Salaried GP (Maternity cover)

Job responsibilities

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 is available at site. 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. Its 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. This practice is one of the growing family of practices run by the Islington GP Federation, an organisation owned by other GP practices in Islington.

Please note that contractually Hanley is open on a Saturday morning. 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

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

Sessional allocation

The week is a hybrid of clinical appointments, shared admin and clinical triage. Face-to-face appointment times are a minimum of 15 minutes.

Triage sessions are half a day, and allowances are made in the week to compensate for this longer session

Supervision and support of other staff members may be required, and this will evolve as systems continue to develop.

Extended hours are expected to be part of the working pattern, which may include Saturdays on rotation.

Other responsibilities within the organisation

Awareness of and compliance with all relevant practice policies/guidelines, e.g., prescribing, confidentiality, data protection, health & safety and safeguarding.

Life-long commitment to audit, contributing to evaluation/audit and clinical standard setting within the organisation

Contributing to the development of computer-based patient records

Contributing to the summarising of patient records and read-coding patient data

Attending training and events organised by the practice or other agencies, where appropriate.

Discuss with other members of the team how the policies, standards and guidelines will affect own work

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

Excellent Allied support

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

Support for personal development and learning

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

Understanding

Essential

• NHS system.
• Challenges facing NHS.
• Vulnerable groups and how to support them.

Desirable

• QOF & Enhanced Services.
• GP Networks/Federations;

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

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

Skills & 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