Salaried GP

Job responsibilities

Job Title: SalariedGP

Place of work: Barnsbury Medical Practice

Reports to: GP Clinical Lead

Hours: 6 sessions per week

Salary:Depending on Experience

Contract:ASAP

About Islington GP Federation

Islington GP Federation (IGPF) is a growing organisation representing 31 practices; we have established ourselves as a leader in new ways of working, including running Islingtons extended access primary care services (I: HUB) as well as supporting the Islington Primary Care Networks (PCNs).

Our current range of services include the Extended Access Service,I:HUB, Community Ear, Nose and Throat (ENT), Integrated Community Gynaecology, practice-based pharmacists,and a range of practice support mechanisms.

IGPF works very closely with a range of partners including the regional commissioning group, NHS England, Healthy London Partnership, Public Health, local hospitals such as UCLH, Whittington Health and the London Borough of Islington.

IGPF is the host organisation for the Primary Care Network (PCN) workforce and the Islington Training Hub and has been working for over two years to create training and development programmes that meet the needs of staff working in primary and community care settings.

IGPF runs four Islington GP practices.City Road Medical Centre is a GMS practice;two are APMS contracts and one care taking contract.

Job Summary:

An exciting opportunity to work within an evolving innovative and forward-facing clinical model for general practice at Barnsbury Medical Practice.Applications from GPs at all levels of experience are welcome for this fixed-term maternity locum role.

At its core, you will work as a member of the in-house clinical team and provide a critical role of delivering appointments and care to the registered list of patients.You will be offering continuity and case management where needed and appropriate. You will manage admin such as blood results and be part of a team to collectively manage shared admin along side other GPs and other staff members. Responsibilities will reflect requirements of the NHS GP Contracts, and as such may be subject to change as services adapt. This post offers the opportunity for role and career development, especially with regards to training and supervision of the wider MDT as theteam and serviceevolves.The role may also involve complex care depending on your interests and skills.

We are committed to exploring future proof and modern general practice, including systems that work at scale.We want to create places you want to work, in teams where we look after each other and feel looked after, so we can then look after our patients.You ideally would be interested in supporting this and working collaboratively to develop and evolve these exciting new systems.

Systems at Barnsbury Medical Practice:

• There is a monthly recall system for long term conditions this is conducted by nurses and pharmacists (allowing GPs time to work on other things).

• Clinical pharmacists' response for scripts,LES,medicine reconciliation and long-term conditions and medication reviewc linics

• A diary recall system which means that you can put a diary entry for something that will need attention in the future into EMIS and the administrator will pick it up before due date.

• A robust cancer safety netting- referrals, blood test and x-rays.

• There is advanced handling of incoming documents by the Super Admin team who summarise, code, forward documents to pharmacists for medication reconciliation, and urgent documents to GPs for review or action

• Heidi Ai available to improve note taking and productivity

Main dutiesof the job:

• A range of face to face,telephone and triage sessions for patient contact, both same day and planned care where appropriate

• Manage pathology results for tests generated through patient contacts

• Use and adhere to practice systems for excellent communication and handover with lead GP and other relevant MDT colleagues, including any clinicians working off-site

• Support the triage process for all patient-led demand

• Contribute to clinical admin including evaluating,actioning and processing hospital correspondence and results. This includes ordering appropriate tests and ensuring safety netting and follow up.You will contact the patient to complete tasks where this is required.

• Supporting other members of the MDT including pharmacists,paramedics,nurses,physician associate, healthcare assistants and administrators with clinical and process questions as needed

• Participating in and being visible as part of the practice team, including attendance at clinical team meetings and whole team meetings

• QI and audit projects, depending on need

• Pay attention to appropriate coding, note keeping and flagging of any system issues as they arise

• Act on safeguarding concerns with named leads where appropriate

Your work will particularly support continuity of care,safety and quality for complex or urgent cases:

• You will take responsibility for managing complexity and facilitating continuity of care where appropriate

• Informing other GPs about complex cases known to them

• Display your clinical reasoning clearly in the records

Why work at IGPF family of practices?

Dynamic environment for innovation and improvement:

• GP Led Total triage

• Ethos of building robust systems to keep care safe, including safety netting and diary systems to ensure adequate follow up and renew urgent results.

• Innovative, forward-facing approach aiming for improvement and building of a sustainable model for general practice

• Evolving population with changing demographics due to local development and gentrification

• Ethos of separation of planned vs unplanned vs complex care

• No more 10-minute face to face appointments!

• Centralised Super Admin to minimise document flow to clinicians

Very high standards of clinical care provided by a multi-disciplinary team with a proactive approach:

• Month of birth recall system for long term conditions, managed largely by nursing and clinical pharmacist colleagues

• Supportive, inclusive environment with a focus on staff development and wellbeing, including staff supervision, team meetings and daily huddles

• Social prescriber, paramedic,First Contact Practitioners aspart of extended team

Excellent Allied support:

• Social prescriber

• Proactive physical health checks for those with significant mental illness

• Clinical pharmacists

• Senior administrative support

• Community rapid response service for urgent home visits

Support for personal development and learning:

• Comprehensive induction

• Regular huddles,clinical meetings andwhole team meetings

• Strong clinical leadership for day-to-day support

• A culture of staff development,support and a focus on wellbeing

• Opportunities for development, especially in wider IGPF projects and services

Job description

Clinical responsibilities

• Demonstrate your commitment to high quality, safe care that supports clinical continuity for those patients and crucial clinical circumstances where this is crucial.

• Take part in learning events, audits,and discreet pieces of work where formally agreed

• Respect ways of working that have been agreed among the clinical team

• Commit to understanding your role in practice systems and to flagging where there are learning events so the system can improve

• Commit to learning new IT systems and innovations in use of IT in service of patient care

• Commit to supporting continuity where this is clearly best for the patient

• By taking responsibility and ensuring you follow through and complete tasks where possible (therefore avoiding unnecessary follow up or work by others).

• Discuss cases with colleagues where appropriate with a commitment to learning from experience and sharing learning

• Respect multidisciplinary colleagues

• Work across organisational boundaries when this is in the interests of patient care

• Keep up to date with new guidance

Sessional allocation:

• The week is a hybrid of clinical appointments,personal,shared admin and clinical triage.Face-to-face appointment times are a minimum of 15 minutes.

• Triage sessions are half a day

• Supervision and support of other staff members will be required for some sessions, but there is protected time for this

Confidentiality:

• While 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 health careworkers or the business of the practice may only be divulged to authorised personsin accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & safety:

• The post-holder will implement and lead on a full range of promotion and management their own and others health and safety and infection control as defined in the practice health & safety policy, the practice health & safety manual, and the practice infection control policy and published procedures.Please see these policies for further detail.

Experience

Essential

• Experience of working in UK General Practice.
• Experience of working with diverse and vulnerable groups, including use of interpreters.
• Experience of being the named GP for a list of patients or of providing continuity of care
• Experience of GP admin including eg PIP forms
• Experience using EMIS Web, Docman, Accurx, MS Teams
• Experience of clinical triage

Desirable

• Clinical experience of 2+ years
• Experience of working with deprived populations
• Delivery of clinical audit
• QOF management
• Experience of working in Islington/ NCL general practice
• Experience of working in at-scale systems
• Experience of safeguarding leadership/ desire to take this on
• Supervision of other roles and staff members

Skills and attributes

Essential

• IT fluency including troubleshooting
• Remote consulting skills
• Team player and can-do attitude
• Calm under pressure
• Kind, friendly and inclusive
• Commitment to development
• Excellent communication skills
• Strong Microsoft office skills
• Excellent record keeping
• Excellent time management
• Able to work autonomously

Desirable

• Leadership skills
• Flexibility to learn new IT systems
• Familiarity with MS Teams
• Able to bring fresh ideas
• Flexibility over job role and responsibilities as things evolve

Qualifications

Essential

• GMC Registered,
• Qualified General Practitioner (MRCGP or equivalent)
• Currently on a performers list.

Desirable

• GP trainer
• Desire to become a GP trainer
• LARC insertion Trained

Knowledge and skills

Essential

• NHS system.
• Challenges facing NHS.
• Vulnerable groups and how to support them.

Desirable

• QOF & Enhanced Services.
• GP Networks/Federations;

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).