Job Description

The successful GP will be passionate about healthcare delivery and be keen to develop and work alongside our team at a busy and well-established practice of over 7,500 registered patients across two sites in Ferndale and Maerdy. We encourage enthusiasm and innovation, and are particularly interested in candidates who express a strong desire for clinical leadership to enact change and improvement. The post will be ideal for an experienced GP seeking managerial and clinical responsibility.



Welsh and/or English speakers are equally welcome to apply.



The successful applicant will provide clinical leadership of GP services within the practice working in conjunction with the Practice Manager and other salaried GPs to ensure the provision of high-quality services for patients and to improve the efficiency and effectiveness of the practice. The practice has a dedicated Practice Manager, Practice Nurses, Pharmacist and Pharmacy Technician support. The Health Board is committed to multi-disciplinary team working and will be looking to expand the team further in the coming months.



Cwm Taf Morgannwg University Health Board is part of the NHS Wales family. Our Health Board provides primary, secondary and community health and wellbeing services to around 450,000 people living in three County Boroughs: Bridgend Merthyr Tydfil, and Rhondda Cynon Taf.

We live by our core values:

We listen, learn and improve



We treat everyone with respect



We all work together as one team



We are a proud local employer; around 80% of our 15000 workforce live within our region, making our staff not only our lifeblood of our organisation but of the diverse communities that we serve.



This list is intended to summarise the key responsibilities and is not intended to cover every task that may be required of the role: -



Clinical Care



To provide clinical care to patients, this will include consultation sessions, telephone triage, correspondence, results, medication reviews and prescription signing and other clinical administration, safeguarding lead, medicals, reports, home visits and surgery meetings. Participate in the On Call rota in practice hours. To adhere to the highest personal and professional standards as set out by the GMC and to put individual patient care as your priority.

Operations



Working with the Practice Manager to support the development, delivery and review of the practice action plan. Attend regular meetings with the Practice Manager to discuss over-arching Practice issues and service provision, ideally weekly. Provide clinical leadership for the primary health care team in the delivery of clinical care and recruitment of clinical team members. Offer support for referrals and be available to offer prescribing and clinical advice.

Clinical Leadership



To provide clinical leadership and support to the practice's GPs and nurses. Create a strong sense of working as a team, promoting multi-disciplinary team work and clinical excellence by motivating and developing each clinician individually and as part of a team. To be a key team player and the 'go to' person for clinical issues at practice level for all including reception/admin team members. Work with the Health Board to ensure the practice offers high quality care and meet its agreed budget including revenue opportunities. Deliver regular clinical practice meetings ideally weekly, but at least monthly, with minutes and action points and support at general practice meetings. Support the Practice Manager with clinical performance management issues. To provide input with regard to development: clinical protocols/procedures, evidence-based practice, medicines management, audit and utilising local pathways via Health Pathways. Maintains the best features of the practice whilst at the same time ensuring it reflects the values of the University Health Board. These are:

o Patient centred and continuity of care



o Exceptional care for all patients particularly those from deprived communities



o The highest clinical quality and the best patient experience



o Team working and collaboration



o Nurturing talent and fostering innovation



At all times to behave as a professional clinician and act as ambassador for The Practice.

Governance and Risk Management



To act as the surgery's clinical governance lead/caldicott officer working closely with the Practice Manager. Investigate and management of clinically significant events and clinical complaints. Ensure significant event reviews occur promptly. Ensure patient complaints are dealt with promptly and thoroughly, with investigations conducted as required, appropriate responses sent to the patient, and learning outcomes are shared with the practice team. Promote an organisational culture committed to learning from complaints, incidents, audit, research and development. Reporting into the Primary Care Quality, Safety and Risk meetings. Lead on clinical issues e.g. working with People Services and the primary care team to resolve issues relating to the poor performance of medical staff, ensure appraisal, job planning and continuing professional development takes place for doctors, nurses and allied healthcare professionals, management of conflicts between clinicians, peer support and review etc. Institute a program of clinical audit, considering any requirements specified within the unified GMS Contract, including supplementary services and quality improvement. Delegate the audits to members of the clinical team and ensuring the audits are carried out. Ensure good quality, appropriate and cost-effective prescribing is adhered to within the practice. Implement changes to prescribing or referral practice that are identified. Ensure protocols and practices are in place to ensure adherence to clinical targets, including but not limited to public health targets, such as cervical cytology, childhood immunisations, influenza immunisations, diabetes 8 care processes and local enhanced services, must be managed to optimise performance. Ensure the practice has robust, up-to-date clinical protocols that safeguard the well-being of patients and address public health, prescribing and related NHS requirements. NICE guidance must be adhered to. The GP Lead will be responsible for ensuring all clinical staff members are fully cognisant of clinical protocols and that any such protocols are adhered to. Chair regular safeguarding and palliative care meetings. Share learning and best practice improvements with other practices in the Cwm Taf Morgannwg locality.

Engagement with Patients, Internal and External Stakeholders



Initiate, develop and maintain excellent third-party relationships with patient groups, local community health council and other stakeholders to grow, maintain and support service and performance delivery.

CPD and Development



Ensure on-going CPD to keep abreast of new clinical developments and maintain an appreciation of the commitments and requirements of the wider clinical workforce. Promote a culture within the practice that encourages on-going education. Develop CPD for the practice clinical team that is relevant and addresses the needs of the Practice and the local primary health care team. Organise a programme of clinical meetings to promote educational development of clinical staff. The post holder will be expected to participate in annual appraisal and to maintain a portfolio of supporting information to bring to appraisal as a basis for discussion. The All-Wales format for appraisal is the online Medical Appraisal and Revalidation System (MARS). You will be expected to maintain GMC Revalidation as and then required and will be supported through this process by the appointed Revalidation Manager.

Strategic



The Clinical Lead GP will promote the development of the practice and shall work to implement additional services, examples of such services include but are not limited to minor surgery, contraceptive services, sexual health services and secondary care clinics along with:



Identify additional services that can be offered from the practice. Work with the Practice Manager and the Health Board to deliver efficient, effective and value for money, care and service delivery. Engage with other clinical leads and practice managers within Cwm Taf Morgannwg UHB. To lead and maximise the quality agenda within the practice by using the Quality Assurance and Improvement Framework and other qualitative tools. Engage with secondary care, other GPs and community services. Represent the Practice at external meetings. Attend Cluster meetings to optimise local integration opportunities and support the delivery of service and growth of surgery within the local health economy. To participate and contribute to the education and training of other professionals and colleagues within the practice team, undertaking clinical oversight and mentorship as required.

Learning Organisation



* To be involved and actively manage complaints and any medico legal claims in their area of practice, management of serious incidents and responsibility for sharing any organisation learning from these.