Main tasks/overview of responsibilities:
In accordance with the PCN rota, as agreed, the post-holder will make him/her-self available to undertake a variety of duties including:
1. Surgery consultations
2. Telephone consultations and queries
3. Visiting patients at home
4. Checking and signing/authorising repeat prescriptions
5. Dealing with queries, paperwork, and correspondence in a timely fashion
Making professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation. Assessing the health care needs of patients with undifferentiated and undiagnosed problems. Screening patients for disease risk factors and early signs of illness.
In consultation with patients and in line with current practice disease management protocols, developing care plans for health. Providing counselling and health education. Admitting or discharging patients to and from the caseload and referring to other care providers as appropriate. Recording clear and contemporaneous consultation notes to agreed standards.
Collecting data for audit purposes. Compiling and issuing computer-generated acute and repeat prescriptions. Prescribing in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate. The post-holder will be required to visit patients during surgery time in an emergency if clinically indicated.
The post-holder may undertake a fair percentage of On Call sessions per week as allocated on the practice rota as required and participate in the PCN Enhanced Service hours (Monday to Friday 6:30pm to 8pm and Saturday 9am to 5pm).
Training/Meetings: Attending training and events organised by the practice or other agencies, where appropriate. Participate positively and actively in clinical and practice meetings. The PCN and Practices have a strong ethos around training and development of others; therefore, the successful candidate will be willing and able to support medical students and other training roles.
Patient Management: Create opportunities to address patients' care needs in the most expedient way, taking into account that continuity of care and access to services are often in direct conflict. Encourage patients to be aware of the service pressures within primary care and to manage their expectations of what we can realistically deliver in a manner that is fair and proportionate for all care priorities. Make improved use of the telephone and other technologies.
Encourage patients to rely on face-to-face consultation only where there is a clinical need to do so. Communicate and reassure patients of the need to offer alternative care options where appropriate and safe to do so. To immediately highlight any concerns you may have in respect of safety or quality of patient care to the Clinical Director/Practice Partners/PCN Manager.
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