You will be required to be immunised in compliance with Green Book and NHS recommendations for your role. Ensuring that you always work within your own competencies and training. Complying with G DOC policies. Observing health and safety guidelines at all times. Any other reasonable duties that may be required from time-to-time.
Clinical responsibilities
In accordance with the Practice timetable, you will make yourself available to undertake a variety of duties including surgery consultations and emergencies, telephone consultations and queries, triaging, visiting patients at home, checking and signing repeat prescriptions and dealing with queries, patient test results, patient medical reports and examinations e.g. insurance companies, on behalf of the Practice, referral letters, and NHS private paperwork and correspondence. Acting Named GP for a share of registered patients proportionate to contracted hours.
Undertaking a share of the clinical and administrative work of the Practice, including pooled clinical admin, QOF, audit, prescribing reviews etc. Making professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation; Recording clear and contemporaneous I.T. based consultation notes to agreed standards; Collecting data for audit purposes as per Practice protocols. Reviewing patients for the purposes of quality improvement and safety.
i.e. MRHA safety alerts and dementia reviews. Prescribing in accordance with locally agreed or national guidelines. Cover for other doctors by reciprocal sharing of correspondence, results and prescriptions for absent doctors.
Other responsibilities with the Practice
Contributing to the teaching and training of trainees, new employees and employees who are undertaking training. Awareness of and compliance with all relevant G DOC policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety, annual QOF Assessment of the Practice. Contributing to evaluation/audit and clinical standard setting within the organisation. Attending training, Practice meetings and clinical meetings and events organised by the Practice, PCN, or other agencies such as the ICB, where appropriate.
Contributing to audits and written returns to ensure that the Practice meets quality standards and receives the designated funding (e.g. Enhanced Services returns, annual QOF audit etc.) Treating colleagues with courtesy and respect. Complying with G DOCs values, and the values of your practice/team.
Confidentiality
Comply with the Confidentiality Agreement.
Health & Safety
Under the Health and Safety at Work Act 1974, you have a personal responsibility to have regard to your own and others safety. You should familiarise yourself with fire exits at all sites where you work, and the action that you should take in the event of a fire. Personal alarms are available from G DOC for all GPs, wherever you are working. Your site induction should cover local procedures for summoning external help.
Please ensure you familiarise yourself with these local procedures. You must comply with site Health and Safety procedures, including those that concern clinical waste, use of hazardous substances, and the use and disposal of sharps. Health and safety hazards should be reported to the Practice Manager. You should dress appropriately and professionally.
To reduce the risk of sharps injuries, shoes should be closed (not open sandals). You must ensure that your car is insured for commuting and home visits. GPs in Gloucestershire have been the victims of serious & sustained stalking and violence. You should not give anyone outside the Practice information about when and where colleagues will be working.
Refer any queries about rotas etc to the Practice Manager or G DOC. Be aware that stalkers may have knowledge of the local healthcare system and sound very plausible.
Equality and Diversity
You will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation; Respecting the privacy, dignity, needs and beliefs of patients, carers, and colleagues.
Safeguarding
Safeguarding is everyone's responsibility. You will: Ensure you are familiar with G DOCs safeguarding procedures. Report all concerns promptly, following the safeguarding procedures. Ensure that you maintain an appropriate level of safeguarding training for your role. Contribute to meetings and other safeguarding processes, as appropriate to your role.
Quality and Patient Safety
You will strive to maintain quality within the Practice, and will: Comply with the General Medical Councils Good Medical Practice. Alert other team members to issues of Clinical Governance issues, quality and risk; participate in Significant Event Analysis reviews. Assess own performance and take accountability for own actions, either directly or under supervision; Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance; Work effectively other agencies to meet patients needs; Effectively manage own time, workload and resources. Avoid working if you are impaired from doing so safely or effectively, for example due to illness.
Avoid working excessive hours that might impair your clinical performance, and ensure that you have sufficient rest between Clinical Sessions. You must not work a daytime clinical session for G DOC if you have worked during the previous night, unless you have had at least eight hours break between the two sessions. Ensure that any necessary handover and follow up arrangements for patients have been made. Include work for G DOC in your appraisal discussions, including any complaints or significant events in which you have been involved, and audit results where provided.
Inform G DOC if you have concerns about a colleague that might affect patient safety. Inform G DOC of any complaints or significant events that have arisen from your work for G DOC, whether in services directly provided by G DOC or for a third party provider. Participate in investigations of any complaints or significant events that have arisen from your work for G DOC in a timely manner, if asked to do so.
Inform G DOC within two working days or before your next Clinical Session (whichever is sooner), if you are under investigation by the General Medical Council or NHS England (e.g. the PAG), an employer or an ICB. Inform G DOC within two working days or before your next Clinical Session (whichever is sooner), if you have any restrictions or conditions imposed on your practice by the General Medical Council or NHS England (e.g. the PAG), or an ICB. Inform G DOC within two working days or before your next Clinical Session (whichever is sooner), if you have been suspended or removed from the National Performers List. Inform G DOC within two working days or before your next Clinical Session (whichever is sooner), if you have been charged with any criminal offence.
Communication
You should recognise the importance of effective communication within the team and will strive to: Communicate effectively with other team members, including through use of email, TeamNet and other agreed communication channels; Communicate effectively with patients and carers; Recognise peoples needs for alternative methods of communication and respond accordingly i.e. signing and use of telephone and face-to-face translators. You will check your NHS email and TeamNet each working day.
Contribution to the planning and implementation of services
You will: Apply Practice policies, standards and guidance; Discuss with other members of the team how the policies, standards and guidelines will affect own work; Participate in audit. Work with colleagues and the management team to achieve standards of quality, performance standards, budgets and targets without compromising levels of patient healthcare. Contribute towards the development and implementation of new standards, policies and procedures that are/will be required of GP Practices now and in the future (as directed by NHS England/ DoH/ ICB/new legislation etc.)
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