Frailty Hub General Practitioner

Nimbuscare Ltd

Information:

This job is now closed

Job summary

We are seeking to appoint a number of GPs with an interest in Frailty to support the delivery of the various developing Frailty Services.

You will need the relevant professional registration (GMC) and have experience of Triage / Telephone Assessment. Experience of working in Geriatric Medicine is desirable. Any successful candidates would join our growing team of GPwERs in Frailty and be supported to obtain their Diploma in Geriatric medicine as well as join our regular education sessions.

Over 85s are set to increase in York by 53% by 2033 and we need to anticipate this need. In its first 5 months the Frailty Crisis Response Hub has avoided 322 unnecessary 999 calls by supporting providers to make decisions regarding frail patients in crisis and working with teams to come up with supportive intervention plans. Follow up of their first 60 patient contacts shows that these patients are staying home and well up to 4 weeks following intervention. This model is growing very quickly and is gathering national interest and we need a growing team of GPs with an interest in Frailty to support us to deliver the array of Frailty Services that Nimbuscare are helping to develop.

This is predominantly a face-to-face role based at Acomb Garth Community Centre between the hours of 8.30am and 5pm but if doing any evening shifts between 5 and 8pm then this can be done remotely from home (evenings paid at enhanced rates).

As the clinician you will be working on System One.

Main duties of the job

You will undertake a variety of duties, mostly offering support and advice to System providers regarding vulnerable patients in Community as part of an MDT.

More rarely you may be needed to visit a complex frail patient at home or undertake telephone consultations.

Make professional, autonomous decisions in relation to presenting problems.

Assessing the health care needs of complex patients with undifferentiated and undiagnosed problems, highlighting which services would support them.

Cover the clinical management of patients as appropriate.

Record clear and contemporaneous computerised consultation notes to agreed standards.

Compile and issue computer-generated acute and repeat prescriptions.

Prescribe generically whenever appropriately and in accordance with NICE guidance and Good Prescribing Practice (as defined by British National Formulary guidance).

Work with and support other members of the MDT, including but not limited to: social workers, therapists, social prescribers, voluntary support workers, frailty nurses, dieticians, UCR paramedics and other Frailty GPs.

Promote the application of standards and codes of Practice.

Participate in national frailty training and maintain high volume of CPD in Frailty related conditions with the aim of obtaining the Diploma in Geriatric Medicine.

About us

Nimbuscare is an at scale provider of primary & integrated care, caring for more than 250,000 patients across our 11 Member GP Practices. It is the home of the York Integrated Community Team and has taken the lead in setting up of the new Frailty Crisis Hub alongside 3 other providers (Social Care, CRT and the Voluntary Sector).

Nimbuscare work collaboratively across the York area delivering new, innovative and sustainable health care services. As leaders in local care, our goal is to work together across the health and care system to improve the health, wellbeing and experience of our patients. To learn more about Nimbuscare please visit our website at www.nimbuscare.co.uk

In line with the General Data Protection Regulation (GDPR), Nimbuscare will use and hold your personal data for the intended purpose. We are committed to safeguarding the welfare of children/vulnerable adults and expect the same commitment from all staff and volunteers.

Date posted

14 March 2024

Pay scheme

Other

Salary

£180 a session

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

B0260-24-0021

Job locations

Nimbuscare Ltd

2 Oak Rise

York

YO24 4LJ


Job description

Job responsibilities

Duties and Responsibilities:

The duties and responsibilities to be undertaken may include any or all of the items in the following list. Duties may be varied from time to time under the direction of the Medical Director or Board of Directors, dependent on current and evolving workload and staffing levels.

Clinical Responsibilities:

You will undertake a variety of duties, mostly offering support and advice to System providers regarding vulnerable patients in Community as part of an MDT, undertake best interest discussions with patients and family members and help co-ordinate a response to support people in need to stay home whenever possible.

You may be needed to visit a complex frail patient at home or undertake telephone consultations.

Make professional, autonomous decisions in relation to presenting problems.

Assessing the health care needs of complex patients with undifferentiated and undiagnosed problems, highlighting which services would support them best to stay in their home setting and independent whenever possible.

Cover the clinical management of patients as appropriate.

Record clear and contemporaneous computerised consultation notes to agreed standards.

Compile and issue computer-generated acute and repeat prescriptions.

Prescribe generically whenever appropriately and in accordance with NICE guidance and Good Prescribing Practice (as defined by British National Formulary guidance).

Work with and support other members of the MDT.

Promote the application of standards and codes of Practice set by the Royal College of General Practice, General Medical Council, Department of Health, British Geriatrics Society and local NHS trust.

Participate in national frailty training and maintain high volume of CPD in Frailty related conditions with the aim of obtaining the Diploma in Geriatric Medicine.

Other Responsibilities:

Involve and contribute to the mentoring, supervision and training of the broad multi-professional clinical team.

Be aware of and comply with all relevant policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety.

Commitment and contribution to achievement of the highest possible quality standards.

Commitment to life-long learning and audit to ensure evidence-based best practice.

Contribute to evaluation/audit and clinical standard setting within the organisation.

Attendance at regular in-house governance and educational meetings and training as well as events at other agencies as appropriate.

Assist with the training of other staff members.

Contribute to the summarising of patient records and Read-Coding patient data.

Take responsibility that any equipment either clinical or otherwise, used when working, is taken due care of and locked away at the end of every working session.

Business responsibilities:

Act as a positive role model.

Maintain ethos and culture of Nimbuscare.Support Line Managers as required.

Positively promote Nimbuscare.

Support Line Managers as required.

Adhere to Health & Safety and educate staff within your role.

Apply Nimbuscare policies, standards and guidance.

Attend in-house governance, educational and staff meetings as appropriate.

Suggest and support the introduction of new working processes to optimise quality.

Communicate to ensure that all employees operate as an effective team.

Build and maintain relationships with other healthcare professionals, including GPs, GP surgery personnel, care home personnel and CCG personnel etc.

Safeguarding

Everyone within Nimbuscare has a responsibility for, and is committed to, safeguarding and promoting the welfare of Adults-at-risk (vulnerable adults), children and young people and for ensuring that they are protected from harm.

Be fully aware of and understand your duties and responsibilities arising from the Childrens Act 2004 and Working Together to Safeguard Children 2018, in relation to child protection and safeguarding children and young people.

Be fully aware of and understand your duties and responsibilities arising from the DOH Policy No Secrets (2000), and the principles of safeguarding as they apply to Adults-at-risk (vulnerable adults) in relation to your work.

Recognise the types and signs of abuse and neglect.

Ensure the Nimbuscare Safeguarding Lead is alerted to, and kept fully informed of, any concerns you may have in relation to safeguarding adults, children and young people.

Adhere to Nimbuscare and local Child Protection and Safeguarding Adult policies and procedures.

Learning and development:

You will participate in any training programme implemented by Nimbuscare as part of this employment, such training to include:

Participation in individual performance reviews, including maintaining a record of own personal and/or professional development.

Working in conjunction with senior management, assess own learning needs and undertake learning as appropriate.

Develop and utilise a written Personal Development Plan.

Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information.

Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments.

Undertake mandatory and statutory training as required.

Team working:

Understand own role and scope in the organisation 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.

Accept delegation from senior staff, prioritise own workload and ensure effective time management strategies are embedded in own practice.

Participate in team activities that create opportunities to improve patient care.

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.

Participate and support local projects as agreed with the management team.

Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties.

Confidentiality:

In the course of seeking treatment, customers 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 you will respect their privacy and act appropriately.

In the performance of your duties outlined in this Job Description, you may have access to confidential information relating to customers and their carers, Nimbuscare staff and other healthcare workers. You may also have access to information relating to Nimbuscare as a business organisation. All such information from any source is to be regarded as strictly confidential.

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

Be aware of your responsibilities under the General Data Protection Regulations (GDPR).

Health & Safety:

You will assist in promoting and maintaining their own and others health, safety and security as defined in the Nimbuscare Health & Safety Policy, to include:

Using personal security systems within the workplace according to guidelines.

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.

Making effective use of training to update your knowledge and skills.

Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards.

Reporting potential risks identified.

Equality and Diversity:

You will support the equality, diversity and rights of customers, 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 Nimbuscare procedures and policies, and current legislation.

Respecting the privacy, dignity, needs and beliefs of customers, 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.

Quality:

You will strive to maintain quality within Nimbuscare, 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.

Effectively manage own time, workload and resources.

Work within own limitations and experience.

Be aware of and co-operate with audit.

Work effectively with individuals in other agencies to meet patients needs.

Portray a professional image at all times.

Communication:

You should recognise the importance of effective communication within the team and will strive to:

Communicate effectively with other team members.

Communicate effectively with customers and carers.

Recognise peoples needs for alternative methods of communication and respond accordingly.

Job description

Job responsibilities

Duties and Responsibilities:

The duties and responsibilities to be undertaken may include any or all of the items in the following list. Duties may be varied from time to time under the direction of the Medical Director or Board of Directors, dependent on current and evolving workload and staffing levels.

Clinical Responsibilities:

You will undertake a variety of duties, mostly offering support and advice to System providers regarding vulnerable patients in Community as part of an MDT, undertake best interest discussions with patients and family members and help co-ordinate a response to support people in need to stay home whenever possible.

You may be needed to visit a complex frail patient at home or undertake telephone consultations.

Make professional, autonomous decisions in relation to presenting problems.

Assessing the health care needs of complex patients with undifferentiated and undiagnosed problems, highlighting which services would support them best to stay in their home setting and independent whenever possible.

Cover the clinical management of patients as appropriate.

Record clear and contemporaneous computerised consultation notes to agreed standards.

Compile and issue computer-generated acute and repeat prescriptions.

Prescribe generically whenever appropriately and in accordance with NICE guidance and Good Prescribing Practice (as defined by British National Formulary guidance).

Work with and support other members of the MDT.

Promote the application of standards and codes of Practice set by the Royal College of General Practice, General Medical Council, Department of Health, British Geriatrics Society and local NHS trust.

Participate in national frailty training and maintain high volume of CPD in Frailty related conditions with the aim of obtaining the Diploma in Geriatric Medicine.

Other Responsibilities:

Involve and contribute to the mentoring, supervision and training of the broad multi-professional clinical team.

Be aware of and comply with all relevant policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety.

Commitment and contribution to achievement of the highest possible quality standards.

Commitment to life-long learning and audit to ensure evidence-based best practice.

Contribute to evaluation/audit and clinical standard setting within the organisation.

Attendance at regular in-house governance and educational meetings and training as well as events at other agencies as appropriate.

Assist with the training of other staff members.

Contribute to the summarising of patient records and Read-Coding patient data.

Take responsibility that any equipment either clinical or otherwise, used when working, is taken due care of and locked away at the end of every working session.

Business responsibilities:

Act as a positive role model.

Maintain ethos and culture of Nimbuscare.Support Line Managers as required.

Positively promote Nimbuscare.

Support Line Managers as required.

Adhere to Health & Safety and educate staff within your role.

Apply Nimbuscare policies, standards and guidance.

Attend in-house governance, educational and staff meetings as appropriate.

Suggest and support the introduction of new working processes to optimise quality.

Communicate to ensure that all employees operate as an effective team.

Build and maintain relationships with other healthcare professionals, including GPs, GP surgery personnel, care home personnel and CCG personnel etc.

Safeguarding

Everyone within Nimbuscare has a responsibility for, and is committed to, safeguarding and promoting the welfare of Adults-at-risk (vulnerable adults), children and young people and for ensuring that they are protected from harm.

Be fully aware of and understand your duties and responsibilities arising from the Childrens Act 2004 and Working Together to Safeguard Children 2018, in relation to child protection and safeguarding children and young people.

Be fully aware of and understand your duties and responsibilities arising from the DOH Policy No Secrets (2000), and the principles of safeguarding as they apply to Adults-at-risk (vulnerable adults) in relation to your work.

Recognise the types and signs of abuse and neglect.

Ensure the Nimbuscare Safeguarding Lead is alerted to, and kept fully informed of, any concerns you may have in relation to safeguarding adults, children and young people.

Adhere to Nimbuscare and local Child Protection and Safeguarding Adult policies and procedures.

Learning and development:

You will participate in any training programme implemented by Nimbuscare as part of this employment, such training to include:

Participation in individual performance reviews, including maintaining a record of own personal and/or professional development.

Working in conjunction with senior management, assess own learning needs and undertake learning as appropriate.

Develop and utilise a written Personal Development Plan.

Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information.

Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments.

Undertake mandatory and statutory training as required.

Team working:

Understand own role and scope in the organisation 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.

Accept delegation from senior staff, prioritise own workload and ensure effective time management strategies are embedded in own practice.

Participate in team activities that create opportunities to improve patient care.

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.

Participate and support local projects as agreed with the management team.

Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties.

Confidentiality:

In the course of seeking treatment, customers 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 you will respect their privacy and act appropriately.

In the performance of your duties outlined in this Job Description, you may have access to confidential information relating to customers and their carers, Nimbuscare staff and other healthcare workers. You may also have access to information relating to Nimbuscare as a business organisation. All such information from any source is to be regarded as strictly confidential.

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

Be aware of your responsibilities under the General Data Protection Regulations (GDPR).

Health & Safety:

You will assist in promoting and maintaining their own and others health, safety and security as defined in the Nimbuscare Health & Safety Policy, to include:

Using personal security systems within the workplace according to guidelines.

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.

Making effective use of training to update your knowledge and skills.

Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards.

Reporting potential risks identified.

Equality and Diversity:

You will support the equality, diversity and rights of customers, 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 Nimbuscare procedures and policies, and current legislation.

Respecting the privacy, dignity, needs and beliefs of customers, 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.

Quality:

You will strive to maintain quality within Nimbuscare, 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.

Effectively manage own time, workload and resources.

Work within own limitations and experience.

Be aware of and co-operate with audit.

Work effectively with individuals in other agencies to meet patients needs.

Portray a professional image at all times.

Communication:

You should recognise the importance of effective communication within the team and will strive to:

Communicate effectively with other team members.

Communicate effectively with customers and carers.

Recognise peoples needs for alternative methods of communication and respond accordingly.

Person Specification

Experience

Essential

  • Experience of Triage / Telephone Assessment

Desirable

  • Minimum 1 years' experience of working within a Primary Care environment
  • Experience in Geriatric Medicine

Physical Skills

Essential

  • VDU use
  • Own transport

Qualifications

Essential

  • Fully Qualified Doctor with current Professional Registration (GMC)
  • MRCGP Qualification

Desirable

  • Evidence of relevant CPD

Skills and Knowledge

Essential

  • IT Skills (MS office / Systmone / EMIS)
  • Advanced clinical assessment skills including history taking/clinical examination
  • Excellent communication and interpersonal skills
  • Ability to demonstrate problem solving with effective decision- making skills, supported by a best practice approach.
  • Able to work autonomously and as part of a team.

Desirable

  • Evidence of Statutory and Mandatory Training

Personal Attributes

Essential

  • Lead by example
  • The ability to prioritise effectively
  • Able to work under pressure
  • Flexible
  • Adaptability
  • Using initiative
  • Self-audit and reflection
Person Specification

Experience

Essential

  • Experience of Triage / Telephone Assessment

Desirable

  • Minimum 1 years' experience of working within a Primary Care environment
  • Experience in Geriatric Medicine

Physical Skills

Essential

  • VDU use
  • Own transport

Qualifications

Essential

  • Fully Qualified Doctor with current Professional Registration (GMC)
  • MRCGP Qualification

Desirable

  • Evidence of relevant CPD

Skills and Knowledge

Essential

  • IT Skills (MS office / Systmone / EMIS)
  • Advanced clinical assessment skills including history taking/clinical examination
  • Excellent communication and interpersonal skills
  • Ability to demonstrate problem solving with effective decision- making skills, supported by a best practice approach.
  • Able to work autonomously and as part of a team.

Desirable

  • Evidence of Statutory and Mandatory Training

Personal Attributes

Essential

  • Lead by example
  • The ability to prioritise effectively
  • Able to work under pressure
  • Flexible
  • Adaptability
  • Using initiative
  • Self-audit and reflection

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

Nimbuscare Ltd

Address

Nimbuscare Ltd

2 Oak Rise

York

YO24 4LJ


Employer's website

https://www.primarycareyork.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Nimbuscare Ltd

Address

Nimbuscare Ltd

2 Oak Rise

York

YO24 4LJ


Employer's website

https://www.primarycareyork.nhs.uk/ (Opens in a new tab)

For questions about the job, contact:

Date posted

14 March 2024

Pay scheme

Other

Salary

£180 a session

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

B0260-24-0021

Job locations

Nimbuscare Ltd

2 Oak Rise

York

YO24 4LJ


Privacy notice

Nimbuscare Ltd's privacy notice (opens in a new tab)