Salaried GP - Shared Care Drug & Alcohol Service in Workington

An excellent opportunity has arisen for a highly motivated and committed General Practitioner (GP) to join our clinical team. This portfolio role offers the chance to contribute to the delivery of a high-quality shared care drug and alcohol service, supporting patients in their recovery and wellbeing journey.

Main duties of the job

• 4 sessions per week dedicated to drug and alcohol work: 3 clinical sessions, 1 administrative session.

Flexible Working Options

• Option 1: 4 sessions as a Drug & Alcohol GP.
• Option 2: 4 sessions as a Drug & Alcohol GP plus additional GP clinical sessions, integrated into a salaried GP role.

About us

North Cumbria Primary Care Ltd (NCPC) is an innovative not-for-profit social enterprise, established to create a network of great surgeries which sustains and supports the development of general practice across the local area. We enable our member general practices to continue to operate as local family practices with the benefit of a large and robust infrastructure to provide support.

Job responsibilities

• Work within the national clinical management guideline in line with the Drug Misuse and Dependence- UK Government on Clinical Management (Department of Health & Social Care 2017).
• Carry out a health check at a minimum annually incorporating Hepatitis B&C, & HIV (where appropriate) and evidence of Hepatitis B vaccinations where applicable.
• Example includes but not limited to wound care, contraception, blood borne virus testing and immunisation, smoking cessation services, and mental health interventions.
• Actively work with Recovery Co-ordinator to support the individual to engage in a range of interventions and treatment options, to include substitute opiate prescribing and alcohol detoxification prescribing.
• To supply point of care drug screening equipment.
• Ensure the person has access to and is holding naloxone.
• To supply DBTS kits.
• Hold Multi-Disciplinary Team (MDT) meetings to discuss complex cases with Recovery Steps Cumbria.
• Contribute to death reviews with Recovery Steps Cumbria for people within shared care.
• To be part of a Peer Group Supervision supported by Recovery Steps Cumbria.
• Actively engage with the children and family agenda, providing signposting for parenting support provision and fully engaging with the safeguarding children agenda.
• Undertake a variety of clinical sessions including face-to-face and telephone consultations and queries, visiting patients in their own homes, work as part of our clinical triage team and Duty Doctor.
• Work with Recovery Steps Cumbria to implement community alcohol detoxification using Recovery Steps Cumbria Detoxification Pathway.
• Be expected to provide general medical services to individuals who are part of shared care recovery.
• Provide information and advice on harms and risks to people using drugs and alcohol, their families and carers.
• Work to reduce stigma faced by people who used drugs or alcohol.
• Correctly identify people using drugs or alcohol and diagnose substance use disorders.
• Carry out basic assessment of drug and alcohol use, associated strengths, harms, risk, urgency and need for referral to specialist services.
• Carry out a risk assessment of suicide and harm to others and assessment of psychiatric co-morbidity and need for further medical treatment and/or onward referral.
• Support people using or recovering from alcohol or drugs use in caring for their general mental and physical health and well-being.
• Liaise with relevant professionals.
• Provide appropriate management of assisted withdrawal where facilities allow.
• Implement relevant mental health legislation for alcohol and drug users.
• Provide appropriate support and interventions for families and carers of people using or receiving from alcohol and or drug use.
• Prescribe appropriately for people using or recovering from alcohol or drugs, including opioid substitute prescribing and provision of medications to prevent relapse.

Clinical Governance

• Be aware of research and clinical guidelines on drugs and alcohol relevant to clinical role.
• Participate in research and clinical governance activities, including clinical audit.
• Support service provision and development locally.

Clinical Supervision

Recovery Steps Cumbria will support shared care GPs in running a multi-disciplinary meeting to discuss complex cases monthly. Clinical supervision will be provided by Recovery Steps Cumbria via Peer Support Supervision or on a one-to-one if required.

GP Training Requirements

All Generalist GPs working within a shared care recovery setting will be expected to undertake initial training within the first year to include: RCGP Certificate in the Management of Drug Misuse (Part 1) and RCGP in the Management of Alcohol problems in Primary Care. There is an expectation that all Generalist GPs will complete a minimum of 8 hours CPD relating to substance misuse if they remain in the role for longer than 1 year. Humankind holds an annual training event which is substance misuse focused, this is counted in the quarterly supervision cycle but can be used toward CPD. The CPD could include further RCGP certificates e.g. RCGP Certificate in the Management of Drug Misuse (Part 2), online learning and research, local substance misuse training or external learning events and conferences.

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 practice 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 practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Provide support for Service Delivery Leads where required.

Health and 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 and the practice Infection Control Policy. This will 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.
• Actively reporting health and safety hazards and infection hazards immediately when recognised.
• Keeping own work areas and general patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holder's role.

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.
• Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings, priorities and rights.
• Participating in any training programme implemented by the practice as part of this employment, such training to include participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
• All staff have a responsibility to report all clinical and non-clinical accidents, incidents or near-misses promptly and when requested to co-operate with any investigations undertaken.

Quality

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

• Alert other team members to issues of quality and risk.
• 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.

Communication

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 implementation of services

Apply practice policies, standards and guidance. Discuss with other members of the team how the policies, standards and guidelines will affect own work. Participate in audit where appropriate.

Person Specification

Qualifications

• MBChB Completion of General Practitioner training CCT Full GMC Registration.
• Possess the right to work in the UK and be on the performers register.
• Evidence of continuous professional development RCGP Certificate in the Management of Drug Misuse (Part 1) and RCGP in the Management of Alcohol problems in Primary Care.

Other requirements

• Full clean driving licence.

Experience

• Minimum of 5 years experience of working in primary care.
• Clinical knowledge and skills commensurate with that of a GP.
• Effective time management.
• Ability to follow clinical guidelines, policies and procedures.
• Experience with clinical risk management.
• Excellent communication and interpersonal skills.
• EMIS clinical system.

Personal attributes

• Positive attitude, self-motivated.
• Willingness to learn new skills.
• Ability to work with a team and independently.
• Ability to adapt to change within working situation.

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.

£82,856.80 to £100,586.95 a year FTE dependant on experience.