Job summary
An exciting opportunity has arisen for an experienced General
Practitioner/Community Geriatrician with a special interest in frailty and/or
palliative care to join the Retford and Villages PCN, working closely with the
Bassetlaw Integrated Neighbourhood Team. The role is centred around supporting
patients in the most deprived areas of the community.
This post is a new role but will work in tandem with our
existing community-based frailty service, aiming to provide proactive,
person-centred care for individuals living with frailty across our local area
within of Retford & Villages Primary Care Network (PCN).
Main duties of the job
Main objectives
- Provide high-quality, community-based care to patients identified as living with frailty, particularly for those residing in areas of high deprivation.
- Work as part of a multidisciplinary team (MDT), including community nursing, social care, therapy, secondary care and voluntary sector colleagues, building relationships within the Integrated Neighbourhood Team.
- Contribute to anticipatory care planning, care home support, and end-of-life care.
- Participate in MDT meetings and care reviews to ensure a holistic approach to patient needs.
- Support early identification of frailty and offer timely interventions to maintain independence and reduce hospital admissions.
About us
Retford & Villages PCN comprises of 5 General Practices including Riverside Health Partnership, Kingfisher Family Practice, Crown House Surgery, Tuxford Medical Centre and North Leverton Surgery. With a patient population of nearly 60,000 people, we are largest of the three PCNs in Bassetlaw. The area we cover is largely rural. Retford and Villages PCN is a collaborative and progressive network, committed to improving the health and wellbeing of our local population. You'll work within a strong network of practices and be supported by the wider Bassetlaw Integrated Neighbourhood Team a model of partnership working that includes primary care, community services, and local authorities.
We value innovation, teamwork, and compassionate care. This role offers the chance to shape services and be part of an ambitious team making real change on the ground.
Please note that this is a community based role where the ability to travel is essential. The role will involve visiting patients (in their homes/care homes) plus administration, meetings, training etc (based across PCN Practices/remote working TBC).
The Employer for this role will be Fidelium Health Limited (Riverside are a part of the PCN but your contract will be with Fidelium Health Limited).
We are unable to offer sponsorship for this role.
Job description
Job responsibilities
Main objectives
- Provide high-quality, community-based care to patients identified as living with frailty, particularly for those residing in areas of high deprivation.
- Work as part of a multidisciplinary team (MDT), including community nursing, social care, therapy, secondary care and voluntary sector colleagues, building relationships within the Integrated Neighbourhood Team.
- Contribute to anticipatory care planning, care home support, and end-of-life care.
- Participate in MDT meetings and care reviews to ensure a holistic approach to patient needs.
- Support early identification of frailty and offer timely interventions to maintain independence and reduce hospital admissions.
Job Description
Clinical Duties:
- Provide direct patient care for frail individuals, including comprehensive geriatric assessments, medication reviews, and advance care planning.
- Lead or participate in regular multidisciplinary team (MDT) meetings.
- Contribute to and oversee the development of personalised care and support plans.
- Work closely with care coordinators, Practice administration teams, community nurses, therapists, social care teams, and the voluntary sector to ensure holistic care.
- Support early identification and stratification of patients living with frailty.
- Manage end-of-life care planning and delivery in line with patient wishes and national guidance.
Collaboration & Service Development:
- Actively engage with PCN colleagues and Bassetlaw Integrated Neighbourhood Team to improve pathways and care models.
- Contribute to audit, quality improvement initiatives, and service development.
- Participate in local frailty-related learning and development activities.
Leadership & Education:
- Share knowledge and expertise with colleagues, including mentoring and training where appropriate.
- Help develop the clinical skillset of wider team members in managing frailty and palliative care.
Job description
Job responsibilities
Main objectives
- Provide high-quality, community-based care to patients identified as living with frailty, particularly for those residing in areas of high deprivation.
- Work as part of a multidisciplinary team (MDT), including community nursing, social care, therapy, secondary care and voluntary sector colleagues, building relationships within the Integrated Neighbourhood Team.
- Contribute to anticipatory care planning, care home support, and end-of-life care.
- Participate in MDT meetings and care reviews to ensure a holistic approach to patient needs.
- Support early identification of frailty and offer timely interventions to maintain independence and reduce hospital admissions.
Job Description
Clinical Duties:
- Provide direct patient care for frail individuals, including comprehensive geriatric assessments, medication reviews, and advance care planning.
- Lead or participate in regular multidisciplinary team (MDT) meetings.
- Contribute to and oversee the development of personalised care and support plans.
- Work closely with care coordinators, Practice administration teams, community nurses, therapists, social care teams, and the voluntary sector to ensure holistic care.
- Support early identification and stratification of patients living with frailty.
- Manage end-of-life care planning and delivery in line with patient wishes and national guidance.
Collaboration & Service Development:
- Actively engage with PCN colleagues and Bassetlaw Integrated Neighbourhood Team to improve pathways and care models.
- Contribute to audit, quality improvement initiatives, and service development.
- Participate in local frailty-related learning and development activities.
Leadership & Education:
- Share knowledge and expertise with colleagues, including mentoring and training where appropriate.
- Help develop the clinical skillset of wider team members in managing frailty and palliative care.
Person Specification
Experience
Essential
- - Experience in primary care and/or community settings.
- - Demonstrable experience or interest in frailty and/or palliative care.
Desirable
- - Experience in integrated care systems or multidisciplinary work.
- - Experience in care home medicine or complex case management.
Qualifications
Essential
- GMC-registered GP/Community Geriatrician with license to practice
Desirable
- Additional training in frailty, geriatrics, or palliative care
Skills
Essential
- - Excellent clinical reasoning and decision-making.
- - Strong communication, team-working and interpersonal skills.
- - Ability to work effectively within an MDT.
- - Organised and efficient work ethic.
- - Proficient use of clinical systems (Systmone, EMIS and related digital systems).
Desirable
- - Leadership in service development.
- - Teaching or mentoring experience.
Values
Essential
- - Commitment to community-based, patient-centred care.
- - Compassionate, person-centred, and proactive approach to care.
- - Takes responsibility for professional development, learning and performance.
- - Commitment to equality, diversity, and inclusion.
Desirable
- - Commitment to service innovation and development in primary care.
Person Specification
Experience
Essential
- - Experience in primary care and/or community settings.
- - Demonstrable experience or interest in frailty and/or palliative care.
Desirable
- - Experience in integrated care systems or multidisciplinary work.
- - Experience in care home medicine or complex case management.
Qualifications
Essential
- GMC-registered GP/Community Geriatrician with license to practice
Desirable
- Additional training in frailty, geriatrics, or palliative care
Skills
Essential
- - Excellent clinical reasoning and decision-making.
- - Strong communication, team-working and interpersonal skills.
- - Ability to work effectively within an MDT.
- - Organised and efficient work ethic.
- - Proficient use of clinical systems (Systmone, EMIS and related digital systems).
Desirable
- - Leadership in service development.
- - Teaching or mentoring experience.
Values
Essential
- - Commitment to community-based, patient-centred care.
- - Compassionate, person-centred, and proactive approach to care.
- - Takes responsibility for professional development, learning and performance.
- - Commitment to equality, diversity, and inclusion.
Desirable
- - Commitment to service innovation and development in primary care.
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).
