Job summary
North Wood Group Practice cares for three local care homes, the post-holder would be the GP supporting and providing medical care for the patients within the homes.
This is an exciting opportunity for someone to join a great team, and provide care within local care homes. There is flexibility to structure the working week as the successful candidate wishes, in line with delivering the needs of the role.
North Wood Group Practice has two branches within one mile of each other, operating as one team. The three care homes are in the local area to both branches of the Practice.
The care homes are diverse in the care they provide covering; care of the elderly, dementia care, brain injuries (including ventilated patients with 1:1 nursing care), and patients with chronic neurological conditions requiring intensive nursing. All the teams have a multi-disciplinary approach, which includes support from Care of the Elderly Physicians.
This is a new post at the Practice, and will provide the post-holder the opportunity to develop the role as they wish. The Practice has positive working relationships with the homes and the post-holder will be able to continue and develop these relationships further.
Main duties of the job
The main duties of the role are:
- To deliver a high standard of patient care as a salaried GP in nursing Homes, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base
- To manage a clinical caseload, dealing with patients needs in a nursing Home setting
- Provide advanced GP care and case management to patients with multiple complex long-term conditions
- Undertake medical and social care assessments to initiate interventions to improve quality of life in the nursing Home setting
- Reduce the fragmentation of care
- To provide informal training and support to the nursing home team (where applicable) and ensure the highest standards of care are provided for the patients
About us
North Wood Group Practice is a nurturing practice, that recognises everyone is an individual with their own contribution to make. We are friendly and supportive and keep our sense of humour! We believe providing the right environment, means our patients will receive the highest standards of care.
We have a long-standing history of being a true multi-disciplinary team. Working alongside our GPs are strong Pharmacy, Nursing and Administrative teams. We are a GP and Pharmacy training practice, with trainees well supported and integral to the team at any one time.
Our team is cohesive and approachable. There are regular meetings, training and support for all.
We have a list size of 15,600 and are a 4 partner practice, including a Pharmacy partner. We are rated Good by the CQC, and are striving for outstanding. We invest in the Practice, with one branch being recently refurbished to create a modern and calm environment for care.
We are a practice focused on work-life balance and high standards of care. We are committed to diversity of our people and a culture of person and professional development.
Joining our team, you will have access to a range of benefits:
- NHS pension
- 6 weeks annual 1 week study leave (pro-rata)
- Birthday Day Off
- Employee Assistance Programme
- Cycle to Work Scheme
- NHS Discounts
- Social team events, celebrations
- Training day lunches
- Indian Head Massage
- Tea and biscuits, as it always makes the day better!
We are a warm, friendly, professional team, we look forward to you joining!
Job description
Job responsibilities
Scope and purpose of the role
- To deliver a high standard of patient care as a salaried GP in nursing Homes, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base
- To manage a clinical caseload, dealing with patients needs in a nursing Home setting
- Provide advanced GP care and case management to patients with multiple complex long-term conditions
- Undertake medical and social care assessments to initiate interventions to improve quality of life in the nursing Home setting
- Reduce the fragmentation of care
- To provide informal training and support to the nursing home team (where applicable) and ensure the highest standards of care are provided for the patients
Job Summary
The post holder is an experienced GP, who acting within their professional boundaries, will provide care for the patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing clinical leadership as required.
Key Responsibilities
Clinical role
The post-holder will
- Make professionally autonomous decisions for which he/she is accountable
- Provide face to face visits via a clinical ward round during the working week.
- Provide a first point of contact for Nursing Homes for advice regarding medical/nursing conditions of patients, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan. This includes a comprehensive review (ensuring coding of all significant health conditions and allergies) of newly admitted patients to the Nursing Home and patients readmitted to the Nursing Home following discharge from hospital. This process would include a post-discharge reconciliation of the medication.
- Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports
- To prescribe safe, effective and appropriate medication as defined by current legislative framework. This would include the prescription of monthly repeat medication, acute medication and the additional/cessation of medication as indicated (e.g. following discharge from hospital or from the advice of other healthcare professions including but not limited to specialist consultants). Additionally, this includes liaison with both community pharmacists (for example to ensure the continuity of supply of medication) and other pharmacists (including the medicines management pharmacists from GSTT).
- Provide polypharmacy/drug reviews of medications. To prescribe medication safely and in line with local CCG/national guidance including evidence based and cost-effective prescribing.
- Provide safe, evidence-based, cost-effective, individualised patient care. This significantly includes documentation about resuscitation and advanced care planning (onto recognised registers such as Co-ordinate My Care) of all patients newly admitted to the Nursing Home as well as a retrospective review of already admitted patients where such resuscitation and advanced care planning discussions have not yet been performed. This is likely to be performed with the patient and/or their representatives (dependent on circumstances including where which involving the patient may not be appropriate) and also be done in Best Interest meetings with other relevant healthcare professionals where a patient lacks capacity about advanced care decision making (and where an advanced directive does not exist).
- Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care
- Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills
- Refer patients directly to other services/agencies as appropriate including social services and allied agencies/services.
- Work with nursing, medical and health care assistant colleagues to ensure that National Service Frameworks (e.g. Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered. This includes QoF/KPIs/Local & National schemes including enhances services in care homes schemes.
- Work with multi-disciplinary teams within the locality, and across the wider Health Economy, to promote integrated and seamless pathways of care. This includes playing a significant role in ensuring the delivery of effective multidisciplinary meetings (MDTs).
- Sustain & maintain high standards of patient care and service delivery.
- Participate in identification of community health needs and develop patient/family-centred strategies to address them.
- Help develop and set up new patient services and participate in initiatives to improve existing patient services.
- Be aware of and contribute to planning and delivery of practice-based commissioning.
- Where appropriate will perform non-nhs funded work (such as private reports).
Teaching and mentoring role
The post-holder will
- Promote a learning environment for patients, nursing & care home staff and other health professionals.
- Contribute to the planning and implementation of the teaching for existing staff, such as medical students, GP trainees and registrars, and Health Care Assistants, within the locality.
Professional role
The post-holder will:
- Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.
- Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review.
- Maintain their professional registration.
- Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained.
- Develop and maintain a Personal Learning Plan.
- Record accurate consultation data in patient records in accordance with the latest guidance and other pertinent standards.
- Keep up to date with pertinent health-related policy and work with the locality team to consider the impact and strategies for implementation.
- Work collaboratively with colleagues within and external to the locality.
- Encourage and develop teamwork within the locality.
- Participate in multi-disciplinary protocols and Patient Group Directions development.
- Participate in meetings, reporting progress as required.
- Participate in audits and inspections as appropriate.
Job description
Job responsibilities
Scope and purpose of the role
- To deliver a high standard of patient care as a salaried GP in nursing Homes, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base
- To manage a clinical caseload, dealing with patients needs in a nursing Home setting
- Provide advanced GP care and case management to patients with multiple complex long-term conditions
- Undertake medical and social care assessments to initiate interventions to improve quality of life in the nursing Home setting
- Reduce the fragmentation of care
- To provide informal training and support to the nursing home team (where applicable) and ensure the highest standards of care are provided for the patients
Job Summary
The post holder is an experienced GP, who acting within their professional boundaries, will provide care for the patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing clinical leadership as required.
Key Responsibilities
Clinical role
The post-holder will
- Make professionally autonomous decisions for which he/she is accountable
- Provide face to face visits via a clinical ward round during the working week.
- Provide a first point of contact for Nursing Homes for advice regarding medical/nursing conditions of patients, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan. This includes a comprehensive review (ensuring coding of all significant health conditions and allergies) of newly admitted patients to the Nursing Home and patients readmitted to the Nursing Home following discharge from hospital. This process would include a post-discharge reconciliation of the medication.
- Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports
- To prescribe safe, effective and appropriate medication as defined by current legislative framework. This would include the prescription of monthly repeat medication, acute medication and the additional/cessation of medication as indicated (e.g. following discharge from hospital or from the advice of other healthcare professions including but not limited to specialist consultants). Additionally, this includes liaison with both community pharmacists (for example to ensure the continuity of supply of medication) and other pharmacists (including the medicines management pharmacists from GSTT).
- Provide polypharmacy/drug reviews of medications. To prescribe medication safely and in line with local CCG/national guidance including evidence based and cost-effective prescribing.
- Provide safe, evidence-based, cost-effective, individualised patient care. This significantly includes documentation about resuscitation and advanced care planning (onto recognised registers such as Co-ordinate My Care) of all patients newly admitted to the Nursing Home as well as a retrospective review of already admitted patients where such resuscitation and advanced care planning discussions have not yet been performed. This is likely to be performed with the patient and/or their representatives (dependent on circumstances including where which involving the patient may not be appropriate) and also be done in Best Interest meetings with other relevant healthcare professionals where a patient lacks capacity about advanced care decision making (and where an advanced directive does not exist).
- Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care
- Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills
- Refer patients directly to other services/agencies as appropriate including social services and allied agencies/services.
- Work with nursing, medical and health care assistant colleagues to ensure that National Service Frameworks (e.g. Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered. This includes QoF/KPIs/Local & National schemes including enhances services in care homes schemes.
- Work with multi-disciplinary teams within the locality, and across the wider Health Economy, to promote integrated and seamless pathways of care. This includes playing a significant role in ensuring the delivery of effective multidisciplinary meetings (MDTs).
- Sustain & maintain high standards of patient care and service delivery.
- Participate in identification of community health needs and develop patient/family-centred strategies to address them.
- Help develop and set up new patient services and participate in initiatives to improve existing patient services.
- Be aware of and contribute to planning and delivery of practice-based commissioning.
- Where appropriate will perform non-nhs funded work (such as private reports).
Teaching and mentoring role
The post-holder will
- Promote a learning environment for patients, nursing & care home staff and other health professionals.
- Contribute to the planning and implementation of the teaching for existing staff, such as medical students, GP trainees and registrars, and Health Care Assistants, within the locality.
Professional role
The post-holder will:
- Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.
- Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review.
- Maintain their professional registration.
- Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained.
- Develop and maintain a Personal Learning Plan.
- Record accurate consultation data in patient records in accordance with the latest guidance and other pertinent standards.
- Keep up to date with pertinent health-related policy and work with the locality team to consider the impact and strategies for implementation.
- Work collaboratively with colleagues within and external to the locality.
- Encourage and develop teamwork within the locality.
- Participate in multi-disciplinary protocols and Patient Group Directions development.
- Participate in meetings, reporting progress as required.
- Participate in audits and inspections as appropriate.
Person Specification
Skills, Abilities and Personal Qualities
Essential
- Ability to assess and manage patient risk effectively and safely
- Excellent communication and listening skills
- Ability to think strategically, understand complex issues and make decisions pragmatically and independently
- Time management and ability to prioritise workload
- Strong influencing, negotiating and problem-solving skills
- Ability to build effective relationships with a range of internal and external stakeholders
- Inspirational leader of people across professional boundaries
- Demonstrates outstanding patient commitment, commitment to quality of care and outcomes
- Effectively prioritises patient safety
- Prepared to take difficult decisions and challenge the status quo
- Integrity and high ethical standards
- A strong personal commitment to the values of the healthcare system and the needs of the local community
- Team player
- Independent and impartial approach
- Sound judgement and an enquiring mind
- Good personal networking skills
- Effectively engages with a range of stakeholders and external organisations such as Health and Social Care partners
- Understanding of public, patient and stakeholder expectations of the NHS
Desirable
- Excellent management and organisational skills
Qualifications
Essential
- Qualified Medical professional with current GMC registration
- On the GP performers list
- Postgraduate degree (or equivalent level of medical or clinical experience)
- Evidence of Continuing Professional Development
Desirable
- Evidence of managerial training/management qualification
Experience
Essential
- Clinical leadership experience
- Knowledge and experience of clinical governance
- Minimum of 5 years post registration experience including 2 years in primary or community care
- Experience in the management of long term conditions
- Knowledge of NHS structures and experience of working in partnership with other agencies
- Experience of introducing robust clinical systems and processes
- Experience of interfacing with multiple partners at a strategic level
- Understanding of, and commitment to public service values of accountability, probity, openness, and equality of opportunity
Desirable
- Experience of service innovation
- Experience of performance management
- Evidence of working autonomously and as part of a team
- Previous experience of working in a Nursing Home setting
Person Specification
Skills, Abilities and Personal Qualities
Essential
- Ability to assess and manage patient risk effectively and safely
- Excellent communication and listening skills
- Ability to think strategically, understand complex issues and make decisions pragmatically and independently
- Time management and ability to prioritise workload
- Strong influencing, negotiating and problem-solving skills
- Ability to build effective relationships with a range of internal and external stakeholders
- Inspirational leader of people across professional boundaries
- Demonstrates outstanding patient commitment, commitment to quality of care and outcomes
- Effectively prioritises patient safety
- Prepared to take difficult decisions and challenge the status quo
- Integrity and high ethical standards
- A strong personal commitment to the values of the healthcare system and the needs of the local community
- Team player
- Independent and impartial approach
- Sound judgement and an enquiring mind
- Good personal networking skills
- Effectively engages with a range of stakeholders and external organisations such as Health and Social Care partners
- Understanding of public, patient and stakeholder expectations of the NHS
Desirable
- Excellent management and organisational skills
Qualifications
Essential
- Qualified Medical professional with current GMC registration
- On the GP performers list
- Postgraduate degree (or equivalent level of medical or clinical experience)
- Evidence of Continuing Professional Development
Desirable
- Evidence of managerial training/management qualification
Experience
Essential
- Clinical leadership experience
- Knowledge and experience of clinical governance
- Minimum of 5 years post registration experience including 2 years in primary or community care
- Experience in the management of long term conditions
- Knowledge of NHS structures and experience of working in partnership with other agencies
- Experience of introducing robust clinical systems and processes
- Experience of interfacing with multiple partners at a strategic level
- Understanding of, and commitment to public service values of accountability, probity, openness, and equality of opportunity
Desirable
- Experience of service innovation
- Experience of performance management
- Evidence of working autonomously and as part of a team
- Previous experience of working in a Nursing Home 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).
Additional information
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).
