Job summary
Hospital at Home GP - Band GP - Battersea Studios
We are looking for an enthusiastic and motivated GP who enjoys working as part of a wide multidisciplinary team to deliver care as part of our Hospital at Home service across Wandsworth and Merton (CAHS). Hospital at home provides intensive hospital level care for acute conditions that would normally require an acute hospital bed, in a patient's home for a short episode through multidisciplinary healthcare teams.
As an experienced GP you will be working with clinical caseload managers, community nurses, therapists, social workers, pharmacists, and secondary care colleagues to provide quality clinical care.
Main duties of the job
Our Hospital at Home team aims to support patients with a full multidisciplinary approach, fast tracking patients from acute services into their home, enabling people to stay in their own homes for longer, avoid unnecessary A&E attendance and avoid unnecessary hospital admissions, linking into other health, social care and voluntary services in the community as required. The CAHS GP role provides clinical leadership to the multidisciplinary team and optimised medical management to patients on the caseload. You will be part of a team of five GPs providing this service.
This is an exciting post, with the opportunity to help develop the service further, make a real difference to patients, support community teams and a chance to develop both leadership and strategic skills. Part time and job share applications are welcomed.
Salary will be based on experience and there is an expectation to participate in a weekend on call rota
About us
Just as we care about our patients' wellbeing, we care about yours!
We can offer you:
- A comprehensive induction into the community service followed by a local induction to introduce you to the role
- Single occupancy accommodation in Central London - (we can help you find accommodation in London, support you with your deposit)
- Support with gaining your driving license *T&C's apply
- Car lease scheme *T&C's apply
- Flexible working options
- Annual travel card loan
- Training, support and development in your career
To have a full look at our benefits and what it's like working for us please go here: https://www.clch.nhs.uk/job/pay-and-benefits
Job description
Job responsibilities
To take and triage telephone referrals to the Hospital@Home team
To implement clinical plans to support the earlier discharge of patients from hospital or to prevent an admission to hospital. You will have the ability to initiate or continue IV or IM antibiotics in the community. You will have access to point of care testing to support your decision making and the safe management of patients in the community. This will require the H@H GP to work with acutes trusts and primary care.
To work effectively with the nurses, AHPs and pharmacists working within the hospital at home team.
To liaise effectively and appropriately with the local GPs from whose practices the patients are being referred.
To integrate effectively with the existing community services and look for creative ways of improving this integration wherever possible.
To assist with ongoing monitoring and audit into the effectiveness of the community wards in reducing admissions, re-admissions within 28 days and reducing acute hospital length of stay.
Please see attached Job Description and Person Specification for full roles and responsibilities.
Job description
Job responsibilities
To take and triage telephone referrals to the Hospital@Home team
To implement clinical plans to support the earlier discharge of patients from hospital or to prevent an admission to hospital. You will have the ability to initiate or continue IV or IM antibiotics in the community. You will have access to point of care testing to support your decision making and the safe management of patients in the community. This will require the H@H GP to work with acutes trusts and primary care.
To work effectively with the nurses, AHPs and pharmacists working within the hospital at home team.
To liaise effectively and appropriately with the local GPs from whose practices the patients are being referred.
To integrate effectively with the existing community services and look for creative ways of improving this integration wherever possible.
To assist with ongoing monitoring and audit into the effectiveness of the community wards in reducing admissions, re-admissions within 28 days and reducing acute hospital length of stay.
Please see attached Job Description and Person Specification for full roles and responsibilities.
Person Specification
Education/Qualification
Essential
- Current GMC certificate
- Inclusion on a PCT performers list
- Vocational training certificate or equivalent
- Current resuscitation certificate
- Current Hep B immunity certificate XXXXXX
Desirable
Experience
Essential
- Minimum of two years core GMS experience in General Practice/ ? Primary care home visiting
- Triage
- Face to face consultations
Desirable
- Experience in care of the elderly medicine and in A&E/Urgent care setting
Skills and Knowledge
Essential
- IT basic computer literacy Good telephone manner Clear speech Good record keeping Excellent communication skills
- Excellent interpersonal skills and ability to develop and sustain professional relationships
- The ability to work in a multidisciplinary team environment
- Flexible, caring and empathetic Self-motivated Professional approach Presentable appearance
- Ability to work under pressure, manage demanding workload
- Aware of needs of patients, relatives and carers
- Adhere to confidentiality requirements
- Reliable, punctual and committed to work
- Ability to cope with patients under extreme stress from both social and clinical circumstances
- Ability to handle change and unexpected urgent requirements
Other
Essential
- This role would suit a GP with at least 3 years of General Practice Surgery experience in managing acute illnesses and also experience in managing frailty in the community
- The applicant would have broad knowledge of care of the elderly, frailty management, acute disease management (sepsis, LRTI, delirium etc...) also be proficient in management of chronic diseases such as heart failure, COPD, dementia, depression and anxiety as appropriate for current general practice. The applicant would have an interest in these areas with some knowledge of the range of support services available for care in the community post discharge from care, such as District Nursing, Specialist Nurse Services (Respiratory, Heart Failure, etc.), physiotherapy etc. The applicant would have an interest in maintaining patients supported in the community through full application of the bio psychosocial model. A particular interest and/or supplemental experience in geriatric medicine would be desirable.
- The GPs will be expected to lead sit-down ward rounds, including regular MDT meetings
- Benefits to the Clinician Development of expertise in elderly care medicine through clinical management supported by an MDT team including geriatricians. Satisfaction of managing complex bio psychosocial presentations with application of team resources. Satisfaction of working with a broad range of colleagues on a daily basis to provide excellent care
- Benefits to the Patient Management primarily by a clinician with general practice experience and perspective ensures a patient-centred and holistic approach, with the support of specialist input when required. This would result in the patient maintained in the community and supporting timely discharge from intermediate care back to their own home when possible, avoiding admissions to acute care, which can often be inappropriate and detrimental. This would also result in improved continuity of care through keeping the patient under community care.
- Benefits to the Health Economy Improved outcomes for the patient Shortened bed stays Increased use of intermediate care as an alternative to acute admission
Person Specification
Education/Qualification
Essential
- Current GMC certificate
- Inclusion on a PCT performers list
- Vocational training certificate or equivalent
- Current resuscitation certificate
- Current Hep B immunity certificate XXXXXX
Desirable
Experience
Essential
- Minimum of two years core GMS experience in General Practice/ ? Primary care home visiting
- Triage
- Face to face consultations
Desirable
- Experience in care of the elderly medicine and in A&E/Urgent care setting
Skills and Knowledge
Essential
- IT basic computer literacy Good telephone manner Clear speech Good record keeping Excellent communication skills
- Excellent interpersonal skills and ability to develop and sustain professional relationships
- The ability to work in a multidisciplinary team environment
- Flexible, caring and empathetic Self-motivated Professional approach Presentable appearance
- Ability to work under pressure, manage demanding workload
- Aware of needs of patients, relatives and carers
- Adhere to confidentiality requirements
- Reliable, punctual and committed to work
- Ability to cope with patients under extreme stress from both social and clinical circumstances
- Ability to handle change and unexpected urgent requirements
Other
Essential
- This role would suit a GP with at least 3 years of General Practice Surgery experience in managing acute illnesses and also experience in managing frailty in the community
- The applicant would have broad knowledge of care of the elderly, frailty management, acute disease management (sepsis, LRTI, delirium etc...) also be proficient in management of chronic diseases such as heart failure, COPD, dementia, depression and anxiety as appropriate for current general practice. The applicant would have an interest in these areas with some knowledge of the range of support services available for care in the community post discharge from care, such as District Nursing, Specialist Nurse Services (Respiratory, Heart Failure, etc.), physiotherapy etc. The applicant would have an interest in maintaining patients supported in the community through full application of the bio psychosocial model. A particular interest and/or supplemental experience in geriatric medicine would be desirable.
- The GPs will be expected to lead sit-down ward rounds, including regular MDT meetings
- Benefits to the Clinician Development of expertise in elderly care medicine through clinical management supported by an MDT team including geriatricians. Satisfaction of managing complex bio psychosocial presentations with application of team resources. Satisfaction of working with a broad range of colleagues on a daily basis to provide excellent care
- Benefits to the Patient Management primarily by a clinician with general practice experience and perspective ensures a patient-centred and holistic approach, with the support of specialist input when required. This would result in the patient maintained in the community and supporting timely discharge from intermediate care back to their own home when possible, avoiding admissions to acute care, which can often be inappropriate and detrimental. This would also result in improved continuity of care through keeping the patient under community care.
- Benefits to the Health Economy Improved outcomes for the patient Shortened bed stays Increased use of intermediate care as an alternative to acute admission
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).
