Job description

Job responsibilities

• Provide high quality consultations to patients in Hillingdon managing acute and chronic disease
• Work with the operations team and Service Clinical Lead to ensure the provision of high quality care
• Work with the Clinical Lead to ensure the clinical safety of the service by provide clinical updates/training/incident reviews when appropriate.
• Complete and provide the analysis of clinical audits as requested by the clinical lead or COD.
• Practise evidence-based medicine, in line with national and locally agreed guidelines
• Conduct patient consultations during the service clinical appointment hours
• Undertake telephone and face to face consultations as required,
• Prescribe in line with local and national guidelines
• Refer patients to secondary/urgent care and additional interventions as appropriate
• Manage long-term conditions and patients with complex problems
• Promote healthy living strategies and give health and wellbeing advice, generally encouraging patients to follow a healthy lifestyle
• Carry out patient testing and screening as required
• Make autonomous clinical decisions relating to patients health needs
• Use communication that is appropriate to the situation, including:
• Communicating sensitively with patients and carers when delivering bad news
• Establishing appropriate communication methods to suit patients and carers level of understanding, cultural/language needs, and preferred communication method
• Anticipating and overcoming barriers to communication, seeking support from other staff members where necessary
• Use appropriate communication skills and style to make patients aware of risk, to obtain consent where necessary, and to ensure patients comply with treatment
• Provide services to the practices patient population to the highest possible standard, in line with competencies and professional code of conduct
• Monitor and maintain the standard of care provided, taking appropriate action if standards are not met, through self- and peer-review, benchmarking and evaluation
• Undertake clinical governance and clinical audit activities to ensure the continual improvement of service delivery
• Participate in reviewing and responding to complaints, significant events, and other shared learning activities within a structured framework
• Support and mentor staff in training to ensure they deliver the highest standards of care
• Support the performance of team members and collaborate in improving the quality of healthcare and service provision, in line with local and national policy and strategy
• Work within the service legal framework for identifying vulnerable patients and applying policies relating to treatment of vulnerable patients
• Service-related duties
• Process medical reports, referrals and correspondence
• Record and collect data for audit purposes
• Make timely, clear, computer-based records of consultations and contact with patients
• Maintain administrative records relating to the practice contract, enhanced services and QOF
• Contribute to providing a supportive environment for other staff through informal catch-ups and contact
• Attend and contribute to in-house meetings, including clinical, educational/training-related and administrative meetings
• Attend meetings and events held by external agencies and stakeholders
• Contribute to teaching and training clinical staff as appropriate
• Personal and professional development
• Comply with the GMC Code of Conduct
• Prepare for and complete annual external appraisals
• Prepare for and complete revalidation process
• Act as a mentor and positive role model to students and junior members of staff, sharing information and good practice
• Prioritise own workload and collaborate effectively with others to prioritise team and practice workload
• Keep a portfolio and potentially develop a special interest
• Undertake training as required to ensure competencies for delivering all responsibilities, to meet personal, statutory and practice education and learning needs, including keeping records of learning, reflection, complaints and feedback
• Keep up to date with current evidence-based approaches to patient care and service delivery, in line with NICE and the National Service Framework
• Undertake and contribute to education activities, such as reviewing significant events, clinical audit, protected learning time, video analysis of consultations, etc
• Contribute to education and training of trainee clinical staff and students
• Work to deliver effective and safe care and liaise with GP practices, community services, and secondary care to ensure patients have a good and effective experience of services and care.
• Make recommendations and support the development of the service and to develop it in terms of quality, efficiency, patient experience, and scale; must including continual quality improvement processes.
• Ensure ongoing good governance and delivery of the service reporting incidents and being part of clinical audits
• To always act to support and protect the reputation, safety and sustainability of the Confederation.
• To be available to attend internal team meetings as needed
• To be adaptable and flexible to wherever possible cover ad hoc duties as they arise and are necessary to be completed.
• To work and apply oneself in the best interests of primary care provision in Hillingdon.
• To bring the skills, knowledge and experience they have personally attained and apply them within the clinical operations to the best of their ability and to the interests and duties listed above.
• To contribute to generally in terms of values, behaviours, and attitudes so that the leadership of the team demonstrates the values the Confederation seeks to represent and uphold

Person Specification

Experience

Essential

• Extensive experience in urgent care clinical services
• Extensive experience of virtual clinical consultations
• Ability to plan, co-ordinate and deliver programmes of work on time and to a high standard
• Excellent organisational skills with an attention to detail and an ability to finish tasks completely and to a high standard
• Ability to keep full, accurate and up to date records to a high standard
• Ability to assimilate information quickly and make clear and effective decisions under pressure
• Excellent communication skills, written, verbal and listening explaining, promoting, listening, learning, to / at all levels of the healthcare system
• Ability to motivate and engender trust and team identity
• In depth user knowledge of EMIS

Desirable

• Extensive experience of working in primary care in Hillingdon

Qualifications

Essential

• GMC Registration
• Qualified GP

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

The Confederation, Hillingdon CIC

Address

Pembroke Centre

90 Pembroke Road

Ruislip

HA4 8NX

United Kingdom

Employer's website

https://www.theconfederationhillingdon.org.uk (Opens in a new tab)

Job description

Job responsibilities

• In accordance with the services needs the post-holder will make him/her-self available to undertake a variety of duties including cervical smear tests, post-operative dressings, HRT reviews, Pill Checks, Immunisations, BP checks, asthma checks and diabetic reviews and spirometry if trained.
• Assessing the health needs of patients with chronic health needs and using your own judgment to assess whether further input is needed.
• Screening patients for disease risk factors and early signs of illness.
• Contributing to QOF requirements and recording data appropriately.
• Contributing to PCN requirements and recording data appropriately.
• In consultation with patients and in line with current practice disease management protocols, developing care plans for health related illnesses.
• Screening patients for health education.
• Admitting and discharging patients to and from the caseload and referring to other care providers as appropriate.
• Recording clear and contemporaneous consultation notes to agreed standards.
• Collecting data for audit purposes and contributing to the practice audit programme as required.
• Take responsibility for some aspects of the clinical work within the team, for example: coordinating aspects of governance, QOF, enhanced services, CPD and keeping clinical protocols up to date.
• In general, the post holder will be expected to undertake all the normal duties and responsibilities associated with a practice nurse working within primary care, as set by Royal College Nursing and the Nursing and Midwifery Council and councils applicable to the staff within the practice, Department of Health, Clinical Commissioning Groups and all other regulatory and standard setting organisations.

Person Specification

Qualifications

Essential

• Eligible to work in UK
• Able to carry out duties with or without premises adaptation
• NMC registration

Desirable

• Other postgraduate qualifications (Minor Surgery, Education, Family planning etc)

Experience

Essential

• Experience of working within the NHS, with general public & team working
• Well developed IT skills and an enthusiasm for new applications and software
• Good time management and highly organised
• Ability to use initiative, judgement, resourcefulness, common sense and local knowledge
• Interest in quality improvement work
• Able to obtain and analyse complex technical information
• Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors when appropriate
• Able to work under pressure and to meet deadlines
• Experience working within primary care
• Certificates for Practice Nurse Training and cervical Smears Training with relevant registration numbers.
• Work effectively independently and as a team member
• Demonstrates accountability for delivering professional expertise and direct service provision
• Self-Motivation
• Adaptable
• Immunisation status - Hep B / MMR

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

The Confederation, Hillingdon CIC

Address

The Pembroke Centre

90 Pembroke Road

Ruislip

HA4 8NX

United Kingdom

Employer's website

https://www.theconfederationhillingdon.org.uk (Opens in a new tab)

Job description

Job responsibilities

As a First Contact Physiotherapist, the post holder will work as part of a multidisciplinary team across the practices of a Primary Care Network (PCN), with the PCNs GPs and other clinicians and staff, as well as staff and clinicians from community, acute, social and voluntary sectors. They will work directly with patients to assess and treat conditions, manage long-term conditions as well as promote self-care. They will be part of a significant team of PCN First Contact Physiotherapists working under the supervision and support of a First Contact Physiotherapist Manager. The post holder will:-

1. Provide clinical expertise, acting as first-contact physiotherapist and making decisions about the best course of action for patients' care (including in relation to undifferentiated conditions). This will involve seeing patients, without prior contact with their GP, in order to establish a rapid and accurate diagnosis and management plan.

2. Progress and request investigations to facilitate diagnosis and choice of treatment regime, understanding the information limitations derived from these and the relative sensitivity and specificity of particular tests diagnostic services such as x-rays and blood test, and interpret and act on results to aid diagnosis and the management plans of patients.

3. Deliver programmes of supported patient self-management, in ways that facilitate behavioural change, optimise individuals' physical activity, mobility, fulfilment of personal goals and independence, and that minimise the need for pharmacological interventions

Please copy paste this link in the browser to complete our online application form. We do not accept other forms of application.

https://theconfederationhillingdoncic.peoplehr.net/Pages/JobBoard/Opening.aspx?v=6f65a828-1ab8-4fdb-b8f3-03cf2b2179c6

Person Specification

Experience

Essential

• Minimum of 2 years post-- qualification experience.
• Experience as Senior Physiotherapist working in autonomous MSK role.
• Clinical experience of triage and care planning.
• Understanding of professional ethics/code of conduct and their application in practice
• Excellent physical examination skills and prioritisation of relevant screening.

Desirable

• Knowledge of other specialities common with pain (Rheumatology, Vascular, Endocrinology etc)
• Clinical experience of triage and care planning
• Experience of working in Primary care and first contact roles

Qualifications

Essential

• Right to Work in the UK
• BSc/Grad Dip in Physiotherapy
• CPD pertaining to Primary Care and MSK management

Desirable

• MSc or MSc modules for advanced practice
• Evidence of CPD and post registration portfolio
• CPD pertaining to Primary Care and MSK management
• Extended Scope competencies around bloods, imaging and prescribing

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

The Confederation, Hillingdon CIC

Address

The Pembroke Centre

90 Pembroke Road

Ruislip

Middlesex

HA4 8NX

United Kingdom

Employer's website

https://www.theconfederationhillingdon.org.uk (Opens in a new tab)

Job description

Job responsibilities

Primary Responsibilities

Patient facing Clinical Medication Review

- Undertake clinical medication reviews with patients within the practice, care homes and/or domiciliary visit to proactively manage polypharmacy and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.

Patient facing Long-term condition clinics

- See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. Respiratory, Cardiovascular and Diabetes).

- Clinics are done face to face, via telephone, home visits and in the future, possibly video consultations.

- The post holder will undertake clinics for patients or develop one to one relationships in order to de-prescribe where necessary or offer clinical leadership on medicines optimisation and quality improvement.

- Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicine adherence ensuring they get the best use of their medicines (i.e. medicines optimisation). Make appropriate recommendations to GPs for medicine improvement.

Patient facing Care Home and Domiciliary Clinical Medication Reviews

- Undertake clinical medication reviews with patients and produce recommendations for clinicians on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration.

Management of common/minor/self-limiting ailments

- Managing caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence.

- Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate

Medicines support

- Provide patient facing clinics and a telephone helpline for those with questions, queries and concerns about their medicines in the practice

Medicine information to practice staff and patients

- Answers relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines.

- Suggesting and recommending solutions.

- Providing follow up for patients to monitor the effect of any changes

- Telephone medicines support

- Provide a telephone help line for patients with questions, queries and concerns about their medicines.

Helping tackle the issue of unplanned hospital admissions

- Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews.

- Put in place changes to reduce the prescribing of these medicines to high-risk patient groups.

Management of medicines at discharge from hospital

- To reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge.

- Set up and manage systems to ensure continuity of medicines supply to high risk groups of patients (e.g. those with medicine compliance aids or those in Care Homes).

Signposting

- Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period e.g. pathology results, common/minor ailments, acute conditions, long term condition reviews etc.

Repeat prescribing

- Produce and implement a repeat prescribing policy within each PCN practice. Manage the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review.

- Ensure patients have appropriate monitoring tests in place when required

Risk stratification

- Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both.

Service development

- Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets)

Medicines quality improvement

- Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the relevant practice team.

Medicines safety

- Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.

- Auditing practices compliance against NICE technology assessment guidance.

Education and Training

- Provide education and training to primary healthcare team on therapeutics and medicines optimisation.

Care Quality Commission

- Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.

Collaborative Working Relationships:

- Participates in the Primary Care Network Multidisciplinary Team

- Liaises with CCG colleagues including CCG pharmacists on prescribing related matters to ensure consistency of patient care and benefit in surgeries

- Foster and maintain strong links with all services across the PCN and neighbouring networks.

- Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships

- Recognises the roles of other colleagues within the organisation and their role to patient care

- Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g. CCGs)

- Can recognise personal limitations and refer to more appropriate colleague(s) when necessary

- Demonstrates ability to integrate general practice with community and hospital pharmacy teams

- Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to:

• Patients and their representatives
• GP, nurses and other practice staff
• Other healthcare professionals including social prescribers, first contact physiotherapists, physicians associates and paramedics
• Community pharmacists and support staff
• Other members of the medicines management (MM) team including pharmacists, technicians and dieticians
• Locality/GP prescribing lead
• Community nurses and other allied health professionals
• Hospital staff with responsibilities for prescribing and medicines optimization
• Community nurses and other allied health professionals

Professional Development:

- Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities

- Involved in one to one meetings with line manager monthly to discuss targets and outcomes achieved

- Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety

- Work with your line manager to access regular clinical supervision, to enable you to deal effectively with the difficult issues that people present

- Review yearly progress and develop clear plans to achieve results within priorities set by others

- Participate in the delivery of formal education programmes

- Demonstrate an understanding of current educational policies relevant to working areas of practice and keep up to date with relevant clinical practice

Knowledge, Skills and Experience Required

- Completion of an undergraduate degree in pharmacy and registration with the General Pharmaceutical Council

- Minimum of 2 years experience as a pharmacist

- Have experience and an awareness of common acute and long-term conditions that are likely to be seen in general practice

- Working towards or holding an independent prescribing qualification (not mandatory)

- Recognises priorities when problem-solving and identifies deviations from normal pattern and can refer to seniors or GPs when appropriate

- Able to follow legal, ethical, professional and organisational policies/procedures and codes of conduct

Education, Training and Development

- Understands and demonstrates the characteristics of a role model to members in the team and/or service

- Demonstrates self-development through continuous professional development activity

- Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice

- Ensures appropriate clinical supervision is in place to support development

- Willing to enrol on CPPE pathway training programme for primary care

Leadership

- Demonstrate understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace.

- Demonstrate understanding of, and contributes to, the workplace vision

- Demonstrates ability to improve quality within limitations of service

- Reviews yearly progress and develops clear plans to achieve results within priorities set by others.

- Demonstrate ability to motivate self to achieve goals

- Promotes diversity and equality in people management techniques and leads by example.

Special Working Conditions

- The post-holder is required to travel independently between practice sites (where applicable), and to attend meetings etc. hosted by other agencies.

Person Specification

Qualifications

Essential

• Masters degree in Pharmacy (MPharm) (or equivalent)
• Mandatory registration with General Pharmaceutical Council (GPhC)
• Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience.
• Independent prescriber

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

The Confederation, Hillingdon CIC

Address

90 Pembroke Road

Ruislip

HA4 8NX

United Kingdom

Employer's website

https://www.theconfederationhillingdon.org.uk (Opens in a new tab)

Job description

Job responsibilities

• Provide secretarial/administration support and advice to the Confederation Senior Management Team and Confederation Services:
• Provide administration support for a range of Confederation services
• Work as receptionist to meet and greet all patients arriving on site.
• Undertaking administrative duties such as photocopying, faxing and mail-out distributions.
• Participate in the induction and training of new members of staff and contribute to the Confederation development.
• Act as an ambassador for the Confederation.
• Sorting and prioritising all incoming mail and e-mail
• Ensuring all urgent and/or confidential communications are received and distributed from/to relevant parties in a timely manner.
• Covering the Patient Services telephone line - using initiative when dealing with phone calls and messages and ensuring any messages are passed onto the appropriate person.
• Booking and maintaining the patient appointment system (EMIS).
• Ensuring maximum appointment utilisation by ensuring requests for appointment cancellations are actioned quickly and coordinating reminder SMS messages.
• Assisting Practices hosting Confederation Services.
• Liaising with local Care Homes, Mental Health Homes, Learning Disability Homes (and Extra Care Housing facilities) to arrange planned visits for residents.
• Undertake diary management duties including arranging and changing appointments, prioritising these as appropriate.
• Inputting, monitoring and checking data, required for finite and ongoing projects within the teams
• Working with all team members in the collection of information for performance reporting on relevant team projects.
• Obtaining and analysing patient feedback where appropriate.
• Acting as a point of contact for teams, dealing and responding effectively with complex queries from stakeholders and passing on relevant information to appropriate team members sensitively and autonomously.
• Maintaining effective electronic and paper filing systems, to ensure that information is kept securely and is accessible to other members of the Confederation.
• Providing guidance and advice on relevant policies and procedures.
• To carry out other appropriate delegated duties as required.
• Work closely with other Confederation colleagues.

Person Specification

Qualifications

Essential

• GCSE Passes at grade C or above or equivalent experience
• Evidence of consistent pattern of learning from education, training and experience.

Experience

Essential

• Significant administrative/ secretarial experience
• Demonstrable experience in dealing with sensitive and confidential information.
• Evidence of working autonomously and as part of a team
• Contribute to the design and development of standard reports
• Experience of working with members of the public or providing customer service support
• Excellent knowledge on IT systems and software programmes such as Outlook, Word, Excel and Powerpoint.
• Working knowledge of EMIS.

Desirable

• Previous experience of working in a Healthcare environment

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

The Confederation, Hillingdon CIC

Address

The Pembroke Centre

90 Pembroke Road

Ruislip

Middlesex

HA4 8NX

United Kingdom

Employer's website

https://www.theconfederationhillingdon.org.uk (Opens in a new tab)