Job description

Job responsibilities

Key Duties and Responsibilities

The Consultant Gynaecologist will provide consultant-led assessment, diagnosis, treatment and follow-up for patients with moderate to high-complexity benign gynaecological conditions suitable for management within a Tier 3 Community Gynaecology Service.

The post holder will:

• Assess and manage patients escalated from Tier 2 services due to persistent symptoms, treatment failure, abnormal investigation results or diagnostic uncertainty that remain suitable for ambulatory management.
• Provide specialist assessment and treatment for complex heavy menstrual bleeding and abnormal uterine bleeding, including the investigation and management of suspected fibroids, adenomyosis, endometrial polyps and other intrauterine pathology not meeting urgent cancer criteria.
• Deliver consultant-led outpatient hysteroscopy services, including endometrial biopsy and approved see-and-treat procedures such as selected polypectomy, resection or ablation of suitable intrauterine lesions where commissioned.
• Provide specialist menopause and hormone management services, including the assessment and treatment of premature ovarian insufficiency, early menopause, treatment-resistant menopausal symptoms and complex HRT management.
• Manage patients with persistent dysmenorrhoea, pelvic pain, dyspareunia and suspected endometriosis requiring consultant review and targeted investigation, where management remains appropriate within a community setting.
• Undertake specialist assessment and management of complex PCOS, amenorrhoea and endocrine-related gynaecological conditions, working collaboratively with endocrinology and fertility services where appropriate.
• Assess and manage severe or treatment-resistant PMS and PMDD, ensuring appropriate liaison with mental health and other specialist services where required.
• Provide specialist assessment of persistent benign vulval conditions and undertake vulval biopsy where clinically indicated and commissioned.
• Assess and manage patients with urinary incontinence and pelvic organ prolapse who have not responded to conservative management, including determining the need for further specialist intervention or surgery.
• Review and manage Trust waiting-list patients who have been pre-assessed as suitable for consultant-led ambulatory diagnostic and treatment pathways.
• Interpret diagnostic investigations, pathology and imaging results and formulate evidence-based management plans.
• Participate in multidisciplinary working, clinical governance, audit, service development and quality improvement activities.

Exclusions and Onward Referral

The Consultant Gynaecologist will ensure that patients whose clinical needs fall outside the commissioned Tier 3 Community Gynaecology Service are identified promptly and referred to the appropriate secondary, tertiary, urgent or specialist pathway. This includes:

• Suspected gynaecological cancer, postmenopausal bleeding requiring an urgent pathway, concerning pelvic or adnexal masses, ascites, or other urgent malignancy concerns.
• Emergency presentations including uncontrolled bleeding, severe anaemia or haemodynamic instability, acute abdomen, sepsis, pregnancy-related emergencies, or patients requiring same-day hospital assessment.
• Patients requiring major open, laparoscopic or complex hysteroscopic surgery, hysterectomy, pelvic floor surgery, inpatient admission or general anaesthesia outside the commissioned service model.
• Complex adnexal masses, deep infiltrating endometriosis, severe pelvic adhesions, fistulae, mesh complications or conditions requiring specialist multidisciplinary or tertiary care.
• Fertility treatment, recurrent miscarriage services, abortion or miscarriage management and obstetric care, unless separately commissioned.
• Complex colposcopy services or cervical dysplasia treatment outside the commissioned service scope.
• Patients requiring MRI, CT, urodynamic studies or other advanced diagnostics where no agreed pathway exists.
• Patients with significant anaesthetic, medical or safeguarding risks that make ambulatory assessment or treatment inappropriate.
• Cases requiring MDT review, persistent diagnostic uncertainty following Tier 3 assessment, pathology requiring specialist review, or findings that exceed the clinical or procedural scope of the service.
• Any patient who develops new red-flag symptoms or clinical deterioration during their care pathway requiring immediate escalation to an urgent, cancer or Tier 4 service.

Person Specification

Experience

Essential

• GMC registration with licence to practise
• Current GMC Specialist Registration or substantive experience working at SAS Grade level
• MRCOG or equivalent specialist qualification
• Significant experience in benign gynaecology
• Experience of ambulatory and outpatient procedures
• Strong clinical leadership and decision-making skills
• Commitment to patient-centred care and clinical excellence

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

HealthHarmonie

Address

Abercromby Health Centre

Grove Street

Edge Hill

Liverpool

L7 7HG

United Kingdom

Employer's website

https://www.healthharmonie.com/ (Opens in a new tab)

Job description

Job responsibilities

Job Role - may include the following:

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).

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.

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.

Repeat prescribing

• Produce and implement a repeat prescribing policy.
• 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 to the GP. Monitor and manage patients with polypharmacy.

Telephone and patient facing medicines support

• Provide a telephone help line for patients with questions, queries and concerns about their medicines.
• Hold clinics for patients requiring face-to-face medicines use reviews

Medication review

• Undertake clinical medication reviews with patients and produce recommendations for the GPs on prescribing and monitoring.

Care home medication reviews

• Undertake clinical medication reviews with patients and produce recommendations for the GP on prescribing and monitoring.
• Work with care home staff to improve safety of medicines ordering and administration.
• Domiciliary clinical medication review
• Undertake clinical medication reviews with patients and produce recommendations for the GPs on prescribing and monitoring.

Long-term condition clinics

• See patients with single medical problems where medicine optimisation is required (e.g., COPD, asthma).
• Make recommendations to GPs for medicine improvements.

Service development

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

Care Quality Commission

• Work with the Federation and Member Practices to ensure compliance with CQC standards where medicines are involved.
• Undertake risk assessment and management and ensure compliance with medicines legislation.

Public health

• To contribute to public health campaigns, including flu vaccinations and adult immunisation programmes.

Cost saving programmes

• Undertake changes to medicines (switches) designed to save on medicine costs where a medicine or product with lower acquisition cost is now available.

Medicine information to practice staff and patients

• Answers all medicine-related enquiries from GPs, other practice staff and patients with queries about medicines.

Information management

• Analyse, interpret and present medicines data to highlight issues and risks to support decision making.

Medicines quality improvement

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

Training

• Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
• Implementation of local and national guidelines and formulary recommendations
• Monitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).
• Assist practices in setting and maintaining a practice formulary that is hosted on the practices computer system.
• Auditing practices compliance against NICE technology assessment guidance.
• Provide newsletters or bulletins on important prescribing messages.

Medicines safety

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

Person Specification

Experience

Essential

• In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based

Desirable

• An appreciation of the nature of GPs and general practice

Skills

Essential

• Excellent written and verbal communication skills
• Good IT skills
• Able to recognise priorities
• Able to work under pressure and to meet deadlines
• Full Driving License / willingness to travel across patch
• Strong analytical and judgement skills
• Ability to analyse and interpret information and present results in a clear and concise manner
• Experienced working with EMIS Web Medical Record system

Desirable

• Able to effectively influence others to complete agreed actions

Personal Qualities

Essential

• Professional attitude, calm and efficient manner
• Conscientious, hardworking, self- motivated, work with minimal supervision
• Creative and tenacious in finding solutions to difficult problems
• Ability to work with both clinical and administrative staff
• Ability to meet deadlines and work under pressure
• Ability to engage and sustain relationships with all professionals, other organisations and service-users
• Honest, reliable and enthusiastic, has a flexible approach
• Committed to personal development, willingness to undergo further training or development
• Car user and willing to travel between PCN GP practices

Qualifications

Essential

• Pharmacy Degree
• Minimum 2 years post qualification experience in Pharmacy
• Experience of / familiarity with clinical systems such as Emis
• Current GPhC registration

Desirable

• Independent 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

Bolton GP Federation

Address

Bolton Primary Care Hub

Chorley Street

BOLTON

BL1 4AL

United Kingdom

Employer's website

http://www.boltongpfed.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

The post-holder will work closely with the established Myeloid Team (Dr Jain, Dr Teh and Dr Khan) and will also have opportunities to support the nationally recognised PNH Service (Dr Kelly, Dr Griffin, Dr Muss and Dr Munir). The successful candidate will contribute to:

Specialist inpatient and outpatient care for patients with myeloid disorders and/or PNH. General Haematology services, including outpatient clinics and inpatient consultations. Participation in the consultant on-call rota (approximately 1:12). Provision of advisory and liaison haematology services across Leeds Teaching Hospitals NHS Trust. Referral triage, advice and guidance services for hospital clinicians and primary care colleagues. Shared responsibility for benign and general haematology pathways. There will be opportunities to become involved in:

Regional and local Myeloid Multidisciplinary Team (MDT) meetings. National PNH MDT discussions. PNH outreach clinics. Clinical research and trials, with Leeds Haematology actively recruiting to a broad portfolio of commercial and non-commercial studies. Teaching, training and service development initiatives. The successful applicant should hold accreditation in MBBS or an equivalent medical qualification from the Royal College of Pathologists or equivalent and should be on the Specialist Register or within six months of being admitted to the Register for trainees if currently in a training programme within the UK or have references which have been authorised by the Deputy Medical Director and Clinical Director.

Consideration will be given to applicants who wish to work full- or part-time and to those wishing to job share. Prospective applicants are encouraged to visit the hospital, which can be arranged by contacting:

Dr Manish Jain, Lead Clinician and Consultant Haematologist

[email protected]

Tel: 0113 2067564

Dr Richard Kelly, Consultant Haematologist

[email protected]

Tel: 0113 2068139

Why you should join our Team

The post holder will work with colleagues in the Myeloid team to help provide and support this large established service. Consultant staffing currently is Dr Manish Jain, Dr Chun Teh, Dr Richard Kelly (Myeloid and PNH), Dr Anjum Khan (Myeloid and transplant) and Dr Quentin Hill (Red cell disorder). The service is also supported by number of other consultants (including Dr Catherine Cargo (HMDS), Dr Marina Karakantza (Transfusion), Dr Alesia Kahn (HMDS) and Dr Katja Kimberger (ALL CAR-T). The post holder will have some shared input into benign General Haematology services, which may include hospital and GP liaison, referral review / triage and provision of advice and guidance. The post will also have some input in inpatient and outpatient red cell disorder work.

What you will bring to the role

The appointee’s role will be to further develop and support the established specialist services in Leeds for Myeloid and Red Cell Disorders in Haematology. The main clinical focus will be in Myeloid (Leukaemia) however the postholder will also have significant duties within the MPD clinic and in the support of benign red cell haematology. This will include Myeloid inpatient cover.

The appointee will be based principally at St James’s University Hospital with responsibilities as a member of the Leeds Teaching Hospitals NHS Trust Clinical and

The laboratory haematology consultant team is providing an integrated pan-Leeds service. The post duties will include inpatient care, outpatient clinic work and a

shared on-call commitment (approx. 1:11). The post-holder will be part of the Leeds Teaching Hospitals NHS Trust haematology team, providing advisory and

liaison haematology services in their area of expertise. There may be occasional need to visit other areas of the trust (e.g., Leeds General Infirmary and other sites

within the city) but no regular commitments occur out with the St James’s site.

We provide inpatient high-dose chemotherapy for patient in Leeds, Harrogate, Huddersfield, and York (Acute Lymphoblastic Leukaemia) including newer

immunotherapies. We are also regional CAR-T service for eligible people with Acute Lymphoblastic Leukaemia.

The post holder may support the national PNH service (this will be fully supported by the Leeds PNH team) or may have more involvement in general / non-malignant haematology services with a reduced involvement in the PNH service. This can be tailored to individual preference and experience. This will be discussed at the time of the interview.

About Leeds Teaching Hospital NHS Trust Our Trust values

The Leeds Way is working together to support each other and deliver the best possible care to patients.

We are….

Responsible Open and Honest One Team Kind

Our Trust priorities

Our purpose: Excellent, safe and sustainable care for every patient every time

Our priorities:

People Improvement and Innovation Partnerships Outcomes

Sponsorship Eligibility To comply with UK Government regulations on Skilled Worker sponsorship, Leeds Teaching Hospital NHS Trust is unable to provide sponsorship to applicants who do not meet the eligibility criteria or the salary threshold concessions set out under the Skilled Worker visa route. Please take this into consideration before submitting your application. Full guidance on these concessions, including details of who may qualify, can be found here.

We reserve the right to close this advert early if we receive a high number of suitable applications.

Person Specification

Qualifications

Essential

• Click on apply for full details

Desirable

• Click on apply for full details

Experience

Essential

• Click on apply for full details

Desirable

• Click on apply for full details

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

Leeds Teaching Hospitals

Address

St James’s University Hospital

Leeds

West Yorkshire

LS9 7TF

United Kingdom

Employer's website

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

Job description

Job responsibilities

The Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. Please view as attached

The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.

Person Specification

Knowledge

Essential

• Demonstrates strong knowledge of spinal, peripheral and systemic red flags and appropriate escalation
• Demonstrates strong knowledge of MSK conditions

Qualifications

Essential

• Diploma/Degree in physiotherapy or other relevant physiotherapy qualification
• Current HPC registration
• Have an understanding of the concepts of clinical governance and their implications for clinical effectiveness/best practice
• Understanding of group/team dynamics

Experience

Essential

• Relevant pre-registration physiotherapy experience to include all core rotations (including MSK)

Skills

Essential

• Ability to present information, either written as per CSP standards or orally, in a clear and logical manner
• To work as an autonomous practitioner and have the ability to manage time, prioritise and delegate work
• Commitment to own self development and learning, demonstrate by CPD portfolio
• Ability to comprehend and work within the Trust's policies of data protection, equal opportunities and health and safety and meet the differing needs of the patients.
• demonstrate a flexible and adaptable approach to patient care

Other Requirements

Essential

• ability to work flexible hours and weekends

Desirable

• Car driver/owner

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

West London NHS Trust

Address

West London NHS Trust

London

TW7 6AF

United Kingdom

Employer's website

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

Job description

Job responsibilities

Key duties and responsibilities

• Patient facing Long term condition clinics (where appropriate).
• See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma, Diabetes).
• Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e. medicines optimisation).
• Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.

Telephone or Patient facing Clinical Medication Review

• Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist team leader, nurses and/or GP on prescribing and monitoring.

Telephone or Patient facing care home medication reviews

• Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration.
• Domiciliary clinical medication review
• Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences.

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
• Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice
• Telephone medicines support
• Provide a telephone help line for patients with questions, queries and concerns about their medicines.

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

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 highrisk 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 highrisk 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 of time e.g. pathology results, common/minor ailments, acute conditions, long term condition reviews etc.

Repeat prescribing

• Produce and implement a practice repeat prescribing policy.
• 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).

Information management

• Analyse, interpret and present medicines data to highlight issues and risks to support decision making.

Medicines quality improvement

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

Medicines safety

• Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
• Implementation of local and national guidelines and formulary recommendations
• Monitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).
• Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system.
• Auditing practices compliance against NICE technology assessment guidance.

Person Specification

Qualifications

Essential

• Bachelor's degree in Pharmacy,
• Registered with the General Pharmaceutical Council (GPhC)
• Commitment to undertaking the CPPE pathway training, followed by Independent Prescribing qualification.

Desirable

• CPPE (or equivalent) trained or already on the pathway
• Independent prescribing qualification

Experience

Desirable

• Experience in working with computerised health care systems.
• At least 1 year post-qualification experience in General Practice, hospital or community pharmacy.
• Previous experience of working in triage or an unscheduled care service.

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

North Wilts Border PCN Ltd Company

Address

Tinkers Lane Surgery

Tinkers Field

Royal Wootton Bassett

Swindon

Wiltshire

SN4 7AT

United Kingdom

Employer's website

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

Job description

Job responsibilities

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. For both documents please view the attachment/s on this page

The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.

Person Specification

Education / Qualifications

Essential

• Degree in Physiotherapy
• HCPC

Desirable

• Relevant post graduate courses/training/CPD
• Member of relevant special interest group

Knowledge

Essential

• Knowledge/understanding of confidentiality issues
• Knowledge of physiotherapy best practise for a range of Pelvic, Obstetric and Gynaecological Physiotherapy conditions
• Awareness of clinical audit and evidence-based practice.
• Knowledge of appropriate red flags for these specialist patient groups
• Knowledge of principles of Risk Management
• Awareness of NHS and Trust systems, policies, procedures and current changes

Desirable

• Knowledge of current professional and NHS issues
• Awareness of impact of socioeconomic factors on health
• Knowledge of appraisal cycle

Experience

Essential

• Broad general clinical experience
• Experience managing a wide range of musculoskeletal conditions
• Maintaining relevant range of CPD activities

Desirable

• Experience of working within a diverse socioeconomic/multicultural society.
• Experience of working in different health care environments

Skills/ Abilities

Essential

• Able to manage caseload and to prioritise under pressure.
• Able to demonstrate effective written & verbal communication skills
• Able to work within an MDT.
• Able to assess and implement appropriate treatment for a range of patients.
• Good IT skills

Desirable

• Supervision/appraisal (PTA,St,Physio)
• Presentation skills

Trust Values/ Other

Essential

• Understanding and demonstration of the Trust Values.
• Commitment and adherence to the Equality Act

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

Homerton Healthcare NHS Foundation Trust

Address

Homerton Healthcare NHS Foundation Trust

Homerton Row

London

E9 6SR

United Kingdom

Employer's website

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

Job description

Job responsibilities

Core responsibilities

Clinical practice

The role will mainly involve working in our Same Day Access Hub seeing patients for urgent on the day issues. The role will involve working alongside PCN team of GP supervisor / Paramedic Practitioner in the PCN Same Day Access Hub seeing patients on the day with urgent issues.

The post may include cross cover with the award-winning Frailty Visiting Team visiting patients who are housebound for urgent on the day issues.

Work as part of a multi-disciplinary team to deliver safe and high-quality care.

Carry out clinical practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with acute, long term and complex health needs.

Manage undifferentiated undiagnosed condition and identify red flags

and underlying serious pathology and take appropriate action

Triage and treat patients, including same day triage, performing assessment of their needs and makes referrals as necessary to other members of the primary and secondary health care teams as appropriate.

Interpret investigation findings to determine effective treatment plans & discuss with GPs where a second opinion is required

Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition, using both non-pharmacological and pharmacological treatments.

Co-ordinate the planning and delivery of care ensuring patients and carers or relatives are involved where required. Actively take a personalised care approach and population centre care approach to enable shared decision making.

Prescribing and reviewing medication that is appropriate for patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.

Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.

Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.

Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.

Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.

Communication

Uses and adapts communication style to meet individual patient needs to ensure patients are fully informed about treatment.

Communicates effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating

Anticipates barriers to communication and take action to improve communication

Maintains effective communication with the primary care team and with external stakeholders

Ensures awareness of sources of support and guidance and provides information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

Safeguarding adults and children

The postholder has a duty to safeguard and promote the welfare of vulnerable adults and children.

When adults or children and/or their carers use primary care services, it is essential that all adult and child protection concerns are both recognised and acted on appropriately.

The postholder has a responsibility to ensure they are familiar with and follow local policies in relation to safeguarding vulnerable adults and that they follow the local child protection procedures and any supplementary guidance.

The postholder has a responsibility to support appropriate investigations either internally or externally.

To ensure the postholder is equipped to carry out their duties effectively, they must also attend vulnerable adult and child protection training and updates at the competency level appropriate to the work they do and in accordance with the local vulnerable adult and child protection training guidance.

Leadership and management personal and people development

Takes responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model

Supports staff development in order to maximise potential and support practice development

Critically evaluates and reviews innovations and developments that are relevant to clinical practice

Contributes to the development of local guidelines, protocols and standards

Maintains effective communication with those responsible for the overall commissioning and procurement process

Promotes the role of the Advanced Clinical Practitioner in general practicecompleting relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care.

Team working

Understands own role and scope and identify how this may develop over time

Works as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working

Creates and agrees clear referral mechanisms to meet patient need

Prioritises own workload and uses effective time-management strategies to complete work within agreed timescales

Discusses, highlights and works with the team to create opportunities to improve patient care

Manages and leads the delivery of specifically identified services or projects as agreed with the PCN Clinical Director and the PCN management team

Education

Undertakes mentorship for more junior staff, assessing competence against set standards

Use evidence-based strategies to improve and enhance the quality of patient care

Assesses own learning needs and undertakes learning as appropriate

Provides an educational role to patients, carers, families and colleagues in an environment that facilitates learning

Research

Critically engage in research activity and use evidence-based strategies to improve and enhance the quality of patient care

Participates in clinical governance activity and contributes to the improvement in quality of health outcomes through audit, risk management and the Quality and Outcomes Framework

Participates in investigation of incidents and events as required.

Identifies, applies and disseminates research findings relating to own practice

Collects data for audit purposes and uses clinical audit to monitor quality in the service and implements change according to findings.

Participates in clinical trials and equipment testing.

Meets timescales/deadlines for audits and written returns to ensure that the Practice meets quality standards and receives the designated funding (e.g. Quarterly Enhanced Services returns, annual QOF audit

Quality

Under supervision and support of GPs in the practice, the post-holder will strive to maintain quality within the practices, and will:

Participates in clinical governance activity and contribute to the improvement in quality of health outcomes through audit, risk management and the Quality and Outcomes Framework

Alerts other team members to concerns about risk, quality and safety.

Participates in investigation of incidents and events as required.

Contributes 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

Works effectively with individuals in other agencies to meet patients needs

Effectively manages own time, workload and resources.

Delivery of care in line with NSF, NICE guidelines and evidence-based care

See attached job description and person specification for further details.

Person Specification

Knowledge

Essential

• A clear understanding of the Multi-professioanl framework for advanced clinical practice in England
• Advanced clinical practice skills
• Clinical examination skills
• Accountability of own role and other roles
• Management of patients with long-term conditions
• Management of patients with complex needs
• Local plan and national health policy
• Wider health economy
• Clinical governance issues in primary care
• Patient group directions and associated policy
• Knowledge/experience in general practice/elderly care or palliative care

Desirable

• Able to identify determinants on health in the area
• Knowledge of public health issues in the area

Personal qualities

Essential

• Self-directed practitioner
• Highly motivated
• Flexibility
• Enthusiasm
• Team player

Skills

Essential

• Clinical leadership skills
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Change management
• Teaching and mentorship within a clinical setting
• Resource management

Experience

Essential

• Significant post registration experience
• Recent primary or community experience
• Management of minor illness, minor ailments and injuries
• Triage
• Compiling protocols and clinical guidelines
• Clinical Leadership
• Audit
• Research

Desirable

• Project management
• Health-needs assessment

Qualifications

Essential

• Masters degree level in the relevant area of expertise
• for Advanced Clinical Practitioner Nurses only, have either graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centres ePortfolio (supported) Route
• MSc in advanced practice or equivalent accreditation
• Independent prescribing qualification
• for advanced practice pharmacists only, qualified from an approved 18-month training pathway or equivalent and qualified as an independent prescriber

Desirable

• Mentor/teaching qualification
• Clinical supervision training and experience

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

West Kent Primary Care

Address

Hospice In The Weald

Maidstone Road

Pembury

Tunbridge Wells

Kent

TN2 4TA

United Kingdom

Employer's website

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

Job description

Job responsibilities

Job Description Advanced Clinical Practitioner

Job Summary

The Advanced Clinical Practitioner (ACP) will work as an autonomous clinician within Ash Grove Medical Centre and Eggborough Surgery, providing high-quality, patient-centred care across the practice population.

The post holder will be responsible for assessing, diagnosing and managing patients presenting with a wide range of acute, minor illness, chronic and complex conditions. The role will include face-to-face consultations in the practice, home visits and care home visits where required, clinical assessment and management, requesting and interpreting investigations, including pathology, and appropriate onward referral.

The ACP will work with both adult and paediatric patients, where appropriately qualified and experienced, and will work within their professional scope of practice and level of competence.

The successful candidate will demonstrate advanced clinical assessment and diagnostic skills, sound clinical decision-making, effective risk management and the ability to work independently while recognising when GP or wider multidisciplinary input is required.

Main Duties and Responsibilities

• Conduct autonomous face-to-face clinical consultations with patients presenting with acute, minor illness, chronic and complex conditions.
• Undertake comprehensive clinical histories and physical examinations and formulate appropriate differential diagnoses.
• Assess, diagnose and manage patients safely and effectively within the ACP's scope of practice.
• See adult patients and children where appropriately qualified and competent, recognising and responding appropriately to the different clinical needs of paediatric patients.
• Undertake home visits and care home visits as required, including assessment and management of patients who are unable to attend the practice.
• Assess acutely unwell and deteriorating patients and initiate appropriate management and escalation.
• Request appropriate investigations, including pathology and other diagnostic investigations, and independently review, interpret and act upon results within scope of practice.
• Ensure appropriate follow-up and safety-netting of investigations and abnormal results.
• Initiate, prescribe and review medication safely and appropriately within prescribing authority, scope of practice and current national and local guidelines.
• Provide appropriate education and advice regarding medication, adherence, side effects, interactions and lifestyle modification.
• Develop, implement and review individualised treatment and management plans.
• Manage patients with acute presentations, long-term conditions, complex needs and urgent health concerns, including appropriate mental health presentations.
• Recognise safeguarding concerns and follow appropriate safeguarding procedures and referral pathways for children and adults.
• Make appropriate referrals to GPs, secondary care, community services and other members of the multidisciplinary team.
• Initiate and coordinate emergency care where clinically indicated.
• Provide appropriate health promotion, preventative healthcare, screening and self-management advice.
• Provide evidence-based advice regarding immunisations, contraception and disease prevention where appropriate to the role and scope of practice.
• Maintain accurate, contemporaneous and legally compliant clinical records using the practice's clinical systems.
• Communicate effectively with patients, carers, practice staff, community services, secondary care and other healthcare professionals.
• Work collaboratively with GPs, nurses, pharmacists, healthcare assistants, administrative staff and the wider multidisciplinary team.
• Recognise personal limitations and seek advice or escalate appropriately where a presentation falls outside the post holder's competence or scope of practice.
• Contribute to clinical supervision, mentoring and support of other staff, students and colleagues where appropriate.
• Attend and actively contribute to clinical, multidisciplinary team and governance meetings.
• Participate in clinical audit, significant event reviews, quality improvement and service development.
• Contribute to the development and review of clinical protocols, pathways and practice procedures.
• Support the practice in achieving appropriate QOF and other contractual or quality targets.
• Contribute to the practice's clinical governance, patient safety and CQC requirements.
• Maintain professional registration, undertake required CPD and participate in annual appraisal and clinical supervision.
• Maintain up-to-date knowledge of current evidence, NICE guidance, national standards and local policies.
• Comply with infection prevention and control, health and safety, confidentiality, information governance and safeguarding requirements.
• Carry out other reasonable clinical duties requested by the GP Partners or Practice Manager, consistent with the responsibilities and level of the role.

Clinical Investigations and Pathology

A key element of the role will be the appropriate use and management of clinical investigations.

The ACP will:

• Request appropriate pathology and other investigations based on clinical assessment.
• Review and interpret pathology results within the post holder's competence.
• Identify abnormal or clinically significant results requiring action.
• Initiate appropriate management, follow-up or referral.
• Ensure patients are appropriately informed of significant results and that appropriate safety-netting is provided.
• Maintain responsibility for ensuring investigations requested are appropriately followed up in accordance with practice procedures.

Home Visits

The ACP will undertake home visits and care home visits as required by the practice.

This will include:

• Assessing patients in their home or care home environment.
• Undertaking appropriate clinical examination and assessment.
• Diagnosing and managing patients within scope of practice.
• Reviewing medication and treatment plans where appropriate.
• Requesting investigations and arranging appropriate follow-up.
• Recognising deterioration and arranging urgent or emergency escalation where required.
• Liaising with GPs, community teams, district nurses, palliative care services and other relevant professionals.
• Maintaining accurate clinical records following each visit.

Paediatric Care

Where the post holder is appropriately qualified and experienced to assess children, they may be required to undertake paediatric consultations.

This will include:

• Assessing children presenting with acute and minor illness.
• Recognising red flags and signs of serious illness.
• Applying appropriate safeguarding procedures.
• Working within the individual's paediatric competence and escalating to a GP or appropriate service when required.
• Providing appropriate advice and safety-netting to parents and carers.

The post holder will not be expected to undertake paediatric consultations outside their qualification, competence or agreed scope of practice.

Additional Responsibilities

• Participate in rota arrangements and provide appropriate cover for colleagues during periods of annual leave or sickness, where required.
• Provide clinical support to the wider practice team, including responding to appropriate clinical queries.
• Support prescription-related queries within clinical competence and scope of practice.
• Maintain a professional and appropriate standard of appearance and behaviour.
• Maintain patient confidentiality and ensure all patient-identifiable information is handled securely.
• Comply with practice policies, procedures and statutory requirements.
• Participate in mandatory training and maintain all required professional competencies.
• Contribute to clinical audits, research and service improvement initiatives.
• Act as a clinical lead or develop a specialist area of interest where appropriate and agreed with the practice.
• Support the practice in maintaining high standards of patient safety, clinical governance and regulatory compliance.
• Undertake any other reasonable duties appropriate to the role and level of responsibility.

Person Specification

Skills and Knowledge

Essential

• Skills and Knowledge
• Excellent clinical assessment and decision-making skills.
• Ability to manage clinical uncertainty and risk safely.
• Ability to work independently while recognising professional limitations.
• Good understanding of evidence-based practice and clinical governance.
• Excellent verbal and written communication skills.
• Strong organisational and time-management skills.
• Ability to maintain accurate clinical documentation.
• IT literate and confident using electronic clinical systems.

Desirable

• Previous experience working within general practice or primary care.
• Experience managing same-day/urgent presentations in primary care.
• Experience with chronic disease management.
• Experience undertaking clinical audit or quality improvement projects.
• Experience supporting or mentoring other clinicians.
• Knowledge and experience of local community and secondary care referral pathways.
• Experience using SystmOne or other primary care clinical systems.

Qualifications

Essential

• Qualifications and Registration
• Registered healthcare professional with an appropriate professional registration.
• MSc in Advanced Clinical Practice or equivalent advanced practice qualification, or working towards completion where appropriate.
• Evidence of advanced clinical assessment and consultation skills.
• Appropriate independent prescribing qualification where required for the role.
• Evidence of ongoing continuing professional development.

Experience

Essential

• Clinical Experience
• Significant post-registration clinical experience.
• Experience working autonomously as an Advanced Clinical Practitioner or equivalent advanced clinical role.
• Experience assessing and managing patients with undifferentiated and acute presentations.
• Demonstrable experience of clinical assessment, diagnosis, treatment and management planning.
• Experience working within a multidisciplinary team.
• Experience recognising clinical deterioration and appropriately escalating care.
• Understanding of safeguarding responsibilities and appropriate referral pathways.

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

Ash Grove Medical Centre

Address

England Lane

Knottingley

West Yorkshire

WF11 0JA

United Kingdom

Employer's website

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

Job description

Job responsibilities

Clinical Practice -Enhanced Clinical Practitioner ECP

1. Scope of Clinical Practice:

The post holder will work autonomously within their scope of practice as an ECP, delivering advanced assessment, diagnosis, and management of patients across the lifespan in a general practice setting.

Main Tasks & Responsibilities

Provide specialised clinical assessment, examination, and management of patients presenting with acute and undifferentiated conditions in line with their enhanced training and scope of practice.

Triage and prioritise patients appropriately, delivering same-day and urgent care services.

Independently assess, diagnose and manage a wide range of minor illness presentations.

Support in the management of chronic and complex conditions which fall with their enhance scope of practice and training.

Identify red flags and escalate or refer patients appropriately to secondary or urgent care services.

Request, interpret, and act on diagnostic investigationse.g., bloods, ECGs, imaging where appropriate.

Prescribe safely as an independent prescriber,if qualified, in line with local and national guidelines.

Provide clinical decision-making in complex and uncertain situations, recognising limitations and seeking senior support where needed.

Deliver patient education, safety-netting, and health promotion advice.

Maintain accurate, contemporaneous, and legally compliant clinical records.

Work collaboratively within the multidisciplinary team, supporting patient flow and demand management.

Undertake risk assessment and management, including safeguarding concerns and deteriorating patients.

Act as a clinical role model for other ECPs staff.

Support supervision and development of junior or newly appointed ECPs.

General Responsibilities

Maintain professional registration and work within scope of practice.

Adhere to organisational policies, confidentiality, and data protection requirements.

Engage in ongoing CPD and revalidation requirements.

Promote equality, diversity, and inclusion in all aspects of the role.

NOTE: This job description was accurate at the time of its compilation. However, changes are frequent in general practice and post-holders are expected to be flexible and to agree to reasonable changes from time to time once these have been discussed with the post holder.

Person Specification

Qualifications

Essential

• Current active registration with NMC or HCPC with no restrictions on practice.
• Undertaken PACR/ diagnostic module

Desirable

• independent prescribing qualification

Experience

Essential

• 2 yrs post- qualification experience ideally with exposure to Primary care/ Urgent treatment centre / minor injuries unit/ ED or Acute care 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

The Avenue Surgery

Address

14 The Avenue

Warminster

Wiltshire

BA12 9AA

United Kingdom

Employer's website

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

Job description

Job responsibilities

The following are the core responsibilities of the Clinical Pharmacist delivering health services.

a. Work as part of a multi-disciplinary team in a patient-facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas, such as HTN and CVD

b. To proactively manage the medication review process within the surgery, taking overall responsibility for ensuring medication reviews are completed in a timely manner, are safe and effective, to include housebound patients and those living in local care and nursing homes

c. Through structured medication reviews, support patients to take their medications to get

the best from them, reduce waste and promote self-care

d. Be a prescriber, or completing training to become a prescriber, and work with and alongside the general practice team

e. To manage patient discharge summaries and hospital letters, ensuring information is accurately transferred and the correct medication prescribed in primary care

f. To complete the CPPE programme (if not already completed)

g. Be responsible for the care management of patients with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy, especially the elderly, people in care homes, those with multiple co-morbidities (in particular frailty, COPD and asthma) and people with learning disabilities or autism (through STOMP Stop Over Medication Programme)

h. Provide specialist expertise in the use of medicines whilst helping to address both the public health and social care needs of patients at the organisation and to help in tackling inequalities

i. Provide leadership on person-centered medicines optimisation (including ensuring prescribers in the practice conserve antibiotics in line with local antimicrobial stewardship guidance) and quality improvement, whilst contributing to the Quality and Outcomes Framework and enhanced services

j. Have a leadership role in supporting further integration of general practice with the wider healthcare teams (including community and hospital pharmacy) to help to improve patient outcomes, ensure better access to healthcare and help to manage general practice workload

k. Develop relationships and work closely with other pharmacy professionals across the wider health and social care system

l. Take a central role in the clinical aspects of shared care protocols, clinical research with medicines, liaison with specialist pharmacists (including mental health and reduction of inappropriate antipsychotic use in people with learning difficulties), liaison with community pharmacists, and anticoagulation

m. Be part of a professional clinical network and have access to appropriate clinical supervision. Appropriate clinical supervision means:

n. Each Clinical Pharmacist must receive a minimum of one supervision session per month by a senior clinical pharmacist

o. The Senior Clinical Pharmacist must receive a minimum of one supervision session every three months by a GP clinical supervisor

p. Each Clinical Pharmacist will have access to an assigned GP clinical supervisor for support and development

q. A ratio of one Senior Clinical Pharmacist to no more than five junior Clinical Pharmacists, with appropriate peer support and supervision in place

r. Act as the point of contact for all medicine related matters, establishing positive working relationships

s. Consult patients within defined levels of competence and independently prescribe acute and repeat medication

t. Receive referrals and directed patients from triage services and other clinicians

u. In conjunction with NICE guidance, consult with patients to initiate new medications, to include statins, bisphosphonates and DOACs

v. In conjunction with the Therapeutic Advisory Group (TAG) and commissioning group, monitor Red and expensive drugs

w. Receive and resolve medicines queries from patients and other staff

x. Manage a caseload of complex patients

y. Manage a therapeutic drug monitoring system and the recall of patients taking high risk drugs, i.e., anticoagulants, anticonvulsants and DMARDs, etc.

z. Deliver long term condition clinics and home visits, particularly for patients with complicated medication regimes, and prescribe accordingly

aa. Provide pharmaceutical consultations to patients with long term conditions as an integral part of the multidisciplinary team

bb. Review medications for newly registered patients

cc. Improve patient and carer understanding of confidence in and compliance with their medication

dd. Maintain accurate clinical records in conjunction with extant legislation

ee. Encourage cost-effective prescribing throughout the organization

ff. Work in conjunction with dispensary to source alternatives for out of stock items

gg. Implement and embed a robust repeat prescribing system

hh. Provide advice and answer medication related queries from patients and staff

ii. Organise and oversee the organisations medicines optimisation systems, including the repeat prescribing and medication review systems

jj. Improve the quality and effectiveness of prescribing through clinical audit and education, to improve performance against NICE standards and clinical and prescribing guidance.

kk. Develop yourself and the role through participation in clinical supervision, training and service redesign activities

ll. Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. Apply infection-control measures within the practice according to local and national guidelines

mm. Provide subject matter expertise on medication monitoring, implementing and embedding a system

nn. Support clinicians with the management of patients suffering from drug and alcohol dependencies

oo. Actively signpost patients to the correct healthcare professional

pp. Manage a caseload of complex patients and potential care institutions and to provide advice for the GP management of more complex patients or areas such as addictive behaviours, severe mental illness or end of life care

qq. Review the latest guidance, ensuring the organisation conforms to NICE, CQC etc.

rr. Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children

ss. Provide targeted support and proactive reviews for vulnerable, complex patients and those at risk of admission and re-admission to secondary care

tt. Handle prescription queries and requests directly

uu. Provide proactive leadership on medicines and prescribing systems to the organisation, patients and their carers

vv. Support in the delivery of enhanced services and other service requirements on behalf of the organisation

ww. Participate in the management of patient complaints when requested to do so, and participate in the identification of any necessary learning brought about through clinical incidents and near-miss events

xx. Undertake all mandatory training and induction programmes

yy. Contribute to and embrace the spectrum of clinical governance

zz. Attend a formal appraisal with your manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed

aaa. Contribute to public health campaigns (e.g., COVID-19 or flu clinics) through advice or direct care

bbb. Maintain a clean, tidy, effective working area at all times

There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels

Person Specification

Experience

Essential

• 1. An appreciation of the nature of general practice and the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
• 2. Minimum of two years working as a pharmacist demonstrated within a practice portfolio
• 3. An appreciation of the new NHS landscape, including the relationships between individual practices, PCNs and the commissioners

Desirable

• 1. Experience in managing pharmacy services in primary care
• 2. In-depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare
• 3. Understanding of the mentorship process
• 4. Experience of working autonomously

Qualifications

Essential

• 1. GPC registered pharmacist
• 2. Proof of relevant professional and educational qualifications, coupled with details of any training
• 3. To be enrolled in, or have qualified from, an approved 18-month training pathway or equivalent that equips them to be able to practice and prescribe safely and effectively in a primary care setting (for example, the CPPE clinical pharmacist training pathways)
• 4. Hold or be working towards an GPhC independent prescribing qualification

Desirable

• 1. Working towards faculty membership of the Royal Pharmaceutical Society
• 2. Medicines management qualification
• 3. Minor ailments certification
• 4. MUR and repeat dispensing certification

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 Market Surgery

Address

26 Norwich Road

Aylsham

Norwich

NR11 6BW

United Kingdom

Employer's website

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

Job description

Job responsibilities

Balmoral Surgery

Role: Paramedic General Practice

Reports to: GP Partner

Hours: 24 hours per week Contract: Fixed term maternity cover Salary: Depending on experience

Job Summary

The Paramedic will work as part of the multidisciplinary team (MDT) within Balmoral Surgery to provide high quality, patient centred care, primarily for onsite urgent/same day presentations, with a small number of home visits as agreed.

The post holder will:

See and manage appropriate same day / urgent cases on site, within an agreed scope of practice and under GP supervision.

Undertake a limited number of home visits for suitable patients, as agreed in the rota.

Support GPs by safely managing appropriate cases, while escalating undifferentiated, complex or high risk presentations to a GP.

Overall clinical responsibility for patients remains with the GP partners.

Key Responsibilities

Clinical

Within an agreed and regularly reviewed scope of practice, and with access to a named GP supervisor, the Paramedic will:

Provide onsite same day / urgent care for appropriate presentations, following practice protocols and escalation pathways.

Undertake face to face, telephone and video consultations for:

Minor illness and injuries

Selected long term condition reviews, where agreed and within competence.

Perform comprehensive clinical assessments , including history, examination and observations.

Formulate working diagnoses and management plans for conditions within competence, using evidence based guidelines and practice protocols.

Provide home visits for suitable patients (e.g. acute but stable presentations, followup of known patients) as agreed in the practice rota, ensuring:

Clear pre visit briefing where needed

Timely documentation on return to the practice

Escalation to a GP if concerns arise.

Implement management plans including:

Self care advice and safety netting

Use of practice protocols and patient information

Arranging appropriate followup or GP review.

Recognise red flags and clinical risk , and promptly escalate to a GP when:

Presentations are undifferentiated or complex

There is diagnostic uncertainty

The patient is clinically unstable or deteriorating.

Request and interpret basic investigations within agreed scope (e.g. simple blood tests, urinalysis, ECG recording, basic observations), and escalate abnormal results to a GP.

Make referrals to community and social care services in agreement with a supervising GP and within local pathways.

If the post holder is an independent prescriber (or becomes one), prescribing activity must be explicitly agreed, supervised and audited by the GP partners, and remain within their competence and practice governance requirements.

Non Clinical / Administrative

Document all patient contacts and clinical decisions contemporaneously in the clinical record.

Manage clinical administration related to their caseload, such as:

Coding and summarising relevant information

Actioning agreed test results within scope

Drafting referrals for GP review and sign off where required.

Participate in clinical audit, quality improvement and service development projects relevant to urgent care and home visiting.

Contribute to practice meetings , including MDT meetings, clinical governance and significant event reviews, as appropriate.

Support health promotion and prevention initiatives (e.g. lifestyle advice, vaccination campaigns) within competence.

Professional and Governance

Work at all times within HCPC standards of conduct, performance and ethics, and within the scope of practice defined by the practice.

Maintain professional registration with the HCPC and comply with all revalidation and CPD requirements.

Participate in regular clinical supervision with a named GP supervisor.

Engage in an annual appraisal and agree a personal development plan aligned with practice priorities.

Adhere to all practice policies , including:

Safeguarding (adults and children)

Infection prevention and control

Information governance and confidentiality

Health and safety and incident reporting.

Supervision and Support

The Paramedic will have a named GP clinical supervisor responsible for day to day clinical support and oversight.

The post holder will have:

Regular scheduled supervision sessions

On the day access to a GP for advice and escalation

Opportunities to discuss complex cases and learning needs.

The GP partners retain ultimate responsibility for clinical governance and for ensuring that the Paramedics scope of practice is safe, clearly defined and regularly reviewed.

Person Specification

Essential Qualifications

Degree / Diploma in Paramedicine or equivalent.

HCPC registration as a Paramedic.

Completion of the two year Consolidation of Learning period as a newly qualified paramedic.

At least three years experience as a Band 6 (or equivalent) paramedic.

Evidence of ongoing CPD relevant to urgent and primary care.

Desirable Qualifications

Masters level modules or equivalent in advanced clinical practice / paramedic practice.

Non medical prescribing qualification (V300), if prescribing is to be part of the role and supported by the practice.

Additional training in minor illness, frailty, long term conditions or palliative care.

Essential Experience

Substantial post registration experience in urgent / emergency care (e.g. ambulance service, urgent care centres, ED).

Experience of autonomous clinical assessment within defined protocols and escalation frameworks.

Experience of working within a multidisciplinary team .

Experience of managing acutely unwell adults and recognising deterioration.

Desirable Experience

Previous experience in general practice or community based services.

Experience of home visiting or care of housebound/frail patients.

Involvement in audit, quality improvement or service development .

Knowledge and Skills

Essential:

Strong clinical assessment and decision making skills within scope of practice.

Ability to recognise red flags and clinical risk and escalate appropriately.

Understanding of how general practice operates, including appointment systems and triage.

Excellent communication and interpersonal skills .

Competent IT skills, including use of GP clinical systems (training can be provided).

Ability to work autonomously within defined parameters , and as part of a wider MDT.

Desirable:

Knowledge of NICE guidance and local clinical pathways relevant to urgent and primary care.

Personal Attributes

Commitment to high quality, patient centred care .

Flexible and adaptable approach to workload and service needs.

Willingness to work collaboratively and accept clinical supervision and feedback .

Strong organisational skills and ability to prioritise in a busy general practice environment.

Commitment to ongoing professional development and reflective practice.

Other Requirements

Ability to travel locally for home visits as required (car driver with access to a vehicle is usually essential).

Enhanced DBS check .

Compliance with all mandatory training requirements (e.g. safeguarding, BLS, infection control).

Person Specification

Qualifications

Essential

• Degree in Paramedicine or equivalent.
• HCPC registration as a Paramedic.

Desirable

• Masters level modules or equivalent in advanced clinical practice / paramedic practice.
• Non medical prescribing qualification
• Additional training in minor illness, frailty, long term conditions or palliative care.

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

Balmoral Surgery

Address

Balmoral Surgery

Canada Road

Walmer

Deal

Kent

CT14 7EQ

United Kingdom

Employer's website

https://www.balmoralsurgery.com/ (Opens in a new tab)

Job description

Job responsibilities

We are looking for an enthusiastic, motivated, and competent Clinical Manager (CM) to become part of our team at the Sunderland Royal urgent treatment centre (UTC). This is a fantastic opportunity for an experienced clinician to lead the clinical team and continue to deliver a consistent high standard of patient care within the department.

The successful applicant should be a registered nurse or paramedic with an excellent level of experience and knowledge of minor illness or injury presentations, from either an urgent care or emergency department background. The applicant should be an independent prescriber and have a good skill set that can contribute to the clinical expertise in the department. The role will involve working closely with the UTC leadership team to progress the department in developing new clinical pathways, agreed projects, and management tasks.

As the UTC continues to recruit roles for paramedics and nurses, the CM will also be responsible for leading in the training and mentoring of newer staff. The role will involve working clinical hours in the treatment room to not only support the team, but lead by example. There is an expectation this will also involve working some weekends and supporting the team during busy periods while on management shifts. The successful applicant should have a high degree of ability to work well as part of team, but also autonomously without regular supervision.

Partnering Health Group (PHL) are an established and expanding healthcare organisation responsible for providing a variety of urgent and primary health care services across the UK and are delighted to be providing the UTC in Sunderland. We provide high quality, safe services which improve the health, wellbeing, and independence of the people we care for. We deliver these services to our community so you will feel a real sense of achievement and that your work makes a difference to local peoples lives.

Role requirements

• Experienced nurse or paramedic with current professional registration and no restrictions to practice.

• Minimum post graduate certificate (PGc) level 7 in Advanced Clinical Practice and working towards post graduate diploma or MSc.
• At least six years of working full time post registration, ideally within a senior role
• At least 2 years working within a UTC or emergency department (ED) as an autonomous practitioner
• Independent prescribing qualification with at least 2 years post qualification
• Significant minor injury and illness experience

Desirable

• Leadership or management qualification
• Advanced life support (ALS) qualification
• Primary care experience

Person Specification

Experience

Essential

• Experience of working in a multi-disciplinary team
• Excellent communication and interpersonal skills written, verbal (particularly listening skills) and approachable
• Clear understanding of professional responsibility and accountability.
• Good organisational skills and ability to manage and prioritise own workload
• Be able to clear an enhanced DBS check/Must be authorised to work in the UK
• Must be authorised to work in the EEC

Qualifications

Essential

• Experienced nurse or paramedic with current professional registration and no restrictions to practice.
• Minimum post graduate certificate (PGc) level 7 in Advanced Clinical Practice and working towards post graduate diploma or MSc.
• At least six years of working full time post registration, ideally within a senior role
• At least 2 years working within a UTC or emergency department (ED) as an autonomous practitioner
• Independent prescribing qualification with at least 2 years post qualification
• Significant minor injury and illness experience
• Red dot/IRMER qualification and competence with x-ray interpretation.
• Mentoring qualification
• A demonstrable and good standard of continued professional development (CPD)

Desirable

• Leadership or management qualification
• Advanced life support (ALS) qualification
• Primary care experience

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

Partnering Health Ltd

Address

Sunderland Royal UTC

Kayll Road

Sunderland

SR4 7TP

United Kingdom

Employer's website

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

Job description

Job responsibilities

1. Assigned to specific Consultant Surgeons but there is an expectation that staff will provide support and cover during periods of leave for colleagues, including other departments.

2. Add patients to the outpatient waiting list from referral, ensuring all information is entered on to the Lorenzo system and where necessary request images. Recognising any Red Flag symptoms and escalating these to consultants.

3. Once trained, individuals to maintain a high knowledge of Lorenzo, E-referral service, Image Exchange System, Electronic Patient Record, Spinal Portal, Bookwise, Internal Patient Waiting Lists, Synapse

4. Communicate with patients to agree a date of appointment according to the relevant waiting times as designated by the appointment type and other factors, providing general advice around their appointment and the location of the Trust and sending out relevant paperwork. Ensuring the relevant appointment is made in due time to ensure any further treatment that may be necessary has enough time to be received.

5. To highlight any referrals that require urgent attention and deal with them promptly; this may involve discussions with the medical/divisional teams directly to arrange where the patient needs to be booked

6. To monitor daily the Patient Tracking Lists (PTL) for the designated specialties by tracking, booking and closing patients episodes and pathways where appropriate, ensuring that all new patients are booked according to current waiting times targets and the PTL is complete by the monthly/weekly deadline

7. To be responsible for authorised over booking where appropriate, ensuing priority of patients is considered through reviewing several databases and consideration a range of options, such as diagnostics, new and old patients and patients in trouble, seeking assistance from the Outpatient Team Leader or Administrative Service Manager when needed.

8. Support patients in trouble by escalating concerns to Consultant colleagues and the safeguarding team as necessary.

9. Ensure all relevant documentation is scanned onto EPR and filed as appropriate.

10. Liaise with Team Leader regularly to receive updates on waiting times and discuss and make recommendations to improve waiting list management.

11. Provide a daily report on the status of the outpatient waiting list for consultants to whom you are assigned.

12. Ensure that patients receive all the relevant documentation pertaining to their appointment.

13. Plan and liaise with consultants regarding appointments to enable prioritisation of work.

14. Whilst arranging appointment dates use knowledge of clinic capacity.

15. To constantly work adhering to the Access Policy, keeping abreast of changes as communicated by Senior Staff.

16. Ensuring Choose and Book appointments are booked in correctly, where not, ensuring the appointment is rescheduled appropriately and the patient is informed.

17. Re-arrange or cancel full clinics as directed by the operational team (with and without consultant consultation) where appropriate ensuring full utilisation of remaining clinics.

18. Re-arrange or cancel clinic appointments as requested by the patient (with and without consultant consultation) where appropriate ensuring full utilisation of remaining clinics.

19. Provide detailed information for clinicians regarding their waiting lists.

20. Provide a high level of customer care exchanging information with patients and staff regarding outpatient processes and procedures, such as discussions around individual needs, such as adjustments for patient appointments.

21. Liaise with the Head of Patient Access and Administrative Services Managers to ensure all clinics are utilised and planned efficiently. Notify Consultants on any factors they made need to know resulting in their clinic being affected.

22. To deal with queries from patients, Secretaries, medical and nursing staff in a diplomatic and sympathetic manner, both on the phone and face to face.

23. Ensure all clinic appointments are outcomed correctly from either the clinical outcome form or once the clinic dictation is typed.

24. Communicate with the discharge team to ensure follow-up appointments are booked at a requested point of time, balancing needs and requirements such clinic capacity and Consultant availability.

25. Escalate appropriate issues to Consultants, operational Management, Team Leader &/or Administrative Service Manager.

26. Regularly deal with queries from anxious patients or relatives (gaining appropriate confirmation of patients permission do so) when giving difficult messages such as delays to appointments which can often be met with high emotion, then requiring staff to utilise empathy and direct as appropriate.

27. Deal with Outpatient teams inboxes daily along with personal email, responding in a prompt and correct manner.

28. Participate in providing training within the Department, making sure individual training matrix is up to date.

29. Maintain Lorenzo details and update patient details.

30. Liaise with the Outpatient resource team re: changes, bookings, cancellations. This is to ensure that resources can be appropriately reallocated as necessary.

31. Liaise with other Hospitals to ensure notes and x-rays are forwarded for patients attending clinic.

32. Participate in maintaining physical waiting list filing and general healthcare record filing system.

33. Provide support to the Head of Patient Access, Administrative Services manager and Team Leader.

34. To participate in general administration duties such as the answer phone, cancellation email, post, date stamping, photocopying, scanning and any other technology that may be introduced to support the Trusts systems and processes

35. To contribute to the ongoing service improvement plans and policies for Outpatients, being open to changes to current practices and offering input into meetings/workshops as required.

36. Participate in mandatory training and induction programmes as well as staff appraisal and objective setting

37. Expected to concentrate for long periods of time (up to 2 hours), undertaking outcomes and analysis of Patient Target List.

38. Individuals can expect frequent interruptions from patients calling the department and also colleagues requiring urgent support.

39. There will be occasional exposure to verbal aggression whilst communicating unwelcomed news which can be challenging such as delays to appointments.

40. Ensure all communications and data storage is filed and stored in line with Trust policies and procedures and GDPR.

Person Specification

Qualifications/Training

Essential

• NVQ Level 3 or equivalent experience
• GCSE Maths and English

Skills/Knowledge

Essential

• High level of verbal and written communication skills

Desirable

• Knowledge of outpatient booking systems
• Knowledge of NHS RTT Targets

Aptitudes and Attributes

Essential

• Team player / able to work flexibly
• Good telephone manner
• Ability to organise and prioritise own work

Desirable

• Able to use a variety of hospital computer systems

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

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Address

RJAH Orthopaedic Hospital

Twmpath Lane

Gobowen

SY10 7AG

United Kingdom

Employer's website

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

Job description

Job responsibilities

Key ResponsibilitiesClinical Responsibilities

• Act as a first point of contact clinician for patients with MSK presentations.
• Undertake advanced clinical assessments, diagnosis, and management planning.
• Provide expert advice, reassurance, and self-management strategies to patients.
• Identify red flags and refer appropriately to secondary care or other services.
• Order and interpret relevant investigations within scope of practice.
• Make onward referrals to community, secondary care, or specialist MSK services as required.
• Maintain accurate, contemporaneous clinical records on the GP clinical system.
• Participate in clinical audit, quality improvement, and service development.

Multidisciplinary Working

• Work closely with GPs, nurses, pharmacists, social prescribers, and other ARRS staff.
• Contribute to MDT discussions and care planning.
• Support education of practice staff on MSK conditions and pathways.

Governance and Professional Practice

• Practice in line with HCPC, CSP, and local clinical governance frameworks.
• Adhere to all practice and PCN policies, including safeguarding and infection control.
• Maintain CPD and professional revalidation requirements.
• Participate in appraisal, supervision, and training as required.

Typical Workload

• Independent MSK clinics within the GP practice.
• Same-day or rapid-access appointments for MSK presentations.
• Appointment lengths typically 2030 minutes (subject to local model).
• Mix of acute, chronic, and complex MSK cases.
• Minimal administrative burden compared with traditional physiotherapy roles.

No canvassers or recruitment agencies, please.

Person Specification

Experience

Essential

• HCPC-registered Physiotherapist.
• Degree or equivalent qualification in Physiotherapy.
• Significant post-registration MSK experience.
• Experience working autonomously and managing a clinical caseload.
• Strong clinical reasoning and diagnostic skills.
• Excellent communication and interpersonal skills.
• Experience working in, or closely with, primary care or community services.
• Understanding of primary care pathways and referral systems.

Desirable

• Independent Prescribing qualification (or working towards).
• Previous experience as a First Contact Physiotherapist in GP primary care.
• Experience working within PCN or ARRS-funded roles.
• Postgraduate MSK qualification or advanced practice training.
• Experience in service development or quality improvement initiatives.

Additional Information

Essential

• This is an on-site role based within the GP practice.
• The post supports delivery of PCN objectives and improved access to MSK care.
• Employment terms to align with PCN / ARRS guidance.

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

Primary Care Management Solutions Ltd

Address

Law Medical Group Practice

Wrottesley Road

London

NW10 5UY

United Kingdom

Employer's website

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

Job description

Job responsibilities

To find out more about the key responsibilities and the specific skills and experience youll need for this role, take a look at the Job Description & Person Specification attachments under the Supporting Documents heading.

Explore Inside MFT Your Candidate Place

To help you feel confident, prepared and fully informed before you apply, we invite you to explore Inside MFT Your Candidate Place. This welcoming onestop hub gives you a real sense of who we are what we stand for, how we reward and support you, and the many ways we care for you as you care for others. Youll also find practical hints and tips for submitting a great application, along with the essential information you need to know before you apply.

To access Inside MFT Your Candidate Place, simply click on the relevant PDF document under the Supporting Documents section and once opened, you can where either scan QR code or click on the link provided.

Closing vacancy listings early

We welcome applications from a wide range of backgrounds and experiences.To help us manage applications fairly and give each one the time it deserves, our adverts may close early if we receive a high level of interest. Early applications are therefore encouraged.

Diversity MattersMFT is committed to promoting equality of opportunity, celebrating and valuing diversity and eliminating any form of unlawful discrimination across our workforce, ensuring our people are truly representative of the communities we serve. All individuals regardless of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex and sexual orientation are encouraged to apply for this post. As an inclusive employer, we are here to support you. If you have any special requirements to help you with your application, please contact the manager named below.

Use of Artificial Intelligence (AI) in your application

Here at Manchester University NHS Foundation Trust, were proud to be ALL HERE FOR YOUfor our patients, our communities, and each other.As part of our commitment to fairness, transparency, and personal integrity, we ask all applicants to ensure that their job applications reflect their own experiences, skills, and motivations. While AI tools can support spelling, grammar, or formatting, we expect that the content of your applicationespecially personal statements and responses to role-specific questionsis written by you. This helps us get to know the real you and ensures that our recruitment process remains equitable and meaningful for everyone.

Thank you for helping us uphold the values that make our Trust a place where people belong, grow, and thrive. We look forward to receiving your application.

Person Specification

Qualifications

Essential

• Full GMC registration with a licence to practise Inclusion on the GMC GP Register
• MRCGP or equivalent Relevant postgraduate ENT qualification or diploma

Desirable

• No conditions or undertakings relevant to the role

Personal

Essential

• Effective communication across professional boundaries Commitment to equity of access and reducing health inequalities

Desirable

• Awareness of the populations served and their access barriers

Experience

Essential

• Ongoing post-CCT primary care practice (a currently and continuously practising GP)
• Demonstrable experience managing ENT presentations in a community or intermediate setting

Desirable

• Experience working at the primary-secondary care interface in ENT
• Experience of remote / asynchronous clinical assessment

Skills

Essential

• Competence across the agreed ENT scope of practice
• Sound judgement on referral thresholds and recognition of redflag / out-of-scope presentations

Desirable

• Procedural competencies relevant to the service (e.g. microsuction)

Leadership & supervision

Essential

• Demonstrable clinical leadership Ability to supervise and support other clinicians (GPwSIs, ANPs, audiologists)

Desirable

• Experience of service development, pathway design or QI at scale
• Teaching or training role within a GPwSI/GPwER programme