Job summary
This is a rare and exciting opportunity for an experienced General Practitioner to support the Gloucestershire Hospitals NHS Foundation Trust (GHNHSFT) Non-Specific Symptoms (NSS) 2 Week Wait cancer exclusion service.
The post holder will be an integral part of this innovative team. Working closely with colleagues in primary, community, secondary care and the NSS team, the NSS Clinicians will focus on diagnosing cancer earlier and faster where a patient's symptoms are concerning, but do not fit a defined cancer pathway and thus may lead to a delay in cancer diagnosis.
From the point of referral, the NSS team will support the patient through their diagnostic journey with the aim to provide a streamlined service with positive patient experience. For patients diagnosed with cancer, this will mean they will receive rapid assessment, MDT discussion and ultimately an earlier diagnosis prior to transfer of care to a site-specific cancer team.The majority of patients will not have cancer, but may have other significant conditions, and will be referred to the appropriate service or back to GP care with signposting and a wellbeing plan to further support where necessary.
Main duties of the job
2WW NSS GPs will work alongside Patient Navigators and administrative support to triage, assess, support and signpost patient referrals to the appropriate diagnostic tests and where possible, deliver a diagnosis. The diagnostic process will be supported by access to secondary care clinicians for advice via the Advice and Guidance service. A weekly case review meeting will inform decisions regarding the patient's diagnostic pathway, management and discharge decisions. Patients will be referred onto the appropriate speciality if a cancer diagnosis is made, to a non-cancer service if an urgent referral is required or discharged back to their GP. Signposting to healthy lifestyle and wellbeing advice will be offered where cancer has been excluded.
About us
We take pride in placing people at the centre of everything we do, working together as a united team. Driven by a shared ambition to continually grow, develop, and learn, we recognise and value every contribution. By combining our experience and skills, we not only support our vibrant, diverse communities, but also support one another.
With a team of over 9,000 employees, we are proud to be the largest employer in Gloucestershire and rank among the top 10 largest Trusts in the South West region.By joining our Trust, you will benefit from an excellent package that includes exclusive benefits, flexible working opportunities and the chance to gain valuable experience in one or both of our innovative hospitals.
As well as generous annual leave allowance, you will have access to the excellent NHS pension scheme, competitive bank rates, discounts at local shops and restaurants, access to two on-site nurseries, discounted public transport, reward and recognition and a range of health and wellbeing initiatives to support you.
Job description
Job responsibilities
With support from GHT Colleagues, lead and facilitate the smooth, effective roll out and safe running of the NSS. This includes, but is not limited to: Effective, rapid triage of NSS referrals with early ordering of appropriate diagnostics A flexible approach to patient assessment, whether face to face, virtual or telephone based, individualised to the patients needs Analysis of diagnostic reports and discussion with secondary care clinicians Communication of the assessment outcome to the patient and family in a supportive environment with appropriate signposting to further support services. Clear communication of NSS outcome to the referring GP Providing support and guidance to the patient navigator Working closely and effectively with the NSS team and with both primary, community and secondary care colleagues, including GPs, radiology, pathology, oncology, palliative care and emergency clinicians Active participation within appropriate multi-disciplinary meetings To ensure keeping of accurate and contemporaneous records Service monitoring, improvement opportunities and troubleshooting issues within the NSS team Working to improve access into the service and reduce inequalities of care Facilitating the growth of the service and participate in research, engagement, audit, evaluation and education activities To further develop links with the wider NSS teams and projects supporting earlier and faster diagnosis of cancer To align NSS with existing services to ensure a safe, unified, high-quality service To attend appropriate meetings including participation in regional NSS meetings, and provide feedback to appropriate partners and stakeholders To participate in regular appraisal of performance and identify training needs To participate in education and training activities Ensure compliance with all relevant local and national guidelines and legislation Adhere to safeguarding requirements and deal appropriately with complaints, incidents and alerts using company systems and policies
Job description
Job responsibilities
With support from GHT Colleagues, lead and facilitate the smooth, effective roll out and safe running of the NSS. This includes, but is not limited to: Effective, rapid triage of NSS referrals with early ordering of appropriate diagnostics A flexible approach to patient assessment, whether face to face, virtual or telephone based, individualised to the patients needs Analysis of diagnostic reports and discussion with secondary care clinicians Communication of the assessment outcome to the patient and family in a supportive environment with appropriate signposting to further support services. Clear communication of NSS outcome to the referring GP Providing support and guidance to the patient navigator Working closely and effectively with the NSS team and with both primary, community and secondary care colleagues, including GPs, radiology, pathology, oncology, palliative care and emergency clinicians Active participation within appropriate multi-disciplinary meetings To ensure keeping of accurate and contemporaneous records Service monitoring, improvement opportunities and troubleshooting issues within the NSS team Working to improve access into the service and reduce inequalities of care Facilitating the growth of the service and participate in research, engagement, audit, evaluation and education activities To further develop links with the wider NSS teams and projects supporting earlier and faster diagnosis of cancer To align NSS with existing services to ensure a safe, unified, high-quality service To attend appropriate meetings including participation in regional NSS meetings, and provide feedback to appropriate partners and stakeholders To participate in regular appraisal of performance and identify training needs To participate in education and training activities Ensure compliance with all relevant local and national guidelines and legislation Adhere to safeguarding requirements and deal appropriately with complaints, incidents and alerts using company systems and policies
Person Specification
Qualifications and Training
Essential
- MBBS or equivalent medical degree
- Full GMC registration
- MRCGP
Desirable
- Evidence of continued role development
- Teaching qualification
Experience
Essential
- Able to use own initiative and work without supervision
- Able to effectively co-lead a team and the service
- Ability to show empathy and understand the difficulties faced by people affected by cancer
- Ability to retrieve and consolidate information from a wide range of sources and in different formats
- Ability to work in a multi- disciplinary team
- Ability to communicate effectively both verbally and non- verbally on a daily basis
Desirable
- Ability to set up new role and develop and grow the service
Knowledge and Skills
Essential
- Appropriate level of primary care experience
- Sound knowledge of clinical governance, including audit and service improvement activities
- Eligibility for Medical Indemnity Membership
Desirable
- Secondary care experience ideally some oncology and/or diagnostics experience
Person Specification
Qualifications and Training
Essential
- MBBS or equivalent medical degree
- Full GMC registration
- MRCGP
Desirable
- Evidence of continued role development
- Teaching qualification
Experience
Essential
- Able to use own initiative and work without supervision
- Able to effectively co-lead a team and the service
- Ability to show empathy and understand the difficulties faced by people affected by cancer
- Ability to retrieve and consolidate information from a wide range of sources and in different formats
- Ability to work in a multi- disciplinary team
- Ability to communicate effectively both verbally and non- verbally on a daily basis
Desirable
- Ability to set up new role and develop and grow the service
Knowledge and Skills
Essential
- Appropriate level of primary care experience
- Sound knowledge of clinical governance, including audit and service improvement activities
- Eligibility for Medical Indemnity Membership
Desirable
- Secondary care experience ideally some oncology and/or diagnostics experience
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).
