Salaried GP in Bollington

Middlewood operates a personalised list model of care, providing continuity with a named GP when available and appropriate. However, with a service model that includes a robust triage and urgent care system, LTC clinics, specialist clinics, prescribing and recall services, and the skills of a wider MDT including PAs, ANPs, pharmacists, MH practitioners and physios, we focus on the wellbeing of our clinicians as much as that of our patients. We are looking for GPs who share our vision and who will want to contribute to shaping how we deliver care. This is a unique opportunity to be part of, and contribute to, the development of new ways of working within a forward-thinking and transformed primary care organisation.

Main duties of the job

• Undertake a variety of duties including face to face consultations, telephone and online consultations and queries, visiting patients at home, checking and signing repeat prescriptions and dealing with queries, paperwork and correspondence.
• If required, support the Middlewood Prescribing Team with medication queries.
• When required, support the Middlewood Immediate and Necessary Team (urgent care) and be part of our rota to support our clinical reception triage function.
• Making professional, autonomous decisions in relation to presenting problems.
• Assess the health care needs of patients with undifferentiated and undiagnosed problems.
• Screen patients for disease risk factors and early signs of illness.
• In consultation with patients and in line with current practice disease management protocols, develop care plans for health and social well-being.
• Record clear and contemporaneous consultation notes to agreed standards.
• Collect data for audit purposes.
• Compile and issue computer-generated acute and repeat prescriptions.
• Provide support, informal training & advice to other members of the team and students.

About us

The Middlewood Partnership is a group of four practices across a Primary Care Network footprint which was established following a merger in 2019. We have created a modern GP organisation that retains the benefits of family medicine, including continuity, teamwork and support, but with the benefits of working at scale. This includes the ability for GPs to work a one session, one job rota, opportunities to work sessions in at scale services such as prescribing, urgent care, triage, care homes and specialist clinics, and leadership roles where appropriate.

With a total list size of 34,000 patients, and care and support collectively provided by 150 members of staff from four locations in three towns in Eastern Cheshire, we are now looking to increase our GP capacity. This is a unique opportunity to be part of, and contribute to, the development of new ways of working within a forward-thinking and transformed primary care organisation.

At Middlewood we are committed to:

• Providing high quality, sustainable, General Practice care from premises in Bollington, Disley and Poynton.
• Providing services that are joined up with other health, social care and voluntary providers.
• Retaining, developing and supporting our staff.
• Continuing to be at the forefront by offering excellence in education and training for inter-professional staff.
• Developing specialist services and care that are provided for patients registered with the practice across the geographical area of Bollington, Disley and Poynton.
• Participating in research that is relevant and beneficial to our patients.
• Becoming a recognised local employer offering a supportive and developmental working environment to grow new talent.

We have a well-established team of clinicians including Partner and Salaried GPs, Advanced Nurse Practitioners, Diabetes Specialist Nurses, Clinical Pharmacists and Pharmacy Technicians, Paramedics, and Social Prescribers. We work very closely with our community team and have established a shared visiting service with our district nurses. In addition, we have in place a single point of access (for telephone requests) and digital triage process where all clinical requests are allocated by a clinically-supported team based in our Clinical Hub.

This opportunity would suit GPs looking to gain experience of working in a different way, focusing on continuity, proactivity and teamwork; to gain experience of working within a PCN multi-disciplinary team; and to develop skills in both core general practice and other specialist and leadership roles over time.

We welcome informal discussions and visits to our Practices. Please contact Sarah Kalnins at sarah.kalnins@nhs.net if you would like to arrange these.

Job Description

The post-holder will be an important member of our clinical team and will provide high quality General Medical Services including dealing with a wide range of health needs in a primary care setting, ensuring the highest standards of care for all registered and temporary patients.

Clinical Responsibilities:

• Undertake a variety of duties including face to face consultations, telephone and online consultations and queries, visiting patients at home, checking and signing repeat prescriptions and dealing with queries, paperwork and correspondence in a timely fashion.
• If required, support the Middlewood Prescribing Team with medication queries.
• When required, support the Middlewood Immediate and Necessary Team (urgent care) and being part of our rota to support our clinical reception triage function.
• Making professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation.
• Assess the health care needs of patients with undifferentiated and undiagnosed problems.
• Screen patients for disease risk factors and early signs of illness.
• In consultation with patients and in line with current practice disease management protocols, develop care plans for health and social well-being.
• Record clear and contemporaneous consultation notes to agreed standards.
• Collect data for audit purposes.
• Compile and issue computer-generated acute and repeat prescriptions (avoiding hand-written prescriptions whenever possible).
• Provide support, informal training and advice to other members of the team, as well as students and training on an ad-hoc basis.

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:

• Awareness of and compliance with all relevant practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety.
• A commitment to life-long learning and audit to ensure evidence-based best practice.
• Contributing to evaluation/audit and clinical standard setting within the organisation.
• Maintain patients clinical records in line with the practice patient record system.
• Attending training and events organised by the practice or other agencies, where appropriate.
• Attend team meetings and other meetings as may be necessary.
• To work within a team setting, with flexibility and due care for all members of staff.

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.

Health & 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, the practice health & safety manual, and the practice infection control policy and published procedures. 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, 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.
• Undertaking periodic infection control training (minimum annually).
• Demonstrate due regard for safeguarding and promoting the welfare of children.

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.

Personal/Professional Development:

The post-holder will participate in any training programme implemented by the practice as part of this employment.

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

The post-holder should recognise the importance of effective communication within the team and will strive to:

• 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:

The post-holder will:

• 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.

The list of duties in this job description is not exhaustive and is intended to outline the main activities of the postholder. Duties and responsibilities may be subject to change taking into account the development needs of and following full discussion with the postholder.

Person Specification

• Qualifications: GMC Registration, Evidence of continuous professional development, MRCGP, Evidence of up to date statutory and mandatory training.
• Knowledge and Skills: IT Proficient (ideally EMIS), Good understanding of the organisation of General Practice & current developments in Primary Care, Broad knowledge of NHS system, Capacity to develop a special interest in an area of clinical need, Ability to take a clinical lead on an agreed area within practice.
• Personal Attributes: Enjoy working and contributing to a team, Innovative, motivated and proactive, Evidence of a patient focused approach to practice, Proven ability to organise time effectively, delegating & prioritising appropriately, Demonstrates knowledge of & practical application of evidence based practice, Able to work in a busy environment.
• Personal circumstances: Ability to drive and holds a full UK driving license to enable travel across all practice bases within the Middlewood Practice area.
• Experience: Experience of working in UK General Practice for a minimum of 1 year, post training, Experience of working in a multi-disciplinary team, Desire to develop an area of clinical/management interest with Personal Development Plan.
• 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.