Job responsibilities

Please see attached Job Description for full details

• Provide autonomous clinical assessment, diagnosis, treatment and management of patients presenting with acute, urgent and minor illness conditions.
• Deliver safe and effective online, telephone and face-to-face consultations.
• Undertake comprehensive history taking, clinical examination, investigation and treatment planning.
• Prescribe safely and appropriately within scope of practice.
• Provide self-care advice, health promotion and preventative health interventions where appropriate.
• Refer patients to other healthcare professionals and services to ensure timely access to the most appropriate care.
• Support patients in navigating health and care services effectively.
• Maintain accurate, contemporaneous and legally compliant patient records using the clinical system.
• Ensure all assessments and clinical decisions are evidence-based and aligned to current standards and guidelines.

• Undertake home visits for housebound patients and those whose clinical needs cannot be met within a practice setting.
• Provide clinical assessment and management for patients residing in nursing and residential care homes.
• Support delivery of an alternative model to same-day GP home visits across the Partnership.

• Work collaboratively as part of a multidisciplinary team to deliver coordinated and patient-centred care.
• Communicate effectively with colleagues across primary, community, secondary and voluntary care organisations.
• Contribute to the development and implementation of new models of care and service delivery.
• Attend and contribute to multidisciplinary meetings and case discussions.
• Support innovation and service improvement initiatives that enhance patient care and access.

• Participate in clinical audit, service evaluation and quality improvement activities.
• Monitor, analyse and utilise clinical information and reports to improve patient outcomes.
• Recognise, document and report adverse incidents in accordance with organisational policies.
• Contribute to the promotion of patient safety, clinical effectiveness and organisational learning.
• Support compliance with clinical governance frameworks and quality standards.

Experience

Essential

• Evidence of advanced clinical assessment, diagnostic reasoning and decision-making skills.
• Significant post-registration clinical experience within Primary Care, Urgent Care, Out of Hours Services, Community Services, Walk-in Centres, Minor Injury Units or Emergency Care settings.
• Previous experience working within General Practice or a Primary Care Network.
• Experience in managing undifferentiated and acute presentations autonomously.
• Experience of telephone and digital consultations.
• Experience undertaking home visits and care home assessments.

Desirable

• Experience working within a Clinical Allocation Hub or similar triage environment.
• Experience leading service improvement, quality improvement or clinical audit projects.
• Experience supporting the education and development of healthcare professionals

Qualifications

Essential

• Registered Nurse, Paramedic, Pharmacist or Allied Health Professional with current registration with the NMC, HCPC or GPhC.
• Master's Degree in Advanced Clinical Practice (or equivalent advanced practice qualification).
• Independent Non-Medical Prescriber Qualification.

Desirable

• Additional specialist qualifications relevant to Primary Care or Urgent Care.
• Formal teaching, mentorship or clinical supervision qualification.
• Qualification in Minor Illness and/or Minor Injury Management

Qualities/Attributes

Essential

• Organised, able to prioritise, make decisions and meet targets/deadlines
• Good negotiation and advocacy skills
• Good team member
• Willingness to embrace change to meet the short and long term needs of the practice
• Leadership qualities
• Personable - good role model
• Able to work under pressure
• Flexibility and adaptive in approach
• Reflective practitioner
• Self-motivated and able to use own initiative

Other

Essential

• Experience with using Word and Excel
• Knowledge of EMIS clinical systems

Knowledge and Skills

Essential

• Sound understanding of Primary Care services and pathways.
• Knowledge of clinical governance, risk management and safeguarding principles.
• Knowledge of evidence-based practice and professional standards.
• Advanced clinical assessment and diagnostic skills.
• Ability to assess, diagnose and manage a broad range of acute and urgent presentations.
• Ability to prescribe safely and effectively within scope of practice.
• Ability to identify clinical risk and act appropriately.
• Excellent verbal and written communication skills.
• Ability to communicate effectively with patients, carers and colleagues.
• Ability to handle sensitive and confidential information appropriately.
• Patient-focused and committed to delivering high-quality care.
• Able to work independently and make autonomous clinical decisions.
• Flexible, adaptable and resilient.
• Strong organisational and time management skills.
• Demonstrates professionalism, integrity and accountability.

Desirable

• Understanding of current Primary Care Network priorities and service development.
• Knowledge of population health management and preventative healthcare initiatives.
• Experience of participating in research or service evaluation activities.
• Advanced skills in urgent care and minor illness management.
• Skills in managing complex and long-term conditions.

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).

Job responsibilities

Please see attached job description for more information

With a total list size of 34,000 patients, and care and support collectively provided by 150 members of staff from four locations in three towns in Eastern Cheshire, we are now looking to increase our GP capacity. This is a unique opportunity to be part of, and contribute to, the development of new ways of working within a forward-thinking and transformed primary care organisation. We are looking for GPs who share our vision and who will want to contribute to shaping how we deliver care.

At Middlewood we are committed to:

Providing high quality, sustainable, General Practice care from premises in Bollington, Disley and Poynton

Providing services that are joined up with other health, social care and voluntary providers.

Retaining developing and supporting our staff.

Continuing to be at the forefront by offering excellence in education and training for inter-professional staff

Developing specialist services and care that are provided for patients registered with the practice across the geographical area of Bollington, Disley and Poynton.

Participating in research that is relevant and beneficial to our patients.

Becoming a recognised local employer offering a supportive and developmental working environment to grow new talent

We have a well-established team of clinicians including

Partner and Salaried GPs

Advanced Nurse Practitioners

Diabetes Specialist Nurses

Clinical Pharmacists and Pharmacy Technicians

Physician Associates

Paramedic

Social Prescribers

MSK Practitioners

Mental Health Practitioners

We work very closely with our community team and have established a shared visiting service with our district nurses. In addition, we have in place a single point of access (for telephone requests) and digital triage process where all clinical requests are allocated by a clinically-supported team based in our Clinical Hub.

We are keen to embrace the opportunities that the modern NHS provides, whilst meeting the challenges together through a more sustainable and evolving organisation and model of care.

This opportunity would suit GPs looking;

To gain experience of working in a different way, focussing on continuity, proactivity and teamwork

To gain experience of working within a PCN multi-disciplinary team

To develop skills in both core general practice and other specialist and leadership roles over time.

We welcome informal discussions and visits to our Practices. Please contact Debbie Whitmore at [email protected] if you would like to arrange these.

Job Description

The post-holder will be an important member of our clinical team and will provide high quality General Medical Services including dealing with a wide range of health needs in a primary care setting, ensuring the highest standards of care for all registered and temporary patients.

Clinical Responsibilities:

• Undertake a variety of duties including face to face consultations, telephone and online consultations and queries, visiting patients at home, checking and signing repeat prescriptions and dealing with queries, paperwork and correspondence in a timely fashion.
• If required, support the Middlewood Prescribing Team with medication queries

When required support the Middlewood Immediate and Necessary Team (urgent care) and being part of our rota to support our clinical reception triage function.

• Making professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation
• Assess the health care needs of patients with undifferentiated and undiagnosed problems
• Screen patients for disease risk factors and early signs of illness
• In consultation with patients and in line with current practice disease management protocols, develop care plans for health and social well-being
• Record clear and contemporaneous consultation notes to agreed standards
• Collect data for audit purposes
• Compile and issue computer-generated acute and repeat prescriptions (avoiding hand-written prescriptions whenever possible)
• Provide support, informal training and advice to other members of the team, as well as students and training on an ad-hoc basis.
• In general the post-holder will be expected to undertake all the normal duties and responsibilities associated with a GP working within primary care.

Other Responsibilities within the Organisation:

Awareness of and compliance with all relevant practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety

• A commitment to life-long learning and audit to ensure evidence-based best practice
• Contributing to evaluation/audit and clinical standard setting within the organisation
• Maintain patients clinical records in line with the practice patient record system.
• Attending training and events organised by the practice or other agencies, where appropriate.
• Attend team meetings and other meetings as may be necessary
• To work within a team setting, with flexibility and due care for all members of staff.

Confidentiality:

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data

Health & Safety:

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice health & safety policy, the practice health & safety manual, and the practice infection control policy and published procedures. This will include:

Using personal security systems within the workplace according to practice guidelines

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

Making effective use of training to update knowledge and skills

Using appropriate infection control procedures, maintaining work areas in a tidy and safe way, free from hazards

Actively reporting health and safety hazards and infection hazards immediately when recognised

Keeping own work areas and general/patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role

Undertaking periodic infection control training (minimum annually)

Reporting potential risks identified

Demonstrate due regard for safeguarding and promoting the welfare of children

Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights

Personal/Professional Development:

The post-holder will participate in any training programme implemented by the practice as part of this employment

Quality:

The post-holder will strive to maintain quality within the practice, and will:

Alert other team members to issues of quality and risk

Assess own performance and take accountability for own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload and resources

Communication

The post-holder should recognise the importance of effective communication within the team and will strive to:

Communicate effectively with other team members

Communicate effectively with patients and carers

Recognise peoples needs for alternative methods of communication and respond accordingly

Contribution to the Implementation of Services:

The post-holder will:

Apply practice policies, standards and guidance

Discuss with other members of the team how the policies, standards and guidelines will affect own work

Participate in audit where appropriate

The list of duties in this job description is not exhaustive and is intended to outline the main activities of the postholder. Duties and responsibilities may be subject to change taking into account the development needs of and following full discussion with the postholder

Qualifications

Essential

• GMC Registration
• Evidence of continuous professional development
• MRCGP
• Evidence of up to date statutory and mandatory training

Knowledge and Skills

Essential

• IT Proficient (ideally EMIS)
• Good understanding of the organisation of General Practice & current developments in Primary Care

Desirable

• Broad knowledge of NHS system
• Capacity to develop a special interest in an area of clinical need
• Ability to take a clinical lead on an agreed area within practice

Personal Attributes

Essential

• Enjoy working and contributing to a team
• Innovative, motivated and proactive
• Evidence of a patient focussed approach to practice
• Excellent communication skills
• Proven ability to organise time effectively, delegating & prioritising appropriately
• Demonstrates knowledge of & practical application of evidence based practice
• Able to work in a busy environment

Personal circumstances

Essential

• Ability to drive and holds a full UK driving license to enable travel across all practice bases within the Middlewood Practice area

Experience

Desirable

• Experience of working in UK General Practice for a minimum of 1 year, post training
• Experience of working in a multi-disciplinary team
• Desire to develop an area of clinical/ management interest with Personal Development Plan

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).