Job description

Job responsibilities

Key Activities and accountabilities

• To offer care complementary to that offered by the GPs and other Practitioners in the Practice
• Visits following discussion of each case with a GP, to undertake visits to patients in their own homes and to nursing homes if required during urgent / acute episodes of care.
• Triage (after training): Telephone triage of patients requesting same day appointments, prioritising the needs of patients and referring on to the Advanced Nurse Practitioner and GPs as necessary.
• To monitor and evaluate standards of care through appropriate audit, taking appropriate remedial action if standards are not achieved
• To be accountable for care given within Practice policies, protocols, and procedures
• To maintain accurate and comprehensive records with specific regards to confidentiality
• To advise and support other members of the team whilst working as a flexible and conscientious team member
• Perform specialist health checks and reviews within their scope of practice and in line with local and national guidance
• Perform and interpret ECGs
• Perform investigatory procedures as required and undertake the collection of pathological specimens including intravenous blood samples, swabs and other samples within their scope of practice and within line of local and national guidance
• Support the delivery of anticipatory care plans and lead certain services (e.g., monitoring blood pressure and diabetes risk of elderly patients)
• Communicate effectively with patients and, where appropriate, family members and their carers, where applicable, complex and sensitive information regarding their physical health needs, results, findings and treatment choices
• To attend appropriate clinical update training and general and specific paramedic skills and training in order to maintain knowledge and skills
• To be aware of national and local targets; initiatives; in relation to own practice and to apply these in the clinical setting
• To recognise professional boundaries and ensure these are maintained
• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
• Contribute to the effectiveness of the team by reflecting on own and team activities
• To maintain a professional profile.

Confidentiality:

In the course of seeking treatment, patients entrust practice staff with, or allow us to gather, sensitive information in relation to their health and other matters.

• Comply with Legislation with regards to data protection act and ensure confidentiality is maintained at all times.
• The post-holder must regard all information relating to patients and their carers, practice staff and other healthcare workers (as well as information relating to the practice as a business organisation) 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, data protection legislation and the protection of personal and sensitive data, as well as other related healthcare legislation (e.g. the NHS Confidentiality Code of Practice)

Health & Safety:

The post-holder will comply with practice policies, procedures and clinical guidelines for self and others. This includes (but not limited to):

• Identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised
• Identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised
• Identifying issues and hazards / risks in relation to other work areas within the business
• Awareness of national standards of infection control and cleanliness, as well as ownership of infection control and clinically based patient care protocols and implementing them 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.
• Identifying the risks involved in work activities, raising them with appropriate management and managing those risks across clinical and patient processes.
• Safe management of sharps procedures, including training, use, storage and disposal
• Keeping own work areas and general / patient areas generally clean, sterile, assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other managers
• Demonstrate due regard for safeguarding and promoting the welfare of children.
• Routine management of own team / team areas, and maintenance of work space standards:- Waste management, including collection, handling, segregation, container management, storage and collection- Spillage control procedures, management and training- Decontamination control procedures, management and training, and equipment maintenance

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 peoples 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
• Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity.
• Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Support people who need assistance in exercising their rights.

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 teams performance
• Work effectively with individuals in other agencies to meet patients needs
• Effectively manage own time, workload and resources

Communication:

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

• Communicate effectively with other team members
• Communicate effectively with patients and carers
• Recognize peoples needs for alternative methods of communication and respond accordingly

Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

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.

Person Specification

Experience

Essential

• Completed their two-year Consolidation of Learning period when a newly qualified paramedic
• Completed a further three years experience as a band 6 (or equivalent) paramedic

Personal Qualities

Essential

• Ability to listen, empathise with people and provide person centred support in a non-judgemental way
• Courteous, respectful and helpful at all times
• Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
• Commitment to reducing health inequalities and proactively working to reach people from all communities
• Able to support people in a way that inspires trust and confidence, motivating others to reach their potential
• Ability to use own initiative, discretion and sensitivity
• Ability to work on own initiative
• Ability to communicate complex and sensitive information effectively with people at all levels by telephone, email and face to face
• Ability to identify risk and assess/manage risk when working with individuals
• High levels of integrity and loyalty
• Ability to deal with non-routine and unpredictable nature of the workload and individual patient contact
• Ability to take part in reflective practice and clinical supervision activities
• Knowledge of when to seek advice and refer to a registered care professional
• Ability to maintain effective working relationships and to promote collaborative practice with all colleagues
• Demonstrate personal accountability, emotional resilience and work well under pressure
• Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
• High level of written and oral communication skills
• Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety

Other Requirements

Essential

• Disclosure Barring Service (DBS) check
• Willingness to work flexible hours when required to meet work demands
• Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own home

Desirable

• Clear polite telephone manner
• Knowledge of IT systems, including ability to use word processing skills, emails and the internet to create simple plans and reports
• Has previously worked in a primary care setting or a Primary Care Network

Qualifications

Essential

• Educated to degree level in paramedicine/ paramedic science or equivalent experience
• Registered with the Health and Care Professionals Council as a paramedic

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Billingshurst Surgery

Address

Billinghurst Surgery

Roman Way

Billingshurst

West Sussex

RH14 9QZ

United Kingdom

Employer's website

http://www.billingshurstsurgery.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

Purpose of the role

To manage a busy and interesting clinical caseload. The appointee will also have the opportunity to take part in leading on key disease areas (monitoring trends in the Quality and Outcomes Framework, treatment, staff training and prescribing) and assist in developing appropriate healthcare services for a diverse, patient list.

Closely supported by Billingshurst clinical and management teams the post holder will act as one of the GPs within the practice working alongside the practice. The role will be at the forefront of delivering an innovative model of primary care service provision.

Clinical responsibilities:

In accordance with the practice timetable, as agreed, the post-holder will make him/her-self available to undertake clinical sessions. A clinical session is normally four hours 10 minutes in duration and will comprise of telephone and face-to-face consultations. Duty/on-call doctor days may vary in structure. Daily duties may also include home visits, checking and signing repeat prescriptions, actioning test results and letters, medical reports and examinations (e.g. Insurance Companies) on behalf of the Practice. The above duties should be performed in a timely manner using Billingshurst Medical protocols.

You will be required to:

Act upon most alerts (e.g. QOF) and reminders during a routine consultation

Provide all GP services required as part of the GMS contract held between Billingshurst Surgery and the Integrated Care Board (IC/b) including all core services such as Child Health Surveillance

Respond to medical problems presented by patients, including history taking, examination, investigation, diagnosis, treatment and referral where appropriate.

Provide appropriate preventative health care and advice.

Provide medical support as required to patients referred by nursing staff

Provide free certification in line with Schedule 9 of NHS GMS Regulations (1992).

Adhere to the practice prescribing formulary, local and national guidelines.

Make professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation;

Record clear and contemporaneous I.T. based consultation notes to agreed standards;

Collect data for audit purposes;

Compile and issue computer-generated acute and repeat prescriptions

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 with the Practice:

Engaging in appropriate lifelong educational and audit activity in order to maintain clinical competence and performance, including the completion of objectives agreed by yourself and the practice, in an annual Personal Development Plan. Your Personal Development Plan must be in line with the Practice Development Plan. Keeping your Mandatory Training up to date.

Actively participating in the training and development of nurses, medical students and GP trainees in the practice.

Supporting the practice staff and responding to requests for advice and assistance from the practice reception, dispensary, secretarial and nursing staff.

Support and supervision of registrars wherever applicable

Attend prescribing, palliative care, clinical and practice meetings.

Awareness of and compliance with all relevant practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety, annual QOF Assessment of the Practice.

Meet all tight timescales/deadlines for audits and written returns to ensure that the Practice meets quality standards and receives the designated funding (e.g. Quarterly Enhanced Services returns, annual QOF audit etc.)

General Duties

The above responsibilities will be undertaken upholding the following:

1. To be available to take over the responsibility of patient care from the Out of Hours service on a working day or where applicable maintain responsibility till the appropriate time when the Out of Hours service takes over care in the evening. This will involve working till 18.30 on a shared rota basis.

2. To continue to work until all clinical tasks have been completed. To make arrangements with others to cover when planning to leave before the end of the session.

3. To maintain the financial security of the organisation by ensuring accurate and efficient responses to income generation such as reports, dispensed prescriptions, private forms etc.

4. At all times to behave in a professional way that encourages quality care and the development of a team spirit. 360 degree feedback is used to assess clinicians and you will be required to participate in this.

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 Company as a business organisation. All such information from any source is to be regarded as strictly confidential.

Data Protection

Billingshurst Surgery is registered under the Data Protection Act 2018. You must not at any time use the personal data held by the organisation for a purpose not described in the Register entry or disclose such data to a third party. If you are in any doubt regarding what you should or should not do in connection with the Data Protection Act then you must contact your line manager or appropriate senior lead at the time

Flexibility

This job description is not intended to be exhaustive. The post-holder will be expected to adopt a flexible attitude towards the duties outlined which may be subject to amendment at any time in consultation with the post-holder and in line with the needs of the organisation.

The post holder may be required to fulfil other duties, as agreed with the practice manager to meet the needs of the organisation.

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, to 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 and free from hazards;

Reporting potential risks identified.

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 peoples 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;

Personal/Professional Development

In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that professional development requirements are met, the post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

Participation in an annual individual performance review at practice level and an external annual NHS GP Appraisal including taking responsibility for maintaining a record of their own personal and/or professional development. Where the payment for the NHS GP appraisal is reimbursed directly to the practice by the ICB over and beyond the standard contract, this will be paid over to the post holder. Where there is no separate and distinct payment by the ICB, Billingshurst surgery is under no obligation to make a separate payment. Any time preparing for the appraisal or conducting the appraisal may be taken from the employees annual study leave entitlement, with prior agreement

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality

The post-holder will strive to maintain quality within the practice, and will:

Participate in clinical governance activity and contribute to the improvement in quality of health outcomes through audit and the Quality and Outcomes Framework

Alert other team members to issues of Clinical Governance issues, quality and risk; participate in Significant Event Analysis reviews

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 teams performance;

Work effectively with individuals in other agencies to meet patients needs;

Effectively manage own time, workload and resources. He/she will also contribute to the overall team-working of the Practice putting the needs of the Practice first.

Participate and contribute to the practice achieving other quality standards such as ISO 9001, Investors in People, RCGP Quality Practice award.

Communication

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

Communicate effectively with other team members; patients and carers;

Recognise peoples needs for alternative methods of communication and respond accordingly.

Person Specification

Qualifications

Essential

• You must be a registered GP with the GMC.
• You must possess the right to work in the UK and be included on the NHS Performers List.

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Billingshurst Surgery

Address

Billinghurst Surgery

Roman Way

Billingshurst

West Sussex

RH14 9QZ

United Kingdom

Employer's website

http://www.billingshurstsurgery.co.uk/ (Opens in a new tab)