Job responsibilities
Under supervision of the GP in the practice, the post holder will provide care for the presenting patient, face to face, by telephone or by e-consultation. Through focused history taking, clinical assessment, diagnosis, treatment and evaluation of care, they will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills. The post holder will demonstrate critical thinking in the decision-making process. They will work collaboratively with the healthcare team to meet the needs of the patients, supporting the delivery of policy and procedures. The post holder will provide a holistic and clinical service, with support and supervision of GPs, implementing agreed management plans and following approved protocols as appropriate.
CLINICAL RESPONSIBILITIES:
Under supervision of a GP and in accordance with the timetable, the post-holder will make him/her-self available to undertake clinical sessions.
Under supervision of a GP, you may be required to:
- Work clinical sessions consisting of e-Consultations, telephone triage appointments, face to face appointments
- Conduct home visits following adequate training
- Triage incoming pathology results and documents
- Act upon alerts (e.g. QOF, local enhanced services etc.) and reminders during a consultation.
- Provide clinical services required (within own competencies)
- Undertake Surgeries during extended hours (i.e. some evenings and Saturdays) in accordance with the access needs of the network
- Respond to medical problems presented by patients, including history taking and examination
- Provide confidence to supervising GP in your findings and in you using your clinical findings to justify the differential diagnosis
- Organise investigation, treatment and referral where appropriate.
- Be confident in explaining to patients their clinical management plan and able to modify plan according to age and comorbidity.
- Develop consultation skills to enable shared patient and practitioner decision
- Be able to justify choice of medication. Able to understand the impact of comorbidities and other medications, poly-pharmacy on agent choice and prognosis
- Provide appropriate preventative health care and advice.
- Adhere to the prescribing formulary, local and national guidelines.
- Under supervision of the GPs in the practice , make professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation
- Record clear and contemporaneous IT based consultation notes to agreed standards
- Collect data for audit purposes
OTHER RESPONSIBILITIES
- Engaging in appropriate lifelong educational and audit activity - as defined by the Royal College of Physicians Faculty of Physician Associates. This will be in order to maintain clinical competence and performance, including 50 hours of annual CPD, good verbal and written communication skills and able to communicate complex and sensitive information to patients, relatives or carer CBDs.
- Participate in annual appraisal which will include staff multi source feedback (MSF) and patient survey.
- Participate in and support other staff in ensuring the network meets targets
- Supporting the practice staff and responding to requests for advice and assistance from the practice reception, secretarial and nursing staff.
- Attend prescribing, palliative care, clinical and practice meetings.
- Provide additional enhanced services to the network that meet the needs of the patient population
- Undertake additional training where necessary to provide these enhanced services
- Awareness of and compliance with all relevant practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety, CQC and annual QOF Assessment of the Practice.
- Meet timescales/deadlines for audits and written returns to ensure that the network meets quality standards and receives the designated funding
GENERAL DUTIES
To behave in a professional way at all times that encourages quality care and the development of a team spirit. 360 degree feedback is used to assess clinicians and you will be required to participate in this.
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 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 network as a business organisation. All such information from any source is to be regarded as strictly confidential.
DATA PROTECTION
You must not at any time use sensitive business data for any purpose without the consent of the Clinical Directors or disclose any patient data to a third party, without following GDPR regulations. If you are in any doubt regarding what you should or should not do in connection with GDPR then you must contact your line manager or appropriate senior lead at the time.
FLEXIBILITY
This job description is not intended to be exhaustive. The post-holder will be expected to adopt a flexible attitude towards the duties outlined which may be subject to amendment at any time in consultation with the post-holder and in line with the needs of the organisation.
The post holder may be required to fulfil other duties, as agreed with the practice manager to meet the needs of the organisation.
HEALTH & SAFETY
The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Health & Safety Policy, to include:
- Using personal security systems within the workplace according to 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 infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
- Reporting potential risks 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 procedures and policies, and current legislation.
- Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
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 are met.
The post-holder will participate in any training programme implemented by the network as part of this employment, such training to include:
- Participation in an annual individual performance review
- Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
QUALITY
Under supervision and support of GPs the post-holder will strive to maintain quality within the service, and will:
- Participate in clinical governance activity and contribute to the improvement in quality of health outcomes through audit
- Alert other team members to issues of Clinical Governance issues, quality and risk
- Participate in Significant Event Analysis reviews
- 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. He/she will also contribute to the overall team-working of the service putting the needs of the Patients first.
