Trainee GP with Extended Role in Dermatology
Guy's and St Thomas' NHS Foundation Trust
Southwark Community Dermatology is seeking 2 Fixed Term (18 month) part time (1PA and 2PA) General Practitioners with Extended Role in Dermatology to join a dynamic, enthusiastic and forward-thinking team. The department is currently involved in many exciting initiatives and is looking for an individual(s) with appropriate skills to complement this team and help keep the service at the forefront of clinical and academic excellence.
The post holder(s) will be expected to show drive and initiative towards patient care, putting the patient first. He/She should have significant experience in the provision of primary care services and either hold accreditation or be seeking accreditation in dermatology, by completing a dermatology diploma or equivalent training.
This is an excellent opportunity to join a first-class team in an active and progressive community service delivered on the sites of Guy's Hospital and Elm Lodge Surgery.
Main duties of the job
The post-holder will be responsible to Southwark Community Clinic Lead Dr Amr Salam and GPwER Lead Dr Naomi Kemp. The post-holder will be accountable to Dr Stephen Thomas, Clinical Director for Genetics, Rheumatology, Infection, Dermatology, Allergy and Sexual Health SDU.
It is intended that the role of the Community Dermatology Southwark (CDS) GPwERs will be broadly in line with the RCGP 2018 'Guidance and competences to support the accreditation of GPs with Extended Roles (GPwERs)'.
GPwERs will, in conjunction with Kings Health partners and under the auspices of IHL, provide a SEL CCG commissioned clinical service for Southwark GP registered patients with non-urgent dermatological problems that do not fall within the 2-week wait remit. The GPwERs will be closely involved in developing dermatology services for the Southwark population, working closely with local trusts and other clinical networks. They will support the development of local guidelines and assist in the delivery of training and education for local clinicians.
The GPwER will offer 9-10 consultations as a mixture of new, follow-up, and telephone follow-up patients.
Job responsibilities
The role of the Dermatology GPwER
* Offer dermatology consultations for assessment of patients referred into CDS services clinics with the use of dermoscopy as appropriate.
* Offer procedures such as cryotherapy, injections, and surgical intervention as appropriate.
* Arrange investigations, offer management plans for GP implementation (returning patients to GP care) or to offer follow-up (either face to face or as a telephone consultation) or onward referral to secondary care as needed.
* Maintain adequate and timely records of consultations, investigations, prescribing, and procedures using the clinical system (currently EMIS) and its templates and/or a separate database where appropriate (e.g., biopsies).
* Ensure timely review of results with communication of the outcome to the patient or their carer and/or referring clinician as appropriate.
* Complete computerised outcome letters to the referring clinician/patient/carer and liaise with the administration team to ensure that letters reach them.
* Prescribe in line with local dermatology formularies (Southwark/South East London APC/JMF).
* Practise in a way that seeks to comply with the SE London Treatment Access Policy.
* Practise within national 2WW/NICE/IOG/BAD/PCDS/local dermatology guidelines.
* Practise within their competence/acknowledge limitations and decline duties for which they are not qualified. Liaise/seek advice from the community dermatology consultant/GPwER colleagues for optimal delivery of patient care and to address their training needs. It is anticipated that the GPwERs will work alongside or meet with a clinical supervisor face to face/virtual clinic to discuss patients at least monthly.
* Complete relevant activity documentation (by hand or within computer templates as requested) to allow tracking of KPI.
* Complete mandatory training and comply with relevant regulations.
* Handle data/images/patient information in a GDPR compliant manner, e.g., ensuring use of nhs.net email addresses for the transfer of patient-specific information.
* Take reasonable care for their safety and that of others in both actions and omissions. Report and seek immediate advice in the event of a needle stick injury or other injury sustained while delivering care.
* Report significant or near miss events to clinical supervisor and manager (GSTT for clinics in North of CCG, IHL for clinics in South) at the earliest opportunity.
Triage
* Triage incoming service referrals or requests for advice and guidance and offer cover for colleagues in this way during their annual leave/sickness. This will be renumerated separately unless it has been agreed that it forms part of a regular session.
Meetings
* Attend or participate in a regular (initially weekly) brief administrative and clinical meeting with colleagues.
* Support the delivery of dermatology education to referring clinicians who may sit in on clinics, attend educational sessions offered by the service or attend an annual PLT.
* Support the development of dermatology guidelines.
Clinical governance and audit
* Be covered by GSTT indemnity for all activities carried out on behalf of the community dermatology service.
* Comply with IHL's and GSTT's policies and procedures.
* Complete occupational health screening, maintain appropriate immunisation e.g., blood borne diseases, tetanus, polio, and practise in a safe manner.
* Maintain their GMC registration and be on a CCG medical practitioners list offering at least 2 GMS sessions per week; to provide evidence of this and to comply with appropriate standards of conduct.
* Participate in audits of both service provision and clinical practice (surgical audits annually).
* Complete and document their training, CPD, and assessments with a clinical supervisor(s) (usually from within the service) and maintain a reflective patient diary as necessary to achieve RCGP GPwER Dermatology accreditation at the earliest reasonable opportunity (The fee for one GPwER accreditation submission will be paid by the Southwark Community Dermatology service).
* Complete CPD to maintain competent practice as a GPwER dermatology in line with RCGP 2018 Guidance and competences to support the accreditation of GPs with Extended Roles (GPwERs); this may, at different times, be achieved by working alongside a consultant colleague, bringing patients to consultant-led clinics in the community or secondary care, in virtual clinics, by attending the monthly St Johns academy dermatology meeting or Kings complex cases meeting (both Thursday pm). Fees for courses will usually be the responsibility of the GPwER (St Johns Academy courses may be available at a reduced rate). Where a GPwER attends a supervision clinic this will be in lieu of another clinic, likewise where MDT attendance is necessary for service delivery (e.g., level 3 GPwERs x 4-5 / annum where managing BCCs) this will be renumerated.
Other CPD attendance will otherwise usually be outside of clinic commitments but be included within the GPwER's contractual obligations.
* Complete an annual dermatology appraisal (this will usually be with a clinician from the community dermatology service) in addition to a standard GP appraisal and revalidation cycle.
* GPwERs will participate in research programmes if appropriate.
Patient and Public involvement
The GPwER will endeavour to ensure that services are responsive to the needs of people affected by skin conditions and will assist in patient surveys as requested.
Person Specification
* Eligible for full UK GMC registration and a Licence to Practice.
* Leadership in the development of clinical services.
* Track record of clinical governance, audit, management, and IT skills required.
* Track record of service development.
* Understands the principles of research within clinical practice and evidence-based medicine.
* Evidence of research experience.
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.
Guy's and St Thomas' NHS Foundation Trust
Clinic Lead for Southwark Community Dermatology
£73,113 to £110,330 a year pro rata per annum excl LZ
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