General Practitioner (ARRS)

The candidate will be a newly qualified GP to work with the most dynamic PCN in Walthamstow; the network is made up of 5 practices all within the E17 area. This is a pilot scheme and Walthamstow Central PCN Executive Team are looking for someone to join the team and help build services within the PCN providing exceptional care with innovative ideas and forward thinking outlook on patient care.

The appointee will also have the opportunity to take part in leading on key disease areas (vulnerable adults, vulnerable children, monitoring trends in the Quality and Outcomes Framework, Local Incentivised Services, staff and clinician supervison/training, prescribing, data analytics, Quality Improvement activity) and assist in developing appropriate healthcare services for a diverse, patient list (full suite of consulting options, digital healthcare provision, screening and health promotion).

Closely supported by the Walthamstow Central PCN clinical and management teams the post holder will act as one of the main GP’s within the practice working alongside the practice team but will also be part of a larger clinical team across an Walthamstow Central PCN network of practices. The role will be at the forefront of delivering an innovative and digital model of primary care service provision operating in partnership with other local PCN practices offering integrated primary care services.

Key Working Relationships

· Primary Health Care Teams at each practice including practice pharmacists, physicians associates, health care assistants, medical assistants, Community Nursing Teams, Community Mental Health Care Teams, Social Services, statutory and voluntary/third sector services.

· Walthamstow Cental PCN executive team, Regional/Local Medical Directors, Regional Managers, other Inclusive Health PCN Salaried GP’s and managers.

· Primary Care Networks and the ICB

· Practice Managers

Clinical responsibilities:

In accordance with the practice timetable, as agreed, the post-holder will make him/her- self available to undertake clinical sessions. A clinical session is normally composed of a mixture of face-to-face, digital/online/telephone consultations. There could also be dedicated face to face or dedicated telephone consult clinics with options available to call a patient in to be seen; followed by a variety of duties including queries, visiting patients at home, checking and signing repeat prescriptions, actioning test results, medical reports and examinations (e.g. Insurance Companies) on behalf of the Practice. The above duties should be performed in a timely manner using WC PCN protocols. Appointments will be 10 minutes duration and telephone appointments will be of 5 minutes duration.

You will be required to:

· Act upon most alerts (e.g. QOF) and reminders during a routine consultation i.e. (10 minutes).

· Provide all GP services required as part of the APMS contract held between Walthamstow Central PCN and the commissioners, including all core services such as Child Health Surveillance

· Undertake surgeries during extended hours in accordance with the access needs of the practice population and the contractual obligation of the practice

· Provide remote or real-time cross cover, where necessary, to other PCN practices

· Respond to medical problems presented by patients, including history taking, examination, investigation, diagnosis, treatment and referral where appropriate.

· Provide appropriate preventative health care and advice.

· Provide medical support as required to patients referred by nursing staff

· Provide free certification in line with Schedule 9 of NHS GMS Regulations (1992).

· Adhere to the practice prescribing formulary, local and national guidelines.

· Make professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation;

· Record clear and contemporaneous I.T. based consultation notes to agreed standards;

· Collect data for audit purposes;

· Compile and issue EPS computer-generated acute and repeat prescriptions (avoiding hand-written prescriptions whenever possible);

In general the post-holder will be expected to undertake all the normal duties and responsibilities associated with a GP working within primary care.

Other responsibilities with the Practice:

· Engaging in appropriate lifelong educational and audit activity in order to maintain clinical competence and performance, including the completion of objectives agreed by yourself and the practice, in an annual Personal Development Plan. Your Personal Development Plan must be in line with the Practice Development Plan.

· Actively participating in the training and development of clinical pharmacists, physicians’ associates, health care assistants, medical assistants, nurses, medical students and GP trainees in the practice.

· Supporting the practice staff and responding to requests for advice and assistance from the practice reception, secretarial and nursing staff.

· Attend prescribing, palliative care, clinical and practice meetings.

· You will be expected to take part in clinical meetings on a weekly basis, to chair these and present clinical topics as required for the maintenance of educational standards and high quality care. You will receive feedback from clinical directors via peer review and to act upon recommendations and demonstrate change

· Participating in Quality Improvement Programmes

· Where possible attend virtual PCN GP MDT Meetings

· Provide additional enhanced services to the practices that meet the needs of the practices’ patient population and maximise the income streams to the practice

· Undertake additional training where necessary to provide these enhanced services

· Participating in activity to manage demand- referral management; reducing first outpatient attendances, monitoring of activity including peer review and data analysis where provided

· Awareness of and compliance with all relevant practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety, annual QOF Assessment of the Practice.

· Meet all tight timescales/deadlines for audits and written returns to ensure that the Practice meets quality standards and receives the designated funding (e.g. Quarterly Enhanced Services returns, annual QOF audit etc.)

General Duties

The above responsibilities will be undertaken upholding the following:

· To be available to take over the responsibility of patient care from the Out of Hours service at 0800 on a working day or where applicable maintain responsibility till the appropriate time when the Out of Hours service takes over care in the evening. This will involve working a sessionally-agreed pattern.

· To continue to work until all clinical tasks have been completed. To make arrangements with others to cover when planning to leave before the end of the session.

· To maintain the financial security of the organisation by ensuring accurate and efficient responses to income generation such as reports, dispensed prescriptions, private forms etc.

· At all times to behave in a professional way that encourages quality care and the development of a team spirit. 360 degree feedback is used to assess clinicians and you will be required to participate in this.

Confidentiality:

· In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately;

· In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the Company as a business organisation. All such information from any source is to be regarded as strictly confidential.

Data Protection

Walthamstow Central PCN is registered under the Data Protection Act 1998. You must not at any time use the personal data held by the organisation for a purpose not described in the Register entry or disclose such data to a third party. If you are in any doubt regarding what you should or should not do in connection with the Data Protection Act then you must contact your line manager or appropriate senior lead at the time

Flexibility

This job description is not intended to be exhaustive. The post-holder will be expected to adopt a flexible attitude towards the duties outlined which may be subject to amendment at any time in consultation with the post-holder and in line with the needs of the organisation.

The post holder may be required to fulfil other duties, as agreed with the practice manager to meet the needs of the organisation. This may involve travel to other sites within the organisation

Health & Safety

The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the practice Health & Safety Policy, to include:

· Using personal security systems within the workplace according to practice guidelines;

· Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks;

· Making effective use of training to update knowledge and skills;

· Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards;

· Reporting potential risks identified.

Equality and Diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

· Acting in a way that recognises the importance of people’s rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation;

· Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues;

Personal/Professional Development

In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that professional development requirements are met, the post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

· Participation in an annual individual performance review at practice level and an external annual NHS GP Appraisal including taking responsibility for maintaining a record of their own personal and/or professional development. Where the payment for the NHS GP appraisal is reimbursed directly to the practice by HEE over and beyond the standard contract, this will be paid over to the post holder. Where there is no separate and distinct payment by the Commissioner, Inclusive Health PCN is under no obligation to make a separate payment. Any time preparing for the appraisal or conducting the appraisal may be taken from the employee’s annual study leave entitlement, with prior agreement

· Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

· Undertake the Introduction to Teaching in Primary Care, London Deanery F2 Educational Workshop and where applicable the Teaching the Teachers course and work with the practice and management teams to enable practice training status to be achieved as soon as practicable

Quality

The post-holder will strive to maintain quality within the practice, and will:

· Participating in clinical governance activity and contribute to the improvement in quality of health outcomes through audit, Quality Improvement activity and the Quality and Outcomes Framework

· Alert other team members to issues of Clinical Governance issues, quality and risk; MHRA guidance, participate in Significant Event Analysis reviews

· Assess own performance and take accountability for own actions, either directly or under supervision;

· Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance;

· Work effectively with individuals in other agencies to meet patients needs;

· Effectively manage own time, workload and resources. He/she will also contribute to the overall team-working of the Practice putting the needs of the Practice first.

· Participate and contribute to the practice achieving other quality standards such as ISO 9001, Investors in People,

Communication

The post-holder should recognise the importance of effective communication within the team and will strive to:

· Communicate effectively with other team members;

· Communicate effectively with patients and carers;

· Recognise people’s needs for alternative methods of communication and respond accordingly.

Contribution to the planning and implementation of services

The post-holder will:

· Apply practice policies, standards and guidance;

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

· Work with the Directors and Management to achieve standards of quality, performance standards, budgets and targets without compromising levels of patient healthcare.

Contribute towards the development and implementation of new standards, policies and procedures that are/will be required of GP Practices now and in the future (as directed by NHS/ DoH/ STP/CCG, new legislation etc.

• Annual leave

• Company pension

• Flexitime

• Referral programme

• Work from home, Salary: Fixed Term Contract – £54,000 or £4500/month for 6 sessions a week

Walthamstow Central PCN – https://shorturl.at/ORp72

46 Ravenswood Road, London

Temporary, Temp to perm, Fixed term contract, Freelance