Urgent Care GP - Sussex Home Visiting (Bank)
To deliver high-quality, mobile urgent care to patients in their own homes across Sussex. The Home Visiting GP will provide face-to-face assessment and treatment for patients who are housebound, end-of-life or clinically triaged for a home visit following an NHS 111 disposition (CAT 3 or 4).
Working with IC24 drivers and dispatch teams, the role ensures patients receive timely, safe and effective care within the community.
Hours
Sussex 18:30/19:00-08:00 weekdays / 24 hours weekends and Bank Holidays
Main duties of the job
* Undertake home visits for patients allocated through IC24 dispatch systems using CLEO on Toughbook devices.
* Assess, diagnose, treat and prescribe appropriately within scope of practice and guidelines
* Manage palliative and end-of-life symptoms in line with guidelines.
* Prioritise visits based on clinical urgency and available resources.
* Liaise with community nursing, pharmacy, paramedic and primary care teams to support continuity of care.
* Document all consultations and handovers accurately and promptly.
* Escalate safety concerns to on-call Service Manager and ICB as per escalation protocol.
* Contribute to training, audit, and continuous improvement initiatives.
About us
We are Integrated Care 24 (IC24), the leading not for profit Social Enterprise providing innovative and patient focused primary care services. IC24 is committed to improving access to health and social care for our patients and reducing the demand on secondary care services. IC24 provides services to over 6 million patients, including GP led out-of-hours services, NHS 111, primary care and secondary care support services.
Job responsibilities
KEYRESPONSIBILITES AND ACCOUNTABILITIES
* Consultwith Patients whose clinical details are passed from the call centre followingNHS 111 Pathways assessment, as walk-ins, redirected from A&E, or via theIC24 Co-ordinator.
* Advisepatients over the telephone, after referral from NHS 111 or the call centre,who require professional advice, including ambulance and ED triage.
* RepresentIC24 in a professional manner when in contact with the general public and otherprofessionals.
* Workas a doctor as required by service demands during a session, or to providecover as an IC24 Doctor on the rota or in other work settings.
* Beresponsible for prioritisation and timeliness of all consultations.
* Workwith the management team, together with other colleagues, to maximise effectiveand efficient delivery of care to patients.
* Promoteclose teamwork between colleagues and to continually strive to improve theservice.
* Beavailable for meetings and appraisals as required.
* Regularlyupdate personal clinical skills and knowledge.
* Workwithin the prescribing formulary taking account of the minimum recommendedlength of prescribed treatment.
* Workwithin the IC24 clinical governance framework, adhering to policies andcontributing to audit processes as required.
* Operate effectively within the framework ofthe IC24 operational policies, procedures and ethos.
* Maintain all patientconfidentiality and adhere to data protection rules as per shift handbook.
* Assist colleagues in theprovision of the service to a high professional standard.
* Communicate with appropriate baseby mobile phone / radio.
* Ensure that all operationalinformation is distributed to colleagues as necessary.
* Ensure that patient care is ofthe utmost concern in all actions performed.
* Answer and manage any enquiriesas and when necessary.
* Maintain and continuously improvethe quality service to our patients.
Flexibility
Hours of work may includeevenings, weekend, daytime and overnight sessions, including bank holidays, ona rota, and/or a first and second on call cover at IC24 sites as well asvisiting and remote work. Flexibilityaround base location if the service changes due to unforeseen circumstancesarising.
Technical
IC24 puts a considerable emphasison IT. Computer, mobile phone andkeyboard skills of a basic, but accurate nature will need to be mastered at anearly stage. Training will be provided.
Quality Standards and ClinicalGovernance
* That you work within the clinicalgovernance structures of IC24 to ensure the highest standards of patient care.
* Ensure that you complete andmaintain all required essential learning in a timely manner.
* In conjunction with regionalteams design and implement patient related audits to improve care and safety.
* Be conversant with GMC Code ofProfessional Conduct and any associated national guidelines and abide by theirguidance.
* Maintain CPD and be able todemonstrate self-development.
* Awareness of local and servicebudgets and revenue.
* Assist the management team inidentifying savings and increased revenue within the locality and help toimplement appropriate changes.
* Planning Service Development andPerformance Management
* Undertake face to face assessmentand treatment of presenting patients who walk into the service, in accordancewith the relevant protocols.
* Lead on Quality and Outcomes(QOF) achievements.
* Refer patients to an alternativecare setting or treat and discharge as appropriate.
* Identify areas of work forcollaboration and joint working with other organisations to ensure continuityof care.
* Contribute to Primary Carelocality meetings and update on best practice.
Organisational Development
* Create a culture within IC24based on shared values, mutual respect and the care and welfare of patients andcolleagues.
* Promote a learning environment,which exploits opportunities to develop innovative approaches to meetingspecific needs.
* Develop own knowledge of localand national guidance in relation to contracts, primary and urgent careincluding local STPs.
* Strive to build excellent workingrelationships with other IC24 colleagues and partners.
Person Specification
Qualifications
* Current GMC certificate
* MRCGP graduate
* Vocational training cert or cert of equivalence / or pursued VTS training for a period of time
* Current Hepatitis B immunity certificate
* Experience within medical /surgical / A+E / paediatrics or mental health
* Full membership of a medical indemnity organisation
* Acquired out of hours experience at some point, including in other countries.
* Acquired primary care experience working in other specialities.
Experience
* Primary care home visiting
* Triage
* Face to face consultation
* Management
* Audit
* Research
* Practice based commissioning.
Practical Skills
* IT: basic computer literacy (training available)
* Good telephone manner, clear speech
* Communication and listening skills
* Ability to work in a multi- professional team
General
* Ability to work under pressure, manage demanding workloads
* Aware of needs of patients, relatives and carers
* Adhere to and abide by confidentiality requirements.
* Ability to cope with patients under extreme stress from both social and clinical circumstances.
* Ability to handle change and unexpected urgent requirements.
* Skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues.
* Flexible, caring and empathetic
* Self-motivated
* Professional approach
* Presentable appearance
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.
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