GP in Weekday Professional Line / Clinical Co-ordinator role
We are recruiting into our Weekday Professional Line Service to provide maternity leave cover. The role requires Clinical Coordinator work on alternate weeks.
As this position is covering two roles, please ensure your application reflects the duties and essential criteria for both roles.
Main duties of the job
* Demonstrate shared clinical decision-making and critical thinking to agree on a patient-centred plan, aiming to support community management wherever possible, particularly for patients with terminal illness and/or advanced frailty.
* Provide medical advice and support to community clinicians who are working to maintain management of adult medical patients in the community, signposting to specialist input and community management pathways if required.
* Seek specialist advice when required to support admission avoidance.
* Facilitate urgent/same-day hospital referral via the most appropriate hospital pathway.
* Telephone assessment and management of a small number of dispositions/cases referred from NHS111 during the day, including accidental toxic ingestions and people aged 85 years with unclear needs.
* Remote clinical assessment of patients who, without clinical input, would otherwise be directed to a Category 3/4 ambulance or Emergency Department, alongside System CAS colleagues.
* Provide clinical advice and support to clinicians, which may include (but is not limited to) prescribing support, risk holding, managing uncertainty, complexity and live safeguarding concerns, and appropriate referral pathways.
* Provide advice and support to the operational Severnside Shift Manager where needed, in conjunction with the operational and clinical support structures.
* Review cases put through for appointments or home visits by triaging clinicians in out of hours prior to booking.
About us
By joining BrisDoc, you will be part of a multi-disciplinary organisation that prides itself on being a fantastic place to work, where you will feel truly valued and part of a family. BrisDoc supports colleagues to grow and develop in their roles in order to deliver high-quality patient care across all our clinical services. We strive to ensure every member of the team feels proud of the work they do and the services we provide together.
As an employed member of the BrisDoc team, you are also a BrisDoc co-owner and will be able to contribute to the decisions we make to benefit our patients, workforce, and the wider community. This includes seeking to continuously improve the healthcare we provide for patients, while protecting our environment, nurturing our staff, and making a meaningful contribution to the communities we serve. The BrisDoc 'Community Fund' is a staff-led team that works closely with health-based charitable causes, both local and international, to invest time and money to improve lives in disadvantaged communities.
Job responsibilities
Assess and manage the full breadth of clinical presentations and age groups that present in the urgent primary care setting, including physical and mental health needs.
Take telephone referrals from Health Care professionals within the BNSSG area for appropriate adult medical admissions whilst being sensitive to the capacity issues of the hosting acute trust.
Demonstrate excellent communication skills with referring HCPs, in order to build positive relationships so that alternative management ideas can be discussed without confrontation.
Gain familiarity with the other urgent care services available in the BNSSG system, and how to access these for patients.
Undertake clinical work by telephone +/- video, consulting with patients and/or their representatives and healthcare professionals in the community to appropriately assess the current concerns, establish an appropriate differential diagnosis and management plan.
Support community management wherever possible, but be able to recognise serious illness and emergency situations requiring admission and/or an ambulance response.
Prescribe appropriately for the urgent primary care context, including initiating and changing end-of-life medications.
Document the key findings from assessments, such that the notes provide appropriate detail to log the assessment at the time and support other clinicians who may be involved later in the patient's journey.
Seek clinical advice from the senior GP on shift (the Clinical Coordinator) when required to support clinical decision-making and access to appropriate services.
Buddy with new clinicians working their first shift in the Severnside service, as required, to support them to become familiar with the systems and processes following induction.
Contribute to on-call clinician rotas at times of peak demand.
Use all IT systems required for safe clinical work in IUC, including the clinical systems (Adastra, PACS, and EMIS), and resources available to support clinical decision-making (the Clinical Toolkit, BrisDoc weblinks, Remedy).
Be proactive about identifying and reporting concerns and incidents, to support continued learning and improvement in the service provided to patients.
Person Specification
Qualifications and Training
* Full registration with GMC GP register.
* Inclusion on NHS England's Performer's list.
* MRCGP or Certificate from the Joint Committee on Postgraduate Training for General Practice.
* Higher post-graduate membership/qualification e.g., MRCP/MSc.
* Experience in training, clinical supervision, or coaching.
Knowledge and experience
* Actively working in General Practice or some form of community medicine or IUC service.
* Effective multidisciplinary team working as part of current or recent primary care experience, either in practice or IUC, or both.
* Experience and interest in working across urgent primary care settings.
* Experience of teaching Medical Students.
* Experience of GP Training/Clinical supervision.
* Acute/general medical experience.
* Previous experience working as a GP in the Severnside IUC service (OOH or WDPL) and/or the System CAS.
Skills
* Urgent primary care experience and strong consultation skills, including ability to navigate complexity, person-centred and shared decision-making, and hold risk and uncertainty.
* Proactive approach to supporting urgent care in the community and admission/hospital avoidance.
* Flexible approach to working pattern and location according to service need.
* Familiarity with Adastra EMIS computer systems.
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.
£84,975.17 to £147,734.78 a year per annum pro rata of shifts worked.
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