmed. Further information is available from the Criminal Records Bureau and Disclosure websites atwww.crb.gov.uk and www.disclosure.gov.uk

Equal Opportunities

Crays PCN is an equal opportunities employer and you will be expected to comply with all relevant policies and procedures in this area together with all other policies and procedures as initiated by the practices.

Work Visa/ Permits/Leave To Remain

If you are a non-resident of the United Kingdom or European Economic Union, you are required to have a valid work visa and leave to remain in the UK, which is renewed as required. The Practice is unable to employ or continue to employ you if you require but do not have a valid work visa and/or leave to remain in the UK.

Job description

Job responsibilities

DUTIES AND RESPONSIBILTIES

CLINICAL

  • Participate in all treatment and preventative healthcare services in the Practice as delegated and agreed by the supervising GP(s).

  • Provide direct clinical care to patients using established clinical guidelines.

  • Consult and refer patients to physicians, medical specialists and other health professionals as indicated.

  • Interview patients, take medical histories, perform physical examinations, analyse, diagnose and explain medical problems during surgery consultations and home visits.

  • Recommend and explain appropriate diagnostic tests and treatment.

  • Request and interpret results of laboratory investigations when necessary.

  • Perform specialised diagnostic physical exams and treatment procedures.

  • Instruct and educate patients in preventative health care.

  • Conduct telephone consultations which may involve discussing the result and implications of laboratory investigations with patients as well as dealing appropriately with routine and emergency complaints

  • Order laboratory tests as required and agreed under supervising doctor(s).

  • Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes.

  • Contribute to the clinical development of the Practice by developing a special interest and to help establish appropriate systems to manage common chronic medical conditions, ensuring compliance with NSF guidelines.

  • Participate fully in the clinicians duty rota including the provision of home visits when appropriate.

  • Formulate diagnoses and treatment plans, in consultation with or referring to Supervising doctor(s) as appropriate.

    Give clinical instructions to nursing staff and Primary Care Team as required.

  • Communicate when necessary with colleagues in Primary Care and hospital specialists in order to discuss or refer specific patients, plan and co-ordinate activities or exchange information in order to improve the quality of patient care.

  • Deal regularly with community hospitals, consultants and other health care providers, insurance companies and other community organisations to refer/consult on specific cases, participate in community service and education projects and activities and the like.

    TRAINING / EDUCATIONAL DEVELOPMENT

  • Ensure continuing education, training and development is undertaken to meet clinical governance guidelines for Continuing Professional Development and a Personal Development Plan.

  • Keep up to date with relevant medical research, technology and evidence-based medical practice by attending continuing education courses and professional meetings, reading journals etc.

  • Undertake 50 hours of continuing medical education (CPD) every year. A minimum of 25 hours must be in accredited direct learning programmes.

  • Take and pass the national re-certification exam every 6 years in accordance with the requirements of the PA Managed Voluntary Register and as recommended by the National Examination Sub Committee of the UKUBPAE (UK Universities Board of Physician Associate Education) and subsequently as required by the statutory regulating body when in place.

  • Perform a variety of research and analysis tasks associated with improvement of clinical care, medical diagnosis and treatment where appropriate using the following means:

    • Audit of clinical practice.

    • Review of relevant literature.

    • Research unusual symptoms and treatment options, through consultation with physicians and other medical specialists.

  • Provide literature reviews and the like; review, analyse and determine the significance of a variety of diagnostic test results

  • Assist in clinical instruction and supervision of medical and nursing students as well other learners that may periodically be attached to the practice, including the educational development and mentoring of Physician Associate students.

  • Attend regular multi-disciplinary meetings organised by the Practice in order to discuss and learn from recent significant events relating to clinical practice occurring within the Practice.

  • Attend regular educational meetings organised by the practice in order to update clinical knowledge, practice policy and guidelines and disseminate other useful information relevant to the provision of adequate healthcare for patients.

  • Regularly reflect on own practice (and keep a record of learning encounters) in order to identify learning needs and encourage self-directed lifelong learning and continued professional development.

    ADMINISTRATION

  • Send and receive written information on behalf of the Practice regarding matters of insurance, housing and other issues relating to the physical and social welfare of patients.

  • Work to deliver with other members of the practice and Primary Healthcare Team, the objectives of the GMS contract, including the terms of the Quality and Outcomes Framework.

  • Attend regular multi-disciplinary meetings organised by the Practice in order to discuss the health and social needs of particular patients.

    Scope and Purpose of Job Description

    The job description does not constitute a term and condition of employment. It is provided only as a guide to assist the employee in the performance of their job. The practice is a fast moving organisation and therefore changes in employees duties may be necessary from time to time. The job description is not intended to be an inflexible or finite list of tasks and may be varied from time to time after consultation/discussion with the post holder.

    This is an exciting opportunity for the right person wishing to develop their clinical and management practice in a fast moving practice in the heart of the community. The supervising team have a wealth of experience in general practice which will undoubtedly provide the opportunity for the new appointee to develop their knowledge and shape the position within a dynamic clinical team.

    Other Information:

General

The duties of this post are a guide to the range of responsibilities that may be required. These may change from time to time to meet the needs of the service and/or the development needs of the post holder. This job description will be revised regularly to take account of changes within the organisational structure and the practice business plan.

Other duties

The post holder will be required to undertake any other duties according to the needs of the service. This job description is not intended to be an exhaustive list of activities, but rather an outline of the main areas of responsibility. Any reasonable changes will be discussed and agreed with the post holder before any variations to the job description are made.

Travel to other sites

The post holder may be required to travel.

Medical Examinations

All appointments are conditional upon prior health clearance by the practice.

Failure to provide continuing satisfactory evidence will be regarded as a breach of contract.

Professional Registration

Staff undertaking work which requires professional/state registration are responsible for ensuring that they are so registered and that they comply with any Codes of Conduct applicable to that profession. Proof of registration must be produced on appointment and, if renewable, proof of renewal must also be produced.

Criminal Records Bureau

Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974. All applicants who are offered employment will be subject to a criminal record check from the Criminal Records Bureau before the appointment is confirmed. Further information is available from the Criminal Records Bureau and Disclosure websites atwww.crb.gov.uk and www.disclosure.gov.uk

Equal Opportunities

Crays PCN is an equal opportunities employer and you will be expected to comply with all relevant policies and procedures in this area together with all other policies and procedures as initiated by the practices.

Work Visa/ Permits/Leave To Remain

If you are a non-resident of the United Kingdom or European Economic Union, you are required to have a valid work visa and leave to remain in the UK, which is renewed as required. The Practice is unable to employ or continue to employ you if you require but do not have a valid work visa and/or leave to remain in the UK.

Person Specification

Qualifications

Essential

  • If UK Trained:
  • Degree at 2:2 level or above
  • PG Dip in Physician Associate Studies from a UK PA programme
  • Current and valid certification or re-certification by the UK Physician Associate National Examination
  • Member of the Faculty of Physician Associates at the RCP, which includes registration on the PA Managed Voluntary Register
  • If US Trained:
  • Current and valid certification with the National Commission on Certification for Physician Assistants (NCCPA)
  • Member of the Faculty of Physician Associates at the RCP, which includes registration on the PA Managed Voluntary Register

Desirable

  • MSc Degree in Physician Associate Studies, Physician Assistant Studies or Medical Sciences

Experience

Essential

  • Ability to organise and prioritise workload effectively.
  • Ability to exercise sound judgements when faced with conflicting pressures.
  • Ability to motivate and develop the multi-disciplinary team.
  • Sound IT knowledge, including internet, Outlook, Word, Excel.
  • Experience of conducting clinical audit.
  • To assist in the development of the Physician Associate role in the UK.
  • Assist in the educational development of Physician Associate students through student shadowing and/or teaching.

Desirable

  • Experience of working within a medicine environment.
  • Experience of preventative medicine and chronic disease management.
  • Ability to manage and lead a working group.
  • An awareness of current developments and initiatives in health care.

Other

Essential

  • No history of or pending medical-legal cases.
  • Appropriate Immigration Status (where appropriate).
  • Residence within a reasonable distance of the work location.

Desirable

  • An understanding of the current NHS environment, particularly in relation to reforms, initiatives and issues.

Personal Attributes

Essential

  • Ability to work well with colleagues and within a team.
  • Ability to work flexibly to meet the needs
  • of patients.
  • Energy and enthusiasm and the ability to
  • work under pressure.
  • An enquiring and critical approach to work.
  • Caring attitude to patients.
  • Ability to communicate effectively with colleagues, patients, relatives, nurses, other staff and agencies.
  • Commitment to Continuing Professional Development.
Person Specification

Qualifications

Essential

  • If UK Trained:
  • Degree at 2:2 level or above
  • PG Dip in Physician Associate Studies from a UK PA programme
  • Current and valid certification or re-certification by the UK Physician Associate National Examination
  • Member of the Faculty of Physician Associates at the RCP, which includes registration on the PA Managed Voluntary Register
  • If US Trained:
  • Current and valid certification with the National Commission on Certification for Physician Assistants (NCCPA)
  • Member of the Faculty of Physician Associates at the RCP, which includes registration on the PA Managed Voluntary Register

Desirable

  • MSc Degree in Physician Associate Studies, Physician Assistant Studies or Medical Sciences

Experience

Essential

  • Ability to organise and prioritise workload effectively.
  • Ability to exercise sound judgements when faced with conflicting pressures.
  • Ability to motivate and develop the multi-disciplinary team.
  • Sound IT knowledge, including internet, Outlook, Word, Excel.
  • Experience of conducting clinical audit.
  • To assist in the development of the Physician Associate role in the UK.
  • Assist in the educational development of Physician Associate students through student shadowing and/or teaching.

Desirable

  • Experience of working within a medicine environment.
  • Experience of preventative medicine and chronic disease management.
  • Ability to manage and lead a working group.
  • An awareness of current developments and initiatives in health care.

Other

Essential

  • No history of or pending medical-legal cases.
  • Appropriate Immigration Status (where appropriate).
  • Residence within a reasonable distance of the work location.

Desirable

  • An understanding of the current NHS environment, particularly in relation to reforms, initiatives and issues.

Personal Attributes

Essential

  • Ability to work well with colleagues and within a team.
  • Ability to work flexibly to meet the needs
  • of patients.
  • Energy and enthusiasm and the ability to
  • work under pressure.
  • An enquiring and critical approach to work.
  • Caring attitude to patients.
  • Ability to communicate effectively with colleagues, patients, relatives, nurses, other staff and agencies.
  • Commitment to Continuing Professional Development.

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).

Additional information

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

Bromley GP Alliance Ltd

Address

Kelsey Park Farmhouse

379 Croydon Road

Beckenham

BR3 3QL


Employer's website

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


Employer details

Employer name

Bromley GP Alliance Ltd

Address

Kelsey Park Farmhouse

379 Croydon Road

Beckenham

BR3 3QL


Employer's website

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


For questions about the job, contact:

Practice and PCN Support Manager

Carly Bone

carly.bone@nhs.net

Date posted

24 April 2023

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

B0166-23-0008

Job locations

Kelsey Park Farmhouse

379 Croydon Road

Beckenham

BR3 3QL


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