Job summary Join our diverse and dynamic team to drive better care at the interface between the hospital and community. We have availability in a front door clinical role with the opportunity to develop skills and drive development of future healthcare. The Acute GP Service is based on the Medical SDEC (Same Day Emergency Care) Unit and works alongside acute physicians to support access to urgent care for people with medical problems. We link with community GPs, SWASFT and community services to facilitate hospital admission and alternatives to hospital care. We provide clinical cover for our Integrated Virtual Ward to provide high quality, patient-centred care in the comfort of their own homes, reducing hospital admissions and length of stay in hospital and enhancing overall well-being through enhanced care co-ordination. This can involve working within a Livewell Community Hub. This role maximises the impact of skilled GPs with the ability to deliver holistic and flexible care, accessing the resources of the acute hospital with opportunity to promote mutual learning and understanding. We use the SystmOne clinical system to coordinate care. The roles include paid non- clinical time and an expectation to participate in governance activity. We provide a 7 day service with the aim of the unit opening from 08:00 - 23:00 hrs, 7 days a week. We are looking for 3 WTE Acute GPs. We are happy to consider part time and job share. Half and full day sessions available. Main duties of the job Taking referrals from clinicians in the footprint of the acute hospital for a variety of specialties and appropriately exploring the request for admission from those clinicians Taking an active part in accepting referrals and communicating with the Emergency Department Taking an active role in accepting referrals and providing clinical management for Integrated Virtual Ward patients. Appropriately redirecting the patient if admission is not required by taking all relevant details and facilitating appropriate care elsewhere Clear intended management plan for the patient once a referral has been accepted, and agreeing the onward care plan Offering an on-site assessment facility for selected patients where they may require further investigation and diagnostics The GP would take a history, perform an initial examination and request any pertinent diagnostic tests, following which if admission was required, the relevant information would be passed to the receiving clinical team Communicating with other members of the MDT and planning for discharge at the point of admission Maintaining high clinical standards Maintain a professional image of the organisation Work with colleagues to improve non-elective care pathways in the hospital Working with colleagues to develop new pathways of care within the community as alternatives to hospital admission Contribute to the development and teaching About us The Medical Same Day Emergency Care Unit (SDEC) is a day assessment unit where University Hospitals Plymouth (UHP) supports delivery of an integrated approach to avoid unnecessary admissions. The Medical SDEC provides same day review and treatment for people with medical problems who do not require hospital admission. We link to community services and general practice to support the interface between primary and secondary care For more information regarding the post please contact Dr Birte Morris, Clinical Lead for Virtual Ward and Acute GP service on birte.morrisnhs.net or Dr Tim Whiter, Deputy Clinical Lead for Acute GP service on timothy.whiternhs.net. Date posted 23 October 2024 Pay scheme Hospital medical and dental staff Grade Doctor - other Salary £125,047 a year pro rata, per annum Contract Permanent Working pattern Part-time, Job share Reference number 216-G2-ACU6707713 Job locations Derriford Hospital Breast Road, Derriford Plymouth PL6 8DH Job description Job responsibilities Working alongside the acute physicians on the Medical SDEC: a dedicated space for patients to be appropriately assessed, close to the Emergency Department and with strong links with health and community services Working alongside the Integrated Virtual Ward team to provide an holistic approach to patient treatment planning and care. Providing a dedicated frailty service enabling multi-professional and inter-agency assessments of needs of people with complex needs and frailty. Support an MDT approach to urgent care to provide a better experience for the patients Deliver advice to enable ongoing care in the community and support discharge from the Emergency Department Support the advanced care team in community Urgent Treatment Centres (UTCs, includes Cumberland, Tavistock and Kingsbridge) to develop and deliver care in line with published guidance Medical SDEC aims to prevent unnecessary hospital admissions and to get patients back home/into the community Reduces unnecessary delays and create better flow Reduces overcrowding in the Emergency Department Support delivery of medical treatment of Ambulatory Care specific conditions Work to develop new pathways to optimise patient experience of same day emergency care Job description Job responsibilities Working alongside the acute physicians on the Medical SDEC: a dedicated space for patients to be appropriately assessed, close to the Emergency Department and with strong links with health and community services Working alongside the Integrated Virtual Ward team to provide an holistic approach to patient treatment planning and care. Providing a dedicated frailty service enabling multi-professional and inter-agency assessments of needs of people with complex needs and frailty. Support an MDT approach to urgent care to provide a better experience for the patients Deliver advice to enable ongoing care in the community and support discharge from the Emergency Department Support the advanced care team in community Urgent Treatment Centres (UTCs, includes Cumberland, Tavistock and Kingsbridge) to develop and deliver care in line with published guidance Medical SDEC aims to prevent unnecessary hospital admissions and to get patients back home/into the community Reduces unnecessary delays and create better flow Reduces overcrowding in the Emergency Department Support delivery of medical treatment of Ambulatory Care specific conditions Work to develop new pathways to optimise patient experience of same day emergency care Person Specification Qualifications Essential Full Registration with the GMC JCPTGP Vocational training certificate or PMETB equivalent Evidence of registration on a CCG GP performer's list Desirable oPostgraduate qualification oPrevious GPwSI accreditation Clinical Experience, Training & Skills Essential oAble to work in a challenging post, within a rapidly developing agenda oAble to work in a multi-disciplinary team committed to innovation and service redesign oAble to work flexibly across professional boundaries oGood verbal and written communication skills oGood interpersonal skills oGood clinical skills in terms of history taking, documentation, clinical examination and use of appropriate investigative resources oCompetent in the use of Microsoft Office and GP clinical systems Desirable oAble to constructively challenge care issues with other professionals, suggest appropriate alternatives to admission and generate and facilitate new pathways of care oAble to insert IV cannulae and take blood samples oAble to interpret blood test, ECG and X-ray results Academic Research Skills/ Teaching Management Essential oExperience of teaching and training other clinical staff Desirable oKnowledge and experience of advanced nurse practitioner training - in particular prescribing module Commitment to Specialty Essential oPrevious experience of managing change oKnowledge of national and local agendas in respect of primary care, commissioning, non-elective and intermediate care. oCommitted to a team approach oCommitted to providing patient-centred care oSelf-motivated oAbility to recognise own limitations, identify learning needs and act on them appropriately oAbility to respect others opinions keeping the patient at the centre of what we do. oCaring attitude to patient and relatives oPragmatic approach to day to day irritations oAble to tolerate stress and manage it appropriately oDetermination to drive change that will improve patient care outside of the currently accepted pathways oAbility to maintain and build relationships across multiple physical and organisational boundaries Desirable oPrevious Accident and Emergency and Acute Medicine experience oWorking knowledge of local alternatives to admission oAn understanding of the how non-elective services are accessed and how they are used by different social groups An understanding of the health needs of a deprived population and how these can be addressed Person Specification Qualifications Essential Full Registration with the GMC JCPTGP Vocational training certificate or PMETB equivalent Evidence of registration on a CCG GP performer's list Desirable oPostgraduate qualification oPrevious GPwSI accreditation Clinical Experience, Training & Skills Essential oAble to work in a challenging post, within a rapidly developing agenda oAble to work in a multi-disciplinary team committed to innovation and service redesign oAble to work flexibly across professional boundaries oGood verbal and written communication skills oGood interpersonal skills oGood clinical skills in terms of history taking, documentation, clinical examination and use of appropriate investigative resources oCompetent in the use of Microsoft Office and GP clinical systems Desirable oAble to constructively challenge care issues with other professionals, suggest appropriate alternatives to admission and generate and facilitate new pathways of care oAble to insert IV cannulae and take blood samples oAble to interpret blood test, ECG and X-ray results Academic Research Skills/ Teaching Management Essential oExperience of teaching and training other clinical staff Desirable oKnowledge and experience of advanced nurse practitioner training - in particular prescribing module Commitment to Specialty Essential oPrevious experience of managing change oKnowledge of national and local agendas in respect of primary care, commissioning, non-elective and intermediate care. oCommitted to a team approach oCommitted to providing patient-centred care oSelf-motivated oAbility to recognise own limitations, identify learning needs and act on them appropriately oAbility to respect others opinions keeping the patient at the centre of what we do. oCaring attitude to patient and relatives oPragmatic approach to day to day irritations oAble to tolerate stress and manage it appropriately oDetermination to drive change that will improve patient care outside of the currently accepted pathways oAbility to maintain and build relationships across multiple physical and organisational boundaries Desirable oPrevious Accident and Emergency and Acute Medicine experience oWorking knowledge of local alternatives to admission oAn understanding of the how non-elective services are accessed and how they are used by different social groups An understanding of the health needs of a deprived population and how these can be addressed 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. Certificate of Sponsorship 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. Certificate of Sponsorship 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 University Hospitals Plymouth NHS Trust Address Derriford Hospital Breast Road, Derriford Plymouth PL6 8DH Employer's website https://www.plymouthhospitals.nhs.uk/ (Opens in a new tab)