Job Description

This is a part-time vacancy at Salaried GP level in integrated Sexual Health at axess sexual health, Liverpool University Hospitals NHS Foundation trust, based at our Axess East Cheshire Crewe location. Applicants must be fully registered with the GMC and should be on the GMC GP register. This is a less than full time post with flexible working hours dependant on candidate needs, and a job-share would be considered. Salary will be mapped to the NHS Salaried GP range.



The appointee will undertake 4 clinical sessions. These will be mostly in the Crewe site, but it may be necessary to cover the other sites within East Cheshire at times. Duties will include provision of sexual health services. There is no on call commitment. Timetable flexibility is available and job plan will be agreed with successful applicant on appointment.



The commissioned integrated axess Liverpool Sexual Health service is responsible for level 3 contraception and STI care at the East Cheshire clinics, alongside multiple community pharmacies and GP practices. The team of 3 consultants (2.8 WTE) will be available to work in parallel with the post holder to support their development needs. Services provided include complex contraception and a full range of STI treatment including complex STI management and STI prevention. The clinical team of specialist nurses and HCAs will be similarly available to share ways of working which could be developed within practise. The service uses Idox Health "Lilie" system for patient records, and full training is provided if needed.



Liverpool University Hospitals NHS Foundation Trust comprises Aintree University Hospital, Broadgreen Hospital & Royal Liverpool University Hospital.



We are part of NHS University Hospitals of Liverpool Group, formed on 1 Nov 2024 from the coming together of LUHFT and Liverpool Women's NHS Foundation Trust. The Group was born from a shared aim to improve the care we provide our patients.



UHLG is one of the largest employers in the region, with over 16,800 colleagues dedicated to caring for our communities - from birth and beyond.



For the 630,000 people across Merseyside, we are their local NHS. We provide general and emergency hospital care, alongside highly specialised regional services for more than two million people in the North West.



Aintree University Hospital is the single receiving site for adult major trauma patients in Cheshire and Merseyside and hosts a number of regional services including an award-winning stroke facility. Broadgreen Hospital is home to elective surgical, diagnostic and treatment services, together with specialist patient rehabilitation. Liverpool Women's Hospital specialises in the health of women and babies, delivering over 7,200 babies in the UK's largest single site maternity hospital each year. The Royal Liverpool University Hospital is the largest hospital in the country to provide inpatients with 100% single bedrooms and focuses on complex planned care and specialist services.



For roles at Liverpool Women's, visit their careers page .



Main Duties and Responsibilities



Clinical

The post-holder will:

Be approachable, non-judgemental and responsive to patients' needs irrespective of age, gender, race, religion or sexuality. Provide accurate and up-to-date information on contraception, sexual and reproductive health and Sexually transmitted infections to patients and other professionals Assess, examine and treat patients presenting to clinics or drop-in services including history taking, examination and provision of appropriate contraceptive and reproductive health advice

This includes:

Issue of oral contraceptives / patch/vaginal ring/ EHC/ barrier methods Issue and administer injectable methods of contraception Counsel & offer Long Acting Reversible Contraception as per NICE guidance Insertion, review and removal of intrauterine methods Insertion & removal of contraceptive subdermal implants Provide pre - pregnancy advice to women planning a pregnancy Undertake pregnancy testing Support and give advice regarding unplanned pregnancies and referring for Termination of pregnancy as per local policy. Undertake cervical cytology Ensure smooth running of the clinic by supporting nursing staff working to PGDs. Give medical advice over the telephone if needed during a clinical session to other doctors, nurses, pharmacists or other professional groups Provide information, advice on sexually transmitted infections. Perform male and female examinations as appropriate, take appropriate tests and recognise any abnormal findings. Assessment and management of asymptomatic Sexually Transmitted infection Assessment and management of patients presenting with symptoms indicative of STI (eg pelvic pain, vaginal/urethral discharge, testicular pain, genital lesions & rash, systemic symptoms of infections such as syphilis) Provide preventative care (eg Vaccinations, Pre-Exposure HIV prophylaxis, doxyPEP) Promote the safe sex message encouraging condom use Respect a patient's needs and wishes When treating patients under the age of 18 years ensure that the under 18 risk assessment proforma is completed and that Fraser Guidance and safeguarding procedures are observed Remain up to date with national clinical guidelines, FSRH, BASHH, NICE/Government guidelines and issues relating to child protection Be familiar with local guidelines, procedures and clinical protocols and proformas and adhere to these. Participate in clinical governance and clinical audit in Sexual and Reproductive Health. Ensure confidentiality and privacy at all times

Training & Education



Take an active role in the existing training programmes for DFSRH trainees, medical students, and other health professionals. Support the existing training programme for Registered Practitioners (nurses/midwives) undergoing training for Patient Group Directions (PGDs), non medical prescribing and cervical cytology Support and contribute to the professional development of medical, nursing and other staff as appropriate.

Communication



Maintain good communication between all members of the multidisciplinary team and external health care professionals such as GPs, Practice Nurses and Specialists in Secondary Care.

Personal Development Responsibilities:

Maintain appropriate professional registration and ensure working within professional competencies.

To ensure all statutory and mandatory training relevant for post is completed.

Identify own training needs, in consultation and attend agreed relevant courses / study days to enhance personal development.

Actively seek out learning opportunities via networking with peers in other organisations.

Participate in the NHS Appraisal process and all activities required for revalidation

Service Responsibilities:

To have a good understanding and follow the organisation's policies and procedures.

Work as part of the sexual health team to maintain a positive and productive team environment.

Alert axess Sexual Health management promptly to problems in service delivery or concerns about clinical and non-clinical colleagues.

To provide relevant information and assurance regarding Working Time Directive and hours worked.

To contribute and participate in the management of complaints and concerns where appropriate.

Participate in Clinical Governance, appraisal, local and national audit, standard setting, research and quality control as appropriate.

To actively support ongoing service development by highlighting areas of concern or risk via the clinical incident reporting system (Datix) used by the Trust.