Job Description

and Person Specification

1. POST TITLE:

Salaried General Practitioner

2. LOCATION:

Stockwell Lodge Medical Centre, Rosedale Way, Cheshunt, EN7 6HL

3. GRADE:

Competitive

4. HOURS:

6 - 8 sessions per week

5. ACCOUNTABLE TO:

The GP Partners or Managing Partner

6. REPORT TO:

Managing Partner

7. JOB PURPOSE

The post holder will be a qualified general practitioner who can demonstrate highly developed clinical skills and be able to demonstrate critical thinking whilst working within their professional boundaries. They will work within a clinical team consisting of GP's, Practice Pharmacist, Practice Nurses and Health Care Assistants to deliver excellent primary care services within the practice. They will be able to manage a busy and varied clinical caseload with for patients requiring routine, acute, home visits and palliative care. There will also be the opportunity to take on a lead clinical area of specialist interest.

They will be able to demonstrate safe, competent clinical decision-making and deliver expert care, including assessment, diagnostic skills, treatment and evaluation. They will communicate at all levels across boundaries and work closely with wider clinical team members. The post holder will also work collaboratively with the multidisciplinary team to meet the needs of patients, supporting the delivery of policy and procedures, and providing clinical leadership as required.

8. KEY DUTIES AND RESPONSIBILITIES

8.1 CLINICAL PRACTICE

To deliver a high standard of patient care as an General Practitioner using advanced autonomous clinical skills, and hold a broad and in depth theoretical knowledge base. Sessional consultation clinics for patients who access the walk in service, routine appointments, require a home visits or telephone triage. Manage and process an equal share of repeat prescriptions and dealing with queries, patient test results, medical reports and examinations, referral letters and correspondence in a timely manner. Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis. Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings and reports. Directly admits patients to secondary care hospitals in acute medical need. Refer patients to other medical specialities for assessment where indicated including fast track referrals Undertake and interpret a range of diagnostic test and clinical procedures To take responsibility for making autonomous decisions in relation to patient care. Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan. Prescribe safe, effective and appropriate medication as defined by current legislative framework
Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice

In the absence of the practice pharmacist, work with patients in order to support compliance with and adherence to prescribed treatments, provide
information and advice on prescribed or over-the-counter medication on medication regimens, sideeffects and interactions

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care and signpost appropriately To encourage and support patients with long term conditions to develop their ability to self-manage Provide expert medical advice to other clinical colleagues Work with the clinical and management team to develop new services for patients Make referrals as required for specialist clinical input and advice, ensuring regular audit is undertaken Provide safe, evidenced-based, cost effective and individualised patient care To work within the practice guidelines, policies and protocols Contribute to practice incentive schemes, disease management registers and practice targets set locally and nationally for patient care. In general, the post holder will be expected to undertake all the normal duties and responsibilities associated with a GP working within primary care.
8.2 HEALTH IMPROVEMENT

Contributes to service improvement in relation to the public health agenda Makes referral to statutory and voluntary agencies as appropriate
8.3 DELIVERING A QUALITY SERVICE

Work effectively with individuals in other agencies to meet patients and carers needs Effectively manage own time, workload and resources in a manner that promotes quality Recognise and work within own competence and professional code of conduct as regulated by the GMC Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures on the practice clinical system Deliver care according to local and national guidelines and evidence-based care Assess effectiveness of own performance through self and peer review, benchmarking and formal evaluation Identify any areas of quality improvement and contribute to service improvement Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities Participate in audit as a means of evaluating the quality of the work of self and the team, implementing improvements where required In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate Evaluate patients' response to health care provision and the effectiveness of care Support and participate in shared learning across primary care and the wider organisation Use a structured framework (eg root-cause analysis) to review and identify learning from patient complaints, clinical incidents and near-miss events Assess the impact of policy implementation on care delivery Understand and apply legal issues that support the identification of vulnerable and abused adults, and be aware of statutory vulnerable patients health procedures and local guidance
Offer guidance, support and make appropriate referrals to patients at risk of domestic violence, vulnerable adults, substance abuse and addictive behaviour.

8.4 COMMUNICATION

Provide expert advice with patients and their carers recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating Communicate effectively with members of the clinical and non-clinical team Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment To clearly communicate the health status of the patient using appropriate terminology, technology and format Anticipate barriers to communication and take action to improve communication Maintain effective communication within the primary care environment and with external stakeholders Act as an advocate for patients and colleagues Ensure awareness of sources of support and guidance (eg PALS, connect for health) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate Reflect on own communication style and patient feedback as part of regular appraisal and revalidation Effectively communicate using non-verbal methods such as email, tasks and messaging systems To maintain accurate and contemporaneous records, utilising computer systems where appropriate and consider the caldicott principles in relation to all data handling
8.5 LEADERSHIP

To have an understanding of and work towards achieving the Quality and Outcomes Framework and work with the team to deliver this. Contribute to peer review with the clinical team Provide evidence of ongoing personal development through appraisal and revalidation. Attend and contribute to practice meetings and external collaborative meetings Maintain own professional development and registration in line with the General Medical Council regulations Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice Critically evaluate and review innovations and developments that are relevant to the area of work Contribute to the development of local guidelines, protocols and standards To play an active role in the development of the practice and new services including research.? Contribute to a culture of ongoing review, taking into account new methods of working
8.6 TEAM WORK

Understand own role and scope and identify how this may develop over time Work as an effective and responsible team member, supporting others and exploring new ways of working To liaise with all members of the primary care team and other agencies in order to assure appropriate care is provided for the practice population To value all team members
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence

Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team Discuss, highlight and work with the team to create opportunities to improve patient care Manage and lead on the delivery of specifically identified services or projects as agreed with the practice To support the delivery of maintaining CQC standards within the practice To attend practice and collaborative meetings as requested To keep the partners informed about pressures and difficulties or problems that may arise
8.7 MANAGEMENT OF RISK

Comply with the practices health and safety policy, in particular by following agreed safe working procedures and report incidents using the practice incident reporting system Awareness of national standard in infection control and health and safety Maintain own clean working environment Ensure safe management of sharps, storage and disposal in accordance with local policy Ensure correct waste disposal for handling, segregation and container use Ensuring the correct use personal protective equipment (PPE) personally and of others to ensure high standards of infection control are maintained Ensure own personal safety as alone worker for home visits in line with practice policy Ensure hand hygiene standards for self and others are maintained Identify any risks involved in work activities and undertake procedures in a way that manages those risks ? Undertake any mandatory training in relation to health and safety and Infection control.
8.8 MANAGING INFORMATION

Ensure Information governance training is up to date at all times Ensure appropriate use of IT systems including email, internet and clinical systems in line with practice policy Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes Ability to set up reports and searches to manage information on clinical systems for audits and service improvement Collate, analyse and present clinical data and information to the team
8.9 LEARNING AND DEVELOPMENT

As an advanced training practice you will contribute to a learning environment providing supervision for more junior staff as required under direction of the GP Trainer Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (eg courses and conferences) Assess own learning needs and undertake learning as appropriate as part of professional development Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning Deliver training sessions to clinical and non-clinical teams as required Complete mandatory training and attend regular TARGET or in house training to maintain professional development. Maintain a professional development portfolio
9. EQUALITY AND DIVERSITY

Enable others to promote equality and diversity in a non-discriminatory culture Act in a way that recognises the importance of people's rights, and identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity Respect patients privacy, dignity, needs and beliefs of patients, carers and colleagues Support and signpost people who need assistance in exercising their rights Act as a role model which is welcoming to and of the individual, non-judgemental and respectful Accept the rights of individuals to choose their care providers, participate in care and refuse care
10. RULES, REGULATIONS AND INSTRUCTIONS

Comply with the rules, regulations and instructions of the practice

. EMPLOYMENT ACT AND CODES OF PRACTICE

Comply with employment legislation and codes of good practice

12. CLINICAL GOVERNANCE

Comply with the practice clinical governance standards, policies and procedures

13. WORKING CONDITIONS

Frequent exposure to body fluids, blood and wounds Travel requirements between sites and home visits Regular use of VDU equipment Occasional expose to aggressive behaviour
14. TERMS AND CONDITIONS

All terms and conditions will be agreed by the practice and may be amended from time to time. This post is subject to a satisfactory pre-employment health assessment, two satisfactory references and a six month probationary period. Successful applicants will be required to complete a DBS application form

15. REHABILITATION OF OFFENDERS ACT 1974

This post is exempt from the provision of section (42) of the Rehabilitation of Offenders Act 1974 (exemptions) order 1975 due to the nature of this work. Applicants for this post are not entitled to withhold information about convictions which for other purposes are spent under the provisions of the act and in the event of employment, any failure to disclose such convictions could result in disciplinary action or dismissal. Any information given will be completely confidential and will be considered only in relation to an application for a position to which this order applies.

16. DATA PROTECTION ACT AND CONFIDENTIALITY

All members of staff are required to work in accordance of the Data Protection Act 1998 and should respect patient confidentiality at all times.

17. SMOKING POLICY

The practice operates a no smoking policy

18. EQUAL OPPORTUNITIES AND DIVERSITY

The practice is an Equal Opportunities Employer and all staff members must comply with practice policy to ensure equality of employment. Co- workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation and religion.

19. JOB DESCRIPTION REVIEW

This is intended as an outline of the key duties and responsibilities. There may be other duties required for the post holder. This job description will be open to regular review and may be amended to take into account development of the practice. All members of staff should be prepared to take on additional duties and relinquish existing duties in order to maintain the efficient running of the practice. Any changes will be made in consultation with the post holder.

JOB TITLE:

Salaried GP

PERSON SPECIFICATION

ATTRIBUTES

ESSENTIAL

DESIRABLE

Evidence

Qualifications & Training

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?

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Fully Qualified GP with GMC

Registration

Annual Appraisal and Revalidation (When appropriate)

General Practice (Vocational

Training Scheme) trained

Basic Life Support Certificate

On a PCT Medical Performers

List

Enhanced DBS check Evidence of continued professional development UK Driving Licence

Safeguarding Adults and

Children Level 1,2,3 certificate Information Governance

certificate

? ?
?

?

?

MRCGP

Experience of teaching undergraduate students

Palliative Care

Long Term Condition qualifications (Diabetes, COPD,

Heart Disease)

Long Acting

Reversible

Contraception

Fitter

Minor Surgery

Research

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Application

Certification

Reference

Interview

Experience and

Skills

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?

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Primary Care Services

Long Term Condition

Management

Public Health and Screening

services

Sexual Health and

Contraception

Palliative Care

Clinical Governance

Demonstrate a high level of selfawareness in relation to strengths, weaknesses and

personal qualities

Excellent communication skills, both written and verbal Negotiation and conflict management skills

Provide education and training to other staff and students

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?

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Minor Surgery

Fitting Long Acting

Reversible

Contraception

Devices (LARC) Supervision and teaching Research Experience of working with a variety of clinical systems (SystmOne and Emis)

Adaptability to change

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?

Application Interview

Aptitude and

Ability

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Demonstrate motivation and commitment to the team working and the development of self and other team members Flexibility and adaptability within the role and practice

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Involvement in

the CCG Ability to challenge traditional models of care and

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Application

Interview

References

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?

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business needs

Demonstrate an ability to value others

Punctual and reliable Highly motivated and demonstrate enthusiasm

Team player

Ability to work in an

environment of change to meet the needs of primary care Work under pressure and time scales

Self-directed practitioner

Good time management

contribute to service improvements

Physical,

Mental and

Emotional Effort

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Fitness to do the job Able to work within manual handling policy

Ability to travel for home visits and across sites

Advanced key board skills Willing to complete immunisation course as recommended by occupational health

Able to deal with exposure to distressing circumstances or highly emotional events Able to concentrate for prolonged periods

Able to work outside routine practice hours such as extended hours or enhanced access schemes

? ? ?

Application

Interview

Occupational Health assessment

Job Type: Part-time

Pay: From 60,000.00 per year

Benefits:

Company pension On-site parking
Work Location: In person