ARRS GP

Job responsibilities

JOB DESCRIPTION

Post: ARRS GP

Reporting to: PCN care home team GP clinical lead

Accountable to: PCN Clinical Director

PURPOSE OF THE ROLE

The post-holder will manage a clinical caseload and deal with a wide range of health needs for patients living in a Rushcliffe older persons care home and registered with a Rushcliffe GP practice. Responsibilities will reflect requirements of the NHS GP Contracts, and the Enhanced Health in Care Homes contract and as such may be subject to change as services adapt.

Clinical Responsibilities

This role is part of a wider multidisciplinary care home team. Responsibilities are in accordance with the care home team case load and clinical ledgers, as agreed, the post-holder will make him/her-self available to undertake a variety of duties including face to face consultations in care home settings, telephone and online consultations. Clinical consultations will require sound history taking clinical observations, examination, diagnosis and development of a management plan with safety netting. It will also include checking and signing repeat prescriptions, undertaking structured medication reviews and dealing with queries paperwork and correspondence in a timely fashion

Making professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health and social care workers within the organisation

Assessing the health care needs of patients with undifferentiated and undiagnosed problems

Screening patients for disease risk factors and early signs of illness

In consultation with patients and carers and in line with current practice disease management protocols, developing care plans for health

Recording clear and contemporaneous consultation notes to agreed standards, also articulating actions and information to the care home residents, carers and the aligned GP.

The role also requires the postholder to work, as part of the multi-disciplined team, but also with the care home staff and aligned GP practice to ensure continuity for residents, and to deliver best practice care.

Clinical Responsibilities

Collecting data for audit purpose

Compiling and issuing computer-generated acute and repeat prescriptions

Prescribing in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate. This will also include completing structured medication reviews, and deprescribing where appropriate and clinically safe to do so.

In general the post-holder will be expected to undertake all the normal duties and responsibilities associated with a GP working within primary care and caring for patients living in a residential and nursing care home.

Undertaking clinical responsibilities and administration appropriate to ensure residents in care homes receive equitable healthcare, and the Enhanced Health in Care Homes contract requirements are fulfilled. This includes undertaking new resident and post hospital discharge reviews, long term condition checks as identified, and ReSPECT planning.

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

Working within care homes, residents may not have the mental capacity to make their own informed decisions and may have communication difficulties. Many communications and decision making will be made on behalf of residents who do not have capacity by the next of kin or care home staff.

A commitment to life-long learning and audit to ensure evidence-based best practice

Contributing to evaluation/audit and clinical standard setting within the organisation

Contributing to the development of computer-based patient records

Contributing to the summarising of patient records and read-coding patient data

Attending training and events organised by the practice or other agencies, where appropriate.

The postholder will also work as part of the multi-disciplinary team and as such actively support and work as part of the team.

Administering COVID and flu as directed by the national program is supported by the care home team staff, and as such the post holder will support the program as part of the team service offer to practices and care home residents.

Confidentiality

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

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

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

Health & Safety

The post-holder will implement and lead on a full range of promotion and management their own and others health and safety and infection control as defined in the practice health & safety policy, the practice health & safety manual, and the practice infection control policy and published procedures. This will include (but will not be limited to):

Work in accordance with the lone working policy

Awareness of national standards of infection control and cleanliness and regulatory /contractual / professional requirements, and good practice guidelines

Providing advice on the correct and safe management of the specimens process including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements

Correct personal use of Personal Protective Equipment (PPE) and ensuring correct use of PPE by others, advising on appropriate circumstances for use by clinicians, staff and patients.

Management of the full range of infection control procedures in both routine and extraordinary circumstances (e.g. pandemic or individual infectious circumstances)

Hand hygiene standards for self and others

Managing directly all incidents of accidental exposure

Management and advice relating to infection control and clinically based patient care protocols, and implementation of those protocols across the practice

Active observation of current working practices across the working environment in relation to infection control, cleanliness and related activities, ensuring that procedures are followed, and weaknesses / training needs are identified, escalating issues as appropriate to the responsible person

Identifying the risks involved in work activities and undertaking such activities in away that manages those risks across clinical and patient process

Making effective use of training to update knowledge and skills, and initiate and manage the training of others across the full range of infection control and patient processes

Monitoring practice facilities and equipment in relation to infection control, ensuring that proper use is made of hand cleansing facilities, wipes etc, and that these are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate to the responsible manager

Safe management of sharps use, storage and disposal

Maintenance of own clean working environment

Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile, and safe way, free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management

Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised

Undertaking periodic infection control training (minimum twice annually)

Correct waste and instrument management including handling, segregation, and container use

Maintenance of sterile environments

Equality and diversity

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

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

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

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

Personal-Professional development

In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that professional development requirements for PREP are met, the post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality

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

Alert other team members to issues of quality and risk

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

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

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload and resources.

Knowledge, Skills & Experience

Essential

• Experience of working within a multi-disciplinary team and across organisational boundaries in a UK General Practice Understanding of NHS systems Understanding of challenges and context within primary care.
• Evidence of excellent organisational and planning skills.
• Ability to manage and prioritise workload. Ability to work flexibly to meet the needs of the service.
• Excellent communication skills written and verbal Pro-active approach to change management
• Good understanding of the national strategic context of the NHS
• Ability to make clinical decisions based on latest evidence and local/national policies and guidelines
• Able to professionally and appropriately challenge differing opinions as a patient advocate.
• Able to give appropriate telephone advice
• Basic IT skills in word processing, excel and e-mail.
• Experience in using I.T. based patient documentation systems.
• Able to maintain accurate records that are temporaneous and recorded in a timely manner.
• Understanding of Confidentiality and the Data protection Act
• Understanding of clinical governance and its significance and impact upon practice.
• Ability to participate in audit and standard setting Awareness of equality and valuing diversity principles
• Evidence of experience / competency in the form of a professional portfolio.
• Able to work on own initiative, but knows limitations of own competencies

Desirable

• Frailty experience and or working with patients living in an older persons care home.
• Experience of giving vaccinations

Circumstances

Essential

• Car owner/driver, with exclusive access to a vehicle Able to participate in on-call advice and support service
• Ability to autonomously in the primary care setting

Circumstances

Essential

• Car owner/driver, with exclusive access to a vehicle Able to participate in on-call advice and support service
• Ability to autonomously in the primary care setting

Circumstances

Essential

• Car owner/driver, with exclusive access to a vehicle Able to participate in on-call advice and support service
• Ability to autonomously in the primary care setting

Qualifications

Essential

• GMC Registered, not subject to suspension;
• Qualified General Practitioner Currently on a CCG performers list
• Clear enhanced DBS check Evidence of CPD

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).