University Hospitals Plymouth NHS Trust

Acute GP - Primary Care Streaming

Information:

This job is now closed

Job summary

INTRODUCTION - The Acute Assessment Unit (AAU) is a day assessment unit where University Hospitals Plymouth (UHP) supports delivery of an integrated approach to avoid unnecessary admissions. The AAU provides same day emergency care (SDEC) for people with medical problems who do not require hospital admission. We link to community services and general practice to support the interface between primary and secondary care

Main duties of the job

Purpose of the Acute GP role

  • Working alongside the acute physicians on the AAU: a dedicated space for patients to be appropriately assessed, close to the Emergency Department and with strong links with health and community services
  • Support an MDT approach to urgent care to provide a better experience for the patients
  • Enables Primary Care Streaming from ED by offering a dedicated function to treat and care for minor illness
  • Deliver advice to enable ongoing care in the community and support discharge from the Emergency Department
  • Support the advanced care team in community Urgent Treatment Centres (UTCs, includes Cumberland, Tavistock and Kingsbridge) to develop and deliver care in line with published guidance
  • Provides a dedicated acute frailty service (AFS) enabling multi-professional and inter-agency assessments of needs of people with complex needs and frailty.
  • The AAU aims to prevent unnecessary hospital admissions and to get patients back home/into the community
  • Reduces unnecessary delays and create better flow
  • Reduces overcrowding in the Emergency Department
  • Support delivery of medical treatment of Ambulatory Care specific conditions
  • Work to develop new pathways to optimise patient experience of same day emergency care

About us

University Hospitals Plymouth NHS Trust is the largest hospital in the south west peninsula, providing comprehensive secondary and tertiary healthcare.

Our geography gives us a secondary care catchment population of 450,000 with a wider peninsula population of almost 2,000,000 people who can access our specialist services. The population is characterised by its diversity - the rural and the urban, the wealthy and pockets of deprivation, and wide variance in health and life expectancy. Population ageing is a recognised national trend, but is exacerbated locally by the drift of younger people out of the area and older people in. The proportion of our population aged 85 or over is growing ahead of the national average by approximately 10 years, giving Plymouth the opportunity to innovate on behalf the nation in services for the elderly.

Location of the AAU

The service will be provided within the new AAU which is on Level 06, Derriford Hospital, PL6 8DH , within the Emergency Department estate, the Acute Frailty Unit and the Urgent Treatment Centres at Tavistock Hospital, Kingsbridge Hospital and the Cumberland Centre.

Opening Hours

The aim of the unit is to be open from 08:00 - 23:00 hrs, 7 days a week.

Details

Date posted

23 March 2023

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£117,969.31 a year per annum

Contract

Permanent

Working pattern

Full-time, Part-time, Job share

Reference number

216-EB-GP-5111569

Job locations

University Hospitals Plymouth

Plymouth

PL68DH


Job description

Job responsibilities

DUTIES OF THE POST

Working within the Acute Assessment Unit and within various departments in the Derriford footprint depending on the future development of the service. Work at community Urgent Treatment Centres including but not exclusively detailed above.

At times the post holder may be asked to be flexible across other days of the week.

The GP will work as part of the AAU team, which includes GPs, Acute Physicians, 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 post holder will be expected to develop good relationships with 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.

Taking referrals from clinicians in the footprint of the acute hospital for a variety of specialties and appropriately exploring the request for admission from those clinicians.

Taking an active part in accepting referrals and communicating with the Emergency Department

Appropriately redirecting the patient if admission is not required by taking all relevant details and facilitating appropriate care elsewhere.

Being clear about the intended management plan for the patient once a referral has been accepted, and agreeing the onward care plan

Offering an on-site assessment facility for selected patients where the patient may require further investigation and diagnostics.

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, Advance nurse practitioners within the organisation and with other partner organisations.

Job description

Job responsibilities

DUTIES OF THE POST

Working within the Acute Assessment Unit and within various departments in the Derriford footprint depending on the future development of the service. Work at community Urgent Treatment Centres including but not exclusively detailed above.

At times the post holder may be asked to be flexible across other days of the week.

The GP will work as part of the AAU team, which includes GPs, Acute Physicians, 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 post holder will be expected to develop good relationships with 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.

Taking referrals from clinicians in the footprint of the acute hospital for a variety of specialties and appropriately exploring the request for admission from those clinicians.

Taking an active part in accepting referrals and communicating with the Emergency Department

Appropriately redirecting the patient if admission is not required by taking all relevant details and facilitating appropriate care elsewhere.

Being clear about the intended management plan for the patient once a referral has been accepted, and agreeing the onward care plan

Offering an on-site assessment facility for selected patients where the patient may require further investigation and diagnostics.

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, Advance nurse practitioners within the organisation and with other partner organisations.

Person Specification

Qualification

Essential

  • Full Registration with the GMC JCPTGP Vocational training certificate or PMETB equivalent Evidence of registration on a CCG GP performer's list

Desirable

  • oPostgraduate qualification oPrevious GPwSI accreditation

Clinical Experience, Training & Skills

Essential

  • oAble to work in a challenging post, within a rapidly developing agenda oAble to work in a multi-disciplinary team committed to innovation and service redesign oAble to work flexibly across professional boundaries oGood verbal and written communication skills oGood interpersonal skills oGood clinical skills in terms of history taking, documentation, clinical examination and use of appropriate investigative resources oCompetent in the use of Microsoft Office and GP clinical systems

Desirable

  • oAble to constructively challenge care issues with other professionals, suggest appropriate alternatives to admission and generate and facilitate new pathways of care oAble to insert IV cannulae and take blood samples oAble to interpret blood test, ECG and X-ray results

Academic Research Skills/ Teaching

Essential

  • oExperience of teaching and training other clinical staff

Desirable

  • oKnowledge and experience of advanced nurse practitioner training - in particular prescribing module

Commitment to Specialty

Essential

  • oPrevious experience of managing change oKnowledge of national and local agendas in respect of primary care, commissioning, non-elective and intermediate care. oCommitted to a team approach oCommitted to providing patient-centred care oSelf-motivated oAbility to recognise own limitations, identify learning needs and act on them appropriately oAbility to respect others opinions keeping the patient at the centre of what we do. oCaring attitude to patient and relatives oPragmatic approach to day to day irritations oAble to tolerate stress and manage it appropriately oDetermination to drive change that will improve patient care outside of the currently accepted pathways oAbility to maintain and build relationships across multiple physical and organisational boundaries

Desirable

  • oPrevious Accident and Emergency and Acute Medicine experience oWorking knowledge of local alternatives to admission oAn understanding of the how non-elective services are accessed and how they are used by different social groups An understanding of the health needs of a deprived population and how these can be addressed
Person Specification

Qualification

Essential

  • Full Registration with the GMC JCPTGP Vocational training certificate or PMETB equivalent Evidence of registration on a CCG GP performer's list

Desirable

  • oPostgraduate qualification oPrevious GPwSI accreditation

Clinical Experience, Training & Skills

Essential

  • oAble to work in a challenging post, within a rapidly developing agenda oAble to work in a multi-disciplinary team committed to innovation and service redesign oAble to work flexibly across professional boundaries oGood verbal and written communication skills oGood interpersonal skills oGood clinical skills in terms of history taking, documentation, clinical examination and use of appropriate investigative resources oCompetent in the use of Microsoft Office and GP clinical systems

Desirable

  • oAble to constructively challenge care issues with other professionals, suggest appropriate alternatives to admission and generate and facilitate new pathways of care oAble to insert IV cannulae and take blood samples oAble to interpret blood test, ECG and X-ray results

Academic Research Skills/ Teaching

Essential

  • oExperience of teaching and training other clinical staff

Desirable

  • oKnowledge and experience of advanced nurse practitioner training - in particular prescribing module

Commitment to Specialty

Essential

  • oPrevious experience of managing change oKnowledge of national and local agendas in respect of primary care, commissioning, non-elective and intermediate care. oCommitted to a team approach oCommitted to providing patient-centred care oSelf-motivated oAbility to recognise own limitations, identify learning needs and act on them appropriately oAbility to respect others opinions keeping the patient at the centre of what we do. oCaring attitude to patient and relatives oPragmatic approach to day to day irritations oAble to tolerate stress and manage it appropriately oDetermination to drive change that will improve patient care outside of the currently accepted pathways oAbility to maintain and build relationships across multiple physical and organisational boundaries

Desirable

  • oPrevious Accident and Emergency and Acute Medicine experience oWorking knowledge of local alternatives to admission oAn understanding of the how non-elective services are accessed and how they are used by different social groups An understanding of the health 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.

Certificate of Sponsorship

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.

Certificate of Sponsorship

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).

Employer details

Employer name

University Hospitals Plymouth NHS Trust

Address

University Hospitals Plymouth

Plymouth

PL68DH


Employer's website

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


Employer details

Employer name

University Hospitals Plymouth NHS Trust

Address

University Hospitals Plymouth

Plymouth

PL68DH


Employer's website

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


Employer contact details

For questions about the job, contact:

AAU Clinical Lead

Birte Morris

birte.morris@nhs.net

01752435614

Details

Date posted

23 March 2023

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£117,969.31 a year per annum

Contract

Permanent

Working pattern

Full-time, Part-time, Job share

Reference number

216-EB-GP-5111569

Job locations

University Hospitals Plymouth

Plymouth

PL68DH


Supporting documents

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