Salaried GP - Shared Care Drug & Alcohol Service

Job description

Job responsibilities

Main duties of the job

Work within the national clinical management guideline in line with the Drug Misuse and Dependence- UK Government on Clinical Management (Department of health & Social care 2017).

Carry out a health check at a minimum annually incorporating Hepatitis B&C, & HIV (where appropriate) and evidence of Hepatitis B vaccinations where applicable. Example include but not limited to wound care, contraception, blood borne virus testing and immunisation, smoking cessation services, and mental health interventions.

Actively work with Recovery Co-ordinator to support the individual to engage in a range of interventions and treatment options, to include substitute opiate prescribing and alcohol detoxification prescribing.

To supply point of care drug screening equipment.

Ensure the person has access to and is holding naloxone.

To supply DBTS kits.

Hold Multi-Disciplinary Team (MDT) meeting to discuss complex cases with recovery Steps Cumbria.

Contribute to death reviews with Recovery Steps Cumbria for people within shared care.

To be part of a Peer Group Supervision supported by Recovery Steps Cumbria.

Actively engage withy the children and family agenda, providing signposting for parenting support provision and fully engaging with the safeguarding children agenda.

Undertake a variety of clinical sessions including face to face and telephone consultations and queries, visiting patients in their own homes, work as part of our clinical triage team and Duty Doctor.

Work with Recovery Steps Cumbria to implement community alcohol detoxification using Recovery Steps Cumbria Detoxification Pathway

Be expected to provide general medical services to individuals who are part of shared care recovery

Supporting people to recover

Provide information and advice on harms and risks to people using drugs and alcohol, their families and carers.

Work to reduce stigma faced by people who use drugs or alcohol

Correctly identify people using drugs or alcohol and diagnose substance use disorders.

Carry out basic assessment of drug and alcohol use, associated strengths, harms, risk, urgency and need for referral to specialist services.

Carry out a risk assessment of suicide and harm to others and assessment of psychiatric co-morbidity and need for further medical treatment and/or onward referral.

Support people using or recovering from alcohol or drugs use in caring for their general mental and physical health and well-being.

Liaise with relevant professionals.

Provide appropriate management of assisted withdrawal where facilities allow

Implement relevant mental health legislation for alcohol and drug users.

Provide appropriate support and interventions for families and carers of people using or receiving from alcohol and or drug use.

Prescribe appropriately for people using or recovering from alcohol or drugs, including opioid substitute prescribing and provision of medications to prevent relapse.

Clinical Governance

Be aware of research and clinical guidelines on drugs and alcohol relevant to clinical role.

Participate in research and clinical governance activities, including clinical audit

Support service provision and development locally

Clinical Supervision

Recovery Steps Cumbria will support share care GPs in running a multi-disciplinary meeting to discuss complex cases monthly.

Clinical supervision will be provided by Recovery Steps Cumbria via Peer Support Supervision or on a one to one if required.

GP Training Requirements

All Generalist GPs working within a shared care recovery setting will be expected to undertake initial training within the first year to include:

RCGP Certificate in the Management of Drug Misuse (Part 1) and

RCGP in in the Management of Alcohol problems in Primary Care

There is an expectation that all Generalist GPs will complete a minimum of 8 hours CPD relating to substance misuse if they remain in the role for longer than 1 year. Humankind holds an annual training event which is substance misuse focussed, this is counted in the quarterly supervision cycle but can be used toward CPD.

The CPD could include further RCGP certificates e.g. RCGP Certificate in the Management of Drug Misuse (Part 2), on-line learning and research, local substance misuse training or external learning events and conferences

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 practice as a business organisation. All such information from any source is to be regarded as strictly confidential

Information relating to patients, carers, 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 Provide support for Service Delivery Leads where required.

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 & Safety Policy and the practice Infection Control Policy. This will include-

Using personal security systems 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 infection control procedures, maintaining work areas in a tidy and safe way and free from hazards

Actively reporting health and safety hazards and infection hazards immediately when recognised

Keeping own work areas and general patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holder's role

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 of patients, carers and colleagues

Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/Professional development

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

Risk Management

All staff have a responsibility to report all clinical and non-clinical accidents, incidents or near-misses promptly and when requested to co-operate with any investigations undertaken.

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

Contribution to the implementation of services

The post-holder will-

Apply practice policies, standards and guidance

Discuss with other members of the team how the policies, standards and guidelines will affect own work

Participate in audit where appropriate

Person Specification

Qualifications

Essential

• MBChB
• Completion of General Practitioner training CCT
• Full GMC Registration
• Possess the right to work in the UK and be on the performers register
• Evidence of continuous professional development

Desirable

• RCGP Certificate in the Management of Drug Misuse (Part 1) and
• RCGP in in the Management of Alcohol problems in Primary Care

Other requirements

Essential

• Full clean driving licence

Experience

Essential

• Minimum of 5 years experience of working in primary care
• Clinical knowledge and skills commensurate with that of a GP
• Effective time management
• Ability to follow clinical guidelines, policies and procedures
• Experience with clinical risk management
• Excellent communication and interpersonal skills
• EMIS clinical system

Personal attributes

Essential

• Positive attitude, self-motivated
• Willingness to learn new skills
• Ability to work with a team and independently

Desirable

• Ability to adapt to change within working situation

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

James Street Group Practice

Address

James Street

Workington

Cumbria

CA14 2DL

Employer's website

https://www.jamesstreet-workington.nhs.uk/ (Opens in a new tab)