Job responsibilities
Reports to: The Partners (Clinical matters), The Practice Manager
(Administratively)
Sessions -TBC
Days -To fit in with clinical needs of the practice and
negotiated with above party
Annual leave -Entitlement will be 7-week pro-rata
Study leave -Entitlement will be 1-week pro-rata (£250 study budget
available)
General Day to Day Structure
Morning surgery 8.30am to 12.30 (times flexible for equivalent
number of patients) with admin break of 30 minute mid-morning and additional
team huddle, surgery comprised of between 12-15 patients, mix of telephone and
F2F. Telephone apps 10mins, F2F 15mins.
Home visits To be shared with doctors present in the surgery that
day as required and deemed medically necessary for ongoing patient care. On
average one per day (although may be more related to day to day needs) this
will approximate 30 mins clinical work.
Afternoon surgery 3pm to 5.30pm (times flexible for equivalent
number of patients) comprised of on average 12 appointments, again mix of
telephone and F2F.
Administration time (between clinical sessions) Equating to 1.5
hours for various task including but not limited to referrals, reviewing
letters and blood tests, insurance form etc.
Duty doctor There will be an expectation that you will be
required to cover duty doctor sessions on a rotational basis shared out
proportionally to the amount of session worked/week (usually one session/week). A mixture of telephone and face-to-face
appointments for urgent, on the day problems, after being triaged by the
paramedic, who works with you. We aim to
cap the number of contacts - AM (15) and PM (12) and the reception aim to
roll-over cases after 5.30pm onto the next day. Obviously professional
responsibility remains over the duration of your shift and if clinically
appropriate care for additional patients may be required. You are expected to
be present as Duty Doctor until 6.30pm on an afternoon shift.
Triage doctor We are not a triage first surgery but are managing
eConsults on a shared rotational basis between all the GPs. This is clearly an
evolving area but at present there is a 1-hour slot for a doctor AM and PM to
review the undetermined eConsults. Urgent matters are dealt with by the
paramedic team, purely administrative tasks are managed by the reception team
and uncertain/intermediate/routine requests are reviewed by the triage doctor.
The aim of this is to triage the request rather than to be managing the case,
although this may be possible with any left over time. At present these are
amounting to approximately 15 per session.
Patient list All patients register with the practice, however,
each GP will have an individual allocation of patients.
Caseload
The
post holder will manage a caseload of patients assigned to them to ensure
continuity of care (although each patient has the right to be seen by his/her
preferred doctor dependant on availability). This caseload will be in
proportion to the sessions worked by each individual in the surgery (as
outlined above).
You
will be required to carry out home visits and emergency treatment in respect of
registered patients or temporary patients as deemed to be medically necessary.
In
consultation with patient and in line with current practice disease management
protocols, you will be required to develop care plans where appropriate.
Sessions
TBC sessions per week to include routine and urgent
care clinic surgeries as duty doctor, home visits, telephone consultations and
queries, triaging, checking and signing repeat prescriptions and all
administrative duties associated with patients.
Routine
surgeries as outlined above. On
occasions you may be asked to cover clinical sessions for colleagues, which may
require travelling to nursing homes for such sessions (time will be allocated
within your usual clinical time).
On
a rotational basis the duty doctor works in collaboration with the urgent care
staff (paramedic practitioners and other members of the team) to manage
patients who need to be seen on the day.
The duty doctor is also responsible for signing/validating prescriptions
and dealing with queries from patients whose usual doctor is away if required
on the day.
You
will be required to complete all administration related to your patients e.g.
prescriptions/letters, reports, lab tests etc.
Appointments
Appointment
duration is 15 minutes for routine face to face and 10 minutes for telephone
appointments.
Full
use must be made of computer facilities relating where consultation allows
including: EMIS Web to record consultations, use of templates in accordance
with practice policy, use of read codes, prescribing in accordance with locally
and nationally agreed protocols, meeting all obligations of the GMS contract in
accordance with practice protocols.
Enquire
that patients have made payment for chargeable items in advance of a
consultation.
Administrative duties
Responding
to requests for private medical reports following practice protocols, reports
will be shared pro-rata amongst all GPs.
An
opportunity to attend the following meetings MDT end of month meetings,
lunchtime meetings with GPs or pharmaceutical reps.
Deputising
for other doctors at clinical or administrative meetings as required at the
discretion of the partners.
Meet
all timescales for audits and written returns to ensure the practice meets quality
standards and receives the designated funding.
Confidentiality
In
the course of seeking treatment, patients entrust us with or allow us to gather
sensitive information in relation to their health and other matters. They do so in confidence and have the right
to expect that staff will respect their privacy and act appropriately.
In
the performance of your duties outlined in this job plan, 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, cares, 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 and safety
The
post-holder will assist in promoting and maintaining their own and others
health, safety and security as defined in the practice Health and Safety
Policy, to include:
Using personal security systems Identifying the
risks involved in work activities and undertaking such activities in a way that
within the workplace according to practice guidelines.
Identifying the risks involved in work
activities and undertaking such activities in a way that manages those risks.
Making effective use of training to update
knowledge and skills
Using appropriate use of infection control
procedures, maintaining work areas in a tidy and safe way, free from hazards
Reporting potential risk identified.
Equality and diversity
The
post holder will support the equality, diversity and rights of patients, carers
and colleagues to include:
Acting in a way that recognises the importance
of peoples rights, interpreting them in a way that is consistent with practice
procedures and policies and current legislation.
Respecting the privacy, dignity, needs and
beliefs or patients carers and colleagues
Behaving in a manner, which is welcoming to and
of the individual, is non-judgemental 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 your PDP 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
Communication
The
post-holder should recognise the importance of effective communication within
the team and will strive to:
Communicate effectively with other team members
Communicate effectively with patients and carers
Recognise peoples needs for alternative methods
of communication and respond accordingly.
