Dermatology GP with Extended Role

Job responsibilities

To provide a full range of dermatological services to NHS patients referred by local GPs into Communitas Clinics Ltd services.

To be personally accountable for professional and ethical actions and practices within a legal and ethical framework that adheres to the GMCs requirements and local policies and procedures.

To maintain confidentiality while communicating patient information, in such a way that preserves the dignity and privacy of the patient and the patients family and carers.

To work in a non-judgemental, anti-discriminatory way, with regard to the cultural and religious beliefs of individuals and groups.

To maintain clinical competence and exercise awareness of professional responsibilities by reading current relevant literature, and undertaking opportunities for personal and professional development in accordance with the requirements of the GMC and the recommendations of the Royal College of General Practitioners.

Professional Registration:

You will be required to maintain any relevant professional registration including GMC and be responsible for insuring your own medical indemnity. Proof of both must be submitted to the Service Manager prior to any clinics being undertaken. You must also provide a current DBS certificate and ensure renewal every 3 years.

You will be required to maintain and update your mandatory training in line with organisational requirements.

Key Responsibilities:

Clinical triage for all dermatology referrals including onward referral to secondary care where clinically appropriate.

Clinical assessment of patients with dermatological conditions.

Diagnosis, treatment and advice for acute dermatological conditions (inline with referral guidelines)

Advice, treatment and support for self management of chronic dermatological conditions

Prescription of relevant medication in line with CCG formulary

Minor surgery procedures in line with minor surgery protocol

Excision of low risk basal cell carcinoma where clinically appropriate in line with current national guidelines.

Good communication with referring GPs to increase clinical awareness

Adherence to the organisations Significant Event analysis, process and the timely reporting of any untoward events.

Adhering to company policy processes and guidelines and regular attendance at Clinical Governance Meetings

Communication

To ensure that prior to any course of action informed consent or other valid authority has been obtained.

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment

Communicate with and support patients who are receiving bad news

Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating

To ensure that record-keeping is managed through the creation and maintenance of concise, contemporaneous computerised records using the clinical software SystmOne, and that all care is recorded accurately and in a timely fashion. Using Read Codes as agreed with the Service Managers.

To interpret and explain complex facts in relation to a patients condition, taking appropriate action and giving advice in a professional manner to team members, and when appropriate to family and other carers, in such a way that protects and preserves the patients dignity.

Act as an advocate for patients and colleagues

Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate

Delivering a quality service

Recognise and work within own competence and professional code of conduct as regulated by the GMC

Produce accurate, contemporaneous and complete records using the appropriate read codes.

Prioritise, organise and manage own workload in a manner that maintains and promotes quality

Deliver care according to NSF, NICE guidelines and evidence-based care

Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities

Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate

Evaluate patients response to health care provision and the effectiveness of care

Support and participate in shared learning across the organisation.

Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events

Approve the performance of the team, providing feedback as appropriate

Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance.

Leadership - personal and people development

Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode

Team working

Attend and contribute to quarterly Clinical Governance Meetings.

Understand own role and scope and identify how this may develop over time

Work as an effective and responsible team member,

Discuss, highlight and work with the team to create opportunities to improve patient care

Management of risk

Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients

Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines

Apply infection-control measures within the service according to local and national guidelines

Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice

Utilising information

Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information

Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes

Manage information searches using the internet and local library databases

Understand responsibility of self and others to the organisation and CCG regarding the Freedom and Information Act

Where required (significant events, audits etc) collate, analyse and present clinical data and information to the team

Communicate essential financial restraints with the team and discuss with them ideas for effective and efficient working within these constraints

Learning and development

Assess own learning needs and maintain professional development in accordance with the British Association of Dermatology and the General Medical Council.

Attend Level 3 Safeguarding Children and Adults training sessions annually.

Attend Basic Life Support on an annual basis.

Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning

Attend any relevant training sessions that the organisation may deem necessary.

Qualifications

Essential

• Diploma in Dermatology
• MBBS

Desirable

• Minor Surgery Certificate
• BCC Accreditation

Experience

Essential

• Experience of working as a GPwER/ Clinical Assistant in dermatology either in an acute, primary or community setting

Desirable

• 50 clinical sessions in a community/ acute setting
• Previous accreditation as a GPwER
• Providing Dermatology training to GPs or other clinicians
• Psychodermatology
• Teledermatology
• Triage

IT Skills

Essential

• Good IT skills
• Previous experience of NHS system

Desirable

• Previous experience of using System One
• Ability to solve basic IT issues

Eligibility

Essential

• Eligibility to work in the UK
• GMC Registration

Desirable

• Formal GPwER accreditation

Interpersonal Skills

Essential

• Able to build rapport, listen, persuade and negotiate
• Good written/spoken communication skills with the ability to adapt language as appropriate to the situation
• Flexible and able to respond to changing needs of the service
• Effective interpersonal skills and demonstrable ability to relate to
• and work within a multidisciplinary clinical team

Professional Development

Essential

• - Capacity to take responsibility for own actions
• - Evidence of self-reflective practice
• - Willingness to undertake extensive learning and professional development where appropriate
• - Open and reflective

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).