Locum GP

About Us

The Confederation, Hillingdon CIC works with General Practice and other healthcare providers to deliver its vision for “Hillingdon to deliver the best primary care outcomes for patients in the whole of London”. We are a not-for-profit community interest company. The Confederation works to develop and support individual GP practices, PCNs and Neighbourhoods and their changing needs. We deliver excellent clinical services ourselves both at scale and complementary to General Practice. We are the provider representative voice for local General Practice into the wider NHS and other Partners. We are ‘of the NHS’ but independent, innovative and transformational.

Job Summary

The locum GP role is an essential member of the clinical team with the Extended Access Service. You will provide high quality clinical care to the patients attending the services, dealing with a diverse range of health needs. You will be part of a team providing a friendly and professional service, in a CQC rated good organisation. This will include, but is not limited to, surgery and telephone consultations, administration, complying with the Confederation contracts, and the education and training of junior/trainee clinical staff. This role is expected to be a mix of locum shifts on site across 5 locations. Hours of operation are Monday – Friday 6:30pm-8:30pm; Saturday - 9am-1pm and 1pm-5pm; Sunday - 9am-1pm. Once onboarded clinicians have access to booking shifts via Lantum. The role has opportunity for personal development as well as support other clinical areas within the confederation as needed.

Primary Responsibilities

• Provide high quality consultations to patients in Hillingdon managing acute and chronic disease
• Work with the operations team and Service Clinical Lead to ensure the provision of high quality care
• Work with the Clinical Lead to ensure the clinical safety of the service by providing clinical updates/training/incident reviews when appropriate
• Complete and provide the analysis of clinical audits as requested by the clinical lead or COD
• Practice evidence-based medicine, in line with national and locally agreed guidelines
• Conduct patient consultations during the service clinical appointment hours
• Undertake telephone and face to face consultations as required
• Prescribe in line with local and national guidelines
• Refer patients to secondary/urgent care and additional interventions as appropriate
• Manage long-term conditions and patients with complex problems
• Promote healthy living strategies and give health and wellbeing advice, generally encouraging patients to follow a healthy lifestyle
• Carry out patient testing and screening as required
• Make autonomous clinical decisions relating to patients’ health needs

Communication with Patients

• Use communication that is appropriate to the situation, including communicating sensitively with patients and carers when delivering bad news
• Establishing appropriate communication methods to suit patients’ and carers’ level of understanding, cultural/language needs, and preferred communication method
• Anticipating and overcoming barriers to communication, seeking support from other staff members where necessary
• Use appropriate communication skills and style to make patients aware of risk, to obtain consent where necessary, and to ensure patients comply with treatment

Delivering High-Quality Services

• Provide services to the practice’s patient population to the highest possible standard, in line with competencies and professional code of conduct
• Monitor and maintain the standard of care provided, taking appropriate action if standards are not met, through self- and peer-review, benchmarking and evaluation
• Undertake clinical governance and clinical audit activities to ensure the continual improvement of service delivery
• Participate in reviewing and responding to complaints, significant events, and other shared learning activities within a structured framework
• Support and mentor staff in training to ensure they deliver the highest standards of care
• Support the performance of team members and collaborate in improving the quality of healthcare and service provision, in line with local and national policy and strategy
• Work within the service legal framework for identifying vulnerable patients and applying policies relating to treatment of vulnerable patients

Primary Responsibilities – Non-Clinical

• Process medical reports, referrals and correspondence
• Record and collect data for audit purposes
• Make timely, clear, computer-based records of consultations and contact with patients
• Maintain administrative records relating to the practice contract, enhanced services and QOF
• Contribute to providing a supportive environment for other staff through informal catch-ups and contact
• Attend and contribute to in-house meetings, including clinical, educational/training-related and administrative meetings
• Attend meetings and events held by external agencies and stakeholders
• Contribute to teaching and training clinical staff as appropriate

Personal and Professional Development

• Comply with the GMC Code of Conduct
• Prepare for and complete annual external appraisals
• Prepare for and complete revalidation process
• Act as a mentor and positive role model to students and junior members of staff, sharing information and good practice
• Prioritise own workload and collaborate effectively with others to prioritise team and practice workload
• Keep a portfolio and potentially develop a special interest
• Undertake training as required to ensure competencies for delivering all responsibilities, to meet personal, statutory and practice education and learning needs, including keeping records of learning, reflection, complaints and feedback
• Keep up to date with current evidence-based approaches to patient care and service delivery, in line with NICE and the National Service Framework
• Undertake and contribute to education activities, such as reviewing significant events, clinical audit, protected learning time, video analysis of consultations, etc.
• Contribute to education and training of trainee clinical staff and students

Partner Relationships

• Work to deliver effective and safe care and liaise with GP practices, community services, and secondary care to ensure patients have a good and effective experience of services and care
• GPs
• Clinical service lead
• Service nursing team
• Clinical staff in training
• Service management team
• Reception and administration staff
• Patients
• Patients’ carers and family members
• Community nursing and pharmacy teams
• Social workers
• Occupation therapy teams
• Pharmacists
• CCG managers and staff
• Other external agencies and stakeholders
• Secondary care

Service Development

Make recommendations and support the development of the service and to develop it in terms of quality, efficiency, patient experience, and scale; must include continual quality improvement processes.

Governance

Ensure ongoing good governance and delivery of the service reporting incidents and being part of clinical audits.

The Confederation

To always act to support and protect the reputation, safety and sustainability of the Confederation.

Meetings

To be available to attend internal team meetings as needed.

Other

To be adaptable and flexible to wherever possible cover ad hoc duties as they arise and are necessary to be completed. To work and apply oneself in the best interests of primary care provision in Hillingdon. To bring the skills, knowledge and experience they have personally attained and apply them within the clinical operations to the best of their ability and to the interests and duties listed above. To contribute to generally in terms of values, behaviours, and attitudes so that the leadership of the team demonstrates the values the Confederation seeks to represent and uphold.

Health And Safety / Risk Management

The post-holder must always comply with all local Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System. The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).

Equality And Diversity

The locum GP will comply with The Confederation's own equality and diversity policy, and legislation relating to equality and diversity, including (but not limited to): Recognising the rights of patients, carers, family members and colleagues, and respecting their needs, beliefs, privacy and dignity; Not discriminating on grounds of protected characteristics; Supporting people who need help understanding and exercising their rights; Acting as a role model in equality, diversity and non-discriminatory practices; Identifying discriminatory practices and taking action; Complying with chaperoning policies; Recognising and promoting the right of patients to choose their care provider, and to participate in or refuse care.

Patient Confidentiality

The post holder must always respect patient confidentiality and, in particular, the confidentiality of electronically stored personal data in line with the requirements of the General Data Protection Regulation and in keeping with Hillingdon Primary Care Confederation Information Governance Policy and procedures. The post holder should not divulge patient information unless sanctioned by the line manager and required for the role.

Qualifications

• GMC Registration
• Qualified GP
• Extensive experience in urgent care clinical services
• Extensive experience of virtual clinical consultations
• Ability to plan, co-ordinate and deliver programmes of work on time and to a high standard
• Excellent organisational skills with an attention to detail and an ability to finish tasks completely and to a high standard
• Ability to keep full, accurate and up to date records to a high standard
• Ability to assimilate information quickly and make clear and effective decisions under pressure
• Excellent communication skills, written, verbal and listening – explaining, promoting, listening, learning, to / at all levels of the healthcare system
• Ability to motivate and engender trust and team identity
• In depth user knowledge of EMIS

Desirable Criteria

• Extensive experience of working in primary care in Hillingdon