NHS Scotland is committed to encouraging equality and diversity among our workforce and eliminating unlawful discrimination. The aim is for our workforce to be truly representative and for each employee to feel respected and able to give their best. To this end, NHS Scotland welcomes applications from all sections of society. GP with Extended Role: Senior Clinical Decision Maker (SCDM) Hospital at Home & Unscheduled Care GP Salary: £77,160 - £115,167 per annum Plus Distant Islands Allowance £ 1,406 per annum Permanent posts – x3 Job Share/Part time hours will also be considered This post does not attract Relocation Expenses or Golden Hello An exciting opportunity has arisen for a proactive and enthusiastic GP to work with the developing Hospital at Home (H@H), and Urgent and Unscheduled Care (U&UsC) Community teams based at Western Isles Hospital and supporting in-reach to the Acute Assessment Unit (AAU) to facilitate direct admission to H@H or care at home. This pivotal role will support a 7-day service that has evolved over the past 3 years, seeing close collaboration between the 3 clinical teams. The objective of the role is to provide Clinical Leadership along with a Senior Clinical Decision Maker (SCDM) role, clinical input in the Western Isles Hospital and the community, and support and training for the wider team of healthcare professionals. The role will create a culture of supported admission avoidance and early facilitated discharge with patients within the virtual H@H Ward. The role also provides remote support to the development and delivery of a similar service based at the Uist & Barra Hospital and St Brendan’s Hospital on Barra. We are seeking individuals who understand the current challenges faced within the NHS in the Western Isles and are willing to innovate to help patient’s get the best possible care in their home environment. The individuals must be willing to assess new presentations in the community setting, at the front door in the Acute Assessment Unit and within the Western Isles hospital environment. Collaboration with ward senior medical and nursing staff is essential to ensure facilitated discharge is safe and appropriate. A full UK driving licence is essential. The service covers 7-day working between 0800 and 2200 Mon-Fri, and 0800 to 2400 Sat-Sun (split shifts possible); making it well suited to part time working or indeed medical staff bank. For further information regarding this post please contact Dave Rigby, Realistic Medicine Lead ( david.rigby@nhs.scot ), Tel: 01851 704704 (ext 2407). The successful applicant will be required to register with the PVG Scheme (Protecting Vulnerable Groups Scheme). This post is not eligible for relocation expenses. All NHS Western Isles vacancies appear on the NHS Scotland website: https://apply.jobs.scot.nhs.uk/ along with a job description. Tha beàrnan-obrach NHS Eilean Siar uile gu léir a' nochdadh air làrach-lìn NHS na h-Alba https://apply.jobs.scot.nhs.uk/, còmhla ri dealbh-obrach. Please note that this vacancy will close early if a high volume of applications is received so please apply early to avoid disappointment. If you have any further queries, please contact Tel: 01851 762027. Closing Date 16th July 2025