GP with Extended Role / Senior Registrar in Specialist Training, ENT

Harrow Health GP Federation

The closing date is 28 May 2024

Job summary

Would you like to join our Ear, Nose and Throat service delivered in the community?

We offer flexible working in a purpose built environment and are open 7 days per week, 8am-8pm.

The post is offered on a Professional Services Agreement and sessions and hours are negotiable.

Main duties of the job

The post holder will work under the guidance and supervision of the Consultant providing face to face consultations, in one of our community based clinics.The clinics provide pre-booked appointments for patients referred to the service.

You will work both autonomously, and as part of a team, to deliver evidence based care to this patient group and be proactive and innovative in exploring new ways of delivering care.

A range of ENT conditions will be seen in the clinics includes, but are not limited to, Otitis Externa, Otalgia, BPPV, Nasal obstruction, Tympanic Membrane Perforation, Epistaxis. The post holder must be competent in performing Nasal Endoscopy.

About us

This is a Consultant-led service and the team comprises of Consultants, GP's with Enhanced Roles, Senior Registrars, Nurse Practitioners, Audiologists and Health Care Assistants.

The team is supported by our community coordinators and reception staff in a relaxed environment

Date posted

07 March 2024

Pay scheme

Other

Salary

Depending on experience Professional Services Agreement Contract

Contract

Bank

Working pattern

Flexible working

Reference number

B0480-24-0007

Job locations

Metro House, Ground Floor

203 Pinner Road

Northwood

HA6 1BX


37 Love Lane

Pinner

Middlesex

HA5 3EE


Job description

Job responsibilities

Main Responsibilities:

To use evidence-based practice to develop, deliver and maintain high quality, clinically effective and cost effective primary care service

To provide a comprehensive service to the patients attending the clinic including clinical examination, investigations as needed, diagnosis and management, and referral as appropriate

  • To ensure patients have consented to, and are fully involved in the implementation of their procedure / treatment plans
  • Interpretation of results where requested for individuals
  • If a prescription is needed, this must be in line with the NHS England and local Trust prescribing guidelines
  • Will work to agreed prescribing budgets and referral pathways
  • To adapt styles of communication appropriately in order to promote empowerment, self-management and health education for patients. Interpreters can be sought as needed.
  • Using the EMIS system the consultation must be recorded in the patients records. Proformas are set on the EMIS system and must be completed by the clinician. These will be shared with all the referring clinicians.
  • Liaise with other team members as appropriate
  • To identify actual or potential clinical risks within scope of practice and take appropriate action using, when required, the appropriate reporting structure
  • To be personally accountable for professional and ethical actions and practices within a framework that adheres to the GMCs requirements and Harrow Health policies and procedures

Service delivery responsibilities:

  • To ensure that patient records and documentation are maintained in line with Harrow Health policies and use of the electronic patient records system. This includes:

o Documenting full, accurate and contemporaneous records of assessments, investigations, procedures, treatments and aftercare.

o Encouraging colleagues to maintain good and complete records.

Working closely with the reception team / administrator, ensuring all records pertinent to patients are filed as appropriate

Work within local policies, protocols and guidelines Harrow Health CIC and local trust guidelines

Ensure Safeguarding Adults and Children is considered, and policies and procedures are followed when concerns are raised

To participate in audits if requested, and use the results, current research, and government guidelines to make recommendations for changes to service delivery and clinical practice, sharing these findings as appropriate.

To collect data, and provide service information to the Team Leader as required.

To ensure that the Clinical Manager / Team Leader / Head of Nursing and Clinical Governance Lead are kept informed on service issues and potential risks.

To work with the Team Leader in delivering and promoting the needs of the service

To work with the Clinical Lead, Team Leader, Head of Nursing and Clinical Governance Lead to meet the Clinical Governance needs of the services, including investigation of incidents (including serious incidents) and complaints, where required.

To remain updated in the use of all equipment used in the service and to report any technical problems or issues with that equipment.

To participate in team meetings to discuss day to day operational issues as required.

Personal & professional development:

  • To be a skilled practitioner in areas needed for effective care delivery

o Recognise and work within own competence and keep abreast of developments in practice and topical issues ensuring that skills are maintained

  • To collaborate in the continuing development of their role / expertise to include:-

o Level of autonomy in practice.

o Show self-motivation toward expanding practice and developing skills and knowledge, with the support of Harrow Health

  • Ensure statutory and mandatory training is up to date

Job description

Job responsibilities

Main Responsibilities:

To use evidence-based practice to develop, deliver and maintain high quality, clinically effective and cost effective primary care service

To provide a comprehensive service to the patients attending the clinic including clinical examination, investigations as needed, diagnosis and management, and referral as appropriate

  • To ensure patients have consented to, and are fully involved in the implementation of their procedure / treatment plans
  • Interpretation of results where requested for individuals
  • If a prescription is needed, this must be in line with the NHS England and local Trust prescribing guidelines
  • Will work to agreed prescribing budgets and referral pathways
  • To adapt styles of communication appropriately in order to promote empowerment, self-management and health education for patients. Interpreters can be sought as needed.
  • Using the EMIS system the consultation must be recorded in the patients records. Proformas are set on the EMIS system and must be completed by the clinician. These will be shared with all the referring clinicians.
  • Liaise with other team members as appropriate
  • To identify actual or potential clinical risks within scope of practice and take appropriate action using, when required, the appropriate reporting structure
  • To be personally accountable for professional and ethical actions and practices within a framework that adheres to the GMCs requirements and Harrow Health policies and procedures

Service delivery responsibilities:

  • To ensure that patient records and documentation are maintained in line with Harrow Health policies and use of the electronic patient records system. This includes:

o Documenting full, accurate and contemporaneous records of assessments, investigations, procedures, treatments and aftercare.

o Encouraging colleagues to maintain good and complete records.

Working closely with the reception team / administrator, ensuring all records pertinent to patients are filed as appropriate

Work within local policies, protocols and guidelines Harrow Health CIC and local trust guidelines

Ensure Safeguarding Adults and Children is considered, and policies and procedures are followed when concerns are raised

To participate in audits if requested, and use the results, current research, and government guidelines to make recommendations for changes to service delivery and clinical practice, sharing these findings as appropriate.

To collect data, and provide service information to the Team Leader as required.

To ensure that the Clinical Manager / Team Leader / Head of Nursing and Clinical Governance Lead are kept informed on service issues and potential risks.

To work with the Team Leader in delivering and promoting the needs of the service

To work with the Clinical Lead, Team Leader, Head of Nursing and Clinical Governance Lead to meet the Clinical Governance needs of the services, including investigation of incidents (including serious incidents) and complaints, where required.

To remain updated in the use of all equipment used in the service and to report any technical problems or issues with that equipment.

To participate in team meetings to discuss day to day operational issues as required.

Personal & professional development:

  • To be a skilled practitioner in areas needed for effective care delivery

o Recognise and work within own competence and keep abreast of developments in practice and topical issues ensuring that skills are maintained

  • To collaborate in the continuing development of their role / expertise to include:-

o Level of autonomy in practice.

o Show self-motivation toward expanding practice and developing skills and knowledge, with the support of Harrow Health

  • Ensure statutory and mandatory training is up to date

Person Specification

Qualifications

Essential

  • Full registration with the General Medical Council
  • Appropriate qualification in ENT care delivery

Desirable

  • Specialist qualification or MRCGP qualification

Experience

Essential

  • Experience of working independently, with a minimum of 3 years experience post qualification .
  • Regular attendance at update meetings
  • Relevant experience in ENT services
  • Up to date annual appraisal
  • Competency in interpreting and acting on pathology, histology and radiology results
  • Infection Prevention and Control Procedures, including Asceptic Technique
  • Awareness of local referral pathways
  • Excellent written and oral communication skills
  • Up to date with Statutory and Mandatory training as per Harrow Health guidelines

Desirable

  • Experience of delivering training to colleagues.
  • Experience in completing audits and assessments
  • Experience in Quality Improvement Projects.
  • Knowledge of use of IT / EMIS system

Personal Qualities

Essential

  • To be a reflective practitioner
  • Committed to self-directed development
  • Assertive, adaptable / flexible / energetic and enthusiastic
  • Good communication skills and able to be sensitive and empathetic in distressing situations
  • Ability to work under pressure
  • Team work and communication
  • Full registration with the MPS/MDU

Desirable

  • Able to challenge accepted practice as appropriate
  • Develop links with other primary care services as needed
  • Awareness of Harrow Health Clinical Governance agenda
Person Specification

Qualifications

Essential

  • Full registration with the General Medical Council
  • Appropriate qualification in ENT care delivery

Desirable

  • Specialist qualification or MRCGP qualification

Experience

Essential

  • Experience of working independently, with a minimum of 3 years experience post qualification .
  • Regular attendance at update meetings
  • Relevant experience in ENT services
  • Up to date annual appraisal
  • Competency in interpreting and acting on pathology, histology and radiology results
  • Infection Prevention and Control Procedures, including Asceptic Technique
  • Awareness of local referral pathways
  • Excellent written and oral communication skills
  • Up to date with Statutory and Mandatory training as per Harrow Health guidelines

Desirable

  • Experience of delivering training to colleagues.
  • Experience in completing audits and assessments
  • Experience in Quality Improvement Projects.
  • Knowledge of use of IT / EMIS system

Personal Qualities

Essential

  • To be a reflective practitioner
  • Committed to self-directed development
  • Assertive, adaptable / flexible / energetic and enthusiastic
  • Good communication skills and able to be sensitive and empathetic in distressing situations
  • Ability to work under pressure
  • Team work and communication
  • Full registration with the MPS/MDU

Desirable

  • Able to challenge accepted practice as appropriate
  • Develop links with other primary care services as needed
  • Awareness of Harrow Health Clinical Governance agenda

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

Harrow Health GP Federation

Address

Metro House, Ground Floor

203 Pinner Road

Northwood

HA6 1BX


Employer's website

https://harrowhealth.online/about-harrow-health/ (Opens in a new tab)


Employer details

Employer name

Harrow Health GP Federation

Address

Metro House, Ground Floor

203 Pinner Road

Northwood

HA6 1BX


Employer's website

https://harrowhealth.online/about-harrow-health/ (Opens in a new tab)


For questions about the job, contact:

Clinical Director

Dr Mehul Lakhani

mehullakhani@nhs.net

Date posted

07 March 2024

Pay scheme

Other

Salary

Depending on experience Professional Services Agreement Contract

Contract

Bank

Working pattern

Flexible working

Reference number

B0480-24-0007

Job locations

Metro House, Ground Floor

203 Pinner Road

Northwood

HA6 1BX


37 Love Lane

Pinner

Middlesex

HA5 3EE


Supporting documents

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