Job responsibilities
Job
Description
Job Title:
General Practitioner Senior Care Home & CIH GP
Reporting to:
Senior GP
Location:
Yeovil
Salary:
Depending on
experience to be negotiated with candidate
Hours of Work:
6 sessions per week
The
role:
As a Senior GP within Yeovil PCN, you will provide high-quality,
patient-centred care with dedicated responsibility for care home provision and
same-day CIH Hub support on ward-round days.
You will act as the senior clinical decision-maker for care home
residents, delivering structured weekly ward rounds, proactive frailty
management and admission avoidance support. In addition, you will provide
experienced clinical triage and oversight within the CIH Hub, supporting urgent
care pathways and multidisciplinary colleagues.
You will practice autonomously within national and local guidelines,
contributing to clinical governance, quality improvement and service
development across the PCN.
Clinical Responsibilities1. Patient Care
Provide evidence-based medicine in accordance with national and local
guidelines.
Deliver structured weekly ward rounds to aligned residential and nursing
homes.
Manage complex frailty, multimorbidity and long-term conditions.
Lead anticipatory care planning, escalation decisions and DNACPR discussions.
Provide same-day clinical response to deterioration on ward-round days.
Conduct in-practice consultations during clinical appointment hours as
required.
Undertake telephone consultations and home visits where clinically
appropriate.
Triage patients via in-person assessment, eConsult and telephone.
Review and authorise repeat prescriptions in line with practice policy.
Process and manage patient test results and correspondence.
Refer patients appropriately to secondary or urgent care services.
Optimise prescribing in line with local and national recommendations.
Perform patient testing and screening as required.
Contribute to the development and implementation of practice policies and
clinical pathways.
2. CIH Hub Clinical
Support -Ward-Round Days Only
Provide senior clinical triage and decision-making within the CIH Hub.
Support admission avoidance and urgent care management.
Offer prescribing and escalation advice to multidisciplinary colleagues.
Provide oversight for complex or high-risk patients.
Contribute to safe patient flow within urgent care pathways.
3. Clear
Communication with Patients
Communicate sensitively and effectively with patients and carers, including
during complex or end-of-life discussions.
Adapt communication to meet individual patient needs, including cultural,
language and cognitive differences.
Ensure informed consent is obtained through clear explanation of risks,
benefits and treatment alternatives.
4. Provide
High-Quality Services
Deliver high-quality patient care in line with professional standards and
competencies.
Participate in clinical governance activities, including audit and
significant event review.
Contribute to peer review and quality improvement initiatives.
Work collaboratively to support vulnerable patients in line with legal and
practice policies.
Support delivery of Enhanced Health in Care Homes DES requirements.
Nonclinical Responsibilities
1. Management & Leadership
Provide clinical leadership for care home service delivery within the PCN.
Contribute to service development and pathway improvement in frailty and
urgent care.
Participate in decision-making processes and raise concerns through
appropriate governance channels.
Build effective professional relationships with colleagues and external
stakeholders.
Contribute to the efficient running of the practice and PCN services.
2. Practice
Operations
Maintain accurate and timely electronic patient records.
Process medical reports, referrals and correspondence.
Support QOF and contractual requirements where applicable.
Attend practice meetings, MDTs and educational sessions.
Represent the practice or PCN at external meetings as required.
3. Personal and
Professional Development
Maintain GMC registration and comply with revalidation requirements.
Participate in annual appraisal.
Maintain CPD relevant to frailty, complex care and urgent care.
Stay informed regarding evidence-based guidelines (e.g., NICE).
Contribute to clinical discussions, case reviews and shared learning.
Confidentiality:
In the course of seeking treatment, patients entrust practice
staff with, or allow us to gather, sensitive information in relation to their
health and other matters.
Comply with Legislation with regards to data protection act and
ensure confidentiality is maintained at all
times.
The post-holder must regard all information relating to patients
and their carers, practice staff and other healthcare workers (as well as
information relating to the practice as a business organisation) 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, data protection legislation and the protection of personal and
sensitive data, as well as other related healthcare legislation (e.g. the NHS
Confidentiality Code of Practice)
Health & Safety:The post-holder will comply with practice policies, procedures
and clinical guidelines for self and others. This includes (but not limited
to):
Identifying, reporting, and correcting health and safety hazards
and infection hazards immediately when recognised
Identifying issues and hazards / risks in relation to other work
areas within the business
Awareness of national standards of infection control and
cleanliness, as well as ownership of infection control and clinically based
patient care protocols and implementing them across the practice.
Active observation of current working practices across the
practice in relation to infection control, cleanliness and related activities,
ensuring that procedures are followed and weaknesses / training needs are
identified, escalating issues as appropriate.
Identifying the risks involved in work activities, raising them
with appropriate management and managing those risks across clinical and
patient processes.
Safe management of sharps procedures, including training, use,
storage and disposal
Keeping own work areas and general / patient areas generally
clean, sterile, assuming responsibility in the maintenance of general standards
of cleanliness across the business in consultation (where appropriate) with
other managers
Demonstrate due regard for safeguarding and promoting the
welfare of children.
Routine management of own team / team areas, and maintenance of
work space standards;
Waste management, including collection, handling, segregation,
container management, storage and collection
Spillage control procedures, management and training
Decontamination control procedures, management and training, and equipment maintenance
To
undertake any other duties appropriate to the grade and purpose of the job as
may be agreed by the post holder.
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 recognizes 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.
Identify
patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity.
Behaving
in a manner that is welcoming to and of the individual, is non-judgmental and
respects their circumstances, feelings priorities and rights.
Support
people who need assistance in exercising their
rights.
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 recognize 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.