Salaried GP

Job description

Job responsibilities

Job Title: Salaried GP

Place of work: Northern Medical Centre and/or Hanley Primary Care Centre

Reports to: Dr Craig Seymour, Clinical Lead GP, Hanley and Northern

Hours: 3 - 6 sessions

Salary: Competitive. For further information and/or a discussion about this role, please contact HR at Islington GP Federation on igpf.hr@nhs.net

Contract: Permanent

Job Summary:

An exciting opportunity to work within an evolving innovative and forward-facing clinical model for general practice. Roles for dynamic GPs who want to be a part of this movement are available at both sites, with roles across both sites also possible. Applications from GPs at all levels of experience are welcome, particularly those with more than 2 years experience, GP training qualifications and interest in leadership roles such as safeguarding.

At its core, you will work as a member of the in-house clinical team and provide a critical role of delivering appointments and care to the registered list of patients. Although you may not hold a named doctor list, you will manage the patients with a list-holding mentality, offering continuity and case management where needed and appropriate. Both practices operate an innovative digital triage hub and you will play a key role within this, helping to ensure patients get the right care they need from the right person at the right time. You will manage admin such as blood results, and be part of a team to collectively manage shared admin alongside other GPs and other staff members. Responsibilities will reflect requirements of the NHS GP Contracts, and as such may be subject to change as services adapt. This post offers the opportunity for role and career development, especially with regards to training and supervision of the wider MDT as the team and service evolves. The role may also involve complex care depending on your interests and skills.

We are committed to exploring future proof and modern general practice, including systems that work at scale. We want to create places you want to work, in teams where we look after each other and feel looked after, so we can then look after our patients. You ideally would be interested in supporting this, and working collaboratively to develop and evolve these exciting new systems.

Hanley Primary Care Centre serves a population of around 9,500 patients from a purpose-built modern building. Northern Medical Centre serves a population of around 7,500 patients, and is due to move into its new modern premises in January 2025. Both are located in the north of the borough of Islington in North London. Islington is a vibrant and diverse place, whose population has a broad range of backgrounds and needs that will keep you professionally stimulated.

Please note that contractually Hanley is open on a Saturday morning and we are expecting Northern to follow suit in due course. Being available to work on a Saturday morning on a rotation is a requirement of the role. It is expected this would be around 1 in 7.

Main duties of the job:

• Mixed-media (telephone, F2F) sessions for patient contact, both same day and LTC/planned care where appropriate
• Manage pathology results for tests generated through patient contacts in a shared capacity with all other doctors.
• Use and adhere to practice systems for excellent communication and handover with lead GP and other relevant MDT colleagues, including any clinicians working off-site
• Support the triage process for all patient-led demand
• Contribute to clinical admin including evaluating, actioning and processing hospital correspondence and results. This includes ordering appropriate tests and ensuring safety netting and follow up. You will contact the patient to complete tasks where this is required.
• Supporting other members of the MDT including pharmacists, nurses, nursing associate and administrators with clinical and process questions as needed, particularly around planned care
• Participating in and being visible as part of the practice team, including attendance at clinical team meetings and whole team meetings
• QI and audit projects, depending on need
• Pay attention to appropriate coding, note keeping and flagging of any system issues as they arise
• Raise safeguarding concerns with named leads where appropriate
• Potentially complex care or special interest clinics
• Potentially being a GP trainer
• Your work will particularly support continuity of care, safety and quality for complex or urgent cases:
• You will take responsibility for managing complexity and facilitating continuity of care where appropriate
• Informing other GPs about complex cases known to them
• Display your clinical reasoning clearly in the records

Why work at IGPF family of practices?

Dynamic environment for innovation and improvement:

• Total triage of all patient-led requests for care, focused on freeing up time for those who need the care the most
• Ethos of building robust systems to keep care safe, including safety netting and diary systems to ensure follow ups happen and important results are received.
• Innovative, forward-facing approach aiming for improvement and building of a sustainable model for general practice
• Evolving population with changing demographics due to local development and gentrification
• Ethos of separation of planned vs unplanned vs complex care
• No more 10 minute face to face appointments!
• Centralised SuperAdmin to minimise document flow to clinicians

Very high standards of clinical care provided by a multi-disciplinary team with a proactive approach:

• Month of birth recall system for long term conditions, managed largely by nursing and pharmacist colleagues
• Supportive, inclusive environment with a focus on staff development and wellbeing, including staff supervision, team meetings and daily huddles
• Social prescriber, paramedic, mental health workers part of extended team
• Superb patient feedback, well above local and national average (Barnsbury is our longest serving member practice):https://www.gp-patient.co.uk/patientexperiences?practicecode=F83033

• Social prescriber
• Proactive physical health checks for those with significant mental illness
• Clinical pharmacists
• Senior administrative support
• Community rapid response service for urgent home visits

• Clear and comprehensive induction
• Weekly clinical meetings, with whole team meetings and monthly doctor-group supervision coming as we build the team
• Clinical leadership available every day
• A culture of staff development, support and a focus on wellbeing
• Opportunities for development, especially in wider IGPF projects and services

About Islington GP Federation

The Islington GP Group Limited, trading as Islington GP Federation (IGPF), is a rapidly growing organisation representing the interests of general practice in Islington. It is an established leader in the provision of new and integrated healthcare, including supporting the new Primary Care Networks and developing quality improvement capabilities in general practice. Its range of services include I:HUB, community ENT, community gynaecology, practice-based pharmacists, hostel outreach program, long term condition management optimisation, proactive screening and evaluation trials, and a range of general practice support propositions. IGPF is host to Islingtons Training Hub.

IGPF works very closely with strategic, commissioning and provider partners, including the local clinical commissioning group, NHS England, Healthy London Partnership, Public Health, local hospitals, such as Whittington Health, the local authority, third sector organisations and patient representation groups. It plays an important role in the development of the health and care landscape across Islington, and within its North Central London (NCL) regional footprint.

IGPF is the host organisation for the Primary Care Network (PCN) workforce and the Islington Training Hub, and has been working for over many years to create training and development programmes that meet the needs of staff working in primary and community care settings. IGPF runs three Islington GP practices.

You will be employed by IGPF, a dynamic organisation where there is the possibility to adapt and develop with the practice team. IGPF is interested in building general practice that is sustainable for the future, maintains high quality care and is a pleasant place to work.

Job description

Clinical responsibilities

The team is really engaged and enthusiastic about their work, and very supportive and welcoming.

You should bear in mind however, that this is a dynamic team which is continuing to develop.

These are the things you can do to help become a full member:

• Show your commitment to high quality, safe care that supports clinical continuity for those patients and clinical circumstances where this is crucial.
• Take part in learning events, audits, and discreet pieces of work where formally agreed
• Respect ways of working that have been agreed among the clinical team (for example, benzodiazepine prescribing)
• Commit to understanding your role in practice systems and to flagging where there are learning events so the system can improve
• Commit to learning new IT systems and innovations in use of IT in service of patient care
• Commit to supporting continuity where this is clearly best for the patient
• By taking responsibility and ensuring you follow through and complete tasks where possible (therefore avoiding unnecessary follow up or work by others).
• Discuss cases with colleagues where appropriate with a commitment to learning from experience and sharing learning
• Respect multidisciplinary colleagues
• Work across organisational boundaries when this is in the interests of patient care
• Keep up to date with new guidance
• Keep to time as far as this is possible, and raise and discuss continuing problems with time-keeping

Person Specification

Qualifications

Essential

• GMC Registered
• Qualified General Practitioner (MRCGP or equivalent)
• Currently on a performers list.
• Clear enhanced DBS check.

Desirable

• GP trainer
• Desire to become a GP trainer

Skills and Abilities

Essential

• IT fluency including troubleshooting
• Remote consulting skills
• Team player and can-do attitude
• Calm under pressure
• Kind, friendly and inclusive
• Commitment to development
• Excellent communication skills
• Strong Microsoft office skills
• Excellent record keeping
• Excellent time management
• Able to work autonomously

Desirable

• Leadership skills
• Flexibility to learn new IT systems
• Familiarity with MS Teams
• Able to bring fresh ideas
• Flexibility over job role and responsibilities as things evolve

Experience

Essential

• Experience of working in UK General Practice.
• Experience of working with diverse and vulnerable groups, including use of interpreters.
• Recent experience of being the named GP for a list of patients or of providing continuity of care
• Experience of GP admin including eg PIP forms

Desirable

• Clinical experience of 2+ years
• Experience using EMIS Web, Docman, Accurx, MS Teams
• Experience of clinical triage
• Experience of working with deprived populations
• Delivery of clinical audit
• QOF management
• Experience of working in Islington/ NCL general practice
• Experience of working in at-scale systems
• Experience of safeguarding leadership/ desire to take this on
• Supervision of other roles and staff members

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.

Employer details

Employer name

Islington GP Federation

Address

Unit 16-18

The Studios, Hornsey Street

Holloway

London

N7 8EG

Employer's website

https://www.islingtongpfederation.org/ (Opens in a new tab)