Job Summary
What matters to me, is what matters to us.
Calling all frailty-minded General Practitioners
Are you interested in older peoples care, frailty or palliative care? Are you frustrated at not having the time or capability to sort out complex problems properly? Do you often get the feeling that you could be doing more to improve quality of care for our most experienced members of society?
If so, come and find your tribe at the One Weston Care Home Hub in North Somerset, based at 168 Medical.
Pier Health Group are transforming the care of older people. We have led this charge with the development of a centralised Care Home Hub, servicing the healthcare needs of our 65 care homes. Yes, thats a lot, isnt it? We are hungry with ambition, and after our first year of success which saw us featured as a national exemplar, and our second year as finalists for a prestigious HSJ Award. Join our existing team of dynamic clinicians in a multidisciplinary environment. This is no ordinary service; we are building a legacy for our population, and for our primary care workforce.
If you are tired of dealing with problems on the day and not having time to address the real issues, if you are feeling increasingly lonely working in primary or community care and missing the sense of team camaraderie, if you find yourself increasingly hands off rather than hands on, then this is the job for you.
Main duties of the job
Each day starts with a whole team check-in either in person or via Microsoft Teams to check on wellbeing, discuss problems and ideas, share updates and to distribute workload.
Clinical lead of the day is assigned during this meeting.
The GP may then have a ward round in a care home, be completing comprehensive geriatric assessments, producing care plans and ReSPECT forms, liaising with families and other partners such as hospitals or district nurses, or dealing with requests for acutely unwell care home residents. There is protected time for learning activities, teaching, supervision, quality improvement work and meetings. This work takes place via a variety of formats telephone, video, email and face to face. Career and personal development is promoted through regular 1:1 meetings with the team leader.
About Us
The One Weston Care Home Hub is a true multidisciplinary team, established in 2021, bringing together a range of allied health professionals and GPs to work towards a common goal of improving care for care home residents in Weston Super Mare. Working alongside a friendly, dedicated team of GPs and allied health professionals (pharmacists, community nurses, advanced nurse practitioners, a paramedic and a mental health nurse) this innovative project is transforming community care in some of the most deprived wards in the country. Excellent admin support enables clinicians to focus on clinical matters.
Details
Date posted
17 February 2026
Pay scheme
Other
Salary
£11,000 a session
Contract
Permanent
Working pattern
Part-time
Reference number
A
Job locations
168 Medical Group
168 Locking Road
Weston-super-mare
Avon
BS23 3HQ
Job Description
Job responsibilities
The role of the GP within the team is as follows:
To provide clinical assessment of care home residents, via a mix of preventative (proactive) and acute (reactive) medicine.
To undertake holistic assessment of residents needs and devise creative solutions, utilising the skills of the MDT to best effect.
To produce a dynamic personalised care plan for healthcare professionals and care staff to follow, which includes treatment escalation planning and a detailed, realistic ReSPECT form in keeping with the wishes of patients and their families where appropriate.
To provide continuity of care to resident, family and care home staff.
To provide senior clinical support for complex decision making, when clinical lead of the day.
To take clinical responsibility for decisions and ongoing management of your patients, drawing on the skills of the MDT as needed.
To contribute to peer learning and education, via significant event analysis, case based discussions and other formats.
To provide support, clinical advice, supervision and feedback to students and other members of the MDT.
To be actively involved in promoting adult safeguarding.
To advocate for high quality, appropriate, patient-centred care for older or vulnerable adults.
Record data and assessments in patient records systems promptly and accurately and to agreed standards ensuring appropriate use of read codes and templates, with awareness of QOF targets and local DES specifications.
To compile and issue computer-generated acute and repeat prescriptions, prescribing in accordance with BNSSG prescribing formulary whenever this is clinically appropriate, working with our pharmacy hub.
To instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports at a level that is appropriate for the patients degree of frailty and their treatment escalation.
To contribute and bring ideas for continuous improvement including developing / improving care pathways for older people and contributing to QIP and audit.
To review medication using a Structured Medication Review, alongside team pharmacists.
Lead and/or participate in specialist MDT meetings dementia/mental health, palliative care or complex care with support of the team and our community mental health and geriatrician colleagues
To provide outreach input to cases in any of our care homes across the PCN identified as in need, to support our team of ANPs working across Pier Health. This may be complex cases, a home recognised to be in difficulty or to support our local safeguarding processes.
Job Description
Job responsibilities
The role of the GP within the team is as follows:
To provide clinical assessment of care home residents, via a mix of preventative (proactive) and acute (reactive) medicine.
To undertake holistic assessment of residents needs and devise creative solutions, utilising the skills of the MDT to best effect.
To produce a dynamic personalised care plan for healthcare professionals and care staff to follow, which includes treatment escalation planning and a detailed, realistic ReSPECT form in keeping with the wishes of patients and their families where appropriate.
To provide continuity of care to resident, family and care home staff.
To provide senior clinical support for complex decision making, when clinical lead of the day.
To take clinical responsibility for decisions and ongoing management of your patients, drawing on the skills of the MDT as needed.
To contribute to peer learning and education, via significant event analysis, case based discussions and other formats.
To provide support, clinical advice, supervision and feedback to students and other members of the MDT.
To be actively involved in promoting adult safeguarding.
To advocate for high quality, appropriate, patient-centred care for older or vulnerable adults.
Record data and assessments in patient records systems promptly and accurately and to agreed standards ensuring appropriate use of read codes and templates, with awareness of QOF targets and local DES specifications.
To compile and issue computer-generated acute and repeat prescriptions, prescribing in accordance with BNSSG prescribing formulary whenever this is clinically appropriate, working with our pharmacy hub.
To instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports at a level that is appropriate for the patients degree of frailty and their treatment escalation.
To contribute and bring ideas for continuous improvement including developing / improving care pathways for older people and contributing to QIP and audit.
To review medication using a Structured Medication Review, alongside team pharmacists.
Lead and/or participate in specialist MDT meetings dementia/mental health, palliative care or complex care with support of the team and our community mental health and geriatrician colleagues
To provide outreach input to cases in any of our care homes across the PCN identified as in need, to support our team of ANPs working across Pier Health. This may be complex cases, a home recognised to be in difficulty or to support our local safeguarding processes.
Person Specification
Qualifications
Essential
Medical Degree
MRCGP (or equivalent)
Adult Safeguarding Level 3
Desirable
Diploma of Geriatric Medicine
MRCP
Skills
Essential
Experience working with Frailty
(includes holistic assessments of patients, history taking, problem listing and management plan formation)
Risk holding in the community, patient clinical safety awareness
IT literate (MS Teams, EMIS,MS office)
Good interpersonal skills
Effective time management
(Planning and organising, prioritisation and handover)
Attention to detail.
Excellent communication and interpersonal skills (including emotional intelligence to deal effectively with sensitive patient information, distressed or aggressive patients or those with impaired understanding)
Resilience
Influencing beyond your role; working with care home staff, owners, and managers
Understands Mental Capacity Act and process for best interests decision- making
Desirable
Additional experience in:
Palliative Care
Mental Health
Learning Disability
Dementia
Enhanced use of Microsoft Office suite, EMIS data searches,
Power BI
Evidenced Team leadership.
Forward thinking and planning
Personal Qualities
Essential
Planning and Organising
Motivated and Proactive
High degree of integrity
Flexible and co-operative
Desirable
Ability to work and lead a team under pressure
Essential
Other Requirements
Willingness to travel and work across community locations and in care homes
Flexibility around working days and annual leave dates to ensure safe levels of clinical cover are maintained
Experience
Essential
Experience of Multidisciplinary Working
Knowledge of current clinical evidence-based practice
Person Specification
Essential
Experience of Multidisciplinary Working
Knowledge of current clinical evidence-based 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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Additional information
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
Pier Health Group Ltd
Address
168 Medical Group
168 Locking Road
Weston-super-mare
Avon
BS23 3HQ
Employer's website
(Opens in a new tab)
Employer details
Employer name
Pier Health Group Ltd
Address
168 Medical Group
168 Locking Road
Weston-super-mare
Avon
BS23 3HQ
Employer's website
(Opens in a new tab)
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