Job description

Job responsibilities

Key Result Areas & Performance:

1. Provide clinical leadership for the core INT team and support the Principal Pharmacist to develop the service to meet the needs of the PCNs and wider Lewisham INT model of care.

2. To supervise other non-clinical staff within the INT core team, including 1-2 caseworkers, link worker and health coach within the Neighbourhood for which responsible.

3.To deliver patient facing care and conduct multi-morbidity reviews to improve outcomes for patients with complex needs or provide support before needs become acute.

4. Participate in clinical audit to support evaluation of service delivery and inform improvement.

5. To work closely with other members of the core INT team including link workers, key workers, health equity team, GPs and community groups, linking with clinicians and staff within other community and secondary teams within both health and social care to ensure a holistic and multidisciplinary approach to care maintained.

6. Provide medicines management expertise and support to patients, other clinical and non-clinical staff as part of the INT model of care.

7. To practice and promote appropriate evidence-based and cost-effective prescribing and .de-prescribing where appropriate.

8. Provide highly specialist medicines management support and training for GPs, nurses and other members of the multi-disciplinary care team for patients with multi-morbidity in all settings.

9. To support the Principal Pharmacist with development of protocols in collaboration with key stakeholders as necessary to support service delivery.

1. To work with the Principal Pharmacist for INT and other stakeholders to develop and refine service delivery models within the INT programme to support effective delivery of activity across all PCNs/ Neighbourhoods.

2.To work closely with colleagues and other staff involved in the INT programme to promote and embed the role of the INT into local pathways of care.

3.To provide operational and clinical support to developments around multi-morbidity and delivery of the INT model of care.

4. To support the planning and actions required to continuously improve the quality of service provided and ensure a quality improvement approach is taken to medication optimisation and any service development or re-design.

5. To contribute to and support the evaluation of outcome measures associated with the INT service

Clinical Services & Patient Care

1. To act as a clinical role model to other members of the wider MDT and provide direct supervision to non-clinical members within the core team in allocated Neighbourhood(s) to ensure improved outcomes achieved through the provision of holistic, team approach to care, which includes the safe and clinically cost-effective use of medicines.

2. To provide clinical leadership on medicines optimisation in the context of multi-morbidity across the core INT and wider setting.

3.To conduct patient facing and telephone consultations to independently review patients with complex multi-morbidity focusing on optimisation of cardiovascular disease management and improving long-term outcomes.

4. To collaborate with multidisciplinary teams (MDTs) to develop and implement individualised care plans.

5. To provide clinical advice and support to other members of the INT including complex scenarios to ensure a high standard of patient care delivered within the INT framework.

6. To manage complex and non-routine medicines management problems in patients under the INT service, making onward referrals when needed.

7.To demonstrate an intuitive grasp of situations based on knowledge, expertise and understanding and to make decisions about drug therapy with limited information.

8.To work with colleagues to facilitate robust communication and onward referral pathways to support seamless care for patients managed by the INT service where complex medicines and/or other needs are identified.

9. To ensure efficient transfer of information related to complex medicines management needs across care interfaces and reconcile information received to ensure the safe transfer of care for vulnerable patients with complex medicines management needs.

10. To work as an independent prescriber and review medication to ensure that patients medicines are optimised for safety, effectiveness and cost-efficiency in line with competency and agreed scope of practice as approved by the relevant Trust governance process.

Information & Data Management

1. To contribute to the development of quantitative and qualitative performance measures, co-ordinate their use and be involved in disseminating, acting on and sharing learning from information gathered.

2. To participate in the design and collection of clinical audit data, leading implementation in designated areas and participate in research projects to improve the quality of care and inform best practices.

3. To utilise available information from audits, national guidelines, and benchmarking data to influence and implement improvement in service delivery.

4. To work closely with PCNs ensuring seamless integration of patient data for improved care co-ordination.

Staff Management and Education and Training

1. To line manage one to two caseworkers and link workers/health coach within the INT providing supervision, guidance and support to ensure effective teamwork and delivery of goals. This will include matrix working with PCN clinical leads and business managers and leads to effectively manage and co-ordinate team members. This will include supporting appraisals, objective setting and sickness management.

2. To work with the Principal Pharmacist and other leads to identify and support the design and delivery of education and training around the INT service (including medicines optimisation in multi-morbidity and holistic, cost-effective prescribing), to colleagues, and more widely across the system when needed. Training delivery will range from small communications to formal presentations.

3. To participate and contribute to clinical training programmes for trainee professionals across Lewisham where exposure to the INT model would aid learning and practice.

4. To evaluate and ensure continuous development of own professional knowledge and competencies by attendance at in house/external training programmes, and appropriate self- education.

Financial

1. To support and advise relevant leads and GP/primary care prescribers on delivering relevant QIPP, QoF and local targets in relation to medicines optimisation.

2. Toprovide medicines advice regarding the use of cost-effective drugs across the primary and secondary care interface to the relevant stakeholders.

3. To provide a value for money service to contribute to reduction of medicines related readmission of patients with complex medicines management needs by optimising medicines management and communication about medicines across care interfaces.

4. To support the delivery of targets in the general practice setting in relation to medicines optimisation within the quality and outcomes framework and enhanced services in defined areas of multi-morbidity.

Research & Development

1. To participate in clinical audit and research and development within the INT service and support publication of service results.

2. To develop initiatives in the delivery of medicines optimisation within the INT model of care and contribute to development quality standards for clinical effectiveness.

3. To develop working relationship and research links with academic units to promote collaboration in practice and research around medicines optimisation in multi-morbidity.

Communications and Relationships

1.To communicate clearly and sensitively about patient medicines management issues both internal and external to the Trust and in Primary Care Network setting.

2. To communicate and collaborate with the multidisciplinary healthcare team including doctors, nurses, pharmacists and social care professionals on a daily basis to address the complex needs of patients with multi-morbidity.

3. Tocommunicate complex and sensitive medication/ health care related issues to patients and relatives, including medication history taking, medication review and counselling and overcoming barriers to understanding and communication such as language, hearing, visual or cognitive difficulties. Tact and persuasive skills are required when negotiating with patients to improve adherence with medication advice, with empathy and re-assurance necessary to address patient concerns. Communication may be either verbal in the form of face-to-face contact, over the telephone or in written form.

4. To work closely with other services within primary care to ensure patient referrals that support improved outcomes for patients are made with appropriate escalation where required.

5. To act as a link between primary and secondary care, facilitating smoother transitions for patients and promoting integrated care pathways.

Person Specification

Personal Qualities

Essential

• Able to demonstrate high levels of communication skills involving negotiation and co-operation using highly complex sensitive and contentious information.
• Excellent interpersonal skills, including the ability to work across diverse teams and with patients
• Demonstrable ability to prioritise work, and meet deadlines
• To be able to negotiate with health professionals in a diplomatic manner, including when knowledge is challenged, occasionally in an emotional atmosphere.
• Flexible approach to work
• Self-motivated with demonstrable willingness to learn and develop new skills
• Reliable, polite and approachable
• Ability to cope with challenges and change
• Knows own professional and personal limitations and seeks advice where necessary
• Demonstrable ability to inspire others to be positive in support of continuous improvement

Knowledge, Skills & Ability

Essential

• Ability to work on own initiative and effectively as part of a team both within own professional and a multidisciplinary environment
• Advanced clinical knowledge of managing multi-morbidities, particularly CVD
• Ability to delegate appropriately.
• Ability to manage difficult and complex issues or refer appropriately
• Ability to prioritise and plan work effectively alone and for a team.
• Demonstrated ability to communicate complex information effectively using clear written and spoken English and overcome barriers to understanding
• Self-motivation and the ability to motivate others within a team
• Ability to work positively and calmly under pressure
• Proficient in using EMIS and other healthcare IT systems for patient management/reporting and all Microsoft Office software with proven computer literacy and IT skills
• Demonstrated ability to supervise others including teaching and assessment in accordance with a learning plan
• Knowledge of the mentorship process

Desirable

• In depth specialist knowledge of NHS clinical governance strategy, policy and current issues
• Familiarity with integrated care models
• Evidence of publications.

Education / Qualifications

Essential

• B. Pharm/ M. Pharm / Bsc (Pharmacy)
• Postgraduate Diploma in either Clinical Pharmacy or General Pharmacy Practice (or equivalent)
• Registered with the General Pharmaceutical Council (GPhC)
• Registered and experienced pharmacist independent prescriber

Desirable

• Other postgradulate qualification relevant to pharmacy or health care practice such as management, leadership or education & training qualifications
• RPS faculty member

Previous Experience

Essential

• Substantial post-registration experience in hospital pharmacy in an acute NHS healthcare setting or as a clinical pharmacist in GP Practice or Primary Care
• Experience of working in Primary Care
• Experience of clinical practice including optimisation of medication
• Experience of multi-professional and interface working across organisations
• Demonstrable experience of managing a team and developing services.
• Evidence of change management.
• Experience in line management and supervising others in a healthcare setting
• Practical experience in co-ordinating and leading on clinical audit.

Desirable

• Experience of design and delivery of training programmes.

Other

Essential

• Willingness to contribute to the general life and work of the Pharmacy, Trust and partners across primary care
• Able to work agreed hours

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

London

SE13 6LH

United Kingdom

Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Job Purpose:

Lewisham and Greenwich NHS Trust, along with Lewisham ICT and Lewisham Borough have developed an integrated approach to medicines optimisation across the interface, community and care home settings as part of improved community management of chronic diseases and long term conditions. This role will be to support the medicines management aspects of this initiative through working within the LIMOS service across the interface and community setting to visit patients at home. This role will work provide specialist advice to patients, and undertake full patient centred medication reviews to proactively manage people with complex polypharmacy and adherence concerns, with focus on older people, frail housebound, and those with multiple conditions including physical or mental health issues and learning disabilities. The role will also involve partnership working across health and social care interfaces in line with the current and further developing pathways for medicines support in Lewisham as part of the Neighbourhood approach to care.

This is a specialised post, which involves analysing and interpreting complex clinical situations to develop, provide and communicate effective medicines management solutions and provide expert advice in this area.

Key Result Areas & Performance:

1. To provide medicine management reviews for identified and targeted patients including those who have medication issues or adherence related problems, or are on multiple or high risk medications, in the interface and community settings.

2. To deliver quality improvement, while contributing to the delivery of the general practice quality and outcomes framework, other enhanced services and prescribing workstreams in the primary care setting.

3. To participate in clinical audit and collect appropriate outcome data.

4. To work with general practice colleagues and community pharmacy colleagues to support implementation of safe systems for repeat prescribing and reduction of waste within primary care.

5. To work with primary care healthcare professionals to ensure agreed changes in medication are implemented and sustained.

6. To provide expertise and clinical leadership on medicines optimisation as part of a team member within the community setting.

7.To provide support to improve adherence and help patients get the best from their medicines, reducing medicines related admissions (including falls), and promoting appropriate evidence-based and cost effective prescribing. This will involve advice on de-prescribing where appropriate.

8. To provide medicines management support to, and training for patients, carers and members of the multi-disciplinary community and general practice team.

9. To contribute to the development of protocols to support improvement in systems around medication ordering and supply in the community setting in the context of improving safety and reducing waste.

Service Development

1. To work with community staff to promote and embed the role pharmacists in the community setting and raise awareness of services available to patient

2. To provide recommendations and plan actions to proactively improve the quality of systems and processes to improve medicines optimisation across the primary care setting.

3. To provide training regarding medication related issues and policies/guidelines to staff in primary or secondary care in order to promote medicines optimisation and high quality and cost-effective prescribing as appropriate.

4. To provide operational and clinical support to medicines optimisation developments and prescribing initiatives as dictated by GP practice, ICB, and hospital Trust and service objectives.

5. To collate and feedback on electronic discharge related information to ensure continuing improvement of the hospital computerised discharge letter and process of communication.

6. To assist with the implementation of policies and guidelines to improve medicines optimisation across primary/ secondary care interface and into the general practice setting.

7. To provide training to staff across health and social care to promote medicines optimisation in practice.

Clinical Services & Patient Care

1. To provide medication review and optimisation of identified groups of patients to maximise the gain from medicines and provision of safe, clinically effective and cost-efficient use of drugs.

2. To provide information in medicines related issues to doctors, nurses and other members of the multidisciplinary team in general practice and where appropriate across primary and secondary care interfaces including to community pharmacies within the Borough.

3. To develop skills including management of both minor ailments and specified long term conditions as required to practice as a part of the multidisciplinary team so as to ensure clinically effective and cost efficient use of drugs.

4. To reconcile information related to medicines across the interface setting, liaising with community and hospital colleagues to support the safe transfer of care for vulnerable patients with complex medicines management needs.

5. To work as an independent prescriber in line with competency and agreed area of practice as approved by the relevant Trust governance process through the non-medical prescribing committee with ratification by the MMC.

6. Provide patient facing and telephone support to patients those with questions, queries and concerns about their medicines.

Information & Data Management

1. To accurately record clinical activity within patient notes and the relevant electronic clinical systems such as EMIS and iCARE or EPIC.

2. To undertake clinical audit in areas in collaboration with stakeholders, feedback results, implement changes and ensure learning is shared to ensure quality improvement is achieved.

3. To collate any quantitative and qualitative performance measures for the service as required.

4. To collect and support the review of audit data associated with monitoring outcomes of relevant work streams of medicines optimisation services in the interface or community setting.

Education and Training

1. To provide education and training on medicines issues to staff working in hospital setting including members of social care, general practice teams and local community pharmacists

2. To commit to undertake relevant training to qualify as a pharmacist independent prescriber

3. To ensure continuous development of professional knowledge competencies by attendance at in house/external training programmes and appropriate self-education.

4. To act as a tutor and educational supervisor for trainee pharmacists and pharmacy diploma practitioners

5. To provide support when required for junior and trainee pharmacists including provision of information, informal teaching and assessment of trainee pharmacists and diploma practitioners.

6. To provide teaching and training sessions on pharmacy related issues to pharmacy, ward and clinical staff.

Financial

1. To support the delivery of targets in the general practice and community setting in relation to medicines optimisation and service delivery within quality and outcomes framework areas and enhanced services as required.

To provide pharmaceutical advice on the use of more cost-effective drugs across the primary and secondary care interface and within the general practice setting, including the provision of advice and implementation of formulary recommendations and shared care guidance.

Research & Development

1. To participate in clinical audit in medicines optimisation initiatives to influence quality improvement around use of medicines within general practice and across local healthcare settings.

2. To support the development and evaluation of local initiatives in the delivery of medicines optimisation

Communications and Relationships

1. To communicate information following assessing patients medicines needs with relevant members of the multidisciplinary team as required in the general practice, PCN and primary care setting. This will include close liaison with both community and hospital service colleagues in addition to GPs and other practice staff, carers, and other members of both primary and secondary care teams.

2. To communicate medication related issues to patients and relatives. This includes medication history taking, medication review and medication counselling and overcoming barriers to understanding and communication such as language, hearing, visual or cognitive difficulties. Communication is either verbal in the form of face to face contact, over the telephone or written in the form of medication reminder charts.

3. To communicate verbal and written information across the primary and secondary care interface regarding patients therapy on admission and discharge, documenting key information in the primary care record (EMIS) or Electronic Discharge Notification (EDN), and, where appropriate, resolving queries to support vulnerable patients with medicines management needs.

4. To liaise with relevant ICB and PCN colleagues on prescribing related issues to ensure consistency of patient care.

Person Specification

Education/Qualification

Essential

• B. Pharm / M. Pharm / BSc (Pharmacy)
• Registered with the GPhC
• Postgraduate Certificate in General Pharmacy Practice (or equivalent)

Desirable

• Postgraduate Diploma in General Pharmacy Practice (or equivalent)
• Pharmacist Independent Prescriber or working towards qualification

Previous Experience

Essential

• A minimum of 2 years post-registration experience in hospital pharmacy in an acute NHS setting or equivalent clinical experience.
• Demonstrable experience in clinical pharmacy practice covering a broad range of specialities
• Demonstrable experience of multidisciplinary working
• Demonstrable experience in supervising others.
• Demonstrable experience of co-ordinating and leading on clinical audit.

Desirable

• Previous experience of delivering formal education and training sessions.
• Experience of working within GP practices &/or a community or primary care pharmacy setting.
• Development of evidence-based guidelines

Knowledge, Skills and ability

Essential

• Ability to work on own initiative and effectively as part of a team both within pharmacy and a multidisciplinary environment
• Appreciation of the nature of GPs, general practice and primary care prescribing and strategies for improving prescribing
• Recognise priorities when problem solving and appropriately refer to colleagues or seniors
• Ability to prioritise and plan work effectively.
• Ability to contribute to the planning of service developments
• Demonstrated ability to communicate complex information effectively using clear written and spoken English and overcome barriers to understanding
• Self motivation and the ability to motivate others
• Ability to establish and maintain rapport with medical, nursing and other colleagues
• Ability to work positively and calmly under pressure
• Demonstrate sound clinical knowledge and the ability to apply it in practice
• Demonstrate ability to ensure safe and effective use of medicines for patients
• Proven computer literacy and IT skills including: o Email o Word processing o Spreadsheets o Databases o Use of search engines/medical databases to retrieve information
• Demonstrated accurate numeric skills
• Recognises limitations and takes responsibility for own actions

Desirable

• Experience working with medical and nursing teams.
• Knowledge of NHS policy and current issues
• Experience working with clinical systems such as EMIS

Personal attritubes

Essential

• Flexible approach to work
• Committed to own continuing professional development and maintaining a CPD portfolio.
• Demonstrable willingness to learn and develop new skills
• Reliable, polite and approachable
• Ability to cope with challenges and change
• Knows own professional and personal limitations and seeks advice where necessary
• Able to demonstrate high levels of communication skills involving negotiation and co-operation using complex and often sensitive information.
• Demonstrable ability to prioritise work and meet deadlines
• To be able to influence and negotiate with health professionals in a diplomatic manner

Other

Essential

• Willingness to contribute to the general life and work of the Pharmacy and Trust
• Able to work agreed hours

Desirable

• Hold current driving license and willing to use own care for visits /travel in community setting

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

Lewisham

SE13 6LH

United Kingdom

Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Job Description Salaried General Practitioner

Post Title: Salaried GP (Newly Qualified Welcome)

Location: Ashdown Medical Group, Downham/Lee London

Responsible to: Practice Partners / Clinical Lead GP

Contract Type: Permanent, Part-Time (4 to 6 sessions per week)

Salary: Competitive, dependent on experience (plus NHS Pension & Indemnity cover)

Job Summary

We are a friendly, forward-thinking GP practice looking for an enthusiastic and committed Salaried GP to join our clinical team for 46 sessions per week. This is an excellent opportunity for a newly qualified GP seeking a supportive environment with opportunities for career development, mentorship, and special interest work.

You will provide high-quality, patient-centred medical care to our registered population, working collaboratively with the wider multidisciplinary team to meet the health needs of our diverse community.

Main Duties and Responsibilities

As a valued member of our team, you will:

• Provide consultations in person, over the telephone, or via video for a variety of acute, chronic, and preventive care needs.
• Diagnose, treat, and manage a broad range of medical conditions.
• Prescribe safely and effectively, and conduct medication reviews.
• Arrange and interpret appropriate investigations.
• Refer patients to secondary care and community services where required.
• Offer health promotion advice, lifestyle support, and preventive interventions.
• Participate in the duty doctor rota, managing same-day demand and occasional home visits.
• Maintain accurate and up-to-date patient records using the practice clinical system.
• Contribute to clinical meetings, audits, significant event reviews, and quality improvement initiatives.
• Support the practice in meeting QOF, Enhanced Services, and other contractual requirements.
• Maintain professional development in line with GMC revalidation requirements.

Person Specification

Experience

Essential

• GP Opportunity Newly Qualified Welcome

Knowledge and Skills

Essential

• Good organisational, communication, and teamwork skills
• Ability to work independently and as part of a team

Desirable

• Experience in quality improvement projects or teaching

Qualifications

Essential

• Person Specification
• Essential:
• Fully qualified GP with GMC registration and licence to practise
• MRCGP (or equivalent)
• Commitment to high-quality, patient-centred care
• Good organisational, communication, and teamwork skills
• Ability to work independently and as part of a team

Desirable

• Desirable:
• Special clinical interest(s)
• Experience in quality improvement projects or teaching
• Knowledge of EMIS/Docman

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Downham Family Medical Practice

Address

Moorside Road

Bromley

BR1 5EP

United Kingdom

Employer's website

https://www.downhamfamilymedicalpractice.co.uk (Opens in a new tab)

Job description

Job responsibilities

Responsibilities of the post

a.Clinical Responsibilities

1.To provide high quality health care for patients referred for diagnosis and treatment, including outpatients, inpatients.

2.To contribute to the general radiology work of the Trust and assist in achieving all waiting time targets including 2 and 18 week waits

3.To complement the existing expertise within the department

4.To contribute actively to all aspects of the hospital affairs, as deemed appropriate by the Department/Division.

5.To be actively involved in MDT meetings providing cover for colleagues as required

6.To provide prompt effective advice for General Practitioners and Hospital Doctors.

7.To provide cover for Consultant colleagues during periods of annual leave.

8.To contribute to all other aspects of the Division and Hospitals affairs, including relevant Consultant and Directorate meetings.

b.Medical Education & Teaching

1. To contribute to regular training and teaching sessions.

1. To provide teaching to undergraduates, postgraduates and trainees in radiology, and radiographers in co-operation with other members of the Consultant staff.

1. Participate in medical student, FY1 and FY2 teaching

1. Teaching and mentoring Specialist Registrars (Radiology

c.Clinical Audit and Clinical Governance

1. Active participation in audit and research projects; implementing findings as appropriate in clinical practice

1. To lead and / or participate in the Errors and Discrepancy meetings in Radiology

1. To support the Hospitals Clinical Governance Strategy and to participate in clinical audit.

1. To participate in educational and audit meetings and meet CPD requirements.

1. Continuing Professional Development

1. Participate in continuing professional development at local and national level

1. Implement audit and research findings as appropriate in clinical practice

1. Prepare and participate in an annual appraisal in accordance with Trust policy

1. A willingness to undertake additional professional responsibilities at local, regional or national levels

1. Policy, Planning and Management

1. Support the Trust to deliver quality patient care

1. Contribute to the development of clinical and organisational protocols and guidelines

1. Assist in the development of the Annual Service Plan for the Directorate and Division and participate in the strategic planning of the service

1. Comply with all Trust policies

1. To lead or participate in the development of improved workflow through the Radiology Department, ensuring better patient experience and increased efficiency. This is a specimen plan reflecting proposed activities. Flexibility in these sessions is necessary depending on the changing demands on the service.

Person Specification

Qualifications

Essential

• MBBS of equivalent
• FRCR or equivalent
• Full Registration with the GMC
• To be on the Specialist Register for Clinical Radiology on the date of commencement in post or to be within 6 months of obtaining CCT on a UK training program at date of interview

clinical Experience

Essential

• Breast radiology experience
• Head and neck radiology , musculoskeletal radiology, GI/GU radiology with fluoroscopy, ultrasound and intervention experience General radiology experience in PF, CT, MRI, USS and Fluoroscopy.

Desirable

• Working experience in the UK and either /or
• Nuclear Medicine skills
• Musculoskeletal imaging skills
• General non vascular intervention

Clinical Audit

Essential

• Understand the principles of audit Experience required

Desirable

• Evidence of participation in audit projects
• Support departmental audit

Teaching Experience

Essential

• Teaching ability and experience to all staff groups

Desirable

• Contribute to medical student and other teaching

Management and Administrative Experience

Essential

• General IT skills and managerial skills to support Radiological work
• Ability to work in and build teams for effective clinical management
• Awareness of importance of participation in all aspects of clinical governance

Other Attributes

Essential

• Patient focused
• Team player
• Flexible

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

UHL

Lewisham & Greenwich NHS Trust

Lewisham

SE13 6LH

United Kingdom

Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Responsibilities of the post

a.Clinical Responsibilities

1.To provide high quality health care for patients referred for diagnosis and treatment, including outpatients, inpatients.

2.To contribute to the general radiology work of the Trust and assist in achieving all waiting time targets including 2 and 18 week waits

3.To complement the existing expertise within the department

4.To contribute actively to all aspects of the hospital affairs, as deemed appropriate by the Department/Division.

5.To be actively involved in MDT meetings providing cover for colleagues as required

6.To provide prompt effective advice for General Practitioners and Hospital Doctors.

7.To provide cover for Consultant colleagues during periods of annual leave.

8.To contribute to all other aspects of the Division and Hospitals affairs, including relevant Consultant and Directorate meetings.

b.Medical Education & Teaching

1. To contribute to regular training and teaching sessions.

1. To provide teaching to undergraduates, postgraduates and trainees in radiology, and radiographers in co-operation with other members of the Consultant staff.

1. Participate in medical student, FY1 and FY2 teaching

1. Teaching and mentoring Specialist Registrars (Radiology

c.Clinical Audit and Clinical Governance

1. Active participation in audit and research projects; implementing findings as appropriate in clinical practice

1. To lead and / or participate in the Errors and Discrepancy meetings in Radiology

1. To support the Hospitals Clinical Governance Strategy and to participate in clinical audit.

1. To participate in educational and audit meetings and meet CPD requirements.

1. Continuing Professional Development

1. Participate in continuing professional development at local and national level

1. Implement audit and research findings as appropriate in clinical practice

1. Prepare and participate in an annual appraisal in accordance with Trust policy

1. A willingness to undertake additional professional responsibilities at local, regional or national levels

1. Policy, Planning and Management

1. Support the Trust to deliver quality patient care

1. Contribute to the development of clinical and organisational protocols and guidelines

1. Assist in the development of the Annual Service Plan for the Directorate and Division and participate in the strategic planning of the service

1. Comply with all Trust policies

1. To lead or participate in the development of improved workflow through the Radiology Department, ensuring better patient experience and increased efficiency. This is a specimen plan reflecting proposed activities. Flexibility in these sessions is necessary depending on the changing demands on the service.

Person Specification

Qualifications

Essential

• MBBS of equivalent
• FRCR or equivalent
• Full Registration with the GMC
• To be on the Specialist Register for Clinical Radiology on the date of commencement in post or to be within 6 months of obtaining CCT on a UK training program at date of interview

Clinical experience

Essential

• Breast radiology,
• Head and neck radiology , musculoskeletal radiology, GI/GU radiology with fluoroscopy, ultrasound and intervention experience General radiology experience in PF, CT, MRI, USS and Fluoroscopy.

Desirable

• Working experience in the UK and either /or
• Nuclear Medicine skills
• Musculoskeletal imaging skills
• General non vascular intervention

Clinical Audit

Essential

• Understand the principles of audit
• Experience required

Desirable

• Evidence of participation in audit projects
• Support departmental audit

Teaching Experience

Essential

• Teaching ability and experience to all staff groups

Desirable

• Contribute to medical student and other teaching

Management and Administrative Experience

Essential

• General IT skills and managerial skills to support Radiological work
• Ability to work in and build teams for effective clinical management
• Awareness of importance of participation in all aspects of clinical governance

Other Attributes

Essential

• Patient focused
• Team player
• Flexible

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

Lewisham Hospital

Lewisham

SE13 6LH

United Kingdom

Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Clinical Responsibilities:

The post holder will work in all aspects of Community Paediatrics, suited to their experience and competencies and the priorities of service provision.

The post holder will undertake assessment and management of children with neurodevelopmental concerns and safeguarding.

Undertake neurodevelopmental assessments including for Autism and Social Communication Disorders.

Participate in the consultant-led Child Protection rota.

Undertake health assessments for Looked After Children and provide written reports as appropriate.

Support and advice colleagues in the clinical assessment and care of children and young people, whilst being clear about others personal clinical professional accountability.

Provision of supervision to trainees and specialist doctors and extended members of the clinical team including clinical nurse specialists and AHPs.

General responsibilities

To participate in clinical supervision and continuing professional development of both career and training grade medical staff

To work with Community Paediatric services and Childrens Community Services Directorate to meet service commitments and needs of children and families.

To develop care pathways across the acute and community services

To participate in the development of Specialist Child Health Services in collaboration with other members of the management team

To support the collection of relevant information on the work of the medical team, detailing the work of the service for stakeholders.

Medical Education & Teaching:

To take part in clinical and educational supervision of post graduate trainees.

To participate in the medical student training programme.

To plan and deliver training for GP trainees and other post-graduate teaching.

Contribute to the delivery of training for health staff and inter-agency training.

To liaise with other agencies on clinical and operational matters relevant to the work of the service.

Provide advice and signposting to other professionals about legal processes, key research and policy documents.

Liaise with professional leads from other agencies, such as Education and Childrens Social care.

Clinical Audit and Clinical Governance:

Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.

Work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated.

Participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas.

Continuing Professional Development:

Attend relevant local, regional, and national continuing professional development activities to maintain competence.

Meet the organisations requirements for training attendance.

Receive regular clinical supervision and undertake reflective supervision

Clinical Audit and Clinical Governance:

Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.

Work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated.

Participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas.

To ensure clinical guidelines and protocols are adhered to by medical staff and updated on a regular basis.

Review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.

To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director.

To role model good practice for infection control to all members of the multidisciplinary team.

Continuing Professional Development:

Attend relevant local, regional, and national continuing professional development activities to maintain competence.

Meet the organisations requirements for training attendance.

Receive regular supervision and undertake reflective practice.

Policy, Planning and Management:

Support the Trust to deliver quality patient care Contribute to the development of clinical and organisational protocols and guidelines

Assist in the development of the Annual Service Plan for the Directorate and Division and participate in the strategic planning of the service Comply with all Trust policies

Person Specification

Qualifications

Essential

• Medical degree, MBBS or equivalent
• Member or Fellow of the Royal College of Paediatrics and child health or equivalent
• Full and Specialist registration (and with a licence to practise) with the General Medical Council (GMC) or be eligible for registration within six months of interview.
• Applicants that are UK trained, must also be a holder of a Certificate of Completion of Training (CCT), or be within six months of award of CCT by date of interview.
• Applicants that are non-UK trained, they will be required to show evidence of equivalence to the UK CCT and be on the GMC Specialist Register/Certificate of Eligibility for Specialist Registration (CESR)

Desirable

• Grid training in community paediatrics
• MSc /Diploma in community child health or relevant subject

Clinical Experience

Essential

• Comprehensive Training and experience in community paediatrics
• Evidence of training and experience gained obtaining CCT in Community Child Health (CCH) or if CCT in General Paediatrics, must be able to demonstrate equivalent competencies required for CCT in CCH have been achieved
• At least 2 years' experience in Community Child Health including Neuro-developmental paediatrics, Safeguarding, Looked after children
• Training and experience in the identification and management of suspected child abuse
• Clinical experience in the field of safeguarding and substantial experience of the legislation relating to children and young people and the court process
• Experience of working with vulnerable children and young people and families and children in challenging situations.
• Valid BLS and NLS training
• Valid level 3 safeguarding training

Desirable

• Training and experience in assessment of ADHD Experience
• Experience of lead role in an area of child health
• Broad experience of working within the NHS

Clinical Audit

Essential

• Active audit interest demonstrated by at least one completed clinical audit in the last year.
• Understanding of NHS systems and audit processes
• Evidence of service improvement projects and audits

Desirable

• Publication of audit results.
• Experience in service development and quality improvement projects relating to Community Child Health
• Evidence of involvement and /or experience in risk processes such as Serious Incident reviews and patient safety systems

Teaching Experience

Essential

• Experience and interest in undergraduate teaching
• Skill and ability in formal and informal teaching for both under/ postgraduate students and nursing/midwifery staff
• Educational supervision accreditation

Desirable

• An understanding of current issues in medical education and training
• Previous experience in trainee Supervision
• Knowledge of current changes in paediatric training
• Higher teaching qualification
• Presentations at National or International meetings
• Publications in peer reviewed journals

Management and Administrative Experience

Essential

• Understands the management structure of the NHS Evidence of risk management

IT Skills

Essential

• Ability to use Microsoft office packages, e.g. MS Word, Excel, Access & PowerPoint.
• Ability to use patient information systems

Other Attributes

Essential

• Effective communicator - verbal and written
• Ability to work as part of a multidisciplinary team
• Demonstrates leadership and organisational skills
• Evidence of interest/training in management
• Will contribute to Departmental/ Trust management
• Will assist with Departmental/ Trust development
• Aware of equal opportunities issues
• Recent experience/familiarity of UK hospital systems and practices
• Ability to lead a team and form effective working relationships
• Ability to inspire, motivate and develop staff

Desirable

• Has experience of committee work and prepared to undertake committee work

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

Kaleidoscope

32 Rushey Green

Catford

SE6 4JF

United Kingdom

Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Main Duties and Responsibilities

• To assist in any administrational duties required to ensure a full outpatient service is provided in the Outpatient reception, Outpatient Call centre and the Booking Teams.
• To be flexible to a wide range of duties and appropriate tasks on rotation as designated by the Outpatients Supervisor in order to ensure the smooth running of the department. Including covering for colleagues in times of sickness/absence and high workloads
• Greet patients and visitors in a pleasant and professional manner, providing a courteous reception service.
• Excellent communication skills and ability to deal with queries from patients, relatives and carers. To proactively deal with potential situations of conflict, to diffuse and prevent patient complaints. To regularly deal with patients either face to face or via telephone or email who may be emotional or challenging.
• Liaison with staff both within and outside of the department, GP surgeries and other healthcare professionals on any matters relating to patient referrals/queries
• Answer all telephone calls into the department promptly in line with the Outpatient Call centre KPIs, speaking to our patients and callers with respect and courtesy, be positive and helpful in providing excellent service and assistance.
• To participate in call reviews and call monitoring to achieve department KPIs.
• To monitor and action all incoming emails to generic outpatient team inboxes.

Ensure all patient demographics are captured accurately and any changes updated on the Trust PAS when notified.

To manage new referrals and outpatient appointment waiting lists in line with RTT national targets.

To receive and respond to appointment requests. Booking, cancelling, and rescheduling all new and follow up outpatient appointments in line with the Access Policy and agreed clinic booking rules via the Trusts PAS systems.

Liaise with relevant specialty service managers and teams to escalate capacity, waiting list and service issues that require urgent action.

To check patients in and out of their appointments in real time via the Trusts PAS systems. Complete the checking out process, recording the appropriate outcome and 18-week RTT status documented on the outcome form and booking any respective appointments, ensuring all clinics are cashed up at the end of each day.

To liaise with clinicians and services where outcomes are incomplete or missing.

To check case note availability prior to clinic, escalating to the appropriate teams for missing records.

• To keep patients informed of any delays in outpatient clinics in conjunction with the nursing team.

To maintain patient confidentiality and be aware of data protection issues when entering all patient information on all Trust administration and clinical information systems. Book interpreter services/transport as and when required and maintain and provide access to interpreter tablets

• To maintain good working knowledge of all office procedures and to be onboard with the implementation of new processes within the outpatients departments.

• To be competent and efficient in using the trust IT and PAS systems as required in your role. To maintain and update a variety of systems used within the call centre and kiosks,
• To assist in the induction and training of new and temporary members of staff in the department.
• To participate in the PDR process to ensure personal skills are enhanced.

Attend team meetings and contribute in the setting of achievable standards to promote improvements in patient care and service development.

To undertake minutes/actions of meetings as required

• To understand when to escalate issues and reporting incidents on the Trusts Ulysses system.

• To work from outpatient reports i.e. demographics reports, PIFU lists and return post and any new reports introduced to support outpatients transformation.
• Maintain stock levels, collect, store and keep stationary secure
• Duties and responsibilities as set out in this job description may be reassigned in order to reflect developments within the trust or operational needs within Outpatient transformation

Person Specification

Qualifications & Training

Essential

• oGood basic educational background
• oGCSE English and Maths or equivalent
• oNVQ Level 3 in a related subject (e.g healthcare, customer service, business administration) or equivalent experience

Desirable

• oECDL
• oIT Qualifications

Experience

Essential

• oCustomer Service experience or equivalent work experience.
• oComputer literacy and keyboard skills
• oWillingness to develop computer skills
• oWorking to deadlines and targets
• oNHS Experience

Desirable

• oKnowledge of PAS
• oCall Centre or Switchboard experience
• oExperience of Access Database/ Excel Spreadsheets

Knowledge & Skills

Essential

• oGood verbal and written communication skills
• oAbility to prioritise.
• oAble to take responsibility for own work and work without direct supervision where appropriate.
• oFlexible approach to working hours
• oRespect for confidentiality
• oAbility to deal with sensitive issues appropriately.
• oExcellent Team player

Desirable

• oAbility to plan and co-ordinate work.
• oInnovative
• oEvidence of interacting with a wide range of people

Personal Attributes

Essential

• Enthusiastic and motivated
• Punctual
• Reliable
• Positive attitude
• Organised and logical
• Diplomatic and sensitive to patients who may be distressed
• Professional

Desirable

• Smart appearance

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.

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

Queen Elizabeth Hospital, Lewisham Hospital and Community

Stadium Road

London

SE18 4QH

United Kingdom

Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)