Job summary The post holder will demonstrate: critical thinking in the clinical decision-making process, work collaboratively with the general practice team to meet the needs of patients, support the delivery of policy and procedures, and provide leadership to the extended primary care team. An understanding of SystmOne and Accurx would be advantageous but not essential as training can be provided. Main duties of the job Clinical Practice Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team. Manage undifferentiated undiagnosed conditions and identify red flags and underlying serious pathology and take appropriate action. Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice. Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person. Complete the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example trainee advanced nurse practitioners and the personalised care roles. About us We are a busy GP Practice, located in North Yorkshire.Our Patient list size is of around 1700 patients currently. We have a team of 3 GPs, 3 Nurses, 1HCA and 4 admin. Date posted 04 April 2025 Pay scheme Other Salary Depending on experience In line with GP salary banding Contract Permanent Working pattern Part-time, Flexible working Reference number A2024-25-0005 Job locations Carlton Road Helmsley York YO62 5HD Job description Job responsibilities Clinical Practice Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team. Manage undifferentiated undiagnosed conditions and identify red flags and underlying serious pathology and take appropriate action. Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice. Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person. Complete the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example trainee advanced nurse practitioners and the personalised care roles Communication Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment. Communicate with and support patients who are receiving bad news. Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating. Anticipate barriers to communication and take action to improve communication. Maintain effective communication within the urgent care service and with GP practices and external stakeholders. Act as an advocate for patients and colleagues. Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate. Delivering a Quality Service The post-holder will strive to maintain quality within the host practice/PCN and will: Alert other team members to issues of quality and risk. 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 with individuals in other agencies to meet patients needs Effectively manage own time, workload and resources. Recognise and work within own competence and professional code of conduct as regulated by the GMC. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures. Prioritise, organise and manage own workload in a manner that maintains and promotes quality. Deliver care according to NICE guidelines and evidence-based care. Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation. Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities. Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required. In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate. Evaluate patients response to health care provision and the effectiveness of care. Support and participate in shared learning across the practice and wider organisation. Use a structured framework (eg root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events. Assess the impact of policy implementation on care delivery. Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance. Leadership Personal and People Development Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model. Support staff development in order to maximise potential. Critically evaluate and review innovations and developments that are relevant to the area of work. Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services. Take a lead role in planning and implementing changes within the area of care and responsibility. Contribute to the development of local guidelines, protocols and standards. Team Working Understand own role and scope and identify how this may develop over time. Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working. Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence. Create clear referral mechanisms to meet patient need. Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team. Work effectively with others to clearly define values, direction and policies impacting upon care delivery. Discuss, highlight and work with the team to create opportunities to improve patient care. Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team. Agree plans and outcomes by which to measure success. Management of Risk Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients. Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines. Apply infection-control measures within the practice according to local and national guidelines. Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all. Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice. Managing Information Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information. Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes. Manage information searches using the internet and local library databases. Understand responsibility of self and others to the practice and Primary Care Trust regarding the Freedom of Information Act. Learning and Development The post holder will participate in any training programme implemented by SHaR PCN and/or the host practice as part of this employment, such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or proffesional development. Taking responsibility for your own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work. Undertake mentorship for more junior staff, assessing competence against set standards. Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (eg courses and conferences). Assess own learning needs and undertake learning as appropriate. Provide an educational role to patients, carers, families and colleagues in an environment that facilitates Safeguarding Our organisation is committed to safe and fair recruitment, safeguarding and protecting those we care for and serve. We have a robust recruitment policy and all our staff are vetted prior to appointment including being subject to a Disclosure and Barring Service (DBS) check. We also take up two satisfactory character references before the individual starts work. Staff are trained and supervised fairly and to a high standard so that they can provide safe, effective, and compassionate care. All staff will receive safeguarding training relevant to their role which is provided by both the practice and external safeguarding professionals. All new staff will be reminded during their induction training program, and subsequent training updates, of their personal, moral and legal roles and responsibilities concerning safeguarding. Our organisation also recognises that safe recruitment is not a on off event but is an ongoing and continual process. We therefore have processes in place to manage any allegations or concerns about any staff member causing, or at risk of causing, harm to others. Job description Job responsibilities Clinical Practice Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team. Manage undifferentiated undiagnosed conditions and identify red flags and underlying serious pathology and take appropriate action. Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice. Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person. Complete the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example trainee advanced nurse practitioners and the personalised care roles Communication Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment. Communicate with and support patients who are receiving bad news. Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating. Anticipate barriers to communication and take action to improve communication. Maintain effective communication within the urgent care service and with GP practices and external stakeholders. Act as an advocate for patients and colleagues. Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate. Delivering a Quality Service The post-holder will strive to maintain quality within the host practice/PCN and will: Alert other team members to issues of quality and risk. 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 with individuals in other agencies to meet patients needs Effectively manage own time, workload and resources. Recognise and work within own competence and professional code of conduct as regulated by the GMC. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures. Prioritise, organise and manage own workload in a manner that maintains and promotes quality. Deliver care according to NICE guidelines and evidence-based care. Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation. Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities. Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required. In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate. Evaluate patients response to health care provision and the effectiveness of care. Support and participate in shared learning across the practice and wider organisation. Use a structured framework (eg root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events. Assess the impact of policy implementation on care delivery. Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance. Leadership Personal and People Development Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model. Support staff development in order to maximise potential. Critically evaluate and review innovations and developments that are relevant to the area of work. Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services. Take a lead role in planning and implementing changes within the area of care and responsibility. Contribute to the development of local guidelines, protocols and standards. Team Working Understand own role and scope and identify how this may develop over time. Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working. Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence. Create clear referral mechanisms to meet patient need. Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team. Work effectively with others to clearly define values, direction and policies impacting upon care delivery. Discuss, highlight and work with the team to create opportunities to improve patient care. Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team. Agree plans and outcomes by which to measure success. Management of Risk Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients. Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines. Apply infection-control measures within the practice according to local and national guidelines. Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all. Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice. Managing Information Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information. Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes. Manage information searches using the internet and local library databases. Understand responsibility of self and others to the practice and Primary Care Trust regarding the Freedom of Information Act. Learning and Development The post holder will participate in any training programme implemented by SHaR PCN and/or the host practice as part of this employment, such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or proffesional development. Taking responsibility for your own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work. Undertake mentorship for more junior staff, assessing competence against set standards. Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (eg courses and conferences). Assess own learning needs and undertake learning as appropriate. Provide an educational role to patients, carers, families and colleagues in an environment that facilitates Safeguarding Our organisation is committed to safe and fair recruitment, safeguarding and protecting those we care for and serve. We have a robust recruitment policy and all our staff are vetted prior to appointment including being subject to a Disclosure and Barring Service (DBS) check. We also take up two satisfactory character references before the individual starts work. Staff are trained and supervised fairly and to a high standard so that they can provide safe, effective, and compassionate care. All staff will receive safeguarding training relevant to their role which is provided by both the practice and external safeguarding professionals. All new staff will be reminded during their induction training program, and subsequent training updates, of their personal, moral and legal roles and responsibilities concerning safeguarding. Our organisation also recognises that safe recruitment is not a on off event but is an ongoing and continual process. We therefore have processes in place to manage any allegations or concerns about any staff member causing, or at risk of causing, harm to others. Person Specification Qualifications Essential Eligible to work in General Practice in the NHS To deal with sensitive information in a tactful way. To be able to demonstrate on-going personal and practice development. To have a facilitative approach. To discuss difficult areas sensitively and diplomatically. Excellent communication skills including verbal, written, face to face and active listening skills. Recognise peoples needs for alternative methods of communication and respond accordingly. Computer skills familiar with the GP based software, Microsoft Word and e-mail Person Specification Qualifications Essential Eligible to work in General Practice in the NHS To deal with sensitive information in a tactful way. To be able to demonstrate on-going personal and practice development. To have a facilitative approach. To discuss difficult areas sensitively and diplomatically. Excellent communication skills including verbal, written, face to face and active listening skills. Recognise peoples needs for alternative methods of communication and respond accordingly. Computer skills familiar with the GP based software, Microsoft Word and e-mail 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. 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. 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 Helmsley Medical Centre Address Carlton Road Helmsley York YO62 5HD Employer's website https://www.helmsleymedicalcentre.co.uk/ (Opens in a new tab)