Job description

Job responsibilities

• Manage the day-to-day operations of the practice, ensuring efficiency and high-quality service delivery.
• Develop and maintain operational policies and procedures to enhance productivity and compliance with CQC, NHS and industry regulations.
• Drive change management initiatives to enhance practice performance and patient care.
• Organize regular practice, clinical, financial and training meetings.
• Coordinate with Partners, GPs, Nursing and other staff to ensure optimal patient care and satisfaction.
• Lead staff whilst fostering a positive work environment and ensuring staff are supported, motivated, and able to perform to their best abilities.
• Ensure excellent communication in the practice, ensuring that people know what is happening and why. Encourage good communication between all colleagues.
• Oversee human resources functions such as recruitment, training, performance evaluations, and employee relations.
• Implement financial management practices including budgeting, cash flow forecasting, expense tracking and financial reporting to ensure the practice's profitability and maximizing income.
• Ensure compliance with financial regulations and accurate, timely submission of financial records, accounts, pensions, and all staff benefits.
• Help organise Rotas and Staff leave.
• Liaise and coordinate with IT to ensure the smooth running of the practice.
• Manage inventory control for medical supplies and equipment to maintain adequate stock level whilst promptly addressing any issues with premises or facilities to ensure they are kept to a good and clean standard.

Person Specification

Experience

Essential

• Strong interpersonal and communication skills to interact positively with staff and patients
• Strong leadership and strategic planning skills to lead a diverse team effectively
• Exceptional organisational skills with attention to detail in managing multiple tasks simultaneously.
• A passion for excellent patient care and commitment to providing an outstanding service in a GP surgery environment

Desirable

• Educated to a degree level in healthcare or business (desirable)
• Proven experience in financial management, including budgeting and forecasting.
• Strong knowledge of human resources practices and financial management principles

Qualifications

Desirable

• Educated to a degree level in healthcare or business

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.

Employer details

Employer name

Tolsey Surgery

Address

High Street

Sherston

Malmesbury

Wiltshire

SN16 0LH

United Kingdom

Employer's website

https://www.tolseysurgery.co.uk (Opens in a new tab)

Job description

Job responsibilities

Key clinical responsibilities

• Assess and triage patients, including same-day and urgent presentations, and provide definitive treatment or appropriate onward referral
• Undertake face-to-face, telephone and, where appropriate, digital consultations in practice, patients homes, care homes and other community settings
• Undertake comprehensive history taking, physical examination and clinical assessment for patients with acute, chronic, complex or undifferentiated presentations
• Formulate differential diagnoses, identify red flags, assess clinical risk and determine the appropriate level and place of care.
• Initiate emergency care and escalation when required, including referral to ambulance, urgent community, secondary care or specialist services
• Treat minor illness and minor injury within competence and agreed local pathway
• Undertake and interpret appropriate investigations within competence, which may include observations, ECGs, urinalysis, blood glucose/ketones, blood tests, swabs and other point-of-care or diagnostic procedures available within the PCN
• Request, review and act on investigations where authorised and competent to do so, ensuring appropriate follow-up and safety-netting.

• Provide health promotion, prevention and self-management advice and support shared decision-making
• 3. Home visiting, frailty and proactive care
• Provide an alternative model for urgent and same-day home visits across the PCN, prioritising workload according to clinical need and risk
• Assess housebound, frail and vulnerable patients, including those with multimorbidity, deterioration or complex health and social care needs
• Contribute to care home support and ward rounds where this forms part of the agreed PCN service model
• Support anticipatory and personalised care planning, including escalation planning and coordination with the wider multidisciplinary team
• Identify opportunities to prevent avoidable hospital attendance or admission while recognising promptly when escalation is clinically necessary
• Work with community, urgent care, virtual ward, ambulance, pharmacy, social care, voluntary sector and other services to coordinate appropriate care.
• 4. Medicines management and prescribing
• Administer medicines in accordance with legislation, local policies, Patient Group Directions (PGDs), Patient Specific Directions (PSDs) and professional scope of practice
• Where appropriately qualified as an independent prescriber, prescribe, review and deprescribe medicines within competence and in accordance with NICE guidance, local formularies, antimicrobial stewardship principles and PCN/practice policies
• Provide patients and carers with appropriate information about medicines, including purpose, adherence, side effects, interactions and when to seek further advice.
• Recognise personal limits in relation to medicines and seek advice from GPs, clinical pharmacists or other appropriate clinicians when required.
• 5. Multidisciplinary and integrated working
• Work as an integral member of the PCN multidisciplinary team, collaborating with GPs, nurses, pharmacists, pharmacy technicians, care coordinators, social prescribers, health and wellbeing staff, mental health practitioners and other allied health professionals
• Accept appropriate referrals and refer patients to other clinicians and services according to clinical need and agreed pathways.
• Communicate proactively and effectively with practices and partner organisations to ensure coordinated, person-centred care.
• Attend and contribute to PCN, practice, MDT, clinical, safeguarding, education and service-development meetings as required.
• Promote effective professional relationships across organisational boundaries and contribute to integrated neighbourhood working.

Person Specification

Clinical knowledge & skills

Essential

• Advanced history taking, clinical examination and assessment skills
• Ability to recognise deterioration, red flags and emergencies and escalate appropriately
• Ability to formulate differential diagnoses and evidence-based management plans within competence
• Understanding of safeguarding, consent, capacity, confidentiality and information governance
• Knowledge of medicines safety and relevant legal/professional frameworks
• Ability to document clearly, code accurately and provide robust safety-netting

Desirable

• Competence in ECG interpretation, phlebotomy and relevant point-of-care diagnostics
• Knowledge of frailty, anticipatory care, personalised care and admission avoidance pathways
• Knowledge of QOF/IIF and wider PCN contractual priorities

Other requirements

Essential

• Able and willing to travel between PCN sites and undertake home/community visits
• Ability to meet the physical and practical requirements of the role, with reasonable adjustments where required
• Satisfactory DBS and occupational health clearance as required

Desirable

• Full UK driving licence and access to a suitable vehicle, subject to reasonable adjustment and organisational policy

Qualifications

Essential

• Master Level (Level 7) or working towards it.
• Has been signed off formally within the clinical pillar competencies of the paramedic FCP/AP roadmap to practice.
• Degree/diploma in Paramedic Science/Paramedicine or equivalent recognised qualification/experience
• Has a further three years experience as a band 6 (or equivalent)
• paramedic
• Current HCPC registration as a Paramedic
• Meets current eligibility requirements applicable to the role and funding route
• Evidence of relevant CPD and maintenance of professional competence

Desirable

• Independent/non-medical prescribing qualification
• Masters-level qualification or modules relevant to advanced practice
• Formal evidence of FCP/AP roadmap completion or equivalent advanced-practice recognition

Experience

Essential

• Substantial post-registration paramedic experience appropriate to autonomous primary care practice
• Experience assessing and managing a broad range of acute and undifferentiated presentations
• Experience of autonomous clinical decision-making and managing risk/uncertainty
• Experience of home/community visiting and managing patients with complex needs
• Experience of multidisciplinary working

Desirable

• Primary care/general practice experience
• Care home, frailty or urgent community response experience
• Experience of SystmOne
• Experience of audit, quality improvement, teaching or supervision

Personal attributes

Essential

• Able to work autonomously while recognising limits and seeking support appropriately
• Organised, adaptable and able to prioritise a variable workload
• Calm and effective under pressure
• Reflective, accountable and committed to continuous improvement
• Commitment to equality, diversity, inclusion and person-centred care

Desirable

• Evidence of contributing to service redesign or new models of care

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

North Wilts Border PCN Ltd Company

Address

New Court Surgery

Borough Fields

Royal Wootton Bassett

Swindon

Wiltshire

SN4 7AX

United Kingdom

Employer's website

https://northwiltsborderpcn.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

The Phlebotomist is responsible for providing a high-quality, safe and efficient phlebotomy service for patients attending New Court Surgery. The post holder will work as part of the multidisciplinary team, undertaking venepuncture procedures, ensuring accurate sample collection and handling, and supporting the delivery of excellent patient care within a busy primary care setting.

• Perform venepuncture procedures for patients in accordance with practice policies, clinical protocols and professional standards.
• Accurately identify patients and ensure all samples are correctly labelled and processed.
• Prepare, handle and dispatch blood samples to the appropriate laboratory in line with requirements.
• Maintain accurate and contemporaneous patient records using the clinical system.
• Provide reassurance and support to patients who may be anxious or distressed during procedures.
• Recognise and respond appropriately to adverse reactions during and following blood collection.
• Maintain high standards of infection prevention and control at all times.
• Ensure clinical rooms are clean, well-stocked and appropriately prepared for patient appointments.
• Monitor and report low stock levels of consumables and equipment.
• Follow all safeguarding, health and safety, information governance and confidentiality policies.
• Work collaboratively with GPs, nurses, healthcare assistants and administrative colleagues to support excellent patient care.
• Participate in mandatory training, team meetings and continuing professional development activities.

Person Specification

Experience

Essential

• Experience of undertaking venepuncture in a healthcare setting.
• Excellent communication and interpersonal skills.
• Ability to remain calm and professional when supporting anxious patients.
• Good organisational skills and attention to detail.
• Ability to work independently and as part of a team.
• Understanding of infection prevention and control procedures.
• Commitment to maintaining patient confidentiality and dignity.
• Basic IT skills and ability to use clinical systems.
• All staff are expected to:
• Act in accordance with the practice values and code of conduct.
• Maintain patient confidentiality in line with GDPR and NHS guidance.
• Demonstrate equality, diversity and inclusion in all aspects of their work.
• Participate in appraisal, supervision and training as required.
• Undertake any other duties commensurate with the role and responsibilities of the post.

Desirable

• Previous experience working within General Practice or Primary Care.
• Knowledge of System One clinical system.
• Awareness of current NHS standards and guidelines.
• Care Certificate or relevant healthcare qualification.

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.

Employer details

Employer name

New Court Surgery

Address

Borough Fields Shopping Centre

Royal Wootton Bassett

Swindon

Wiltshire

SN4 7AX

United Kingdom

Employer's website

https://www.newcourt-wilts.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Clinical Responsibilities:

The HCA works within the organisation and supports the practice nursing and administrative teams in the delivery of clinical and administrative services. This role involves working as part of the practice multi-disciplinary team, delivering care within their scope of practice to the entitled patient population.

Having completed the Care Certificate or equivalent qualification, the HCA will deliver and assist clinical staff in the provision of treatment, preventative care, health promotion, long-term condition management and patient education while also supporting the administrative team on an as-required basis.

The HCA will work under the supervision of a registered clinician while developing competencies in community-based care. The role is at Support Worker Level and as described in NHS E Primary Care and General Practice Nursing Career and Core Capabilities Framework.

Following agreed clinical protocols in conjunction with the nursing team and referral to GPs as appropriate.

Consult with patients and their families to undertake assessments of patient need

Deliver and assist clinical staff in the provision of treatment, preventative care, health promotion, long-term condition management and patient education.

Provide clinical support to registered nurses and other healthcare professionals within the organisation

Deliver basic clinical care interventions under supervision, supporting continuity of care and patient safety initiatives

Act as a chaperone as required

Ensure specimens are recorded and ready for onward transportation

Provide support during minor operations if required.

Ensure clinical waste is removed from clinical areas and sharps bins replaced in accordance with the organisations IPC Policy

Work within national and local protocols where these exist

Be aware of your duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children

Recognise the boundaries of their practice and know when and to whom patients should be referred

Support in the delivery of enhanced services and other service requirements

Support the administrative team on an as-required basis

Undertake all mandatory training and induction programmes

Maintain a clean, tidy, effective working area at all times

Attend a formal appraisal with their manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed

Participate in any audits as directed

Participate in local initiatives to enhance service delivery and patient care

Support and participate in shared learning

Complete opening and closing procedures if required.

Recognise emergency situations and act appropriately to seek assistance.

Deliver key elements of public health, health protection and promotion programmes as required that improve health and reduce inequalities.

Prioritise own workload, and act promptly and effectively to meet the regular unpredictable situations that may occur within the role.

Demonstrate flexibility.

Work closely with duty and on call teams, promptly responding to team priorities.

Lead by example and action in relation to behaviour, attitudes, conduct and appearance.

Report and investigate untoward incidents.

Work in close partnership with colleagues and external agencies, to develop care management plans to improve health outcomes.

Establish and monitor own practice, identifying auditable outcomes with the leadership team.

Maintain accurate patient records and enter onto SystmOne using agreed templates/Read Codes.

Maintain data collection systems and participate in audit.

Help to maintain QOF acheivements

Person Specification

Qualifications

Essential

• NVQ Level 2 in Health and Social Care
• Qualification in Venepuncture

Desirable

• NVQ Level 3 in Health and Social Care

Experience

Essential

• Experience of working as a HCA

Desirable

• Experience of working within a GP practice

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.

Employer details

Employer name

New Court Surgery

Address

Borough Fields Shopping Centre

Royal Wootton Bassett

Swindon

Wiltshire

SN4 7AX

United Kingdom

Employer's website

https://www.newcourt-wilts.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Key clinical responsibilities

• Assess and triage patients, including same-day and urgent presentations, and provide definitive treatment or appropriate onward referral
• Undertake face-to-face, telephone and, where appropriate, digital consultations in practice, patients homes, care homes and other community settings
• Undertake comprehensive history taking, physical examination and clinical assessment for patients with acute, chronic, complex or undifferentiated presentations
• Formulate differential diagnoses, identify red flags, assess clinical risk and determine the appropriate level and place of care.
• Initiate emergency care and escalation when required, including referral to ambulance, urgent community, secondary care or specialist services
• Treat minor illness and minor injury within competence and agreed local pathway
• Undertake and interpret appropriate investigations within competence, which may include observations, ECGs, urinalysis, blood glucose/ketones, blood tests, swabs and other point-of-care or diagnostic procedures available within the PCN
• Request, review and act on investigations where authorised and competent to do so, ensuring appropriate follow-up and safety-netting.

• Provide health promotion, prevention and self-management advice and support shared decision-making
• 3. Home visiting, frailty and proactive care
• Provide an alternative model for urgent and same-day home visits across the PCN, prioritising workload according to clinical need and risk
• Assess housebound, frail and vulnerable patients, including those with multimorbidity, deterioration or complex health and social care needs
• Contribute to care home support and ward rounds where this forms part of the agreed PCN service model
• Support anticipatory and personalised care planning, including escalation planning and coordination with the wider multidisciplinary team
• Identify opportunities to prevent avoidable hospital attendance or admission while recognising promptly when escalation is clinically necessary
• Work with community, urgent care, virtual ward, ambulance, pharmacy, social care, voluntary sector and other services to coordinate appropriate care.
• 4. Medicines management and prescribing
• Administer medicines in accordance with legislation, local policies, Patient Group Directions (PGDs), Patient Specific Directions (PSDs) and professional scope of practice
• Where appropriately qualified as an independent prescriber, prescribe, review and deprescribe medicines within competence and in accordance with NICE guidance, local formularies, antimicrobial stewardship principles and PCN/practice policies
• Provide patients and carers with appropriate information about medicines, including purpose, adherence, side effects, interactions and when to seek further advice.
• Recognise personal limits in relation to medicines and seek advice from GPs, clinical pharmacists or other appropriate clinicians when required.
• 5. Multidisciplinary and integrated working
• Work as an integral member of the PCN multidisciplinary team, collaborating with GPs, nurses, pharmacists, pharmacy technicians, care coordinators, social prescribers, health and wellbeing staff, mental health practitioners and other allied health professionals
• Accept appropriate referrals and refer patients to other clinicians and services according to clinical need and agreed pathways.
• Communicate proactively and effectively with practices and partner organisations to ensure coordinated, person-centred care.
• Attend and contribute to PCN, practice, MDT, clinical, safeguarding, education and service-development meetings as required.
• Promote effective professional relationships across organisational boundaries and contribute to integrated neighbourhood working.

Person Specification

Clinical knowledge & skills

Essential

• Advanced history taking, clinical examination and assessment skills
• Ability to recognise deterioration, red flags and emergencies and escalate appropriately
• Ability to formulate differential diagnoses and evidence-based management plans within competence
• Understanding of safeguarding, consent, capacity, confidentiality and information governance
• Knowledge of medicines safety and relevant legal/professional frameworks
• Ability to document clearly, code accurately and provide robust safety-netting

Desirable

• Competence in ECG interpretation, phlebotomy and relevant point-of-care diagnostics
• Knowledge of frailty, anticipatory care, personalised care and admission avoidance pathways
• Knowledge of QOF/IIF and wider PCN contractual priorities

Other requirements

Essential

• Able and willing to travel between PCN sites and undertake home/community visits
• Ability to meet the physical and practical requirements of the role, with reasonable adjustments where required
• Satisfactory DBS and occupational health clearance as required

Desirable

• Full UK driving licence and access to a suitable vehicle, subject to reasonable adjustment and organisational policy

Qualifications

Essential

• Master Level (Level 7) or working towards it.
• Has been signed off formally within the clinical pillar competencies of the paramedic FCP/AP roadmap to practice.
• Degree/diploma in Paramedic Science/Paramedicine or equivalent recognised qualification/experience
• Has a further three years experience as a band 6 (or equivalent)
• paramedic
• Current HCPC registration as a Paramedic
• Meets current eligibility requirements applicable to the role and funding route
• Evidence of relevant CPD and maintenance of professional competence

Desirable

• Independent/non-medical prescribing qualification
• Masters-level qualification or modules relevant to advanced practice
• Formal evidence of FCP/AP roadmap completion or equivalent advanced-practice recognition

Experience

Essential

• Substantial post-registration paramedic experience appropriate to autonomous primary care practice
• Experience assessing and managing a broad range of acute and undifferentiated presentations
• Experience of autonomous clinical decision-making and managing risk/uncertainty
• Experience of home/community visiting and managing patients with complex needs
• Experience of multidisciplinary working

Desirable

• Primary care/general practice experience
• Care home, frailty or urgent community response experience
• Experience of SystmOne
• Experience of audit, quality improvement, teaching or supervision

Personal attributes

Essential

• Able to work autonomously while recognising limits and seeking support appropriately
• Organised, adaptable and able to prioritise a variable workload
• Calm and effective under pressure
• Reflective, accountable and committed to continuous improvement
• Commitment to equality, diversity, inclusion and person-centred care

Desirable

• Evidence of contributing to service redesign or new models of care

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

North Wilts Border PCN Ltd Company

Address

New Court Surgery

Borough Fields

Royal Wootton Bassett

Swindon

Wiltshire

SN4 7AX

United Kingdom

Employer's website

https://northwiltsborderpcn.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Clinical responsibilities:

• In accordance with the practice timetable, the post-holder will make themselves available to undertake a variety of duties, including surgery consultations, telephone consultations and queries, visiting patients at home, checking and signing repeat prescriptions and dealing with queries, administration and correspondence in a timely fashion.
• Making professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation.
• Assessing the health care needs of patients with undifferentiated and undiagnosed problems.
• Screening patients for disease risk factors and early signs of illness.
• Developing care plans for health in consultation with patients and in line with current practice disease management protocols.
• Providing counselling and health education.
• Admitting or discharging patients to and from the caseload and referring to other care providers as appropriate.
• Recording clear and concise consultation notes to agreed standards.
• Collecting data for audit purposes.
• Compiling and issuing computer-generated acute and repeat prescriptions.
• Prescribing in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate.
• 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.
• Contributing to the development of computer-based patient records.
• Contributing to the summarising of patient records and read-coding patient data.
• Attending training and events organised by the practice or other agencies, where appropriate.

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 implement and lead on a full range of promotion and management of their own and others health and safety and infection control 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 (but will not be limited to):

• Using personal security systems within the workplace according to practice guidelines
• Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines
• Providing advice on the correct and safe management of the specimens process, including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements
• Correct personal use of Personal Protective Equipment (PPE) and ensuring correct use of PPE by others, advising on appropriate circumstances for use by clinicians, staff and patients.
• Management of the full range of infection control procedures in both routine and extraordinary circumstances (e.g. pandemic or individual infectious circumstances)
• Hand hygiene standards for self and others
• Managing directly all incidents of accidental exposure
• Management and advice relating to infection control and clinically based patient care protocols, and implementation of those protocols 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 to the responsible person
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process
• Making effective use of training to update knowledge and skills, and initiate and manage the training of others across the full range of infection control and patient processes
• Monitoring practice facilities and equipment in relation to infection control, ensuring that proper use is made of hand-cleansing facilities, wipes etc., and that these are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate to the responsible manager
• Safe management of sharps use, storage and disposal
• Maintenance of own clean working environment
• Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile and safe way, free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management
• Actively identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised
• Keeping own work areas and general/patient areas generally clean, sterile, identifying issues and hazards/risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with responsible managers
• Undertaking periodic infection control training (minimum twice annually)
• Correct waste and instrument management, including handling, segregation, and container use
• Maintenance of sterile environments
• 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 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
• Behaving in a manner which is welcoming to and of the individual, is non-judgemental and respects their circumstances, feelings priorities and rights.

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 for PREP are met, the post-holder will participate in any training programme implemented by the practice as part of this employment, with such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
• 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:

• 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 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 peoples 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.

General:

The above duties are neither exclusive nor exhaustive and the post holder may be required to take on other duties appropriate to the role.

The Senior Partner reserves the right to amend this job description in consultation with the post holder.

Person Specification

Experience

Essential

• Eager to learn and grow in healthcare environment.
• Strong clinical skills with an evidence-based approach to patient care.
• Proficient in using electronic health records and embracing new technologies.
• Excellent interpersonal skills with the ability to work effectively within a multidisciplinary team.
• Passionate about technology and improving healthcare outcomes.
• Ability to manage time effectively and work independently.

Desirable

• Experience of working in Primary Care
• Experience of working in a GP practice

Qualifications

Essential

• Registration and Certification:
• Be included in the NHS England list of medical practitioners as per section 91 of the NHS Act 2006.
• Hold full registration with the General Medical Council (GMC) on the General Practitioner Register.

Professional Standing and Other Requirements

Essential

• Not be prohibited from providing services due to regulation breaches (e.g., NHS Performers Lists Regulations).
• Not be suspended from practice by the NHS or from the GMCs list of medical practitioners.
• Not be subject to any interim suspension orders from the GMC under section 41A of the Medical Act 1983.
• Have the legal right to work in the UK.
• Hold appropriate medical indemnity insurance covering all professional duties.
• Successfully complete an enhanced Disclosure and Barring Service (DBS) check.
• Be willing to engage in ongoing professional development as required

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

New Court Surgery

Address

Borough Fields Shopping Centre

Royal Wootton Bassett

Swindon

Wiltshire

SN4 7AX

United Kingdom

Employer's website

https://www.newcourt-wilts.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Key duties and responsibilities

• Patient facing Long term condition clinics (where appropriate).
• See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma, Diabetes).
• Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e. medicines optimisation).
• Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.

Telephone or Patient facing Clinical Medication Review

• Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist team leader, nurses and/or GP on prescribing and monitoring.

Telephone or Patient facing care home medication reviews

• Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration.
• Domiciliary clinical medication review
• Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences.

Management of common/minor/self-limiting ailments

• Managing caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence.
• Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate
• Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice
• Telephone medicines support
• Provide a telephone help line for patients with questions, queries and concerns about their medicines.

Medicine information to practice staff and patients

• Answers relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines.
• Suggesting and recommending solutions.
• Providing follow up for patients to monitor the effect of any changes

Unplanned hospital admissions

• Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews.
• Put in place changes to reduce the prescribing of these medicines to highrisk patient groups.
• Management of medicines at discharge from hospital
• To reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge.
• Set up and manage systems to ensure continuity of medicines supply to highrisk groups of patients (e.g. those with medicine compliance aids or those in care homes).

Signposting

• Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time e.g. pathology results, common/minor ailments, acute conditions, long term condition reviews etc.

Repeat prescribing

• Produce and implement a practice repeat prescribing policy.
• Manage the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review.
• Ensure patients have appropriate monitoring tests in place when required.

Risk stratification

• Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both.

Service development

• Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets).

Information management

• Analyse, interpret and present medicines data to highlight issues and risks to support decision making.

Medicines quality improvement

• Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.

Medicines safety

• Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
• Implementation of local and national guidelines and formulary recommendations
• Monitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).
• Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system.
• Auditing practices compliance against NICE technology assessment guidance.

Person Specification

Qualifications

Essential

• Bachelor's degree in Pharmacy,
• Registered with the General Pharmaceutical Council (GPhC)
• Commitment to undertaking the CPPE pathway training, followed by Independent Prescribing qualification.

Desirable

• CPPE (or equivalent) trained or already on the pathway
• Independent prescribing qualification

Experience

Desirable

• Experience in working with computerised health care systems.
• At least 1 year post-qualification experience in General Practice, hospital or community pharmacy.
• Previous experience of working in triage or an unscheduled care service.

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

North Wilts Border PCN Ltd Company

Address

Tinkers Lane Surgery

Tinkers Field

Royal Wootton Bassett

Swindon

Wiltshire

SN4 7AT

United Kingdom

Employer's website

https://northwiltsborderpcn.nhs.uk/ (Opens in a new tab)