Job summary
University Hospitals Plymouth NHS Trust is the largest hospital in the Southwest peninsula and a major trauma centre, providing comprehensive secondary and tertiary healthcare.
The Emergency Department (ED) currently sees more than 100,000 patients per year. The Peninsula is a largely rural region with very few centres with a large urban population. The overall population of the region is approximately 1.67million, which can increase by an extra 1 million people in the peak holiday season.
The ED facilities currently include a 7-bay resuscitation room (with co-located CT scanner), 21 majors cubicles, a separate ambulatory majors area, a minors area, a dedicated paediatric area, 2 small theatres and a plaster room, a seminar room, break room, and offices. A £160m rebuild of the ED is planned to commence in 2023, with a scheduled opening in November 2025, as part of the Future Hospitals Programme. This will provide a state-of-the-art ED suitable for our growing population.
Our department also benefits from close links with the military, the British Antarctic Survey Medical Unit (BASMU), Devon Air Ambulance (DAAT), and the medical school. We have a strong academic department undertaking our own research and portfolio studies. We are a teaching hospital with significant input into undergraduate medical, nursing and paramedic education, along with postgraduate training at all levels.
Main duties of the job
The Emergency Department aims to support people with non-elective care needs to get the right care, in the right place and at the right time. This post will provide care for patients who attend the ED and are assessed as not needing hospital treatment but need care instead from a general practitioner. Currently over 16's only.
This is done through a process of assessment, negotiation, treatment and signposting, and through the development of new patient pathways as an alternative to hospital admission.
- Working alongside the ED Team to assign patients to one of the several parallel clinical workstreams.
- To treat non-emergency patients aiming to relieve pressure on other staff and to improve ED efficiency and patient experience.
- Support an MDT approach to urgent care to provide a better experience for the patients.
- Reduce overcrowding in the Emergency Department
About us
We are a people business - where every member of staff matters and can make a difference. Patients are at the heart of everything we do. Joining University Hospitals Plymouth NHS Trust means becoming part of a team of dedicated staff, who are committed to leading the way through innovation, clinical excellence and great customer care. The Trust has great opportunities for career development in a highly progressive working environment. We offer all of this in a vibrant, modern city with a historic reputation for adventure. PLEASE NOTE THAT ALL COMMUNICATION WILL BE ELECTRONIC, PLEASE CHECK YOUR EMAIL ACCOUNT REGULARLY. If you have any issues with applying online and need additional support including reasonable adjustments with the application process please contact the recruitment team on 01752 432100. We recognise that work life balance is important for our colleagues and so we invite requests from applicants around less than full time/flexible working for our advertised roles. Please contact the recruiting manager to discuss this prior to your application submission. We commit to giving this full consideration in each case. We encourage people from diverse backgrounds to apply for our roles, as diversity strengthens our teams. It is sometimes necessary to close vacancies before the closing date. If you have not heard from us within 4 weeks of the closing date, please assume that you have not been shortlisted.
Job description
Job responsibilities
Working alongside the ED footprint until the new Onsite UTC is built. The GP will work with a dedicated HCA, seeing patients streamed from triage.
You will see general practice presentations and use your primary care skills and insight to provide effective, patient-centred care. The majority of patients will be discharged home. You will also be able to refer to second care partners within the Trust. These patients will be monitored against the Trust 4-hour standard target.
At times the post holder may be asked to be flexible across other days of the week and provide resilience to the service in terms of cover.
The GP will work as part of the ED team, which includes GPs, ENPs, Nurse, HCAs, emergency medicine doctors, nursing staff, allied health professionals, administrative staff and social workers.
The GP will need to work co-operatively with each other, the service manager, other clinical and administrative staff to maximise opportunities to improve patient pathways.
The GP will be expected to develop good relationships within referring clinicians and with medical colleagues working within the secondary care setting. They will also need to liaise with other health professionals working in health and social care in the community.
Appropriately redirecting the patient if admission is not required by taking all relevant details and facilitating appropriate care elsewhere.
The GP would take a history, perform an initial examination, and request any pertinent diagnostic tests, following which if admission was required, the relevant information would be passed to the receiving clinical team.
Communicating with other members of the multi-disciplinary team and planning for discharge at the point of admission.
Ensure that high clinical standards are maintained throughout the service.
Maintain a professional image of the organisation. Work with consultant and other clinical colleagues to improve non-elective care pathways in the Hospital.
Work with GPs and other community colleagues to develop new pathways of care within the community as alternatives to Hospital admission.
Contribute to the development and teaching of the team of GPs, nurses, advanced nurse practitioners within the organisation and with other partner organisation
There is a requirement for the service to be covered between 08.00 20.00, patient facing, 5 days a week. We aspire to provide services from 08.00 20.00, 7 days a week.
Offers of flexible and part working will be considered.
We commit to support continuing professional development in line with standard outlined in the BMA model contract for GPs.
There is a monthly evening meeting which we promote in a positive way to share learning and developments and can be accommodated within the CPD allocation.
There is also a regular service review meeting looking at the service performance and review against operational targets.
Job description
Job responsibilities
Working alongside the ED footprint until the new Onsite UTC is built. The GP will work with a dedicated HCA, seeing patients streamed from triage.
You will see general practice presentations and use your primary care skills and insight to provide effective, patient-centred care. The majority of patients will be discharged home. You will also be able to refer to second care partners within the Trust. These patients will be monitored against the Trust 4-hour standard target.
At times the post holder may be asked to be flexible across other days of the week and provide resilience to the service in terms of cover.
The GP will work as part of the ED team, which includes GPs, ENPs, Nurse, HCAs, emergency medicine doctors, nursing staff, allied health professionals, administrative staff and social workers.
The GP will need to work co-operatively with each other, the service manager, other clinical and administrative staff to maximise opportunities to improve patient pathways.
The GP will be expected to develop good relationships within referring clinicians and with medical colleagues working within the secondary care setting. They will also need to liaise with other health professionals working in health and social care in the community.
Appropriately redirecting the patient if admission is not required by taking all relevant details and facilitating appropriate care elsewhere.
The GP would take a history, perform an initial examination, and request any pertinent diagnostic tests, following which if admission was required, the relevant information would be passed to the receiving clinical team.
Communicating with other members of the multi-disciplinary team and planning for discharge at the point of admission.
Ensure that high clinical standards are maintained throughout the service.
Maintain a professional image of the organisation. Work with consultant and other clinical colleagues to improve non-elective care pathways in the Hospital.
Work with GPs and other community colleagues to develop new pathways of care within the community as alternatives to Hospital admission.
Contribute to the development and teaching of the team of GPs, nurses, advanced nurse practitioners within the organisation and with other partner organisation
There is a requirement for the service to be covered between 08.00 20.00, patient facing, 5 days a week. We aspire to provide services from 08.00 20.00, 7 days a week.
Offers of flexible and part working will be considered.
We commit to support continuing professional development in line with standard outlined in the BMA model contract for GPs.
There is a monthly evening meeting which we promote in a positive way to share learning and developments and can be accommodated within the CPD allocation.
There is also a regular service review meeting looking at the service performance and review against operational targets.
Person Specification
Education, Qualifications & Special Training
Essential
- Full registration with GMC
- JCPTGP Vocational training certificate or PMETB equivalent
- Evidence of registration on a CCG GP performer's list
Desirable
- Postgraduate qualification
- Previous GPwSI accreditation
Clinical Experience Training and and Skills
Essential
- Able to work in a challenging post, within rapidly developing agenda
- Able to work in a multi-disciplinary team committed to innovation and service redesign
- Able to work flexibly across professional boundaries
- Good verbal and written communication skills
- Good interpersonal skills
- Good clinical skills in terms of history taking, documentation. clinical examination and use of appropriate investigative resources
- Competent in the use of Micorsoft Office and GP clinical systems
Desirable
- Able to constructively challenge case issues with other professionals, suggest appropriate alternatives to admission and generate and facilitate new pathways of care
- Able to insert IV cannulae and take blood samples
- Able to interpret blood test, ECG and x-ray results
Academic Research skills/teaching managment
Essential
- Experience of teaching and training other clinical staff
Desirable
- Knowledge and experience of advanced nurse practitioner training - in particular prescribing module
Commitment to Speciality
Essential
- Previous experience of managing change
- Knowledge of national and local agendas in respect of primary care, commissioning, non -elective and intermediate care
- Committed to team approach
- Committed to providing patient-centred care
- Self-motivated
- Ability to recognise own limitations, identify learning needs and act on them appropriately
- Ability to respect other opinions keeping the patient at the centre of what we do
- Caring attitude to patient and relatives
- Pragmatic approach to day-to-day irritations
- Able to tolerate stress and manage it appropriately
- Determination to drive change that will improve patient care outside of the currently accepted pathways
- Ability to maintain and build relationships across multiple physical and organisational boundaries
Desirable
- Previous Accident & Emergency and Acute Medicine experience
- Working knowledge of local alternatives to admission
- An understanding of how non-electives services are accessed and how they are used by different social groups
- An understanding o the health and needs of a deprived population and how these can be addressed
Person Specification
Education, Qualifications & Special Training
Essential
- Full registration with GMC
- JCPTGP Vocational training certificate or PMETB equivalent
- Evidence of registration on a CCG GP performer's list
Desirable
- Postgraduate qualification
- Previous GPwSI accreditation
Clinical Experience Training and and Skills
Essential
- Able to work in a challenging post, within rapidly developing agenda
- Able to work in a multi-disciplinary team committed to innovation and service redesign
- Able to work flexibly across professional boundaries
- Good verbal and written communication skills
- Good interpersonal skills
- Good clinical skills in terms of history taking, documentation. clinical examination and use of appropriate investigative resources
- Competent in the use of Micorsoft Office and GP clinical systems
Desirable
- Able to constructively challenge case issues with other professionals, suggest appropriate alternatives to admission and generate and facilitate new pathways of care
- Able to insert IV cannulae and take blood samples
- Able to interpret blood test, ECG and x-ray results
Academic Research skills/teaching managment
Essential
- Experience of teaching and training other clinical staff
Desirable
- Knowledge and experience of advanced nurse practitioner training - in particular prescribing module
Commitment to Speciality
Essential
- Previous experience of managing change
- Knowledge of national and local agendas in respect of primary care, commissioning, non -elective and intermediate care
- Committed to team approach
- Committed to providing patient-centred care
- Self-motivated
- Ability to recognise own limitations, identify learning needs and act on them appropriately
- Ability to respect other opinions keeping the patient at the centre of what we do
- Caring attitude to patient and relatives
- Pragmatic approach to day-to-day irritations
- Able to tolerate stress and manage it appropriately
- Determination to drive change that will improve patient care outside of the currently accepted pathways
- Ability to maintain and build relationships across multiple physical and organisational boundaries
Desirable
- Previous Accident & Emergency and Acute Medicine experience
- Working knowledge of local alternatives to admission
- An understanding of how non-electives services are accessed and how they are used by different social groups
- An understanding o the health and needs of a deprived population and how these can be addressed
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
