Job summary
We are looking for an
exceptional GP to join the Townships 1 Primary Care Network in our
expanding frailty team. You will collaborate with paramedics, pharmacy
technicians, and nurses to deliver acute care, proactive hospital discharge
reviews, and long-term condition management.
You will be working as part of the expanding team recruited through the
NHSE pilot with a chance to actively shape the project as it develops.
Main duties of the job
The GP in the frailty team
will work closely with a multidisciplinary team, including a paramedic, nurses,
and pharmacy technicians, to deliver high-quality care for frail and elderly
patients.
We expect the role to build on the work we have done so far in
this area (information on how the work started can be found here: Podcast
- Tom Holdsworth & Julia Clifford - Supporting frailty in Sheffield -
Ockham Healthcare) The
successful candidate would have an opportunity to work alongside colleagues to
shape the project and we would be looking for an individual who would enjoy the
chance to influence the way the project is delivered.
This project is likely to
attract interest both locally and nationally.
It will be evaluated as part of the NHSE test site programme. Local systems will be looking to learn
lessons on how a population level approach to frailty can improve patient
outcomes. We are looking for an
individual who will be able to bring an enthusiastic approach to making this
work a success.
About us
Townships 1
is a forward thinking PCN that has worked hard to balance the benefits afforded
by traditional ways of working in local practices with the potential for
innovation that working at a PCN scale brings.
The PCN successfully applied to be a site for the NHSE PCN test site
programme which started in October 2024.
Locally there is a low
turnover of staff in practices and the PCN.
Townships 1 PCN has a wide variety of staff including a well-established
social prescribing team, a paramedic with an interest in advanced care
planning, an OT who has led our proactive approach to frailty, pharmacy
professionals, first contact physio, health coaches and effective care
co-ordination. There are strong
relationships between the local practices and a substantial history of
collaborative working.
The NHSE test site pilot
will bring a 10% increase in clinical staffing across the PCN along with a
chance to test new ways of working. We are particularly interested in building
on our approach to proactive care.
Job description
Job responsibilities
Work with
colleagues in the frailty team to identify patients who would benefit from
proactive review.
Work with
colleagues to undertake patient reviews in a holistic way.
Review
patients recently discharged from hospital, at risk of decompensation or who have
had contact with urgent care services.
Support
medication reviews in collaboration with pharmacy technicians, ensuring safe
and effective medication management.
Play a key
role in expanding proactive care reviews for long-term conditions and frailty
management.
Potential
to be involved in some care home work, depending on the evolution of the
project.
Work
alongside a multidisciplinary team to ensure comprehensive and cohesive patient
care.
Liaise with community partners such as district
nursing, palliative care teams, and geriatricians to improve patient outcomes
Job description
Job responsibilities
Work with
colleagues in the frailty team to identify patients who would benefit from
proactive review.
Work with
colleagues to undertake patient reviews in a holistic way.
Review
patients recently discharged from hospital, at risk of decompensation or who have
had contact with urgent care services.
Support
medication reviews in collaboration with pharmacy technicians, ensuring safe
and effective medication management.
Play a key
role in expanding proactive care reviews for long-term conditions and frailty
management.
Potential
to be involved in some care home work, depending on the evolution of the
project.
Work
alongside a multidisciplinary team to ensure comprehensive and cohesive patient
care.
Liaise with community partners such as district
nursing, palliative care teams, and geriatricians to improve patient outcomes
Person Specification
Experience
Essential
- Experience managing frail or elderly patients, including long-term condition reviews.
- Familiarity with medication reconciliation and managing complex polypharmacy.
- Strong team-working skills and ability to work within a multidisciplinary team.
- Excellent communication skills with patients, carers, and healthcare professionals.
- Evidence of continued professional development.
Desirable
- Additional relevant post graduate qualification.
- Experience of supporting or leading the development of new ways of working.
- Enthusiasm and interest in working at a population level and in the development of working at a PCN scale.
Qualifications
Essential
- Full GMC registration with a licence to practice.
- Membership of a recognised Medical Defence Organisation.
- MRCGP or equivalent post-graduate qualification.
Person Specification
Experience
Essential
- Experience managing frail or elderly patients, including long-term condition reviews.
- Familiarity with medication reconciliation and managing complex polypharmacy.
- Strong team-working skills and ability to work within a multidisciplinary team.
- Excellent communication skills with patients, carers, and healthcare professionals.
- Evidence of continued professional development.
Desirable
- Additional relevant post graduate qualification.
- Experience of supporting or leading the development of new ways of working.
- Enthusiasm and interest in working at a population level and in the development of working at a PCN scale.
Qualifications
Essential
- Full GMC registration with a licence to practice.
- Membership of a recognised Medical Defence Organisation.
- MRCGP or equivalent post-graduate qualification.
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Employer details
Employer name
Townships 1 PCN
Address
Mosborough Health Centre
34 Queen Street
Mosborough
Sheffield
S20 5BQ
