Salaried GP

Job description

Job responsibilities

JOB TITLE: SALARIED GENERAL PRACTITIONER

REPORTS TO: THE GP PARTNERS / MANAGING PARTNER

HOURS: Minimum 5 sessions - applicants looking for more sessions welcomed

Job summary

To work as an autonomous general practitioner integrated with the primary health care team

To possess and demonstrate the full range of knowledge, skills and professional behaviours expected of a GP

To exercise professional autonomy and clinical judgement in delivering high quality evidence-based care

To participate fully in the work of the GP team, including routine and urgent clinical work, duty doctor, on-call and extended hours rotas.

Rycote Practice ethos

The Rycote Practice is committed to delivering the best possible care and to ensuring that patients physical, psychological and social needs are met. Our care is defined by the values that all staff share and is summed up in the term "Excellent Care by Working Together". We believe that continuity of care helps to ensure high standards and therefore every patient has a named GP allocated to their care. The practice is committed to the founding principles of the NHS, that it should be free to all.

We pride ourselves on being an inclusive and friendly environment in which to work and one where all staff are encouraged to contribute to the development of the practice. As a group the GPs are mutually supportive and non-hierarchical. Salaried GPs are invited to attend practice business meetings, to share in the decision-making process and implementation of subsequent initiatives.

Job responsibilities

Clinical Care

Provide appropriate care in the assessment and management of patients with a full range of healthcare problems including acute illnesses and chronic disease management

Work autonomously but in partnership with the clinical, reception, administration and management teams

Assess patients with undifferentiated healthcare problems

• Take responsibility for assessing and managing patients, prioritizing clinical need, determining differential diagnosis and initiating appropriate holistic, evidence based care in accordance with practice, national and ICB guidelines
• Become the usual doctor to a defined group of patients on a pro rata basis with sessional commitment, as with GP partners
• Consult at times required by the practice and in keeping with other GPs provide both face to face / telephone consultations and home visits when required
• Record all consultations on a contemporaneous basis
• Whenever possible adopt a structured approach to record keeping e.g. using appropriate clinical care templates
• Maintain the clinical record in an optimum form including an up-to-date list of active clinical problems and medication
• View and respond to laboratory and imaging results for own patients on the day of receipt
• Respond to prescription requests / complete medicines management tasks on the day of receipt in accordance with local / national guidance
• Respond in a timely fashion to miscellaneous clinical and administrative functions which are communicated in a variety of ways (e.g. by email and Emis tasks)
• Read and action correspondence for own patients and those of absent colleagues via Docman in a timely and appropriate manner
• Write or dictate appropriate patient referrals promptly and take steps to ensure referrals are not overlooked
• Include patients in appropriate care protocols where this does not happen automatically (e.g. palliative care, admission avoidance etc.)
• Participate in local and national enhanced services and any other quality initiatives agreed by the practice
• Share in the duty doctor rota on a pro-rata basis according to sessional commitment (see separate documentDuties of the Duty Doctor)
• Ensure clinical practice is safe and effective and remains within the boundaries of competence
• Ensure resources are utilized cost effectively and contribute to identifying alternative, more cost effective resources

Salaried GPs are encouraged to develop areas of clinical expertise on behalf of the practice and update colleagues on latest best practice.

Participation in teaching and training

The Rycote practice places a strong emphasis on both undergraduate and postgraduate education, having been a teaching and training practice for many years. We currently have four GP trainers and take GP registrars from both the Oxford and Aylesbury schemes. We are unique in taking both 5th year and 1st year graduate-entry course (GEC) medical students from Oxford and occasionally students from other medical schools.

All GPs are given protected time to supervise 5th year medical students and de-brief registrars. Salaried GPs are also encouraged to take a lead role in the organization and provision of teaching for GEC students.

The practice participates in a programme of Protected Time for Learning (10 afternoons p.a.) and all GPs contribute to resourcing these sessions.

The practice also occasionally takes student nurses and supervises other allied health professionals including pharmacists, paramedics, advanced nurse practitioners and physicians associates. All GPs assist in their education and supervision as required.

Meetings and Administration

Salaried GPs are invited to participate in and contribute to the Rycote management agenda at all practice-wide meetings including

• Business meetings
• Clinical effectiveness meetings
• Primary health care team meetings
• Clinical governance meetings
• Protected time for learning educational events
• Miscellaneous other clinical, audit or educational meetings

And to

• Contribute to the further development and ongoing evaluation of clinical and operational policies within the Practice.
• Provide clinical expertise and advice to other members of the practice team as required

Enhanced Access

Salaried GPs are expected to take a pro rata share of Enhanced Access cover. This is remunerated at 1.75x your normal pay. Thame PCN offers appointments from 07:30 Monday to Friday, until 20:00 Monday to Friday and on Saturday mornings. As part of its commitment to this cover, The Rycote Practice covers Wednesday and Thursday mornings, Tuesday evenings, alternate Thursday evenings, alternate Friday evenings and Saturday 08:30 10:30.

Professional conduct

All GPs are required to:

• Maintain GMC registration
• Practice at all times in accordance the GMCs Good Medical Practice
• Complete an annual NHS appraisal as part of the current 5 yearly revalidation cycle
• Maintain membership of a professional indemnity organization commensurate with clinical workload and scope of practice
• Comply with all Practice and ICB protocols, procedures, guidelines and policies
• Act as a resource to health care professionals, acting as a professional, visual competent role model at all times

Changes to Jobs

All staff are expected to undertake reasonable additional duties and responsibilities in order to meet the evolving service needs of the Practice. Changes should be made in consultation with staff. Variations to job descriptions can be a common occurrence and do not in themselves justify a reconsideration of the grading of a post.

Person Specification

Qualifications

Essential

• Full registration with the GMC & holder of MRCGP or equivalent Performers List license to practice Evidence of revalidation (if due) & engagement in the appraisal process

Desirable

• Qualification or desire to work towards a teaching/training qualification Specialist interest / qualifications e.g. coil fitting, long-term condition management, minor surgery, research

Ethos

Essential

• Commitment to our core values; Excellence, Caring & Working Together Commitment to continuity of care for our patients Commitment to the core principles and traditions of the NHS A good team player who is able to support, value and respect other members of the team

Desirable

• Ability to influence others positively, negotiate constructively and resolve conflict successfully Comfortable working in a constantly changing environment and adaptable and able to respond to new challenges in primary care

Experience

Essential

• Commitment to high quality evidence based clinical care underpinned by sound clinical knowledge & awareness to fully and appropriately investigate problems A friendly and appropriate manner with good people skills, showing understanding, care and assertiveness where appropriate Commitment to reflective practice and the continuous improvement of own performance Enthusiasm and commitment to teaching and training

Desirable

• Evidence of broader skills and experience applicable to the development of services beyond core primary care work streams Experience of working in a teaching or training capacity

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).

Employer details

Employer name

The Rycote Practice

Address

Thame Health Centre

East Street

Thame

Oxfordshire

OX9 3JZ

Employer's website

https://www.therycotepractice.co.uk/ (Opens in a new tab)