Weekend Night UTC Emergency Care Practitioner (ECP)

This is the perfect opportunity to be part of a diverse team providing assessment, diagnostics, diagnosis, treatment, advice, and referrals. As a UTC ECP you will be considered a key person in day‑to‑day clinical leadership and expertise within the department. You will be working autonomously within your sphere of competency as a clinician in a diverse, multi‑skilled team that includes GPs, Advanced Practitioners, Physician Associates, Paediatric ANPs, Emergency Practitioners and Live Well Coaches. On each shift, you will provide expert advice and second opinions for patients seen and treated by junior members of staff. This is a genuine opportunity to be a part of something new and exciting in South‑East London, with real opportunity for personal growth and to influence Urgent Care in your area. We are looking for full and part‑time practitioners on a permanent salaried basis. The service is 365 days per year, 7 days a week. This shift will be a night shift.

Main duties of the job

• Take responsibility for the patients assigned through the streaming process.
• Perform assessment of patients’ needs, plan, implement and evaluate clinical treatment and care using advanced clinical knowledge and skills.
• Assess diagnostics including ECGs, bloods, urinalysis and X‑rays.
• Discuss with patients and carers the range of possible treatment/management options and their implications before treatment decisions are made.
• Instigate and implement clinical management and treatment changes when appropriate.
• Contribute to specific care guidelines and standards supporting the care of patients across the health economy.
• Implement Health and Safety and Risk Management appropriate to area of work.
• Deliver aspects of the Clinical Governance Agenda, following the direction of the Clinical Leadership.
• Contribute to and manage various elements of auditing in the UTC.
• Have overall responsibility for other members of the clinical team within the UTC.

About us

Greenwich Health is the GP Federation for the Greenwich Borough. We are committed to providing quality of care to our patients whilst building resilience for General Practice and providing services and programmes of work to deliver care at scale to the Greenwich Population. This role will be part of an exciting opportunity to work with leading specialists in the creation of an innovative new Urgent Treatment Centre.

Why work for Greenwich Health?

We are a local organisation owned by our local GP practices we care what happens in Greenwich and want to make a difference to our patients and our partners. We have a not‑for‑profit ethos which means any surplus is reinvested into developing the business, developing our staff, and supporting our GP practices in being sustainable for the future. We offer competitive remuneration as well as other benefits including:

• Occupational sickness pay entitlement
• Counselling services
• Electric Vehicle Salary Sacrifice Scheme
• Cycle to Work Scheme
• Private Healthcare Membership – Benenden Healthcare

Through our partnerships in our local healthcare environment, we can develop shared posts for example, with the hospital trust and our GP practices. You will have ongoing support and mentorship. We have developed a UTC model which aims to develop a stress‑free and supportive working environment. We have developed a working culture which harnesses openness and togetherness which has resulted in high staff retention rates.

Job responsibilities

As a UTC ECP you will be considered a key person in day‑to‑day clinical leadership and expertise within the department. You will be working autonomously within your sphere of competency as a clinician in a diverse, multi‑skilled team that includes GPs, Advanced Practitioners, Physician Associates, Paediatric ANPs, Emergency Practitioners and Live Well Coaches. On each shift, you will provide expert advice and second opinions for patients seen and treated by junior members of staff. With links to both VTS and Greenwich University, you will have access to a range of CPD courses. We work closely with the IC, ICB, Local Trust and various other local shareholders to provide opportunities to learn, innovate and contribute new ideas. This is a genuine opportunity to be a part of something new and exciting in South‑East London, with real opportunity for personal growth and to influence Urgent Care in your area. We are looking for full and part‑time practitioners on a permanent salaried basis. The service is 365 days per year, 7 days a week. This shift will be a night shift.

Communication and Relationship Skills

• Demonstrate excellent communication skills when working with the internal team as well as external, particularly our practices and the hospital trust.
• Be able to identify and take into consideration barriers to understanding and employ appropriate methods to ensure effective communication particularly where barriers are clinical in nature.
• Provide emotional support to patients and carers.
• Be aware of the procedures to follow if concerned regarding the protection of children.
• Ensure compliance with policies, procedures and clinical guidelines for self and others.
• Hold good relationship building skills to develop strong relationships with key individuals within practices and the local healthcare system.
• Have the ability to successfully make appropriate in‑hospital specialty referrals.

Analytical and Judgmental Skills

• Perform specialist assessment of patients’ needs, diagnose where appropriate, plan, implement and evaluate clinical treatment and care using advanced clinical knowledge and skills.
• Be able to discuss with patients and carers the range of possible treatment/management options and their implications before treatment decisions are made.
• Be responsible for monitoring health, safety and security of self, the team and others and promote best practice in the clinical area.
• Identify clinical issues and incidents within the service that reduce the quality of care within the specialist service bringing any issues to the attention of the management team.
• Take part in activities to counter these to ensure the delivery of safe and effective care.
• Ensure that high standards of care are given and maintained and act when standards are not being met.

Planning and Organisational Skills

• Plan, organise and prioritise own daily workload.
• Recognise, prevent, and diffuse potential areas of conflict and where required take a key role in the management of the outcome.
• Exercise good personal time management, punctuality, and consistent reliable attendance.

Physical Skills

• Demonstrate competence in the use of all clinical equipment used in the overall care of patients within the scope of service.
• Demonstrate competence in physical examination assessment skills applicable to scope of service.
• Have competent computer / keyboard skills including ability to utilise software programmes required to provide the service.
• Ability to travel to all sites of service delivery in a timely manner.
• Perform assessment of patients’ needs, diagnose where appropriate, plan, implement and evaluate clinical treatment and care using advanced clinical knowledge and skills.
• Establish effective communication with patients and carers / relatives.
• Deliver specialised, evidence‑based advice suitable for the individual’s medical, social, psychological, religious, and cultural requirements.
• Ensure that appropriate action is taken to protect vulnerable patients and that they can access/receive the appropriate care.
• Promote people’s equality, diversity, and rights.
• Identify clinical issues and incidents within the service that reduce the quality of care bringing any issues to the attention of the Clinical Lead.

Responsibilities for Policy and Service Development

• Contribute and influence policy making and clinical guidelines internally and externally, necessary to support the service.
• Act as an ambassador and role model for Greenwich Health.

Responsibilities for Finance

• Ensure the effective and efficient use of physical and financial resources.
• Ensure all clinical equipment used are well maintained and cleansed as required.

Responsibilities for HR

• Maintain active status on relevant professional registers.
• Act always in accordance with professional code of conduct and guiding documents, Health Care Standards.
• Take responsibility for own continuous self‑development, undertaking any education and training opportunities identified as necessary for role to remain eligible for professional registration including mandatory training.
• Adhere to Company Policy & Procedure.
• Assist managers in the development of strategies for professional development in keeping with staff competence appraisal, service developments and professional requirements.
• Attend all mandatory training relevant for the post.
• Attend and actively participate in an annual personal development review and undertake relevant activities to meet the training and development objectives as identified in the performance review.

Responsibility for Information Resources

• Maintain confidential and comprehensive patient records in accordance with your professional body.
• Continually monitor standards of care through benchmarking and using the tools provided.
• Participate in collection of patient satisfaction surveys for the service as required.

Research and Development

• Takes responsibility for own continuing professional development and performance, including identifying own development needs and maintain own portfolio in accordance with re‑registration requirements.
• Support the clinical lead in ensuring the clinical environment is conducive to effective learning.
• Maintain a high level of awareness of relevant research issues and trends within the scope of practice and professional area.
• Take responsibility for personal development and education and Personal Development Plan objectives.
• Participate in Clinical Supervision for self and others and utilise reflective practice techniques.

The above indicates the main duties of the post which may be reviewed in the light of experience and development within the service. Any review will be undertaken in conjunction with the post holder.

Person Specification

• Qualified Emergency Care Practitioner (Minor Injuries and Minor illnesses Level 6 or above)
• Minimum 2 year experience of Primary, Urgent or Emergency Care within the last 5 years.
• Knowledge of clinical systems (EMIS/Cerner/Adastra/CLEO)
• Good interpersonal and patient care skills
• Ability to communicate effectively with a wide range of stakeholders
• Ability to work as part of a team and autonomously
• Ability to work under pressure and to prioritise workload
• Ability to maintain confidentiality
• Support and develop the implementation of change processes

Other

• Active Professional Registration e.g. GMC or NMC
• Not subject to suspension under section 41A of the Medical Act 1983
• Have had an annual NHS appraisal
• 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.