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Salary: £10k per session
Contract: Permanent
Job Location: Practices within Durham Coast PrimaryCare Network
Durham Coast Primary Care Network hope to welcome a newlyqualified salaried General Practitioner to join their established team, underthe ARRS scheme.
Main duties of the job
The successful candidate will join a multi-disciplinaryteam including pharmacists, paediatric nurse specialists, mental health nurse,CAMHS practitioner, personalised care roles, Advanced Nurse Practitioners andGP's.
The successful candidate will be responsible for workingthrough their own rota and will undertake a variety of duties including surgeryconsultations, telephone consultations, queries and visiting people at home.They will be responsible for following up their own investigations and willbenefit from regular supervision and reflection sessions with GP colleagues.
About us
Durham Coast PCN serves a population of over 33,000patients from four practices; Bevan Medical Group, East Durham Medical Group,Southdene Medical Centre and Wingate Medical Centre. We are a forward-thinkingnetwork, motivated to deliver the best possible care to patients, closer tohome. Three out of four practices are "Deep End" practices, workingclosely with the ICB to deliver projects around reducing health inequalities.Our two largest practices are training practices dedicated to supporting thedevelopment and retention of GP's in our area.
Job responsibilities
Main duties of the job:The GP willundertake a variety of duties governed by the GMS contract and objectives ofEnhanced Services including:Share ofRoutine and Urgent appointments both face to face and telephonePrescribeas per local & national guidelinesShare ofhome visitsTime-managecompletion of administration: letters, results, tasks, referrals, telephonecalls, emailsTakeresponsibility for appropriate referrals (following local guidance and goodmedical practice) and administration pertaining to themParticipatein Extended Hours between 7.30am - 8.00am and/or 6.30pm - 8.30pm if required bythe PCNWork withother health and social care providers to ensure a safe and integrated service.Provide comprehensive assessment, advice, and treatment for the registeredpractice population.Maintainaccurate and comprehensive records of consultations using SystmOne clinicalsystem.To provideclinical support to other members of staff, both clinical and administrative,in achieving the highest possible standards of care and QOF and EnhancedServices targetsThe contentof this post will be reviewed in consultation with the post-holder whennecessary and in line with the service developments.
Job descriptionJobresponsibilitiesCLINICALRecordingclear and contemporaneous I.T. based consultation notes to agreed standards.Providesafe, evidence-based, cost-effective, individualised patient care within thehub, surgery, patients own home.Clinicallyexamine and assess patient needs from a physiological and psychologicalperspective, and plan clinical care accordingly referring patients to otherservices/agencies in a timely manner using local guidelines.Torecognise the need for and be able to perform and interpret investigatoryprocedures, including laboratory and radiology.Prioritisehealth problems and intervene appropriately to assist the patient in complex,urgent or emergency situations, including initiation of effective emergencycare.Ensureappropriate follow up of patientsSupportpatients to adopt health promotion strategies that promote healthy lifestylesand apply principles of self-careSupport andwork with colleagues towards the delivery of anticipatory care plansRecogniseand work within your own competence and in accordance with professional codesof conduct, maintaining accurate and contemporaneous health recordsIndependentlyprescribe for patients within your scope of practice. Prescribing in accordancewith locally agreed or national guidelines.Reviewmedications following the appropriate policies, NICE/local clinical guidelinesand local care pathways.To maintainan awareness of developments in clinical practiceAwarenessof and compliance with all relevant practice/PCN policies/guidelines e.g.prescribing, confidentiality, data protection, health and safety and QOFstandards.Be aware ofyour duties and responsibilities regarding current legislation and adhere toour policies and procedures on Safeguarding Children and Safeguarding Adults.CONFIDENTIALITYYou willhave access to confidential information relating to patients and their Carers,practice staff and other healthcare workers. Patients entrust us with, or allowus to gather, sensitive information in relation to their health and othermatters. They do so in confidence and have the right to expect that staff willrespect their privacy and act appropriatelyInformationrelating to patients, carers, colleagues, other healthcare workers or thebusiness of the practice may only be divulged to authorised persons inaccordance with the practice policies and procedures relating toconfidentiality and the protection of personal and sensitive dataHEALTH ANDSAFETY
The post-holder will assist in promoting and maintainingtheir own and others health, safety and security as defined in practice'sHealth & Safety Policy, to include:Usingpersonal security systems within the workplace according to PCN guidelinesIdentifyingthe risks involved in work activities and undertaking such activities in a waythat manages those risksMakingeffective use of training to update knowledge and skillsUsingappropriate infection control procedures, including maintaining a tidy and safeway work area free from hazards. Effective hand hygiene.Provideadvice on the correct and safe management of the specimen's process, includingcollection, labelling, handling, use of correct containers, storage andtransport arrangementsCorrect useof personal protective equipment (PPE) in both routine and extraordinarycircumstancesManagingdirectly all incidents of accidental exposureSafe use ofsharps, storage and disposalReportingpotential risks identifiedEQUALITYAND DIVERSITY
The post-holder will support the equality, diversity andrights of patients, carers and colleagues, to include:Acting in away that recognises the importance of peoples rights, interpreting them in away that is consistent with practice procedures and policies, and currentlegislationRespectingthe privacy, dignity, needs and beliefs of patients, carers and colleaguesBehaving ina manner which is welcoming to and of the individual, is non-judgmental andrespects their circumstances, feelings priorities and rights.TRAINING,PERSONAL/PROFESSIONAL DEVELOPMENT
Training requirements will be monitored in accordance withPCN requirements. Relevant personal development will be encouraged andsupported by the PCN. You will be expected to take responsibility formaintaining a record of own personal and/or professional developmentUndertakemandatory and statutory training as required and attend courses/ study days asdeemed appropriate/necessaryContinuallyreview clinical practice, responding to National policies and initiatives whereappropriateParticipationin periodic performance review / internal appraisal and annual external GPappraisal including taking responsibility for maintaining a record of ownpersonal and/or professional developmentProvideleadership and education for members of the multi-disciplinary team, providingguidance and support when necessary.Assess ownperformance and take accountability for own actions, either directly or undersupervision.QUALITY
The post-holder will strive to maintain quality within the practice, andwill:Contributeto the achievement of the highest possible quality standards such as thosedetailed by their regulatory body and the CQC.Monitor thesafety and effectiveness of own clinical practice through quality assurancestrategies such as the use of audit, mentor feedback, case review and peerreview. Implement improvements where necessaryUnderstandingof the audit process and of clinical risk managementAlert otherteam members to issues of Clinical Governance, quality and risk. Participate inSignificant Event and/or near miss analysis reviews .Contributeto the effectiveness of the team by reflecting on own and team activities andmaking suggestions on ways to improve and enhance the teams performanceEffectivelymanage own time, workload and resourcesWork inpartnership with other clinical teams, collaborate on improving the quality ofhealth care responding to local and national policies and initiatives asappropriate.To acceptdelegated responsibility for a specific area (or areas) of QOFCollectingdata for audit purposesCOMMUNICATIONExcellentcommunication skills (written and oral), when dealing with patients and otherteam members. The ability to make clear decisions with confidence andcommunicate these effectively.Demonstratesensitive communication styles to ensure patients and carers are fully informedand consent to treatmentRecognisepeople's needs for alternative methods of communication and respondaccordingly.Usedeveloped communication, negotiation and conflict management skills recognisingthe need for alternative methods of communication to overcome different levelsof understanding, cultural background etc.MANAGINGRISKManage andassess risk within the areas of responsibility, ensuring adequate measures arein place to protect staff and patients. This includes the escalation ofclinical concerns or appropriate referrals where the management of a clinicalsituation requires it, or it falls outside of clinical competence.Monitorwork areas and practices to ensure they are safe and free from hazards, andconform to health, safety and security legislation, policies, procedures andguidelinesApplyinfection control measures within the practice according to local and nationalguidelines and in accordance with the practice policy
Person Specification
Qualifications
* Newly qualified GP (within 2 years and not having had a substantive post) with full GMC registration and license to practice.
* Certificate of Completion of Training in General Practice/Certificate Confirming Eligibility for General Practice Registration, or equivalent.
* Included on Medical Performers List
* Evidence of ongoing professional development
* Experience of working in a GP training practice using SystmOne and/or EMIS.
Other
* Excellent communication skills (written and oral) including recording of accurate clinical notes.
* Strong IT skills and competent in the use of Microsoft Office and Outlook
* Effective time management (Planning, Organising and Prioritising), with excellent problem solving and analytical skills
* Ability to work autonomously, and as part of a multi-disciplinary team
* Ability to listen and empathise whilst being honest and caring
* Ability to follow clinical policy and procedure with and understanding of the audit process
* Knowledge of General Practice Clinical Systems (SystmOne)
* Polite and confident, flexible and cooperative
* Motivated, forward thinker with ability to use own judgement and common sense
* Problem solver with the ability to process information accurately and effectively, interpreting data as required
* High levels of integrity
* Sensitive and empathetic in distressing situations
* Ability to work under pressure / in stressful situations
* Effectively able to communicate and understand the needs of the patient
* Commitment to ongoing professional development
* Punctual and committed to supporting the team effort
* Observance of strict confidentiality.
* Knowledge of General Practice Clinical Systems (SystmOne)
Experience
* Proven ability to evaluate the safety and effectiveness of own clinical practice.
* Understanding of evidence-based practice.
* Evidence of working autonomously, with some support and supervision
* Experience of using electronic clinical patient records
* Experience of medicines management
* Ability to effectively triage, assess and diagnose
* Requesting pathology tests and processing the results, advising patients accordingly
* Assessing and managing acute deteriorations/exacerbations of Long-Term Conditions
* Understands the importance of evidence-based practice
* Ability to assess and manage patient risk effectively and safely.
* Broad knowledge of clinical governance
* Ability to work within own scope of practice and understanding when to refer to GPs
* Understanding of policy developments related to the delivery of primary care services including General Practice, the GMS contract, Clinical Governance, Network Contract DES and Quality & Outcomes Framework
* Knowledge of public health issues/health needs of the local area
* Knowledge of health-promotion strategies
* Knowledge of public health issues in the local area
* Knowledge of health promotion strategies
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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