Job summary
From 1st October 2023 Nimbuscare will be working in collaboration with Totally Plc to deliver the GP Out of Hours service in York, Malton and Scarborough. Applying for this role will enable you to work in all three locations.
You will have access to SystmOne, to ensure visibility of patient records and continuity of care. You'll be able to handover patient related tasks to their registered GP Practice and initiate referrals via the Nimbuscare operational services team. This aims to ensure a more integrated urgent care service for our patients.
We will support you to work as a team with colleagues across York, Malton and Scarborough overnight, by using SystmOne instant messenger for peer clinical support and to manage calls whilst you take a break.
If you have been away from out of hours for some time or are newly qualified, we will support you to join the team by offering shadowing opportunities and mentorship to help build your knowledge and experience.
You will be responsible for providing telephone triage/consultations, face to face consultations and home visits. You will ensure that patients are dealt with appropriately and efficiently, whilst maintaining a high-quality service.
You will report to the Urgent Care Lead at Nimbuscare and be fully supported by the team including the Senior Operational Manager and HR Manager.
Main duties of the job
- You will undertake telephone triage, telephone consultations, face to face consultations and home visits.
- Make professional, autonomous decisions in relation to presenting problems.
- Assessing the health care needs of patients with undifferentiated and undiagnosed problems.
- Manage patients appropriately including initiating investigations, making referrals to secondary care or to other providers as appropriate.
- Provide health promotion
- Record clear and contemporaneous computerised consultation notes to agreed standards.
- Compile and issue computer-generated electronic prescriptions
- Prescribe generically whenever appropriately and in accordance with NICE guidance and Good Prescribing Practice (as defined by British National Formulary guidance).
- Work with and support other members of the primary health care team in delivering high quality primary care.
- Promote the application of standards and codes of Practice set by the Royal College of General Practice, General Medical Council, Department of Health and local NHS trust.
About us
Nimbuscare is one of the largest at scale providers of primary care in the North of England, caring for more than 250,000 patients across our 11 Member GP Practices.
We work collaboratively across the York area delivering new, innovative, and sustainable health care services.
As leaders in local care, our goal is to work together across the health and care system to improve the health, wellbeing, and experience of our patients.
Nimbuscare is committed to improving the diversity of its workforce to better reflect the communities we serve. We welcome applications from everyone and work to promote an inclusive supportive culture that values and celebrates our differences.
We have several vacancies for GPs 11pm-8am seven days per week as a fixed term contract (6 months) or Bank (Zero hours) arrangement.
If youre a motivated GP who enjoys working in a strong team environment we welcome your application. If you already work for Nimbuscare as a GP, youll have immediate access to these shifts via the rotamaster booking platform.
Rates of Pay:
York and Malton
Weekdays 23:00-08:00 - £100/hr
Saturday and Sundays 23:00-08:00 - £105/hr
Bank Holidays 23:00-08:00 - £150/hr
Scarborough
Weekdays 23:00-08:00 - £120/hr
Saturday and Sundays 23:00-08:00 - £125/hr
Bank Holidays 23:00-08:00 - £175/hr
Job description
Job responsibilities
Clinical Responsibilities:
- Appropriately assess, diagnose, treat & discharge or refer patients presenting to the GPOOH service
- Consistently monitor incoming calls, responding promptly based on clinical need
- Telephone triage patients to assess clinical priorities, giving telephone advice where appropriate
- Complete telephone consultations where appropriate
- Arrange to review patients face to face at the appropriate OOHs centre or visit the patient at home when clinically needed
- Make professional, autonomous decisions in relation to presenting problems and formulate evidence-based management plans
- Provide health promotion and preventative health care advice to patients attending the service
- Compile and issue computer-generated electronic prescriptions
- Prescribe generically whenever appropriately and in accordance with NICE guidance and Good Prescribing Practice (as defined by British National Formulary guidance)
- Adhere to all medicines management governance and ensure correct procedure is followed with regard to medicines policies and prescribing
- Clearly and accurately document consultations, including safety netting advice, in a timely manner
- Where appropriate, educate patients about how best to use OOH services
- Work collaboratively with other health and social care professionals and services to deliver care to meet patients clinical, social and transport need
- Proactively communicate with the On call Manager to escalate any concerns as appropriate to ensure smooth running of the shift
- Work with colleagues based in York, Malton and Scarborough to maximise the effective and efficient delivery of care to patients
- Provide clinical advice where appropriate to both internal and external staff as required eg triage nurse, GP colleagues, district nurses, ACPs, Paramedics etc
- Promote the application of standards and codes of Practice set by the Royal College of General Practice, General Medical Council, Department of Health and local NHS trust.
- Be aware of National Quality Requirements for GPOOH services & work accordingly to assist in achieving compliance
- Participate in clinical audit and review as required
- Escalate and report untoward incidents or near misses in line with Nimbuscares governance framework
- Contribute to and participate in the management of complaints and concerns where appropriate
- Provide clinical feedback to enable service development
- Understand, maintain knowledge of and adhere to relevant standard operating procedures, policies and pathways
- Represent the service and Nimbuscare in a professional manner when in contact with the general public and other professionals
- Report any concerns about the safety of the service particularly with regard to any concerns about the behaviour / performance of other staff working for the service.
- Inform Nimbuscare of any restrictions which may impact on the post holders ability to undertake OOH work.
- On request of the On-call Manager, be prepared to move to an alternative PCC to ensure service delivery, as is reasonable based on individual circumstances
Other Responsibilities:
- Involve and contribute to the mentoring, supervision and training of the broad multi-professional clinical team.
- Be aware of and comply with all relevant policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety.
- Commitment and contribution to achievement of the highest possible quality standards.
- Commitment to life-long learning and audit to ensure evidence-based best practice.
- Contribute to evaluation/audit and clinical standard setting within the organisation.
- Attendance at regular in-house governance and educational meetings and training as well as events at other agencies as appropriate.
- Assist with the training of other staff members.
- Contribute to the development of computer-based patient records.
- Contribute to the summarising of patient records and Read-Coding patient data.
- Take responsibility that any equipment either clinical or otherwise, used when working, is taken due care of and locked away at the end of every working session.
Business responsibilities:
- Act as a positive role model.
- Maintain ethos and culture of Nimbuscare.
- Positively promote Nimbuscare.
- Support Line Managers as required.
- Adhere to Health & Safety and educate staff within your role.
- Apply Nimbuscare policies, standards and guidance.
- Attend in-house governance, educational and staff meetings as appropriate.
Suggest and support the introduction of new working processes to optimise quality.
- Communicate to ensure that all employees operate as an effective team.
- Build and maintain relationships with other healthcare professionals, including GPs, GP surgery personnel, care home personnel and CCG personnel etc.
Safeguarding
Everyone within Nimbuscare has a responsibility for, and is committed to, safeguarding and promoting the welfare of Adults-at-risk (vulnerable adults), children and young people and for ensuring that they are protected from harm.
- Be fully aware of and understand your duties and responsibilities arising from the Childrens Act 2004 and Working Together to Safeguard Children 2018, in relation to child protection and safeguarding children and young people.
- Be fully aware of and understand your duties and responsibilities arising from the DOH Policy No Secrets (2000), and the principles of safeguarding as they apply to Adults-at-risk (vulnerable adults) in relation to your work.
- Recognise the types and signs of abuse and neglect.
- Ensure the Nimbuscare Safeguarding Lead is alerted to, and kept fully informed of, any concerns you may have in relation to safeguarding adults, children and young people.
- Adhere to Nimbuscare and local Child Protection and Safeguarding Adult policies and procedures.
Learning and development:
You will participate in any training programme implemented by Nimbuscare as part of this employment, such training to include:
- Participation in individual performance reviews, including maintaining a record of own personal and/or professional development.
- Working in conjunction with senior management, assess own learning needs and undertake learning as appropriate.
- Develop and utilise a written Personal Development Plan.
- Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information.
- Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments.
- Undertake mandatory and statutory training as required.
Team working:
- Understand own role and scope in the organisation and identify how this may develop over time.
- Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
- Accept delegation from senior staff, prioritise own workload and ensure effective time management strategies are embedded in own practice.
- Participate in team activities that create opportunities to improve patient care.
- 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.
- Participate and support local projects as agreed with the management team.
- Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties.
Confidentiality:
- In the course of seeking treatment, customers 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 you will respect their privacy and act appropriately.
- In the performance of your duties outlined in this Job Description, you may have access to confidential information relating to customers and their carers, Nimbuscare staff and other healthcare workers. You may also have access to information relating to Nimbuscare as a business organisation. All such information from any source is to be regarded as strictly confidential.
- Information relating to customers, carers, colleagues, other healthcare workers or the business of Nimbuscare may only be divulged to authorised persons in accordance with Nimbuscare policies and procedures relating to confidentiality and the protection of personal and sensitive data.
- Be aware of your responsibilities under the General Data Protection Regulations (GDPR).
Health & Safety:
You will assist in promoting and maintaining their own and others health, safety and security as defined in the Nimbuscare Health & Safety Policy
Equality and Diversity:
You will support the equality, diversity and rights of customers, 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 Nimbuscare procedures and policies, and current legislation.
- Respecting the privacy, dignity, needs and beliefs of customers, carers and colleagues.
- Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Quality:
You will strive to maintain quality within Nimbuscare, 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.
- Effectively manage own time, workload and resources.
- Work within own limitations and experience.
- Be aware of and co-operate with audit.
- Work effectively with individuals in other agencies to meet patients needs.
Job description
Job responsibilities
Clinical Responsibilities:
- Appropriately assess, diagnose, treat & discharge or refer patients presenting to the GPOOH service
- Consistently monitor incoming calls, responding promptly based on clinical need
- Telephone triage patients to assess clinical priorities, giving telephone advice where appropriate
- Complete telephone consultations where appropriate
- Arrange to review patients face to face at the appropriate OOHs centre or visit the patient at home when clinically needed
- Make professional, autonomous decisions in relation to presenting problems and formulate evidence-based management plans
- Provide health promotion and preventative health care advice to patients attending the service
- Compile and issue computer-generated electronic prescriptions
- Prescribe generically whenever appropriately and in accordance with NICE guidance and Good Prescribing Practice (as defined by British National Formulary guidance)
- Adhere to all medicines management governance and ensure correct procedure is followed with regard to medicines policies and prescribing
- Clearly and accurately document consultations, including safety netting advice, in a timely manner
- Where appropriate, educate patients about how best to use OOH services
- Work collaboratively with other health and social care professionals and services to deliver care to meet patients clinical, social and transport need
- Proactively communicate with the On call Manager to escalate any concerns as appropriate to ensure smooth running of the shift
- Work with colleagues based in York, Malton and Scarborough to maximise the effective and efficient delivery of care to patients
- Provide clinical advice where appropriate to both internal and external staff as required eg triage nurse, GP colleagues, district nurses, ACPs, Paramedics etc
- Promote the application of standards and codes of Practice set by the Royal College of General Practice, General Medical Council, Department of Health and local NHS trust.
- Be aware of National Quality Requirements for GPOOH services & work accordingly to assist in achieving compliance
- Participate in clinical audit and review as required
- Escalate and report untoward incidents or near misses in line with Nimbuscares governance framework
- Contribute to and participate in the management of complaints and concerns where appropriate
- Provide clinical feedback to enable service development
- Understand, maintain knowledge of and adhere to relevant standard operating procedures, policies and pathways
- Represent the service and Nimbuscare in a professional manner when in contact with the general public and other professionals
- Report any concerns about the safety of the service particularly with regard to any concerns about the behaviour / performance of other staff working for the service.
- Inform Nimbuscare of any restrictions which may impact on the post holders ability to undertake OOH work.
- On request of the On-call Manager, be prepared to move to an alternative PCC to ensure service delivery, as is reasonable based on individual circumstances
Other Responsibilities:
- Involve and contribute to the mentoring, supervision and training of the broad multi-professional clinical team.
- Be aware of and comply with all relevant policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety.
- Commitment and contribution to achievement of the highest possible quality standards.
- Commitment to life-long learning and audit to ensure evidence-based best practice.
- Contribute to evaluation/audit and clinical standard setting within the organisation.
- Attendance at regular in-house governance and educational meetings and training as well as events at other agencies as appropriate.
- Assist with the training of other staff members.
- Contribute to the development of computer-based patient records.
- Contribute to the summarising of patient records and Read-Coding patient data.
- Take responsibility that any equipment either clinical or otherwise, used when working, is taken due care of and locked away at the end of every working session.
Business responsibilities:
- Act as a positive role model.
- Maintain ethos and culture of Nimbuscare.
- Positively promote Nimbuscare.
- Support Line Managers as required.
- Adhere to Health & Safety and educate staff within your role.
- Apply Nimbuscare policies, standards and guidance.
- Attend in-house governance, educational and staff meetings as appropriate.
Suggest and support the introduction of new working processes to optimise quality.
- Communicate to ensure that all employees operate as an effective team.
- Build and maintain relationships with other healthcare professionals, including GPs, GP surgery personnel, care home personnel and CCG personnel etc.
Safeguarding
Everyone within Nimbuscare has a responsibility for, and is committed to, safeguarding and promoting the welfare of Adults-at-risk (vulnerable adults), children and young people and for ensuring that they are protected from harm.
- Be fully aware of and understand your duties and responsibilities arising from the Childrens Act 2004 and Working Together to Safeguard Children 2018, in relation to child protection and safeguarding children and young people.
- Be fully aware of and understand your duties and responsibilities arising from the DOH Policy No Secrets (2000), and the principles of safeguarding as they apply to Adults-at-risk (vulnerable adults) in relation to your work.
- Recognise the types and signs of abuse and neglect.
- Ensure the Nimbuscare Safeguarding Lead is alerted to, and kept fully informed of, any concerns you may have in relation to safeguarding adults, children and young people.
- Adhere to Nimbuscare and local Child Protection and Safeguarding Adult policies and procedures.
Learning and development:
You will participate in any training programme implemented by Nimbuscare as part of this employment, such training to include:
- Participation in individual performance reviews, including maintaining a record of own personal and/or professional development.
- Working in conjunction with senior management, assess own learning needs and undertake learning as appropriate.
- Develop and utilise a written Personal Development Plan.
- Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information.
- Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments.
- Undertake mandatory and statutory training as required.
Team working:
- Understand own role and scope in the organisation and identify how this may develop over time.
- Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
- Accept delegation from senior staff, prioritise own workload and ensure effective time management strategies are embedded in own practice.
- Participate in team activities that create opportunities to improve patient care.
- 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.
- Participate and support local projects as agreed with the management team.
- Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties.
Confidentiality:
- In the course of seeking treatment, customers 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 you will respect their privacy and act appropriately.
- In the performance of your duties outlined in this Job Description, you may have access to confidential information relating to customers and their carers, Nimbuscare staff and other healthcare workers. You may also have access to information relating to Nimbuscare as a business organisation. All such information from any source is to be regarded as strictly confidential.
- Information relating to customers, carers, colleagues, other healthcare workers or the business of Nimbuscare may only be divulged to authorised persons in accordance with Nimbuscare policies and procedures relating to confidentiality and the protection of personal and sensitive data.
- Be aware of your responsibilities under the General Data Protection Regulations (GDPR).
Health & Safety:
You will assist in promoting and maintaining their own and others health, safety and security as defined in the Nimbuscare Health & Safety Policy
Equality and Diversity:
You will support the equality, diversity and rights of customers, 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 Nimbuscare procedures and policies, and current legislation.
- Respecting the privacy, dignity, needs and beliefs of customers, carers and colleagues.
- Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Quality:
You will strive to maintain quality within Nimbuscare, 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.
- Effectively manage own time, workload and resources.
- Work within own limitations and experience.
- Be aware of and co-operate with audit.
- Work effectively with individuals in other agencies to meet patients needs.
Person Specification
Qualifications
Essential
- Fully Qualified Doctor with current Professional Registration (GMC) MRCGP Qualification On National Performance List for GPs Evidence of medical indemnity insurance
Desirable
Knowledge and Skills
Essential
- IT Skills (MS office / SystmOne / Adastra) Advanced clinical assessment skills including history taking / clinical examination Excellent communication and interpersonal skills Ability to demonstrate problem solving with effective decision making skills, supported by a best practice approach. Able to work autonomously and as part of a team.
Desirable
- Evidence of Statutory and Mandatory Training
Personal attributes
Essential
- Lead by example The ability to prioritise effectively Able to work under pressure Flexible Adaptability Using initiative Self audit and reflection
Experience
Essential
- Experience of Triage / Telephone Assessment Experience of working in an Urgent Care setting (UTC/GP OOHs/ED/Pre-hospital care)
Physical Skills
Essential
Person Specification
Qualifications
Essential
- Fully Qualified Doctor with current Professional Registration (GMC) MRCGP Qualification On National Performance List for GPs Evidence of medical indemnity insurance
Desirable
Knowledge and Skills
Essential
- IT Skills (MS office / SystmOne / Adastra) Advanced clinical assessment skills including history taking / clinical examination Excellent communication and interpersonal skills Ability to demonstrate problem solving with effective decision making skills, supported by a best practice approach. Able to work autonomously and as part of a team.
Desirable
- Evidence of Statutory and Mandatory Training
Personal attributes
Essential
- Lead by example The ability to prioritise effectively Able to work under pressure Flexible Adaptability Using initiative Self audit and reflection
Experience
Essential
- Experience of Triage / Telephone Assessment Experience of working in an Urgent Care setting (UTC/GP OOHs/ED/Pre-hospital care)
Physical Skills
Essential
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).
