Job summary
We are seeking experienced and motivated General Practitioners to support our core clinical services.
This role is primarily remote, with the option to work from our offices or one of our member practices if preferred. The post contributes to several services, including Enhanced Access, and therefore requires evening cover between 18:30 and 20:30. The remaining working hours are flexible but need to be agreed in advance, to ensure consistency.
The successful candidate will have opportunities to contribute beyond direct clinical care, including involvement in service development, operational processes, and quality improvement initiatives.
This is an excellent opportunity to join a growing GP Federation working at city scale to strengthen general practice and support a sustainable health system for local communities. There may be opportunities for the role to develop further as the organisation continues to evolve.
This post is offered on an initial 12 month fixed term contract, with the possibility of extension subject to service requirements and funding.
A good understanding of local primary care processes and pathways is essential. Current or past experience working in a GP practice in Brighton and Hove is preferable.
Main duties of the job
The Federation Duty GP will work across multiple Federation clinical
services, predominantly supporting the Enhanced Access (EA) service. The
postholder will provide high quality remote clinical care, urgent
decision making, results management, and clinical oversight to ensure safe,
efficient delivery of primary care services across the federation.
We are seeking a clinician comfortable
managing the risks of remote work, with expertise in handling results without
increasing workload for the EA service or the patients practice, mirroring
in-hours general practice processes. The ideal candidate will be an excellent
communicator, experienced in remote telephone consultations and liaising
effectively with practices.
This role combines direct clinical activity with systemwide
support functions, including urgent prescribing, responding to clinical
queries, and providing real time guidance to multidisciplinary staff delivering
remote and face to face clinical services.
Sessions for this role are required every weekday, Monday to
Friday. The core EA hours of 18:3020:30 must always be covered. The additional
flexible hours may be arranged within the day, but they should follow a
consistent pattern and must be agreed in advance. This ensures the team knows
when the duty doctor is available for contact. This role may be shared between
two GPs to ensure 5-day coverage.
About us
Brighton and Hove GP Federation is a practice owned organisation working at city scale to strengthen general practice and support a sustainable local health system. It enables GP practices to collaborate where this adds value, while remaining independent, locally accountable and clinically led.
The Federation delivers services and shared infrastructure at scale, reducing duplication and managing shared operational and financial risk. By coordinating delivery and investment, it supports practices to focus on patient care while addressing system pressures collectively. It works closely with member practices, PCNs, the Integrated Care Board and partners to develop practical, long term solutions aligned with NHS values.
Any surplus generated is reinvested locally to support the workforce, strengthen primary care and build resilience without private profit extraction. Membership provides access to shared services, collective problem solving and a stronger voice within the wider system.
The Federations work is guided by collaboration, sustainability, quality, equity and innovation, with the sole purpose of helping general practice thrive now and in the future.
Job description
Job responsibilities
Results Management
The
Federation is now responsible for safety and timely processing all blood and
pathology results generated by clinicians within the EA service.
Review and file all pathology and radiology results
received on EMIS and SystmOne within Federation services
Take appropriate action on all abnormal / clinically
significant results, including:
o arranging follow-up
o issuing onward referrals
o communicating outcomes to patients or relevant
services
Prioritise and manage urgent same day result phone
calls from pathology laboratories.
Triage based on the clinical urgency of slightly
out-of-range results. This may involve advising repeat tests, signposting
patients to their GP for chronic conditions or issues not suitable for the
extended access service, or recommending appropriate follow-up within EA
Enhanced Access Clinical Support
Provide
clinical support when EA appointment capacity is exceeded, including managing
urgent referrals or tasks.
Issue urgent
prescriptions for patients using Enhanced Access services.
Provide same day
clinical advice to staffANPs, pharmacists, nurses, remote clinicians, and
other team membersworking within the Federation.
Handle
inappropriate or misallocated appointments e.g., outside ANP or pharmacist
scope, ensuring safe redirection and clinical follow-up
Covering
appointments if a clinician calls in sick, e.g. triage a clinic list and phone
patients who may not be able to wait for a rescheduled appointment.
Cross Service Support
Provide urgent
prescriptions for Smoking Cessation service, INR Monitoring service and other
Federation services, where clinically appropriate
Providing
advice to ADHD prescribing clinical staff regarding management of high blood
pressures or reviewing hypertensive ADHD patients.
Clinical Governance & Workforce Support
Act as a
buddy GP for new clinicians undertaking their first remote shift, ensuring
safe escalation of queries.
Support the
delivery teams with clinical queries requiring GP oversight.
Contribute to
clinical governance processes, incident reviews, audits, and service
improvement discussions.
Other Duties
Maintain
accurate and contemporaneous clinical records.
Follow local
and national prescribing guidelines.
Ensure
safeguarding concerns are escalated appropriately
Engage in CPD,
including Federation-led training and meetings.
Ensure
compliance with statutory, regulatory, and contractual requirements at all
times.
Keep
abreast of relevant policy, professional and organisational developments.
Any other
duties appropriate to the role as required by the Senior Leadership Team
Job description
Job responsibilities
Results Management
The
Federation is now responsible for safety and timely processing all blood and
pathology results generated by clinicians within the EA service.
Review and file all pathology and radiology results
received on EMIS and SystmOne within Federation services
Take appropriate action on all abnormal / clinically
significant results, including:
o arranging follow-up
o issuing onward referrals
o communicating outcomes to patients or relevant
services
Prioritise and manage urgent same day result phone
calls from pathology laboratories.
Triage based on the clinical urgency of slightly
out-of-range results. This may involve advising repeat tests, signposting
patients to their GP for chronic conditions or issues not suitable for the
extended access service, or recommending appropriate follow-up within EA
Enhanced Access Clinical Support
Provide
clinical support when EA appointment capacity is exceeded, including managing
urgent referrals or tasks.
Issue urgent
prescriptions for patients using Enhanced Access services.
Provide same day
clinical advice to staffANPs, pharmacists, nurses, remote clinicians, and
other team membersworking within the Federation.
Handle
inappropriate or misallocated appointments e.g., outside ANP or pharmacist
scope, ensuring safe redirection and clinical follow-up
Covering
appointments if a clinician calls in sick, e.g. triage a clinic list and phone
patients who may not be able to wait for a rescheduled appointment.
Cross Service Support
Provide urgent
prescriptions for Smoking Cessation service, INR Monitoring service and other
Federation services, where clinically appropriate
Providing
advice to ADHD prescribing clinical staff regarding management of high blood
pressures or reviewing hypertensive ADHD patients.
Clinical Governance & Workforce Support
Act as a
buddy GP for new clinicians undertaking their first remote shift, ensuring
safe escalation of queries.
Support the
delivery teams with clinical queries requiring GP oversight.
Contribute to
clinical governance processes, incident reviews, audits, and service
improvement discussions.
Other Duties
Maintain
accurate and contemporaneous clinical records.
Follow local
and national prescribing guidelines.
Ensure
safeguarding concerns are escalated appropriately
Engage in CPD,
including Federation-led training and meetings.
Ensure
compliance with statutory, regulatory, and contractual requirements at all
times.
Keep
abreast of relevant policy, professional and organisational developments.
Any other
duties appropriate to the role as required by the Senior Leadership Team
Person Specification
Experience
Essential
- Experience working in NHS primary care or urgent care settings
- Demonstrable experience managing clinical results, urgent decision making, and complex cases.
- Experience with remote or telephone based clinical work
Desirable
- Experience supervising or supporting multi-disciplinary teams.
- Experience within GP Federations or PCN level services
- Experience in urgent care, triage, or extended hours services
- Experience in quality improvement or audit.
Other requirements
Essential
- Flexibility to work outside core office hours
- Disclosure Barring Service (DBS) check
- Maintains confidentiality at all times
Personal Qualities
Essential
- Polite and confident
- Motivated and proactive
- Ability to use initiative and judgement
- Forward thinker with a solutions-focused approach
- High levels of integrity and loyalty
- Sensitive and empathetic in distressing situations
- Ability to work under pressure
Qualifications
Essential
- Fully qualified GP with MRCGP (or equivalent)
- GMC registration with licence to practise
- Registered on the GP performers list
- Evidence of continuing professional development
Knowledge and skills
Essential
- Strong clinical reasoning and ability to manage risk in remote environments.
- Competent in use of SystmOne and EMIS
- Ability to manage urgent prescriptions safely and efficiently
- Ability to work independently and make autonomous clinical decisions.
- Committed to data-informed decision making and continuous learning.
- Excellent communication and interpersonal skills.
- Effective time management (planning & organising)
Desirable
- Understanding of Enhanced Access and other primary care extended services
Person Specification
Experience
Essential
- Experience working in NHS primary care or urgent care settings
- Demonstrable experience managing clinical results, urgent decision making, and complex cases.
- Experience with remote or telephone based clinical work
Desirable
- Experience supervising or supporting multi-disciplinary teams.
- Experience within GP Federations or PCN level services
- Experience in urgent care, triage, or extended hours services
- Experience in quality improvement or audit.
Other requirements
Essential
- Flexibility to work outside core office hours
- Disclosure Barring Service (DBS) check
- Maintains confidentiality at all times
Personal Qualities
Essential
- Polite and confident
- Motivated and proactive
- Ability to use initiative and judgement
- Forward thinker with a solutions-focused approach
- High levels of integrity and loyalty
- Sensitive and empathetic in distressing situations
- Ability to work under pressure
Qualifications
Essential
- Fully qualified GP with MRCGP (or equivalent)
- GMC registration with licence to practise
- Registered on the GP performers list
- Evidence of continuing professional development
Knowledge and skills
Essential
- Strong clinical reasoning and ability to manage risk in remote environments.
- Competent in use of SystmOne and EMIS
- Ability to manage urgent prescriptions safely and efficiently
- Ability to work independently and make autonomous clinical decisions.
- Committed to data-informed decision making and continuous learning.
- Excellent communication and interpersonal skills.
- Effective time management (planning & organising)
Desirable
- Understanding of Enhanced Access and other primary care extended services
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).
