Job summary
An exciting opportunity for a GP with a specialist interest to work 2 sessions per week in the Local Gender Service. The Local Transgender Service (LTS) is responsible for the onward medication management of adults referred from the All Wales Transgender Service (AWTS) to Cardiff and the Vale UHB.
The post holder will, in conjunction with other team members, be responsible for the initiation and monitoring of medication regimes as directed by specialists within the AWTS, manging their seamless transition into GMS once stabilised.
Main duties of the job
To provide consultation and appropriate clinical management of patients attending the Local Gender Service. The role will include initiating and optimising hormone treatments in order for patients to be discharged back to their registered GP.
There may also be a requirement to attend relevant team meetings and provide training and education to other members of staff / students and visitors.
To participate in operational and strategic planning for the ongoing development of the service where requested by the Locality Manager/Clinical Board Director
To develop and encourage positive working relationships with local GP practices, housing, social services, voluntary services, drug and alcohol services, mental health, dental, secondary care and all other appropriate departments
About us
Cardiff and Vale University Health Board is one of the largest Integrated Health Boards in the UK, employing over 17,000 staff, providing over 100 specialist services. Working across 6 hospital sites, we have a diverse range of career opportunities to offer. Serving over 500,000 people living in Cardiff and the Vale, we are focussed on the health and care needs of our local population whilst working with our partners to develop regional services. Together we are committed to improving health outcomes for everyone, delivering excellent care and support.
Our mission is "Living Well, Caring Well, Working Together", and our vision is that every person's chance of leading a healthy life should be equal. Our 10-year transformation and improvement strategy, Shaping Our Future Wellbeing, is our chance to work collaboratively with the public and our workforce to make our health board more sustainable for the future.
Job description
Job responsibilities
To provide consultation and appropriate clinical management of patients attending the LTS
To initiate and optimise hormone treatments for patients discharged from the AWGS before their prescribing is transferred to their registered GP
Prescribing in line with C& V UHB Medicines Management guidelines and protocols to ensure safe prescribing and prudent use of resources
The ensure the provision of medication reviews as appropriate and monitoring of repeat prescribing
To establish the patients full history, including completion of mental health assessment
After diagnosis, discuss with patients if they have a particular preference with regards to their transition journey
To ensure patients are provided with advice and information regrading routine general and sexual health screening
To ensure full physical examination has been offered by either the AWGS or LGS
To liaise with Speech and Language and Psychology Services to deliver holistic care for patients
To ensure that when a referral is completed, consideration is given to whether there are any co-existing conditions, mental or physical health issues which need to be taken into account
To provide telephone consultation and appropriate management of patients who contact the service between appointments
To maintain accurate, legible and contemporaneous notes of all patient contacts and contribute to electronic recording and audit as directed
To ensure seamless handover of care through electronic/written format to patients registered GP
To ensure that all medical and other equipment is maintained in good and substantial repair and condition for effective use
To work in line with the Values and Behaviours, policies and procedures of the UHB
To engage in regular appraisals with Locality Manager/Clinical Board Director
Job description
Job responsibilities
To provide consultation and appropriate clinical management of patients attending the LTS
To initiate and optimise hormone treatments for patients discharged from the AWGS before their prescribing is transferred to their registered GP
Prescribing in line with C& V UHB Medicines Management guidelines and protocols to ensure safe prescribing and prudent use of resources
The ensure the provision of medication reviews as appropriate and monitoring of repeat prescribing
To establish the patients full history, including completion of mental health assessment
After diagnosis, discuss with patients if they have a particular preference with regards to their transition journey
To ensure patients are provided with advice and information regrading routine general and sexual health screening
To ensure full physical examination has been offered by either the AWGS or LGS
To liaise with Speech and Language and Psychology Services to deliver holistic care for patients
To ensure that when a referral is completed, consideration is given to whether there are any co-existing conditions, mental or physical health issues which need to be taken into account
To provide telephone consultation and appropriate management of patients who contact the service between appointments
To maintain accurate, legible and contemporaneous notes of all patient contacts and contribute to electronic recording and audit as directed
To ensure seamless handover of care through electronic/written format to patients registered GP
To ensure that all medical and other equipment is maintained in good and substantial repair and condition for effective use
To work in line with the Values and Behaviours, policies and procedures of the UHB
To engage in regular appraisals with Locality Manager/Clinical Board Director
Person Specification
Qualifications
Essential
- Full GMC Registration with a Licence to Practice
- Included on the Welsh Medical Performers List
- Certificate of Completion of Training (CCT) in General Practice/Certificate Confirming Eligibility for General Practice Registration (CEGPR) or equivalent
- Evidence of postgraduate education
- Full Registration on GP Register
Desirable
- Evidence of postgraduate education relevant to the post
Experience
Essential
- 2 years experience
- Vocational GP Training
- Experience of working in General Practice
- Competent in the provision of General Medical Services
- Ability to take independent clinical decisions within sphere of competence and seek advice where required
- Working across other agencies/departments
Desirable
- Experience of managing patients who are considering/requesting gender transitioning
- Familiarity with medication regimes specific to client group
- An understanding of the procedures specific to manging this patient group
Skills
Essential
- Commitment to team approach and multi-disciplinary working
- Counselling and communication skills
- Understanding of clinical risk
- Management and clinical governance
- Ability to recognise where further training/guidance is required to ensure sage practice
- IT skills to enable the use of the electronic patient system and other programmes used in the department
- Safe and effective written and verbal communication
- Ability to draft letters, reports and protocols in a timely manner
- Detailed knowledge of the GMS contract and regulations
Desirable
- Recent experience of conducting audits
- Teaching experience
Person Specification
Qualifications
Essential
- Full GMC Registration with a Licence to Practice
- Included on the Welsh Medical Performers List
- Certificate of Completion of Training (CCT) in General Practice/Certificate Confirming Eligibility for General Practice Registration (CEGPR) or equivalent
- Evidence of postgraduate education
- Full Registration on GP Register
Desirable
- Evidence of postgraduate education relevant to the post
Experience
Essential
- 2 years experience
- Vocational GP Training
- Experience of working in General Practice
- Competent in the provision of General Medical Services
- Ability to take independent clinical decisions within sphere of competence and seek advice where required
- Working across other agencies/departments
Desirable
- Experience of managing patients who are considering/requesting gender transitioning
- Familiarity with medication regimes specific to client group
- An understanding of the procedures specific to manging this patient group
Skills
Essential
- Commitment to team approach and multi-disciplinary working
- Counselling and communication skills
- Understanding of clinical risk
- Management and clinical governance
- Ability to recognise where further training/guidance is required to ensure sage practice
- IT skills to enable the use of the electronic patient system and other programmes used in the department
- Safe and effective written and verbal communication
- Ability to draft letters, reports and protocols in a timely manner
- Detailed knowledge of the GMS contract and regulations
Desirable
- Recent experience of conducting audits
- Teaching experience
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Employer details
Employer name
Cardiff and Vale University Health Board
Address
Butetown Medical Practice
Loudon, Plas Iona, Butetown, Cardiff CF10 5HW
Cardiff
CF10 5HW
Employer's website
https://cavuhb.nhs.wales/ (Opens in a new tab)
