Job description

Job responsibilities

Apply clinical expertise in Medication Reviews/ Structured Medication Reviews (SMR) face-to-face, remotely or within a patient's place of residence, to deliver high-quality patient facing services that are centred on and tailored to each individual patient's needs.Manage and deliver clinics in long term conditions in collaboration with and support from allied healthcare professionals. Deliver clinics in specialist areas appropriate to clinical competence; which may include, minor ailments, frailty, elderly, renal/hepatic impairment, high-risk medications, frequent attenders in secondary care

Prescribe medication within the limits of the individual professional competence.Pro-actively and prospectively reduce inappropriate polypharmacy and over-diagnosis through systematic, evidence-based de-prescribing.Promote the principles of public health; educate and motivate patients to make healthy lifestyle choices and access services designed to assist health improvement.Discuss patients with complex needs at local MDT meetings and refer to the ICPT in line with recommendations

Provide professional telephone/ email advice and support to patients and their carers.Reconcile the medications of patients whose care is transferred back to primary care in a timely and effective manner, liaising with patients and community pharmacies to ensure patients receive appropriate medication post-discharge

Interface between community, hospital and primary care pharmacy colleagues as patients move between care settings developing local effective communication.Proactively engage with patients whose care has been transferred to reduce potential readmission.

Maintain full and complete records of all patient contacts using appropriate clinical templates and SNOMED coding.Provide feedback and seek advice from the primary care team for patients where the post holder has clinical concerns around competence to safely manage their medications.Support the effective utilisation of the practice workforce

Person Specification

Experience

Essential

• Independent Prescriber
• Primary Care Experience (either in a GP practice or a Primary Care Network)
• Long term condition management

Desirable

• Managing Lab results
• Menopause reviews
• Respiratory reviews

Qualifications

Essential

• Pharmacy Degree
• Registration with the General Pharmaceutical Council (GPhC)
• Centre for Pharmacy Postgraduate Education (CPPE)
• or
• Primary care Pharmacy Education Pathway (PCPEP)

Desirable

• Postgraduate Diploma in Clinical Pharmacy (or equivalent)

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

Marlow Medical Group

Address

Victoria Road

Marlow

Buckinghamshire

SL7 1DN

United Kingdom

Employer's website

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

Job description

Job responsibilities

Key Responsibilities

1. Clinical Care

The post-holder will

Provide timely, safe and effective clinical care to patients across all age ranges and levels of healthcare need.

Undertake comprehensive history taking, clinical examination and assessment.

Formulate differential diagnoses and evidence-based management plans.

Manage patients presenting with acute, chronic, complex, undifferentiated and undiagnosed conditions.

Undertake face-to-face, telephone and digital consultations as clinically appropriate.

Participate in clinical triage and same-day assessment.

Undertake clinically appropriate home visits.

Request, interpret and act upon appropriate investigations.

Prescribe safely and effectively within professional competence and current guidance.

Recognise and manage clinical deterioration, risk and diagnostic uncertainty.

Refer patients appropriately to secondary care, community services and other relevant providers.

Provide health promotion, disease prevention and self-management advice.

Support patients to make informed decisions about their care.

Maintain professional responsibility for clinical decision-making and patient management.

2. Same Day Access Provision

The post-holder will

Assess and manage patients presenting with urgent and acute healthcare needs.

Prioritise clinical workload according to patient need and risk.

Support appropriate admission avoidance where clinically safe.

Recognise patients requiring escalation to urgent or secondary care.

Support safe discharge and continuity of care following acute episodes.

Monitor the central advice pool across services where appropriate to support patient safety and timely clinical decision-making.

Provide clinical advice and support to other members of the multidisciplinary team.

Support Clinical Practitioners with more complex clinical cases where required.

3. Long-Term Conditions and Population Health

The post-holder will

Provide ongoing clinical management of patients with long-term conditions.

Manage patients with multimorbidity and complex healthcare needs.

Contribute to personalised care planning and proactive care.

Support preventative healthcare and population health initiatives.

Identify patients who may benefit from earlier or more proactive intervention.

Contribute to the reduction of health inequalities.

Support appropriate management of conditions including diabetes, cardiovascular disease, hypertension, heart failure, respiratory disease, chronic kidney disease, mental health conditions, frailty and dementia.

4. Clinical Records and Information Management

The post-holder will

Maintain accurate, contemporaneous and legally compliant clinical records.

Ensure appropriate documentation and clinical coding is used consistently.

Use SNOMED coding appropriately.

Use EMIS and associated clinical systems effectively.

Manage clinical correspondence, test results and workflow appropriately.

Support call and recall systems where relevant.

Maintain patient confidentiality and comply with information governance requirements.

Participate in digital models of care where appropriate.

Use clinical systems and technology effectively to support safe and efficient service delivery.

5. Multidisciplinary and Integrated Working

The post-holder will

Work collaboratively with GPs, Advanced Clinical Practitioners, Clinical Pharmacists, Practice Nurses, Healthcare Assistants, Care Co-ordinators and wider clinical and administrative colleagues.

Participate in multidisciplinary team working and case discussion.

Provide clinical advice and support to colleagues where appropriate.

Coordinate care for patients with complex needs.

Work effectively with community nursing, mental health, social care, allied health professional and secondary care teams.

Support integrated care planning.

Maintain effective communication with acute, community and other health and care partners.

Promote shared decision-making with patients, carers and families.

Support continuity of care across organisational boundaries.

6. Clinical Governance and Patient Safety

The post-holder will

Work in accordance with clinical governance and patient safety requirements.

Identify and escalate concerns relating to quality, safety and risk.

Participate in clinical audit.

Participate in significant event reviews and learning processes.

Contribute to quality improvement initiatives.

Apply current evidence, national guidance and local pathways to clinical practice.

Support implementation of service developments and agreed clinical standards.

Contribute to service evaluation.

Reflect on own performance and professional practice.

Manage clinical workload, time and resources effectively.

Contribute to a positive safety, learning and improvement culture.

7. Education, Training & Workforce Development

The post-holder will

Maintain professional competence through continuing professional development.

Participate in annual appraisal and revalidation requirements.

Maintain all required statutory and mandatory training.

Participate in clinical supervision and peer learning.

Contribute to education and training within the practice where appropriate.

Support the development of medical students, GP trainees and other healthcare professionals where relevant.

Share learning arising from audit, incidents, quality improvement and clinical practice.

Contribute to the development of multidisciplinary team capability.

8. Safeguarding

The post-holder will

Remain alert to safeguarding concerns involving children, young people and adults at risk.

Recognise, document and escalate safeguarding concerns appropriately.

Work in accordance with local safeguarding policies and statutory requirements.

Participate in safeguarding discussions and multidisciplinary processes where required.

Understand the needs of vulnerable patient groups.

Maintain appropriate professional curiosity and clinical vigilance.

Contribute to a culture in which safeguarding is recognised as the responsibility of all staff.

9. Communication

The post-holder will

Communicate effectively with patients, carers and colleagues.

Adapt communication style according to individual patient needs.

Maintain a clear, professional and respectful approach to verbal and written communication.

Promote effective communication across the multidisciplinary team.

Support effective handover and continuity of care.

Ensure information is shared appropriately and in accordance with confidentiality and information governance requirements.

10. Professional Standards

The post-holder will

Work within GMC professional standards and relevant legal and regulatory requirements.

Maintain appropriate professional indemnity.

Maintain inclusion on the General Practitioner Register and National Performers List.

Maintain up-to-date revalidation and appraisal.

Recognise the limits of own competence and seek advice or support when required.

Take responsibility for professional conduct, clinical decisions and ongoing development.

Work in accordance with Marlow Medical Group policies and procedures.

Person Specification

Experience

Essential

• Essential
• Recent experience of working in UK General Practice.
• Experience of autonomous clinical practice.
• Experience of managing acute, chronic and undifferentiated presentations.
• Experience of telephone and face-to-face consultation.
• Experience of clinical triage.
• Experience of home visiting where clinically appropriate.
• Experience of multidisciplinary working.
• Experience of managing patients with complex healthcare needs.
• Evidence of continued professional development.

Qualifications

Essential

• Applicants must hold
• Medical Degree.
• Certificate of Completion of Training in General Practice.
• Inclusion on the General Practitioner Register.
• Full GMC Registration.
• National Performers List registration.
• Eligibility to practise independently in the UK.
• Appropriate DBS clearance.
• Appropriate professional indemnity.
• Up-to-date appraisal and revalidation.
• Up-to-date statutory and mandatory training.

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

Marlow Medical Group

Address

Victoria Road

Marlow

Buckinghamshire

SL7 1DN

United Kingdom

Employer's website

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

Job description

Job responsibilities

Key responsibilities:

• Work collaboratively as part of a multidisciplinary team to deliver a comprehensive spectrum of clinical services, encompassing triage, assessment, diagnosis, treatment, and the management of acute and chronic conditions for patients of all age groups.
• Conducting assessments and formulating management plans in close collaboration with patients and other healthcare team members.

Demonstrate critical thinking in the clinical decision-making process, referring or signposting patients who present with undifferentiated or undiagnosed conditions

• relating to minor illness or minor injury.
• As an independent prescriber: prescribe/ de-prescribe safe, effective, and appropriate medication as defined by current legislative framework.
• Request and interpret investigations such as blood results and cultures.
• Maintaining meticulous and up-to-date medical records, aligning with clinical and professional standards.
• Embrace opportunities to work and liaise with others, both internally and externally, across multi-professional and multi-agency boundaries, in the interests of improving patient outcomes.
• • Provide assessment, screening treatment, services and health education advice.
  • Assist with the organisation and co-ordination of the provision of nursing services for the practice.
  • Provide nursing treatment to patients in participation with general practitioners, using agreed protocols, including the taking of cervical smears.
  • Provide general and specific health screening to the practice patients (within the agreed protocols) with referral to general practitioners as necessary.
  • Be competent in administration of childhood immunisation and travel vaccination.
  • Be competent and confident in managing people with long-term health conditions
  • Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
  • Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).
  • Diagnose and manage both acute and chronic conditions, integrating both drug-and nondrug-based treatment methods into a management plan.
  • 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.
  • 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, medication regimes, side-effects and interactions
  • Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care.
  • Implement and participate in vaccination and immunisation programmes for both adults and children.
  • Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
  • Recognise and work within own competence and professional code of conduct as regulated by the NMC
  • Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
  • Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
  • Deliver care according to NSF, NICE guidelines and evidence-based care
  • Maintain and control injectable and oral drug stocks in the treatment room and doctors surgeries.
  • Advise manager regarding health and safety aspects. Pathological specimens and investigatory procedures
  • Undertake the collection of pathological specimens, including intravenous blood samples, swabs, smears, etc.
  • Oversee the duties undertaken by the HCA and assist with training and mentoring as and when required.
  • Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team.
  • Ensure accurate notes of all consultations and treatments are recorded adequately on the computer.
  • Assist in the formulation of practice philosophy, strategy and policy.

Person Specification

Experience

Essential

• Minimum 1 Year experience in a Primary Care setting
• Experience of working within a nursing team
• Experience of dealing with vulnerable patients

Desirable

• Ability to see patients of all ages including children
• Excellent communication skills

Experience

Essential

• Minimum 1 Year experience in a Primary Care setting
• Experience of working within a nursing team
• Experience of dealing with vulnerable patients

Desirable

• Ability to see patients of all ages including children
• Excellent communication skills

Qualifications

Essential

• NMC registered nurse with advanced clinical practice and-or non-medical prescriber qualifications

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

Marlow Medical Group

Address

Victoria Road

Marlow

Buckinghamshire

SL7 1DN

United Kingdom

Employer's website

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