GP with an Interest in Frailty (Scarborough Virtual Frailty Ward)
The GP will provide evidence-based, comprehensive, person-centred, and individualised medical care for older people, working as part of a multidisciplinary team within community settings across Scarborough, Ryedale, and Whitby community. This will include patients referred to the Virtual Ward and across other community services, including the Urgent Community Response Service, as part of holistic patient clinical pathway management.
Main Duties of the Job
Predominantly a face-to-face role based in Scarborough at The Prospect Hub (Scarborough Extended Access Hub) with visits in the surrounding Scarborough, Whitby & Ryedale area. The clinician will be responsible for making autonomous clinical decisions, assessing the complex needs of patients on the Virtual Frailty Ward, and will be responsible for the clinical management plans for the patients with opportunities for involvement in service development with the clinical lead as appropriate.
The post holder will work as part of a multidisciplinary team, which includes Consultant Geriatricians, GPwERs, nurses, therapists, social care, the third sector, and care home staff, to deliver high-quality care and support for older people within the community, including completion of a Comprehensive Geriatric Assessment where clinically indicated.
The post holder will be expected to work autonomously but will also have supervision and clinical mentoring provided, as well as engage in peer supervision.
About Us
Nimbuscare is a not-for-profit organisation that aims to be a collaborative and agile provider that cares for its people and patients. Nimbuscare is based in York and is owned by all the practices in the city; however, we deliver services over a wider footprint.
We deliver urgent care services in collaboration with the hospital and GP practices in York, Scarborough, Whitby, Malton, and Selby. We also provide community-based frailty care, which focuses on treating people in the community where we can. We aim to shift services into the community where possible, for example, our community diagnostic centres run in partnership with the Acute Trust.
Nimbuscare is committed to improving the diversity of its workforce to better reflect the communities we serve. We welcome applications from everyone and work to promote an inclusive supportive culture that values and celebrates our differences.
As a Disability Confident Committed employer, disabled applicants who meet the essential criteria for this job are guaranteed an interview.
Please note Nimbuscare does not hold a license to sponsor any visa applications and we are unable to provide any advice about visas.
Job Responsibilities
Salary: £80,000 FTE negotiable based on experience
Location: Predominantly a face-to-face role based in Scarborough at The Prospect Hub (Scarborough Extended Access Hub) with visits in the surrounding Scarborough, Whitby & Ryedale area.
Roles and Responsibilities
Communication
* To communicate complex information regarding personal, psycho-social problems in an empathic and supportive way. This will involve using a range of developed interpersonal skills in situations that can be emotional, and or antagonistic and require a satisfactory outcome, e.g. impact of diagnosis.
* To be able to communicate with all health and social care professionals verbally, and through written and electronic platforms, to ensure effective, responsive, and safe patient care.
* The post-holder should recognize the importance of effective communication within the team and will strive to:
o Communicate effectively with other team members.
o Communicate effectively with patients and carers.
o Recognize people's needs for alternative methods of communication and respond accordingly.
o Communicate with wider MDT including patient's own GP practice.
Clinical Responsibilities
* To have confidence and abilities in providing holistic assessments and management plans and making sound clinical decisions with confidence to escalate when needed.
* The post holder will significantly contribute to advance care planning and Treatment Escalation Plans through completion of CGAs & ReSPECT forms, for patients within their clinical care.
* The post holder will be expected to practice within the policies, procedures and guidelines of the organization and service, and national bodies such as NICE, The Royal College of General Practice.
* S/he must practice within the ethical boundaries of Good Medical Practice as laid down by the GMC.
Operational, Governance and Delivery
* Proficient in using relevant IT systems including SystmOne, Microsoft programmes and remote clinical tools.
* The post holder will be responsible for the development and safe storage of person-centred health care assessments, plans, and electronic care records. The post holder may also be responsible for managing and safe storage of electronic staff records, for example, clinical supervision records.
* Maintain up-to-date statutory & mandatory training and CPD.
* Awareness and compliance with all relevant guidelines e.g. data protection, confidentiality, and health and safety.
* Maintain current CPR and anaphylaxis certification and child/adult safeguarding training in line with local policies.
* Complies with all relevant clinical governance and Practice policies and protocols.
* Records data in patient records systems promptly and accurately and to agreed standards.
* Ensures appropriate use of read codes.
* Contributes to the evaluation/audit and clinical standard setting with colleagues.
* Ensures that the complaints process is adhered to at all times.
* Fully participates in training and development, meeting any, and all, requirements of any courses funded or part-funded by the service.
* Responsible for health and safety of themselves and others and for reporting and actively co-operating in Health and Safety Policies and procedures.
* Attends in-house meetings, significant event audit meetings and other meetings as deemed necessary.
Responsibilities for Patient Care
* Making professionally autonomous decisions in relation to presenting problems, whether self-referred or referred internally within the Practice.
* Conduct virtual or face-to-face appointments with patients on home visits or via telephone/online mechanisms.
* Undertakes triage calls, triage visits, checking and signing of repeat prescriptions and dealing with queries, paperwork, and correspondence in a timely fashion as required.
* Compiles and issues computer-generated acute and repeat prescriptions, prescribing in accordance with the ICB prescribing formulary whenever this is clinically appropriate.
* Admits or discharges patients to and from caseload and refers them to other care providers internally and externally as appropriate and in line with practice protocols.
* Assists in the establishment of appropriate systems to manage common chronic medical conditions.
Summary
This job description is an outline of the key tasks and responsibilities of the post and the post holder may be required to undertake additional duties appropriate to the pay band. The post may change over time to reflect the developing needs of the service, as well as the personal development needs of the post holder.
This list of duties is not exhaustive.
Person Specification
Qualifications
* Full and current unrestricted GMC (UK) registration on the GP Register.
* Up to date knowledge of all the latest guidelines and evidence in older people's medicine.
* Understand the importance of evidence-based practice and clinical effectiveness.
* Understanding of clinical governance.
* Sound clinical knowledge.
* Ability to use the evidence base and clinical audit to support decision-making.
* A postgraduate qualification in older people's care, e.g. Diploma Geriatric Medicine (or willing to work towards).
* Experience of working with a variety of clinical software systems.
Experience
* High level of clinical skills.
* Successfully completed General Practice Specialist Training.
* Appropriate range of previous experience in hospital posts.
* Clinical and Information Governance.
* Ability to teach clinical skills to medical and nursing staff and other disciplines.
* Interest in research.
* Desirable to have completed at least 2 years of GP specialist training.
* Experience of working with a variety of clinical software systems.
* Experience of working within a Virtual Ward service or within urgent community response care.
Skills and Competencies
* High level of communication skills.
* Good organisational skills.
* IT competency.
* Ability to make good clear concise medical notes, both computerised and manual.
* Able to work under pressure and within an ever-changing environment.
* Ability to motivate and develop the multi-disciplinary team.
* Organised and efficient in record keeping and completion of paperwork.
* Time management being able to prioritise work and work under pressure.
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.
£80,000 a year FTE- Negotiable based on experience.
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