Job Description

We are recruiting a passionate and proactive GP to join the Dacorum Neighbourhood Proac tive Care Service.



This is an exciting opportunity to play a key role in a new team delivering community-based, person-centred care for residents . T he focus will be on holistic assessments, care coordination, addressing health inequalities and delivering on the strategic ambition of a ' neighbourhood health service ' .



You'll work as part of a multi disciplinary team supporting a cohort of residents with moderate to severe frailty who have had 2 or more unplanned admissions within the last year, linking them to health, social care, and voluntary sector services.



This service will see the shift from reactive care to proactive identification by using risk stratification searches within Primary Care records. The searches will identify a cohort of patients who would benefit from targeted i ntervention to improve outcomes, their overall experience and reduce the likelihood of further unplanned admissions . The service will operate alongside a number of other acute and community services, with the ability to step patients up in to appropriate services - including the highly successful virtual ward models in South and West Hertfordshire .



This role presents as an excellent opportunity to work in a topical area of service delivery within the NHS right now and will provide the opportunity to gai n service development skills .



Just as we care about our patients' wellbeing, we care about yours!

We can offer you:

A comprehensive induction into the community service followed by a local induction to introduce you to the role



Car lease scheme *T&C's apply



Flexible working options



Annual travel card loan



Training, support and development in your career



To have a full look at our benefits and what it's like working for us please go here: https://www.clch.nhs.uk/job/pay-and-benefits



Full job description and person specification are included in the attached file.



Working alongside nurses, AHPs, pharmacist, and case coordinators, you will be undertaking a range of proactive assessment and interventions to enhance health and wellbeing in this patient group, identifying actions which can be taken to prevent hospital admission, avoid unnecessary admission to care homes, and support patients to live well. This will be delivered in partnership with the patient's usual registered GP.



There is a requirement to have face to face contact with patients in a clinic setting, or in the patients own home including in a care home when appropriate.



Please see attached and Person Specification for full roles and responsibilities.