About Us: The Confederation, Hillingdon CIC works with general practice and other healthcare providers in Hillingdon to deliver high quality clinical services to patients. Our aim is to improve care for patients by working collaboratively across primary care and our partners as part of the Integrated Care Partnership. The Confederation team also work to develop and support individual GP practices, PCNs and Neighbourhoods and their changing needs. We are ‘of the NHS’ but independent, innovative and transformational. General capacity across primary care is being expanded rapidly. The Confederation is determined to develop as an attractive place to work that provides rewarding roles and opportunities to grow in order to attract and retain great staff that in turn provides the highest quality care. Our Values: Job Summary: The Salaried GP role is an essential member of the clinical team with the Same Day Urgent Care Service and /or Extended Access Service. You will provide high quality clinical care to the patients attending the services, dealing with a diverse range of health needs. You will be part of a team providing a friendly and professional service, in a CQC rated good organisation. This will include, but is not limited to, surgery and telephone consultations, administration, complying with the Confederation contracts, and the education and training of junior/trainee clinical staff. This role is expected to be a minimum of 8 hours per week on site but more hours are available, depending on the needs of the service and individual. The role has opportunity for personal development as well as support other clinical areas within the confederation as needed. Primary Responsibilities: Provide high quality consultations to patients in Hillingdon Work with the operations team and Service Clinical Lead to ensure the provision of high quality care Work with the Clinical Lead to ensure the clinical safety of the service by provide clinical updates/training/incident reviews when appropriate. Complete and provide the analysis of clinical audits as requested by the clinical lead or COD. Practise evidence-based medicine, in line with national and locally agreed guidelines Conduct patient consultations during the service clinical appointment hours Undertake telephone and face to face consultations as required, Prescribe in line with local and national guidelines Refer patients to secondary/urgent care and additional interventions as appropriate Manage long-term conditions and patients with complex problems Promote healthy living strategies and give health and wellbeing advice, generally encouraging patients to follow a healthy lifestyle Carry out patient testing and screening as required Make autonomous clinical decisions relating to patients’ health needs Communication with patients Use communication that is appropriate to the situation, including: Communicating sensitively with patients and carers when delivering bad news Establishing appropriate communication methods to suit patients’ and carers’ level of understanding, cultural/language needs, and preferred communication method Anticipating and overcoming barriers to communication, seeking support from other staff members where necessary Use appropriate communication skills and style to make patients aware of risk, to obtain consent where necessary, and to ensure patients comply with treatment Delivering high-quality services Provide services to the practice’s patient population to the highest possible standard, in line with competencies and professional code of conduct Monitor and maintain the standard of care provided, taking appropriate action if standards are not met, through self- and peer-review, benchmarking and evaluation Undertake clinical governance and clinical audit activities to ensure the continual improvement of service delivery Participate in reviewing and responding to complaints, significant events, and other shared learning activities within a structured framework Support and mentor staff in training to ensure they deliver the highest standards of care Support the performance of team members and collaborate in improving the quality of healthcare and service provision, in line with local and national policy and strategy Work within the service legal framework for identifying vulnerable patients and applying policies relating to treatment of vulnerable patients Primary Responsibilities – Non-Clinical Service-related duties Process medical reports, referrals and correspondence Record and collect data for audit purposes Make timely, clear, computer-based records of consultations and contact with patients Maintain administrative records relating to the practice contract, enhanced services and QOF Contribute to providing a supportive environment for other staff through informal catch-ups and contact Attend and contribute to in-house meetings, including clinical, educational/training-related and administrative meetings Attend meetings and events held by external agencies and stakeholders Contribute to teaching and training clinical staff as appropriate Personal and professional development Comply with the GMC Code of Conduct Prepare for and complete annual external appraisals Prepare for and complete revalidation process Act as a mentor and positive role model to students and junior members of staff, sharing information and good practice Prioritise own workload and collaborate effectively with others to prioritise team and practice workload Keep a portfolio and potentially develop a special interest Undertake training as required to ensure competencies for delivering all responsibilities, to meet personal, statutory and practice education and learning needs, including keeping records of learning, reflection, complaints and feedback Keep up to date with current evidence-based approaches to patient care and service delivery, in line with NICE and the National Service Framework Undertake and contribute to education activities, such as reviewing significant events, clinical audit, protected learning time, video analysis of consultations, etc Contribute to education and training of trainee clinical staff and students Partner Relationships: Work to deliver effective and safe care and liaise with GP practices, community services, and secondary care to ensure patients have a good and effective experience of services and care. Other GPs Clinical service lead Service nursing team Clinical staff in training Service management team Reception and administration staff Patients Patients’ carers and family members Community nursing and pharmacy teams Social workers Occupation therapy teams Pharmacists CCG managers and staff Other external agencies and stakeholders Secondary care Service Development: Make recommendations and support the development of the service and to develop it in terms of quality, efficiency, patient experience, and scale; must including continual quality improvement processes. Governance: Ensure ongoing good governance and delivery of the service reporting incidents and being part of clinical audits The Confederation To always act to support and protect the reputation, safety and sustainability of the Confederation. Meetings To be available to attend internal team meetings as needed Other To be adaptable and flexible to wherever possible cover ad hoc duties as they arise and are necessary to be completed. To work and apply oneself in the best interests of primary care provision in Hillingdon. To bring the skills, knowledge and experience they have personally attained and apply them within the clinical operations to the best of their ability and to the interests and duties listed above. To contribute to generally in terms of values, behaviours, and attitudes so that the leadership of the team demonstrates the values the Confederation seeks to represent and uphold Health and Safety/Risk Management: The post-holder must always comply with all local Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System. The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990). Equality and Diversity: The salaried GP will comply with the confederations own equality and diversity policy, and legislation relating to equality and diversity, including (but not limited to): Recognising the rights of patients, carers, family members and colleagues, and respecting their needs, beliefs, privacy and dignity Not discriminating against patients, carers, family members or colleagues on the grounds of any of the protected characteristics in the Equality Act 2010 (or its amendments or later legislation) Supporting people who need help understanding and exercising their rights Acting as a role model in relation to promoting equality, diversity and non-discriminatory practices Identifying discriminatory practices and patterns of discrimination, taking appropriate action to tackle it, and instead promoting equality Complying with, promoting and evaluating chaperoning policies Recognising and promoting the right of patients to choose their care provider, and to participate in or refuse care Patient Confidentiality: The post holder must always respect patient confidentiality and, in particular, the confidentiality of electronically stored personal data in line with the requirements of the General Data Protection Regulation and in keeping with Hillingdon Primary Care Confederation Information Governance Policy and procedures. The post holder should not divulge patient information unless sanctioned by the line manager and required for the role. Communication & Working Relationships: The post-holder will always establish and maintain effective communication pathways with internal and external team members, document notes well and ensure a smooth patient pathway. Special Working Conditions: The post-holder is required to travel independently between sites (where applicable), and to attend meetings etc. hosted by other agencies. Job Description Agreement: This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post-holder commensurate with the position. This description will be open to regular review and may be amended to consider development within The Confederation. All members of staff should be prepared to take on additional duties or relinquish existing duties to maintain the efficient running of the service or function. This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder. Person Specification Essential Criteria GMC Registration Qualified GP Extensive experience in urgent care clinical services Extensive experience of virtual clinical consultations Ability to plan, co-ordinate and deliver programmes of work on time and to a high standard Excellent organisational skills with an attention to detail and an ability to finish tasks completely and to a high standard Ability to keep full, accurate and up to date records to a high standard Ability to assimilate information quickly and make clear and effective decisions under pressure Excellent communication skills, written, verbal and listening – explaining, promoting, listening, learning, to / at all levels of the healthcare system Ability to motivate and engender trust and team identity In depth user knowledge of EMIS Desirable Criteria Extensive experience of working in primary care in Hillingdon