This Integrated Care Team GP post sits within Shore Medical PCN, covering housebound and care-home patients across six practices. The work centres on proactive, coordinated care for people with frailty, multimorbidity and complex long-term conditions, aiming to keep them safely where they live and cut avoidable admissions. Sessions carry a weighted list of about 130 patients, combining face-to-face and remote consultations with work alongside the wider health and social care team. Fit depends on UK general practice experience and EPS prescribing.
What the job involves
- Provide comprehensive, person-centred GP care to housebound and care-home patients with frailty, multimorbidity and complex needs, including proactive reviews
- Undertake proactive assessment, diagnosis, treatment, medication reviews and personalised care planning
- Work with the multidisciplinary team, care homes, patients, families and carers to coordinate care and safe transitions between services
- Identify patients at risk of deterioration, support anticipatory and end-of-life care, and reduce avoidable hospital admissions
- Contribute to population health, preventative care and quality improvement for the housebound and care-home population
- Hold a weighted list of about 130 patients per session, prioritised by clinical need and complexity
- Provide face-to-face and remote consultations as clinically appropriate
- Assess, diagnose and manage acute and chronic medical conditions
Qualifications
- MBBS or equivalent medical degree
- MRCGP
Registration & licences
- GMC registration
- Inclusion on the Performers List
- MPS, MDUS or MDDUS membership
Experience
- Experience working within a UK GP practice
- Primary care experience in an area with significant health problems
Skills & knowledge
- EPS prescribing
Checks & eligibility
- Enhanced DBS check
What’s offered
- Competitive salary
- Friendly and supportive working environment
- Continuous CPD
- NHS Pension Scheme with life insurance
- Free parking at most sites
- Cycle to work scheme
- Refer a Friend scheme
- Summer and Christmas social events
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Contact Details:
The Methodist Church in Britain Recruitment Team
