PCN ARRS GENERAL PRACTITIONER

Job responsibilities

Main duties of the job: The GP will undertake a variety of duties governed by the GMS contract and objectives of Enhanced Services including: Share of Routine and Urgent appointments both face to face and telephone Prescribe as per local & national guidelines Share of home visits Time-manage completion of administration: letters, results, tasks, referrals, telephone calls, emails Take responsibility for appropriate referrals (following local guidance and good medical practice) and administration pertaining to them Participate in Extended Hours between 7.30am - 8.00am and/or 6.30pm - 8.30pm if required by the PCN Work with other health and social care providers to ensure a safe and integrated service. Provide comprehensive assessment, advice, and treatment for the registered practice population. Maintain accurate and comprehensive records of consultations using SystmOne clinical system. To provide clinical support to other members of staff, both clinical and administrative, in achieving the highest possible standards of care and QOF and Enhanced Services targets The content of this post will be reviewed in consultation with the post-holder when necessary and in line with the service developments.

Job description Job responsibilities CLINICAL Recording clear and contemporaneous I.T. based consultation notes to agreed standards. Provide safe, evidence-based, cost-effective, individualised patient care within the hub, surgery, patients own home. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly referring patients to other services/agencies in a timely manner using local guidelines. To recognise the need for and be able to perform and interpret investigatory procedures, including laboratory and radiology. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Ensure appropriate follow up of patients Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care Support and work with colleagues towards the delivery of anticipatory care plans Recognise and work within your own competence and in accordance with professional codes of conduct, maintaining accurate and contemporaneous health records Independently prescribe for patients within your scope of practice. Prescribing in accordance with locally agreed or national guidelines. Review medications following the appropriate policies, NICE/local clinical guidelines and local care pathways. To maintain an awareness of developments in clinical practice Awareness of and compliance with all relevant practice/PCN policies/guidelines e.g. prescribing, confidentiality, data protection, health and safety and QOF standards. Be aware of your duties and responsibilities regarding current legislation and adhere to our policies and procedures on Safeguarding Children and Safeguarding Adults. CONFIDENTIALITY You will have access to confidential information relating to patients and their Carers, practice staff and other healthcare workers. Patients 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 staff will respect their privacy and act appropriately Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data HEALTH AND SAFETY

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in practice's Health & Safety Policy, to include: Using personal security systems within the workplace according to PCN 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 knowledge and skills Using appropriate infection control procedures, including maintaining a tidy and safe way work area free from hazards. Effective hand hygiene. Provide advice on the correct and safe management of the specimen's process, including collection, labelling, handling, use of correct containers, storage and transport arrangements Correct use of personal protective equipment (PPE) in both routine and extraordinary circumstances Managing directly all incidents of accidental exposure Safe use of sharps, storage and disposal Reporting potential risks identified EQUALITY AND DIVERSITY

The post-holder will support the equality, diversity and rights of patients, 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 practice procedures and policies, and current legislation Respecting the privacy, dignity, needs and beliefs of patients, 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. TRAINING, PERSONAL/PROFESSIONAL DEVELOPMENT

Training requirements will be monitored in accordance with PCN requirements. Relevant personal development will be encouraged and supported by the PCN. You will be expected to take responsibility for maintaining a record of own personal and/or professional development Undertake mandatory and statutory training as required and attend courses/ study days as deemed appropriate/necessary Continually review clinical practice, responding to National policies and initiatives where appropriate Participation in periodic performance review / internal appraisal and annual external GP appraisal including taking responsibility for maintaining a record of own personal and/or professional development Provide leadership and education for members of the multi-disciplinary team, providing guidance and support when necessary. Assess own performance and take accountability for own actions, either directly or under supervision. QUALITY

The post-holder will strive to maintain quality within the practice, and will: Contribute to the achievement of the highest possible quality standards such as those detailed by their regulatory body and the CQC. Monitor the safety and effectiveness of own clinical practice through quality assurance strategies such as the use of audit, mentor feedback, case review and peer review. Implement improvements where necessary Understanding of the audit process and of clinical risk management Alert other team members to issues of Clinical Governance, quality and risk. Participate in Significant Event and/or near miss analysis reviews . 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 Effectively manage own time, workload and resources Work in partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate. To accept delegated responsibility for a specific area (or areas) of QOF Collecting data for audit purposes COMMUNICATION Excellent communication skills (written and oral), when dealing with patients and other team members. The ability to make clear decisions with confidence and communicate these effectively. Demonstrate sensitive communication styles to ensure patients and carers are fully informed and consent to treatment Recognise people's needs for alternative methods of communication and respond accordingly. Use developed communication, negotiation and conflict management skills recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background etc. MANAGING RISK Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients. This includes the escalation of clinical concerns or appropriate referrals where the management of a clinical situation requires it, or it falls outside of clinical competence. Monitor work areas and practices to ensure they are safe and free from hazards, and conform to health, safety and security legislation, policies, procedures and guidelines Apply infection control measures within the practice according to local and national guidelines and in accordance with the practice policy

Qualifications

Essential

• Newly qualified GP (within 2 years and not having had a substantive post) with full GMC registration and license to practice.
• Certificate of Completion of Training in General Practice/Certificate Confirming Eligibility for General Practice Registration, or equivalent.
• Included on Medical Performers List
• Evidence of ongoing professional development
• Experience of working in a GP training practice using SystmOne and/or EMIS.

Other

Essential

• Excellent communication skills (written and oral) including recording of accurate clinical notes.
• Strong IT skills and competent in the use of Microsoft Office and Outlook
• Effective time management (Planning, Organising and Prioritising), with excellent problem solving and analytical skills
• Ability to work autonomously, and as part of a multi-disciplinary team
• Ability to listen and empathise whilst being honest and caring
• Ability to follow clinical policy and procedure with and understanding of the audit process
• Knowledge of General Practice Clinical Systems (SystmOne)
• Polite and confident, flexible and cooperative
• Motivated, forward thinker with ability to use own judgement and common sense
• Problem solver with the ability to process information accurately and effectively, interpreting data as required
• High levels of integrity
• 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
• Punctual and committed to supporting the team effort
• Observance of strict confidentiality.

Desirable

• Knowledge of General Practice Clinical Systems (SystmOne)

Experience

Essential

• Proven ability to evaluate the safety and effectiveness of own clinical practice.
• Understanding of evidence-based practice.
• Evidence of working autonomously, with some support and supervision
• Experience of using electronic clinical patient records
• Experience of medicines management
• Ability to effectively triage, assess and diagnose
• Requesting pathology tests and processing the results, advising patients accordingly
• Assessing and managing acute deteriorations/exacerbations of Long-Term Conditions
• Understands the importance of evidence-based practice
• Ability to assess and manage patient risk effectively and safely.
• Broad knowledge of clinical governance
• Ability to work within own scope of practice and understanding when to refer to GPs

Desirable

• Understanding of policy developments related to the delivery of primary care services including General Practice, the GMS contract, Clinical Governance, Network Contract DES and Quality & Outcomes Framework
• Knowledge of public health issues/health needs of the local area
• Knowledge of health-promotion strategies
• Knowledge of public health issues in the local area
• Knowledge of health promotion strategies

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).