Job description

Job responsibilities

Frailty

• Patient Consultations and Medical Care within a community-based setting, supervision for other clinicians with the team
• The GP in Frailty will provide evidence based, comprehensive, person centred and individualised medical care for at risk people, working as part of a multidisciplinary team within community settings across North Oxfordshire. This will include patients referred to the Neighbourhood Team and across other community services, including the Primary Care Visiting Service, Hospital at Home, Urgent Community Response Service, as part of holistic patient clinical pathway management
• Assisting in creating clinical pathways as part of the development of the North Oxfordshire Neighbourhood teams project
• The role whilst demanding and challenging will require the post holder to possess the specialist frailty knowledge required to support the medical management of complex and challenging presentations of older frail people and will prove extremely varied and rewarding to the post holder. This care will be provided through our various community frailty workstreams.

Core Functions

• The post holder will work as part of a multidisciplinary team, which includes Consultant Geriatricians, GPwERs, nurses, therapists, social care, the third sector and care home staff, to deliver high quality care and support for older people within the community, including completion of a Comprehensive Geriatric Assessment where clinically indicated
• The post holder will contribute to service development, guideline development, local protocols and pathways of care for older people with frailty & people with health inequality, research opportunities, and governance activities such as audit and quality improvement processes
• The post holder will be expected to participate in the training and development of other members of the MDT and wider healthcare community and assume a leadership role in the care of older and at risk people in the community, developing a network of senior clinical support within the community to ensure clinical pathways are embedded
• The post holder will be expected to work autonomously but will also have supervision and clinical mentoring and training provided by Consultants, as well as engage in peer supervision

Communication and Relationships Skills

• To lead and present complex, sensitive and challenging managerial and clinical communication processes that may impact on patients, carers, staff, the team, the organisation, partner agencies and members of the public, where there are barriers to understanding.
• To communicate complex information regarding personal, psycho-social problems in an empathic and supportive way. This will involve using a range of developed inter-personal skills in situations that can be emotional, and or antagonistic and require a satisfactory outcome, e.g. impact of diagnosis.
• Managerial/Lead responsibility for networking locally and nationally and disseminate/share information with other colleagues.
• To be able to communicate with all health and social care professionals verbally, and through written and electronic platforms, to ensure effective, responsive, and safe patient care
• The post-holder should recognize the importance of effective communication within the team and will strive to:
• Communicate effectively with other team members.
• Communicate effectively with patients and carers.
• Recognise peoples needs for alternative methods of communication and respond accordingly.
• Analytical and Judgemental Skills/Planning and Organisational Responsibilities
• The post will require a high level of personal organisation to deliver clinical and managerial responsibilities. Specifically, at service level, the post holder will have to plan and organise service development and change in areas of responsibility. Strategically, the post holder will require being a self-starter and taking personal responsibility for the development, organisation and to diagnose a problem or illness and understand complex situations or information; and judgemental skills to formulate solutions and recommend/decide on the best course of action/treatment.
• Ability to communicate the analysis or research that has been conducted. delivery of service development in line with the needs of the contracted population. The post holder will significantly contribute to advance care planning, and Treatment Escalation Plans, for patients within their clinical care

Physical Skills

• Advanced keyboard skills or equivalent advanced skills for accurate manipulation of large amounts of data/information systems as appropriate to the role
• Maintain up to date training and knowledge to effectively move and handle equipment in a safe and effective manner

Responsibilities for Patient Care

• Making professionally autonomous decisions in relation to presenting problems, whether self-referred or referred internally within the Practice.
• Receives patients with undifferentiated and undiagnosed problems and makes assessment of their health care needs.
• Consults with patients in the surgery, at home visits and via telephone or on- line mechanisms as agreed internally between the practice GPs.
• Undertakes triage calls, triage visits, checking and signing of repeat prescriptions and dealing with queries, paperwork and correspondence in a timely fashion as required.
• Screens patients for disease risk factors and early signs of illness.
• In consultation with patients and in line with current Practice disease management protocols, develops care plans for health.
• Provides counselling and health education as necessary.
• Admits or discharges patients to and from caseload and refers them to other care providers internally and externally as appropriate and in line with practice protocols.
• Complies with all relevant clinical governance and Practice polices and protocols.
• Assists in the establishment of appropriate systems to manage common chronic medical conditions.
• Completes clinically related administrative and non-clinical duties needed for the delivery of the service.
• Records clear and contemporaneous consultation notes to agreed standards.
• Provides active input to the wider Primary healthcare team in the process of health needs research/base line data collection/clinical audit.
• Compiles and issues computer-generated acute and repeat prescriptions, prescribing in accordance with the ICB prescribing formulary whenever this is clinically appropriate.

Core GP

• Work plan: 12 x 15-minute routine appointments per session.
• Locally provided Home Visiting service. Less than 1 visit per week typically.
• Help with removal expenses up to £5,000 also available (subject to terms).
• A recruitment payment applicable if you sign up for a minimum 3 year period.
• 6 weeks annual leave/1 week study leave.
• Extra annual leave well-being day.
• Happy to discuss flexible working arrangements to accommodate childcare/personal circumstances. Our surgery hours are 08.30 18.30.
• In-house educational program. Alternating weekly clinical and GP meetings.
• No out of hours or weekend commitments.
• Daily debrief over coffee for all clinicians. High-quality support is given to ensure plenty of time to focus on clinical work and professional development.
• Training and research practice.
• Full multidisciplinary team (Nursing team, Pharmacists, ANPs, Physios, MHP).
• We are a tier 2 visa sponsor.
• Work/Life balance.
• Support and contacts provided to develop your portfolio career.

Person Specification

Qualifications

Essential

• Recognised Medical Degree (MBChB , MBBS or equivalent)
• General Practitioner (Certificate of Completion of Training CCT)
• Full GMC Registration
• National Performers List registration
• MRCGP

Experience

Essential

• GP Vocational or additional experience in general practice

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

Principal Medical Limited

Address

Banbury Cross Health Centre

South Bar Street

Banbury

Oxfordshire

OX169AD