Job description

Job responsibilities

Role Summary

The post-holder will provide general medical services managing a caseload and deal 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

The post-holder will be expected to undertake all the normal duties and responsibilities associated with a GP working within primary care. The following outlines the key responsibilities but is not an exhaustive list.

• In accordance with the practice timetable (Practice timetables will vary dependent upon the practice alignment), as agreed, the post-holder will make them-self available to undertake a variety of duties including surgery consultations, video consultations, telephone consultations and queries, visiting patients at home, ward rounds, checking and signing repeat prescriptions and dealing with queries, paperwork 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
• In consultation with patients and in line with current practice disease management protocols, developing care plans for health.
• Providing advice and health education
• Admitting or discharging patients to and from the caseload and referring to other care providers as appropriate
• Recording clear and contemporaneous consultation notes to agreed standards.
• Collecting data for audit purposes
• Compiling and issuing computer-generated acute and repeat prescriptions (avoiding hand-written prescriptions whenever possible)
• Prescribing in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate.

Other Responsibilities

• 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 coding patient data
• Attending training and events organised by the practice or other agencies, where appropriate.
• Contributing to teaching where appropriate
• Attending practice team meetings

General Duties

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

Communication and Relationships

• Communicate effectively with patients and carers and recognize peoples needs for alternative methods of communication and respond accordingly.
• Develop and maintain professional relationships will all key stakeholders e.g. Practice team members, PCN colleagues, Federation, Community Nursing Teams, Community Mental Health Care Teams, Social Services, statutory and voluntary services.

Safeguarding

• All members of staff have a responsibility to ensure the Safeguarding of patients within the organisation.
• Ensure knowledge of Safeguarding policies and training is up to date.
• Demonstrate due regard for safeguarding and promoting the welfare of children.

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 will have access to confidential information relating to patients and their carers, member practices, staff, and other healthcare workers. 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 organisation may only be divulged to authorised persons in accordance with the policies and procedures relating to confidentiality and the protection of personal and sensitive data.
• Keep up to date with IG And GDPR legislation.

Quality

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

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

Health & safety:

The post-holder will ensure the promotion and management of their own and others health, safety and security as defined in the organisations Health & Safety policy and the Infection Control policy and published procedures. This will include (but will not be limited to):

• Ensuring adherence to individual responsibilities for infection control and health and safety, using a system of observation, audit and check, hazard identification, questioning, reporting and risk management.
• Maintaining an up-to-date knowledge of health and safety and infection control statutory and best practice guidelines and ensure implementation of these across all areas.
• Using personal security systems within the workplace according to organisation 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, and initiation of remedial / corrective action where needed
• Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised
• Keeping own work areas and general / patient areas generally clean, 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 other managers
• Undertaking periodic infection control training (minimum annually)

Equality and diversity:

• Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with 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:

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

• To undertake any identified training and development related to the post identified in annual review.
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
• Ensure own actions contribute to the maintenance of a quality service provision.
• Be responsible for the self-development of skills and competencies through participation in training and development activities and to maintain up to date technical and professional knowledge relevant to the post.
• Undertake statutory and mandatory training as well as role specific training deemed appropriate.

Contribution to the planning and implementation of services

• Apply practice policies, standards, and guidance.
• Discuss with other members of the team how the policies, standards and guidelines will affect own work.
• Work with the colleagues to achieve standards of quality, performance standards, budgets, and targets without compromising levels of patient healthcare.
• Contribute towards the development and implementation of new standards, policies and procedures that are/will be required of GP Practices now and in the future (as directed by NHS/ DoH/ NHS England, Commissioning Clinical Group, new legislation etc.)

Person Specification

Experience

Essential

• Understand the health and social needs of a local practice patient population.
• Commitment to personal and professional development.
• Commitment to education and training.
• Excellent verbal and written communication skills.
• Excellent record keeping skills.
• Understanding of the current issues and challenges facing primary care.
• Confident in using Word and Excel.
• Confident in using Email and Internet
• Excellent time management
• Good analytical skills
• Ability to take full and independent responsibility for clinical care of patients.
• Excellent patient manner
• Imaginative approach to problem solving and provision of services.

Desirable

• Fully conversant with EMIS clinical IT system
• Able to conduct Minor Operations -Joint injection -Aspirations.
• Strong leadership skills

Qualifications

Essential

• A medical practitioner whose name is included in the General Practitioner Register under article 10 of the General and Specialist Medical Practice Order 2003
• Not subject to suspension under section 41A of the Medical Act 1983
• Qualified General Practitioner. Completed certificate of Completion of Training CCT.
• Currently on the national performers list and not suspended from that list or from the medical register.
• DBS Enhanced Disclosure
• Have had an annual NHS appraisal.
• Desirable
• Evidence of further postgraduate educational activities in relevant fields
• MRCGP
• DCH
• DRCOG
• RCGP Substance Misuse Certificate Level 1 or 2
• F2 supervisor training/teaching diploma this is essential for HDS
• DFSRFH and Competence in Coil insertion
• Evidence of CPD activities
• Minor surgery skills
• Knowledge
• Essential
• Knowledge of NHS
• Understand the needs of vulnerable groups of patients that are registered.

Desirable

• Understanding/knowledge of:
• Quality & Outcomes Framework QOF
• Access
• Demand Management
• READ Codes and SNOMED Codes
• Audit
• Experience working with the homeless, looked after children, asylum seekers, refugees, and other vulnerable groups.

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

Pendle East Primary Care Network

Address

Pendle East Community Hub

Colne Health Centre

Colne

Lancashire

BB8 0JZ

United Kingdom

Employer's website

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

Job description

Job responsibilities

The duties of this post will be subject to regular review, at least on an annual basis. The duties will reflect the requirements from the PCN DES and the GP contract in relation to prescribing and medicines management. These will include but are not limited to:

1. Clinically assess and treat patients using expert knowledge of medicines for specific disease areas.

2. Undertake Structured Medication Reviews to ensure patients take their medications correctly and get the best from them, reducing waste and promoting self-care.

3. Be a prescriber, or commit to completing training to become a prescriber.

4. Contribute to the delivery of effective daily processes for the transfer of care between hospitals and GPs including effective signposting, querying discrepancies and recommending appropriate medication changes.

5. To take a lead on the reconciliation of medicines following hospital discharge, working with secondary care colleagues, practice colleagues, patients and community pharmacists to ensure patients receive the correct medicines post-discharge. Provide clinical expertise in medicines advice and addressing both the public and social care needs of patient

6. Support colleagues and patients with medication queries and drug monitoring especially with high risk drugs.

7. Take responsibility for the medicines management of some patients with complex chronic diseases.

8. Undertake clinical medication reviews to proactively manage people with complex polypharmacy.

9. To work with patients who need support reducing long term prescribed Opiates and Gabapentinoids.

10. To help tackle local inequalities and review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit, individual patient reviews and action planning.

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

12. Contribute to the General Practice Quality and Outcomes Framework (QOF) and enhanced services.

13. Work with general practice teams to ensure that practices are compliant with CQC standards where medicines are involved.

14. Take a lead role in supporting further integration of General Practice with other healthcare teams to help improve patient outcomes, ensure better access to healthcare and help manage general practice workload.

15. Take a central role in the clinical aspects of shared care protocols and liaison with specialist, community and anticoagulation pharmacists.

Person Specification

Qualifications

Essential

• Undergraduate degree in Pharmacy
• Registration with the GPhC

Desirable

• Independent Prescriber

Experience

Essential

• Minimum 5 years post registration experience as a Pharmacist

Desirable

• More than 5 years post registration experience as a Pharmacist
• Experience of working in a GP practice

Knowledge, skills and Qualities

Essential

• Experience of common acute and long-term conditions
• Strong problem solver
• Works efficiently independently
• Excellent interpersonal, influencing and negotiating skills
• Rigorous in following legal, ethical, professional and organisational policies and codes of conduct
• Committed to continuous professional development
• Ability to apply research evidence base into the workplace
• Excellent verbal communication skills
• Excellent organisational skills
• IT Literate
• Experience of working in a multi-disciplinary team

Desirable

• Experience of medication reviews in practice
• Track record of improving work processed
• Up-to-date knowledge of CQC regulations in General practice
• Good understanding and history of quality improvement work through audit.
• Use of EMIS Web

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

Pendle East Primary Care Network

Address

Pendle East Community Hub

Colne Health Centre

Colne

Lancashire

BB8 0JZ

United Kingdom

Employer's website

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