Associate Specialist

Job responsibilities

1. To provide, as part of a core team of Urgent & Primary Care Specialty Doctors, Salaried GPs, Practitioners, Trainee Practitioners, Nurses and other support staff, high quality in and out of hours medical services to the community of the Lincolnshire in line with local and national priorities.

2. To provide consultation and appropriate clinical management of patients accessing Urgent Care services in Lincolnshire, via NHS 111, 999 or by self-presenting at Urgent Care centre.

3. Where clinically indicated to provide consultation and appropriate management for patients during OOH who are visited at home or in institutions.

4. If rostered for CAS shifts, to provide efficient and clinically appropriate management by telephone triage consultations of patients contacting the service. Support of the CAS is also required at times of high demand for all Clinicians working within Urgent Care, including Clinicians that are rostered for other duties.

5. To develop and encourage positive working relationships with local GP Practices, housing, social work, voluntary services, drug and alcohol, mental health, dental, secondary care and other appropriate services.

6. To keep contemporaneous, accurate and legible records of all patients encounters and contribute to electronic data recording and audit as directed by LCHS (significant Event analysis will be undertaken in conjunction with the Medical Lead for Urgent Care and the Medical Director of LCHS).

7. To pursue continuing professional and personal development and undertake Appraisal and Revalidation as required by LCHS.

8. To participate in audit and other clinical governance processes.

9. To participate in the supervision, education and mentoring of students, trainees and other professionals as may be required by LCHS.

10. The post holder will be subject to both informal review and formal annual appraisal with particular reference to the Governments Quality Requirements for OOH provision dated January 2005.

11. To assist in the facilitation of and development strategy in the continuing education and upgrading skills of medical and nursing staff.

12. To demonstrate a willingness to undertake additional professional responsibilities at local, regional and national levels.

13. The duties of the post are subject to review from time to time in the light of changing requirements of the service.

14. The post holder may be requested to perform exceptional irregular commitments outside normally rostered duties as are essential for the continuity of care and in occasional emergencies and unforeseen circumstances.

Qualifications

Essential

• MBBS or equivalent
• Full registration with the General Medical Council and license to practice
• Served for a minimum of four years in the registrar or staff grade and/or specialty doctor grade and/or in the clinical and/or senior clinical medical officer grades, at least two of which have been in the appropriate speciality.
• Exposure to both urgent and non-urgent health care.
• ILS or higher
• PILS
• Safeguarding certificate Level 3 for Children and vulnerable Adults

Desirable

• Higher qualification, e.g. MRCGP, MRCEM, FRCEM, ALS, PALS
• Membership or Fellowship examination with the relevant UK Royal College
• Have completed a paediatric assessment module as part of paediatric advanced practitioner programme (level 4) demonstrating attainment of the required knowledge skills and competence to be able to undertake initial health assessments of 'Looked after Children'.

Experience

Essential

• Served for a minimum of four years in the registrar or staff grade and/or specialty doctor grade and/or in the clinical and/or senior clinical medical officer grades, at least two of which have been in the appropriate speciality. Equivalent service is also acceptable, with the agreement of the relevant College or Faculty Regional Adviser and the Regional Postgraduate Dean;
• Completed 10 years medical work (either a continuous period or in aggregate) since obtaining a primary medical qualification which is (or would at the time have been) acceptable by the GMC for full, limited or temporary (but not provisional) registration. Placement on the overseas list will not by itself count towards the qualifying period.
• A high level of specialist knowledge and expertise with the capacity to work independently within agreed lines of responsibility
• Participation in a broader role within the trust, for example in education, quality improvement, appraisal or research
• Exposure to both urgent and non-urgent health care.
• Experience of patients of all ages.
• Experience of managing patients with commonly occurring conditions, including diabetes, respiratory conditions, heart related problems, mental health problems, urological and gastrointestinal problems, dermatological, ENT and musculoskeletal problems.
• Experience of managing the problems and issues related to palliative and end of life care.
• Experience of medicines management and prescribing.

Desirable

• Experience of assessing and managing patients with presenting with minor injury
• Previous experience of undertaking initial health assessments for 'Looked after Children' (local training will be provided)
• Be proficient in the use of SystemOne

Skills

Essential

• Displays leadership skills.
• Well developed interpersonal, written and verbal communication skills.
• Ability to work effectively as part of a team.
• Commitment to quality care.
• Commitment and ability to organise professional self-development.
• Experience in supervising all grades of staff.
• Involved in clinical audit.

Desirable

• Qualification in teaching or instructing
• Experience of teaching both undergraduate and postgraduates
• Having undergone appraiser training

Specific Requirements

Essential

• Commitment to ongoing professional development

Desirable

• Willingness to undertake additional professional responsibilities at a local, regional or national level.

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).