General Practitioner - Havering Liberty PCN

Job responsibilities

Role Summary

Havering Health GP Federation is a working collaboration of 38 General Practices with a combined patient population of over 274,901 patients, providing development and progression opportunities for its workforce.

Due to the changes in the ARRS Scheme to introduce General Practitioners, Havering Liberty PCN are looking to expand our team by seeking to employ a General Practitioner within 2 years of qualification, to work alongside our practices and PCN staff. Our PCN staff currently includes Clinical Pharmacists, Advanced Clinical Practitioners, Dieticians, Social Prescribers, Physiotherapists, Care Coordinators, Nursing Associates and Pharmacy Technicians.

This role is ideal for an enthusiastic, newly qualified GP with an interest in medical education. For part of your working week, you would be required to perform as an autonomous general practitioner working independently, and with other health care professionals, to assess, diagnose and treat patients attending within a primary care setting. You will provide professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence. For the remainder of your week, you will lead the provision of education and training to Medical Students from Queen Mary and Westfield University who are assigned to the PCN. Appropriate training and support will be provided for this element of the role. You will be expected to be professionally accountable and responsible for all elements of practice in accordance

with the GMC Duties of a Doctor, ensuring the safety of patients and quality of their care, whilst developing your skills as a leader in medical education.

Havering Liberty PCN is located at St Georges Health and Wellbeing Hub; an impressive new healthcare facility housing primary care, community care and a dedicated ageing well suite with access to secondary care frailty teams. Havering Liberty PCN is an accredited training PCN and you will have access to expert guidance from our GP and Undergraduate trainers. This is a unique opportunity to develop skills in medical education early in your career in a fully supportive training environment.

Primary Responsibilities:

Clinical Practice:

In accordance with the PCN rota, as agreed, the post-holder will make themself available to undertake a variety of duties including GP face to face consultations, telephone consultations and queries, visiting (may include nursing home as well as patients home), checking and signing/authorising repeat prescriptions and dealing with queries, paperwork, correspondence and investigation results in a timely fashion.

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

Assessing the health care needs of patients with undifferentiated and undiagnosed problems

Screening patients for disease risk factors and early signs of illness

In consultation with patients and in line with current practice disease management protocols, developing care plans for health

Providing counselling and health education

Referring to other health and care providers as appropriate

Recording clear and contemporaneous consultation notes to agreed standards

Collecting data for audit purposes

Compiling and issuing computer-generated (or paper where necessary) acute and repeat prescriptions Prescribing in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate

The post-holder will be required to visit patients during surgery time in an emergency if clinically indicated.

The post-holder will undertake fair share of home visiting sessions per week as allocated.

Communication:

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment

Communicate with and support patients who are receiving bad news

Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating

Delivering a quality service:

Recognise and work within own competence and professional code of conduct as regulated by the GMC

Produce accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies, and procedures

Assess effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation

Evaluate patients response to health care provision and the effectiveness of care

Support and participate in shared learning across the practice and wider organisation

Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents, and near-miss events

Leadership personal and people development:

Act as a GP leader in the PCN team, ensuring that the needs of the patient are a priority

Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model

Support staff development in order to maximise potential

Lead the teaching of undergraduate medical students assigned to the PCN, utilising the entire PCN team to enhance their experience and learning in a modern primary care setting

Contribute to the development of local guidelines, protocols and standards

Team working:

Understand own role and scope and identify how this may develop over time

Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working

Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence

Create clear referral mechanisms to meet patient need

Management of Risk:

Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients

Support the team to ensure work areas and practices are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines

Support the team to ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs and documentation of controlled drug usage according to legal requirements where appropriate

Managing Information:

Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information

Review and process data using accurate Read codes to ensure easy and accurate information retrieval for monitoring and audit processes

Understand responsibility of self and others to the practice and primary care trust regarding the Freedom of Information Act

Equity and Diversity:

Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity

Enable others to promote equality and diversity in a non-discriminatory culture

Support people who need assistance in exercising their rights

Adhere to local chaperoning policies

Act as a role model in the observance of equality and diversity good practice

Accept the rights of individuals to choose their care providers, participate in care and refuse care

Assist patients from marginalised groups to access quality care

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 / in stressful situations
• 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

Qualifications

Essential

• Qualified GP
• MRCGP
• Vocational Training Certificate or equivalent JCPTGP
• General Practitioner (Certificate of Completion of Training CCT)
• Understands the importance of evidence-based practice
• Understanding of Extended brief interventions (NICE guidelines)

Desirable

• Knowledge of public health issues in the local area
• Able to identify determinants on health in the area
• Awareness of issues within the wider health arena

Eligibility

Essential

• Full GMC registration
• National Performers List registration (England), noting that confirmation on this list is adequate for DBS confirmation
• Appropriate defence indemnity (MPS/MDU)
• Evidence of current validation
• Evidence of last appraisal
• Eligibility to practice in the UK independently

Desirable

• Working with community development initiatives

General Skill

Essential

• Excellent communication skills (written and oral)
• Strong IT skills
• Clear, polite telephone manner
• Competent in the use of Office and Outlook
• EMIS user skills
• Effective time management (planning and organising)
• Ability to work as a team member and autonomously
• Excellent interpersonal skills
• Problem solving and analytical skills
• Ability to follow clinical policy and procedure

Desirable

• Arden user skill
• Experience with audit and able to lead audit programmes
• Experience with clinical risk management

Experience

Essential

• Experience of working in a primary care environment
• Experience of continued professional development
• Experience of QOF and clinical audit
• Newly Qualified General Practitioner (less than 2 years from qualification)
• Not previously been substantively employed as a GP

Desirable

• Experience of medicines management
• Experience of teaching undergraduate students

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).