Job description

Job responsibilities

Duties and Responsibilities

The duties of the post are to provide a full range of general medical services as contained within the National Health Services (Primary Care) Act 1997 and which will include domiciliary visits as deemed appropriate. These visits must be triaged and only offered to genuine housebound patients.

As post holder you will be expected to support STHC in providing all services outlined in the GMS contract, including work outside of core hours (Extended Access). You will be expected to participate in the rota with the medical team support to cover Enhanced Access sessions (6:30pm-8pm one weekday and/or a Saturday 9am-1pm or 1pm-5pm or 9am-5pm monthly or bi-monthly depending on need).

You will be expected to support and input into the aims of the practice in areas of clinical governance, good practice, quality outcomes framework, enhanced services, practice audit, referral review and any other improvement plans as determined by STHC clinical lead.

You are encouraged to utilise and develop any skills for the improvement of services to patients, such as minor operations, child health surveillance, family planning training or any other services STHC wishes to sign up to. This will be subject to presentation of the appropriate certificates and update of relevant courses.

You will be expected to maintain and keep good standards of computerised clinical records in line with GMC guidance at all times. Full involvement in any STHC training and ongoing requirements of our status as a paperless practice is expected.

You will be expected to maintain and keep good standards of documentation using EMIS.

You will be encouraged to contribute to the operational and strategic leadership of the practices within STHC.

You will be expected to lead in an area(s) of clinical performance and/or service delivery.

The post holder will be expected to undertake all the normal duties and responsibilities associated with a GP working within primary care, with the addition of Partner responsibilities. The following list is not exhaustive:

Lead Responsibilities:

• To act as GP lead in agreed clinical areas and be responsible for the Practices achievement of national and local targets e.g. QOF, enhanced services.
• To contribute actively to the operational and strategic management and development of the Practice. Working closely with the CEO to act as GP lead in agreed areas.
• Assist with the clinical supervision and training of Practice staff and others as agreed.
• To take an active role in oversight and achievement of financial balance following practice budget planning.
• The arrangement of annual leave will be through mutual agreement of the Head of Quality and Patient Services, Salaried GPs and Practice Manager. This will be conducted through a meeting twice a year (Spring & Autumn). The service must be safely staffed at all times, failure to ensure adequate cover is in place may lead to the require for leave to be cancelled. Holiday arrangements for peak times such as school holidays should be agreed at least 6 months in advance.
• As a Lead GP the post holder will fulfil the remits of the role to ensure the requirements of the GMS contract are met. Similarly it would not be expected that action would be taken which would negatively impact on the practices reputation or payments due to the practice (under GMS Contracts).
• Any Lead GP may retire/resign from the practice by giving the required notice period. During this notice period no other Lead GP is able to tender their resignation/request to retire.
• The responsibilities detailed above are key to the ongoing effective running of the practice, as a Salaried Lead GP you will not for any reason whatsoever wilfully neglect, refuse or omit to perform the duties laid out above.
• It is expected that the Salaried Lead GP would be named on the practice CQC registration.
• It is expected that Salaried Lead GPs will be named as contract holders on the GMS contract.

1. Review of Job Plan

Your role will be reviewed after 3, 6 and 9 months of employment, and will be developed collaboratively between the STHC and yourself. After this time it will be subject to annual review, or when there are any significant changes to the work pattern suggested by either party.

2. Scheduling in the Job Plan:

Clinical duties: You are contracted to provide an agreed number of sessions per week, as per your contract, but you will be expected to be flexible, in particular during holiday periods. You have agreed to deliver an agreed number of sessions per week for Extended Hours working.

Clinical duties will include seeing people with both acute and long term conditions, which will also include reviews based on the QOF

You will be expected to be competent and confident to deliver face to face, telephone, video and email consultation as the practice provides all of these.

Appointments are scheduled at 10 minute intervals (which can be changed to longer when appropriate) and you will provide face to face consultations in the morning and in the afternoon, where this is clinically appropriate, and additional extra consultations where demand is excessive.

You will be required to make home visits within the session time, however the actual number of house calls is very low and we have specialist care home practitioners that carry out many visits that would otherwise have been undertaken by a GP.

You will be expected to deal on a daily basis with telephone queries from patients or other health care professionals in your administrative time.

You are expected to follow up results, x-rays, correspondence related to your own patients and also those which have not been generated by yourself and if necessary, the investigations and queries related to other clinicians within the practice, however we do have a robust process for the pre-screening and resultant action of all results/incoming documents, so the GP gets very few to act upon.

Referrals should be completed on a daily basis in line with practice policy.

Investigations and referrals should be completed and associated documentation dealt with within appropriate timescales.

Administration/paperwork:

Reports: You will be expected to complete examinations and reports for the benefits agency and those expected under the GMS contract on patients known to you.

Additionally, you may be expected to complete reports requested by other parties such as insurance companies, OFSTED and employers.

3. Computerised records

You will be expected to use EMIS bespoke software and follow appropriate processes for computerised record keeping, including computerised clinical templates and protocols as well as ensuring that significant information as determined by the practice is recorded accurately e.g. all QOF domains. You will take part in reconciling information input periodically.

4. Primary care team meetings: formal or informal, essential to the delivery of team based care are held from time to time at the surgery and you will have a close working relationship with the primary care team on a daily basis. You will also be expected to attend any necessary PCN meetings (PCN South or PCN West) and attendance at the monthly Practice Educational Events run by ICB are encouraged.

5. Personal Development - STHC is committed to the highest standards of evidence based medicine and supporting colleagues in achieving this. You will be expected to participate using your Personal Development Time (dependant on sessions per week) in discussions on clinical practice standards, developing practice protocols, mutual professional support for the individual practitioners, audit, significant event analysis, meetings with STHC clinical lead, colleagues in the locality, ICB etc. Where these occur on an ad hoc basis, adjustments to clinical workload may be required.

You may be encouraged to become responsible for particular areas of practice development.

You may be encouraged to be responsible for an area of the Quality and Outcomes Framework (QOF), BOS work, PCN work, IIF and other local initiatives.

6. Additional sessions: STHC may agree with a practitioner to undertake work which is not specified in his or her Job Plan by way of additional nominal sessions or fractions thereof. The extra session(s) shall be remunerated on a pro rata basis to a full-time practitioners salary. Any such agreement shall be reviewed when required but at least annually and will be terminable at three months notice on either side.

7. Leave entitlements: as per contract document

Person Specification

Qualifications

Essential

• Qualified GP.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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 .

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 .

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website .

Employer details

Employer name

South Tyneside Health Collaboration

Address

Stanhope Parade Health Centre

Gordon Street

South Shields

NE33 4JP