Salaried GP

Job responsibilities

Job Summary:

A Salaried GP works as an autonomous practitioner, responsible for the provision of medical services to the practice population, delivering an excellent standard of clinical care while complying with the contract. Furthermore, the post-holder will adhere to the GMC standards for good medical practice, contributing to the effective management of the practice, leading by example, maintaining a positive, collaborative working relationship with the multidisciplinary team. The role is to support, mentor, and supervise other healthcare professionals within the organisation and be an integral part of the general practice team.

Generic Responsibilities:

Equality, Diversity and Inclusion

A good attitude and positive action towards Equality Diversity & Inclusion (ED&I) creates an environment where all individuals can achieve their full potential. Creating such an environment is important for as it improves operational effectiveness, it is morally the right thing to do, and it is required by law. Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued, and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.

Safety, Health, Environment and Fire (SHEF)

The organisation is committed to supporting and promoting opportunities for staff to maintain their health, wellbeing and safety. The post-holder is to manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients and monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.

All personnel have a duty to take reasonable care of health and safety at work for themselves, their team and others and to cooperate with employers to ensure compliance with health and safety requirements.

All personnel are to comply with the:

Health and Safety at Work Act 1974

Environmental Protection Act 1990

Environment Act 1995

Fire Precautions (workplace) Regulations 1999

Other statutory legislation which may be brought to the post holders attention

Confidentiality

The organisation is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They have a right to expect all staff will respect their privacy and maintain confidentiality at all times. It is essential that, if the legal requirements are to be met and the trust of our patients is to be retained, all staff must protect patient information and provide a confidential service.

Quality and Continuous Improvement (CI)

To preserve and improve the quality of this organisations outputs, all personnel are required to think not only of what they do but how they achieve it. At this organisation, we continually strive to improve work processes which deliver healthcare with improved results across all areas of our service provision. We promote a culture of continuous improvement where everyone counts, and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care. Staff should interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice. All staff are to contribute to investigations and root cause analyses whilst participating in serious incident investigations and multidisciplinary case reviews.

Learning and Development

The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competences to perform their role. All staff will be required to partake in, and complete mandatory training as directed. It is an expectation for this post-holder to assess their own learning needs and undertake learning as appropriate. The post-holder will undertake mentorship for team members and disseminate learning and information gained to other team members to share good practice and inform others about current and future developments. The post-holder will provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.

Collaborative Working

All staff are to recognise the significance of collaborative working and understand their own role and scope and identify how this may develop over time. Staff are to prioritise their own workload and ensure effective time-management strategies are embedded within the culture of the team. Teamwork is essential in multidisciplinary environments, and the post-holder is to work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working and to work effectively with others to clearly define values, direction and policies impacting upon care delivery.

Managing Information

All staff should use technology and appropriate software as an aid to management in the planning, implementation and monitoring of care and presenting and communicating information. Data should be reviewed and processed using accurate SNOMED codes to ensure easy and accurate information retrieval for monitoring and audit processes.

Security

The security of the organisation is the responsibility of all personnel. The post-holder must ensure they always remain vigilant and report any suspicious activity immediately to their line manager. Under no circumstances are staff to share the codes for the door locks with anyone and are to ensure that restricted areas remain effectively secured. Likewise, password controls are to be maintained and are not to be shared.

Primary Key Responsibilities:

a. The delivery of highly effective medical care to the entitled population

b. The provision of services commensurate with the primary care contract

c. To clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly referring patients to other services/agencies in a timely manner, utilising Practice and any other local guidelines

d. To provide routine, on the day and on-call appointments/ledgers

e. Generic prescribing adhering to local and national guidance

f. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care

g. Effective management of long-term conditions

h. To support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care

i. Processing of administration in a timely manner, including referrals, repeat prescription requests and other associated administrative tasks

j. Review medications following the appropriate policies, NICE/local clinical guidelines and local care pathways

k. Maintain accurate clinical records in conjunction with good practice, policy and guidance

l. Work collaboratively, accepting an equal share of the practice workload

m. Adhere to best practice recommended through clinical guidelines and the audit process

n. Support the delivery of anticipatory care plans

o. Contribute to the successful implementation of continuous improvement and quality initiatives within the practice

p. Accept delegated responsibility for a specific area (or areas) or the QOF

q. Attend and contribute effectively to practice meetings as required

r. Contribute effective to the development and maintenance of the practice including clinical governance and training

s. Be aware of your duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children

t. Ensure compliance with the appraisal process

u. Prepare and complete the revalidation process to remain fit to practice

v. Commit to self-learning and instil an ethos of continuing professional development across the practice team

w. Review and always adhere to practice protocols and policies

x. Encourage collaborative working, liaising with all staff regularly, always promoting a culture of continuous improvement

y. To be an integral part of the general practice team as well as supporting the wider network and multi-disciplinary team

z. There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels

Wider Responsibilities:

a. Participate in the spectrum of clinical governance processes

b. Participate in formal training events promoting best practice in area of expertise. Provide leadership and education for members of the multi-disciplinary team, providing guidance and support when necessary

c. Participate in local initiatives to enhance service delivery and patient care

Experience

Essential

• Ability to both work autonomously and as part of a multi-disciplinary team
• Experience of working in a primary care environment
• Experience of providing home visits
• Minimum of two years as a salaried GP
• General understanding of the primary care contract
• Proven ability to evaluate the safety and effectiveness of own clinical practice

Desirable

• An appreciation of the NHS landscape and relationship between individual organisations, PCNs and the commissioners

Clinical Knowledge and Skills

Essential

• Outstanding level of clinical knowledge and skills commensurate with that of an experienced GP
• Understanding of the importance of evidence-based practice
• Good MS Office and clinical system IT knowledge
• Understanding of the spectrum of clinical governance processes
• Excellent communication skills (written and oral) including recording of accurate clinical notes
• Ability to work within own scope of practice and understand when to refer to GP colleagues
• Ability to work within own scope of practice and understand when to refer to GP colleagues
• Experience of triage and the ability to effectively assess and diagnose
• Ability to listen whilst being honest and caring and be both sensitive and empathetic in distressing situations
• Understanding of the local pathology tests processes and the ability to processing the results with advising patients accordingly
• Ability to assess and manage acute deteriorations/exacerbations of long-term conditions
• Understanding of safeguarding adults and children
• Understanding of the importance of evidence-based practice

Desirable

• Knowledge of health promotion strategies
• Experience of medicines management
• Knowledge of public health issues in the local area
• Understanding and knowledge of QOF and enhanced service

Eligibility

Essential

• Full GMC registration
• Performers List registration noting that confirmation on this list is adequate for DBS confirmation
• Appropriate defence indemnity
• Evidence of current validation
• Evidence of last appraisal
• Eligibility to practice in the UK independently

Qualifications

Essential

• Qualified GP
• MRCGP
• Vocational Training Certificate or equivalent JCPTGP
• Certificate of Completion of Training (CCT)

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).