General Medical Practitioner

An exciting opportunity has become available for an enthusiastic and forward-thinking General Medical Practitioner to join the First Coastal PCN in a new role that will be developed as it progresses. The post-holder will manage a caseload and deal with a wide range of health needs in a primary care setting, ensuring the highest standards of care for all registered and temporary patients.

At present, First Coastal PCN does not have Home Office sponsorship status. This means that we are currently unable to provide any assistance with visas and all applicants and employees must have indefinite right to work in the UK in order to qualify for the job roles we offer. This may change in the future due to ongoing work.

Main duties of the job

• To undertake duties governed by the contract and Direct and Local Enhanced Services including a variety of duties such as face-to-face surgery consultations, telephone consultations and queries, visiting patients at home, checking and signing repeat prescriptions, and dealing with queries, paperwork and correspondence in a timely fashion.
• Making professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation.
• Assessing the health care needs of patients with undifferentiated and undiagnosed problems.
• Screening patients for disease risk factors and early signs of illness.
• In consultation with patients and in line with current practice disease management protocols, developing care plans for health.
• Providing counselling and health education.
• Admitting or discharging patients to and from the caseload and referring to other care providers as appropriate.
• Recording clear and contemporaneous consultation notes to agreed standards.
• Collecting data for audit purposes.
• Administration – dealing with queries, patient test results, referral letters, tasks, emails and other paperwork and correspondence in a timely manner.
• Compiling and issuing computer-generated acute and repeat prescriptions.
• Prescribing in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate.
• Covering all the clinical management of the patients in surgery as appropriate including initiating investigations, reviewing results, making referrals to secondary care or to other providers as appropriate.
• Developing care and treatment plans in consultation with patients and in line with current Practice disease management protocols as well as wider guidance such as that from NICE.

The successful applicant will be engaged as a General Medical Practitioner under the Additional Role Reimbursement Scheme and will be employed on terms and conditions which are no less favourable than those contained in the document entitled Model terms and conditions of service for a salaried general practitioner employed by a GMS practice.

As this is a new and evolving role, this is not an exhaustive list of duties and responsibilities, and the post holder may be required to undertake other duties that fall within the grade of the job, in discussion with their line manager. The content of this job description will be reviewed regularly in the light of changing service requirements and any such changes will be discussed with the post holder.

Key working relationships

• PCN EHCH Multi-Disciplinary Team
• Local Neighbourhood Team
• GP Practices within the PCN
• Practice Leaders (Partners and Practice Managers)
• PCN Social Prescribers
• PCN Clinical Directors and Business Manager
• Clinical Commissioning Group (CCG) and NHSE
• Community Health Teams both physical and mental health
• Local Authority

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 PCN as a business organisation. All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business of the PCN may only be divulged to authorised persons in accordance with the employing practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

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 PCN and the member practices procedures and policies, and current legislation.
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
• Behaving in a manner which is welcoming to and of the individual, is non-judgemental and respects their circumstances, feelings, priorities and rights.

PERSONAL AND PROFESSIONAL DEVELOPMENT

The post-holder will participate in any training programme implemented by the PCN as part of this employment, with such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of their own personal and/or professional development.
• Participation in the PCN mandatory training programme.
• Taking responsibility for own development, learning and performance, demonstrating skills and activities to others who are undertaking similar work.

QUALITY

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

• Alert other team members to issues of quality and risk.
• Assess own performance and take accountability for their 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 time, workload and resources.

COMMUNICATION

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

• Communicate effectively with patients and carers.
• Recognise people's needs for alternative methods of communication and respond accordingly.
• Communicate effectively with other team members.

Person Specification

Experience

• Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences - e.g. patients.
• Able to obtain and analyse complex technical information.
• Produce timely and informative reports.
• Work effectively independently and as a team member.
• Demonstrate accountability for delivering professional expertise and direct service provision.
• Ability to work without direct supervision.
• Committed to person-centred, non-discriminatory practice.
• Forward thinking and innovative.
• Able to maintain judgement under pressure.
• Flexible approach to work.
• Full driving license and use of car to travel around the PCN patch to deliver patient care.

Qualifications

• Full GMC registration.
• Completion of Certificate of Training (CCT) in GP Performers List registered.

The General Medical Practitioner must not be:

• Prohibited from performing any such service by regulation 24 of the National Health Service England Regulations 2013 - performers Lists.
• Suspended from the list of medical practitioners maintained and published by NHS England in accordance with section 91 of the NHS Act 2006 or from the registers kept under section 2 of the Medical Act 1983.
• Subject to interim suspension under 41A of the Medical Act 1983.

Experience of working in NHS General Practice. Keeping up with CPD and good knowledge of current guidelines. Understanding of QoF, Medicines Management and the general working of GP practices. Understanding of SystmOne. Excellent communicator and team player.

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.