Due to retirement, our community orthopaedic clinical assessment service is looking for a specialist GP with experience of orthopaedics and MSK to join the team. The post is for 1-2 days a week (2-4 sessions), working in a community setting within Medway and/or Swale. You will work alongside a large group of senior AHP staff from a range of professional backgrounds. You will contribute to the triage, clinical assessment, pathway management and treatment of patients.
You will need experience of peripheral joint and soft tissue injections and a willingness to learn or complete ultrasound guided injections and basic diagnostic screening.
Main duties of the job
* To offer high quality, complex MSK assessment to the population of Medway and Swale
* To practice in accordance with the GMC's code of professional conduct and within the local policies and pathways of Medway community healthcare
* Have a lead role in the development, implementation and evaluation of the clinical elements, acting as an expert MSK resource.
* To provide clinical leadership to other practitioners (eg nurses or other advanced practitioners) to ensure OCAS offers a safe, quality service to patients at all times
* To provide clinical supervision for other staff members and act as the lead prescribing clinician within the team.
About us
So what else?
This is your chance to join a progressive and innovative service in a social enterprise that is patient and staff focused - you'll even have the opportunity to become an MCH shareholder.
We encourage staff to get involved in exploring new ways of working and service development.
We'll provide well established, in-service training, one to one supervision, and appraisals with regular support.
You'll be able to develop your skills in a friendly and supportive team.
Would you like to work flexibly? In the NHS, we are reminded every day of how important work life balance is. As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us, for our patients and for you. Speak to us about how we might be able to accommodate a flexible working arrangement.
The small print
* Informal visits can be arranged on request.
* We will offer you the choice of two pension schemes; the NHS Pension scheme and the Scottish Widows group pension scheme.
MCH encourages all staff to be double COVID vaccinated to protect themselves, their colleagues, their family and their patients.
Job responsibilities
1. Knowledge, training and experience
* Ability to liaise effectively and collaboratively with a multi-disciplinary team.
* A medical practitioner currently practising within primary care.
* Holder of vocational training qualification in general practice and evidence of special interest in MSK medicine.
* Good IT knowledge and skills are required as the practice is fully computerised, and previous experience of an electronic patient record clinical system is essential.
* Responsibility for ensuring continuing professional development in line with current research and evidence-based practice.
* Excellent communication and interpersonal skills with the ability to form a therapeutic rapport with patients and to interact with and motivate staff from diverse backgrounds, in both verbal and written formats.
2. Analytical and judgement skills
* To undertake the comprehensive highly specialist assessment and differential diagnosis of spinal and peripheral MSK conditions including those with diverse or complex presentation, multi-pathology and co-existing psychological conditions.
* To appropriately request investigation and interpret results including imaging e.g. x-ray, ultrasound, MRI and biochemistry, haematology tests to assist in the formation of a diagnosis and management plan.
* Interpret and analyse clinical and non-clinical data to formulate accurate differential diagnoses.
* To use advanced analytical and clinical reasoning skills, interpretation of test results to and transfer care onto Orthopaedic consultants and/or refer on to another appropriate services.
* To assess patient understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework.
* To analyse a variety of information from both clinical assessment and diagnostic tests to write up specialist programmes of care and reports.
* Using clinical judgement to refer onto other professionals e.g. consultant rheumatologists, neurologists, neurosurgeons, for opinions, operations and further specialist management.
* To re-evaluate the patient condition which may change as a result of pathological processes, growth, maturation, aging and the effects of treatment.
* Post holder will advise less experienced members of staff on best practice and treatment plans to follow.
* Post holder will be involved in the assessment of staff competency, facilitating supervision of non-medical prescribing and injection therapy skills.
* To be responsible for the diagnosis and care planning of complex MSK presentations.
* To understand complex presentations and information and use judgement skills to formulate solutions, recommending / deciding on the best course of action / treatment.
3. Responsibility for patient/client care
* Develops specialist programmes of care following an advanced clinical assessment of patients with complex musculoskeletal presentations.
* To undertake injection therapy for patients (peripheral joints and soft tissue) ideally this would include the ability to complete guided injections under ultrasound.
* To review and make appropriate prescribing decisions within the remit of the service i.e. managing pain and MSK conditions.
* To adhere to the local clinical pathways, and to work within the prescribing formulary taking account of the minimum recommended length of prescribed treatment.
* To maintain a high degree of clinical knowledge and skill, supported by evidence based practice.
* To be responsible for following up all diagnostic tests requested and determining a suitable care plan based on results and the initial assessment.
4. Responsibility for policy and service development implementation
* The post holder will be responsible for development and implementation of policy and/or services improvements as required within MSK services. This will include making recommendations to decision makers and wider system partners when appropriate.
* To ensure they adhere to organisational policies and professional body guidelines.
Person Specification
Knowledge
* Qualified doctor with experience of MSK medicine
* Knowledge of local referral MSK pathways
Skills
* Injection therapy trained and competent in peripheral joint and soft tissue techniques
* Able to perform US guided injections
Experience
* Experience of managing complex MSK presentations including chronic and acute conditions
MCH values
* Good understanding of MCH values
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.
Head of Service Adult Therapy & Community
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