PCN Additional Roles Clinician in Worksop

The post holder will independently assess, diagnose and manage patients with acute, chronic and complex medical conditions, coordinating care with other primary and secondary healthcare services as appropriate. There is an expectation that the post holder will attend to patients within the practice and in their own homes and will coordinate care with other members of the organisation team and external providers. Where the clinician is required to undertake home visits for housebound patients requiring acute medical assessment following triage by the duty GP, they will be expected to complete a maximum of 10 visits between 10:00am and 6:00pm on designated days. Each visit will be allocated 45 minutes. The post holder will manage a clinical workload of 26 patients per working day with 15-minute appointments allocated per patient, when on site. Where the post holder is not an independent prescriber, they will make recommendations regarding drug treatment and medication reviews, working collaboratively with a prescribing clinician. Appropriate training, supervision and mentoring will be provided as necessary.

Main duties of the job:

• Provide first-contact care for patients presenting with undifferentiated acute and chronic conditions, undertaking clinical assessment, diagnosis, and management planning.
• Develop and deliver patient-centred care plans, interpret diagnostic tests, and implement appropriate treatment, including health promotion and self-management support.
• Conduct home visits, and work collaboratively within the multidisciplinary team and external services to ensure coordinated care.
• Maintain accurate clinical records, participate in clinical governance, audit, and service improvement activities, and support enhanced services and organisational priorities.
• Contribute to teaching, mentoring, and quality initiatives such as QOF and other incentive schemes, while engaging in ongoing professional development.

About us:

Newgate Medical Group (NMG) is a welcoming and busy single practice Primary Care Network (PCN) with over 30,000 patients. We are a large Practice with an established team of 9 GP Partners and a host of varied health professionals including pharmacists, nurses, ANPs, PAs, Paramedics, Social Prescribing link workers, care coordinators, and a large admin team. We offer a supportive team environment, training, pension and good holiday package for the right candidate. We are a forward-thinking, supportive Practice that embraces new ideas and innovation with the aim of producing better patient outcomes and efficient ways of working. Our dedicated team is crucial to the success of the Practice and the service it provides to our patient population. Ongoing rigorous processes of evaluation and review inform every aspect of the services we provide, within each department, to ensure our high standards never slip. We aim to provide a good work-life balance, support our staff to develop, feel engaged and part of the Newgate Medical Group team. This is an exciting time to join the team as we have plans to develop a new Health and Wellbeing Hub that will benefit residents and patients across the area whilst developing our team further.

Primary responsibilities:

• Provide first point of contact care for patients presenting with undifferentiated, acute and chronic conditions.
• Undertake history taking, physical examinations and clinical decision-making to establish working diagnoses and management plans.
• Develop and implement patient-centred care plans in partnership with patients and carers.
• Analyse and act upon diagnostic test results.
• Undertake home visits as part of a rota system.
• Receive referrals and direct patients from triage services and other clinicians.
• Plan, implement and evaluate treatment and interventions for patients with acute and chronic conditions.
• Utilise non-pharmacological therapies and, where appropriate, consider pharmacological interventions in line with national and local guidance.
• Prioritise and manage urgent or emergency situations, initiating escalation where required.
• Support patients to adopt health promotion strategies and self-care.
• Work collaboratively with the multidisciplinary team and external services.
• Maintain accurate, contemporaneous and complete clinical records.
• Participate in clinical audit, significant event reviews and clinical governance activity.
• Support enhanced services and other service requirements on behalf of the organisation.
• Participate in appraisal, supervision and personal development planning.

Secondary responsibilities:

• Support delivery of QOF, incentive schemes and service improvement initiatives.
• Contribute to teaching, mentoring and the learning environment.
• Undertake any tasks consistent with the level of the post to support service delivery.
• Duties may vary from time to time without changing the general character of the post.

Person Specification:

Qualifications:

• Essential: Registered with appropriate professional body: NMC (nurses), HCPC (paramedics, physios, OTs), GPhC (Pharmacists), or GMC (PAs).
• Meets revalidation requirements in accordance with relevant professional body guidance.
• Desirable: Qualified Independent Prescriber, ALS and PALS, Minor Illness Qualification.

Experience:

• Desirable: Experience of prescribing and undertaking medication reviews, experience of working in a primary care environment.

Other Requirements:

• Essential: Flexibility with working arrangements, including occasional out-of-hours shifts, Disclosure Barring Service (DBS) check, Occupational Health Clearance, Driving License and use of a car, meet the requirements and produce evidence for revalidation, evidence of continuing professional development (CPD) commensurate with their role.

Clinical Knowledge and Skills:

• Essential: Understand the importance of evidence-based practice, broad knowledge of clinical governance, ability to record accurate clinical notes, ability to work within own scope of practice and understand when to refer to GPs, knowledge of health promotion strategies, understand the requirement for PGDs and associated policy, requesting and processing pathology tests.
• Desirable: Knowledge of public health issues in the local area, awareness of issues within the wider health arena, wound care/removal of sutures and staples, interpreting ECGs, diabetes management, hypertension management, asthma management, spirometry interpreting, CHD management, immunisations (routine and childhood), women's health (cervical cytology, contraception, etc.).

Personal Qualities:

• Essential: Polite and confident, flexible and cooperative, motivated, forward thinker, problem solver with the ability to process information accurately and effectively, interpreting data as required, high levels of integrity and loyalty, sensitive and empathetic in distressing situations.