Salaried GP

Millbrook Medical Centre is a large, well-established and busy training practice in the heart of Kirkby working to challenge health inequalities and deliver a wide range of services to its patient population. We have an exciting opportunity for a 5 session Salaried GP to join our dynamic, forward-thinking and friendly team and in return offer a fantastic support package. The post is for 5 sessions per week and in return we offer £11,961 per session, 1 PD in every 9, monthly supervision and daily Supervising GP support as well as Medicash Health Cash Plan and free Employee Assistance Programme.

Our Salaried GPs undertake a mixture of face-to-face and remote clinics as well as home visits and Supervising GP duties (on a rotational basis). Appointments are a mixture of same day and pre-bookable, all of which are triaged by our trained Care Navigators with Lead GP oversight. You will also be supported by a team of Advanced Nurse Practitioners, Practice Nurses, Pharmacists, Pharmacy Technicians, Health Care Assistants and Phlebotomists as well as staff employed via the ARRS scheme.

Main duties of the job

• To support the Practice to continue to embed effective risk management processes and systems to enable quality improvement and ensure learning from serious incidents and complaints.
• To undertake analysis of themes and trends from incidents, complaints, audits etc.
• Collaborate on improving the quality of health care, responding to local and national policy initiatives as appropriate.
• Ensure high visibility and accessibility for staff, patients and their families and be proactive in identifying and helping to resolve specific or recurrent concerns.
• Be aware of and work in line with our Safeguarding Adults and Children's procedures.
• To be competent in the management of under 18 year olds and vulnerable adults working within Fraser Guidelines and mental capacity assessments and liaising with the multi-disciplinary team and CCS and local safeguarding teams/services as appropriate.

A full job description will be provided upon request.

About us

Millbrook Medical Centre is a large and innovative training practice with a professional and friendly atmosphere. Our Practice is led by 3 experienced GP Partners and incorporates 51 directly employed staff including GPs, ANPs, PNs, Pharmacists, HCAs, Phlebotomists, a strong management team and a strong admin team. Our mission is to provide outstanding healthcare to our patients by putting them at the heart of everything we do, led by a highly skilled, caring and motivated multi-disciplinary team of staff who encourage a culture of empowerment, openness and collaboration.

Job responsibilities

• The post holder will make themselves available to undertake a variety of duties to provide best patient care. This will involve a maximum of nine clinical and one professional development session pro rata.
• The post holder will undertake Supervising GP duties in accordance with the rota. Details of specific responsibilities related to this area are in the Supervising GP policy.
• The post holder will be required to be onsite from 8am to 6.30pm when on this duty.
• Other clinical sessions will include a mixture of face-to-face and telephone pre-bookable appointments, general follow-up appointments and depression/mental health follow-up slots.
• The post holder will fulfil these duties in accordance with relevant policies.
• The post holder will be required to undertake Enhanced Access duties in accordance with the rota. This will require the post holder to be on site from 11am to 8pm when on this duty.
• The post holder will work as part of a team at Millbrook, helping as required with administration tasks, home visits and dealing with acute and repeat prescription requests.
• Personal development and Docman sessions will take place in practice.
• This is so the GP is able to attend practice meetings before or after these sessions. It is also important they are present in the rare case that they might need to cover clinical work (for example if a colleague is unwell).
• 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.
• Developing care plans for health in consultation with patients and in line with current practice disease management protocols.
• 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.
• Compiling and issuing computer-generated acute and repeat prescriptions (avoiding hand-written prescriptions whenever possible).
• Prescribing in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate.
• 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 within the organisation

• Attendance at Millbrook meetings within working hours.
• Lead the MDT in some clinical or contractual areas. This will be with support from a GP Partner and in a mutually agreed area. This may involve chairing relevant meetings, developing policies within that area, audit and other activities.
• The post holder will have accountability for outcomes within this area. This could involve, for example, palliative care, Doctor training, safeguarding, NICE guidance etc.
• Awareness of and compliance with all relevant practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety.
• A commitment to lifelong learning and audit to ensure evidence-based best practice.
• Contributing to evaluation/audit and clinical standard setting within the organisation.
• Contributing to the development of computer-based patient records.
• Contributing to the summarising of patient records and read-coding patient data.
• Attending training and events organised by the practice or other agencies, where appropriate.

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 their 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.

Health and safety

The post holder will implement and lead on a full range of promotion and management of their own and others' health and safety and infection control as defined in the practice health and safety policy, the practice health and safety manual and the practice infection control policy and published procedures. This will include (but will not be limited to):

• Using personal security systems within the workplace according to practice guidelines.
• Awareness of national standards of infection control and cleanliness and regulatory/contractual/professional requirements, and good practice guidelines.
• Providing advice on the correct and safe management of the specimens process, including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements.
• Correct personal use of Personal Protective Equipment (PPE) and ensuring correct use of PPE by others, advising on appropriate circumstances for use by clinicians, staff and patients.
• Management of the full range of infection control procedures in both routine and extraordinary circumstances (e.g. pandemic or individual infection circumstances).
• Hand hygiene standards for self and others.
• Managing directly all incidents of accidental exposure.
• Management and advice relating to infection control and clinically based patient care protocols, and implementation of those protocols across the practice.
• Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed and weaknesses/training needs are identified, escalating issues as appropriate to the responsible person.
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient processes.
• Making effective use of training to update knowledge and skills, and initiate and manage the training of others across the full range of infection control and patient processes.
• Monitoring practice facilities and equipment in relation to infection control, ensuring that proper use is made of hand-cleansing facilities, wipes etc., and that these are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate to the responsible manager.
• Safe management of sharps use, storage and disposal.
• Maintenance of own clean working environment.
• Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile and safe way free from hazards.
• Initiation of remedial/corrective action where needed or escalation to responsible management.
• Actively identifying, reporting and correcting health and safety hazards and infection hazards immediately when recognised.
• Keeping own work areas and general/patient areas generally clean, sterile, identifying issues and hazards/risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with responsible managers.
• Undertaking periodic infection control training (minimum twice annually).
• Correct waste and instrument management, including handling, segregation and container use.
• Maintenance of sterile environments.

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 which is welcoming to and of the individual, is non-judgemental and respects their circumstances, feelings, priorities and rights.

In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that professional development requirements for PREP are met, the post holder will participate in any training programme implemented by the practice 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 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.

Person Specification

• Membership of the Royal College of General Practitioners.
• Certificate of MRCGP.
• Registered GP with the GMC (included on the GP Register).
• Included on the GP Performer's List.
• Possess the right to work in the UK.
• Certificate of satisfactory immune status i.e. Hep B and other relevant viruses.
• FRSH LoC SDI.

Experience

• Current general practice experience with up to date GMC appraisal/revalidation.
• Experience of service development.
• Evidence of continuing professional development.
• Experience of monitoring, collating and advising on all aspects of quality, patient safety and risk management.
• Ability to relate well to challenging patients, carers, relatives and staff.
• Experience of working with socially deprived, nursing home, chronic medical conditions, mental health and HIV positive patients.
• Knowledge of clinical governance, confidentiality, data protection and information governance in primary care.
• Ability to work on own initiative and within a team.
• Knowledge and adherence to the CQC Fundamental Standards.
• Experience of working in sexual health, gynaecology, or a related area of practice.

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.