Job summary As a key member of the University Hospital Plymouth NHS Trust Urgent Treatment centre's, this role will be responsible for providing face to face care for patients that access the service, when the UTC is open. Patients who present to the UTC will be walk-in patients or patients booked in by NHS 111. This doctor will ensure that all patients are dealt with appropriately and efficiently within their competencies, whilst maintaining a high-quality service and keeping the high standards that UHP expect. On a day-to-day basis, you will follow UHP operational policies and procedures. Generally, the role requires similar skills to those of an 'in-hours' GP, but there is also the potential to extend your competencies into minor illness and other areas of UEC practise with support and training if desired. You will assist in the development of an integrated approach to the delivery of patient care across the UTC and you will work in partnership with all relevant stakeholders. Main duties of the job The post holder will be a GP or doctor with a UEC skill set who will work within the UTC alongside the wider team in the Emergency Department (ED). Main responsibilities. You will be expected to provide evidence based clinical care to all patients who are attending the service and undertake duties consistent with it, including but not limited to: Review and assess the health care needs of patients with undifferentiated and undiagnosed problems suitable for primary care Work as part of the team to provide safe and effective care to patients in a timely manner Provide cross cover for colleagues to ensure adequate staffing and safe delivery of the service Contribute to the wider work of the senior clinical team, supervision, contribute to guidelines and contribution to the working of a successful team. About us University Hospitals Plymouth NHS Trust is the largest hospital in the south west peninsula, providing comprehensive secondary and tertiary healthcare. Our geography gives us a secondary care catchment population of 450,000 with a wider peninsula population of almost 2,000,000 people who can access our specialist services. The population is characterised by its diversity - the rural and the urban, the wealthy and pockets of deprivation, and wide variance in health and life expectancy. Population ageing is a recognised national trend, but is exacerbated locally by the drift of younger people out of the area and older people in. The proportion of our population aged 85 or over is growing ahead of the national average by approximately 10 years, giving Plymouth the opportunity to innovate on behalf the nation in services for the elderly. Location of the Derriford Urgent Treatment Centre The service will be provided within the new Urgent Treatment Centre which is based at Derriford Hospital, PL6 8DH, within the Emergency Department estate, the Acute Frailty Unit and the Urgent Treatment Centres at Tavistock Hospital, Kingsbridge Hospital and the Cumberland Centre. Opening Hours The aim of the unit is to be open from 08:00 - 20:00 hrs, 7 days a week. Date posted 16 January 2025 Pay scheme Hospital medical and dental staff Grade Doctor - other Salary £117,969.31 a year per annum Contract Permanent Working pattern Part-time, Job share Reference number 216-G2-ECD6923907 Job locations University Hospitals Plymouth Plymouth PL68DH Job description Job responsibilities Working alongside the ED footprint until the new Onsite UTC is built. The GP will work with a dedicated HCA, seeing patients streamed from triage. You will see general practice presentations and use your primary care skills and insight to provide effective, patient-centred care. The majority of patients will be discharged home. You will also be able to refer to second care partners within the Trust. These patients will be monitored against the Trust 4-hour standard target. At times the post holder may be asked to be flexible across other days of the week and provide resilience to the service in terms of cover. The GP will work as part of the ED team, which includes GPs, ENPs, Nurse, HCAs, emergency medicine doctors, nursing staff, allied health professionals, administrative staff and social workers. The GP will need to work co-operatively with each other, the service manager, other clinical and administrative staff to maximise opportunities to improve patient pathways. The GP will be expected to develop good relationships within referring clinicians and with medical colleagues working within the secondary care setting. They will also need to liaise with other health professionals working in health and social care in the community. Appropriately redirecting the patient if admission is not required by taking all relevant details and facilitating appropriate care elsewhere. The GP would take a history, perform an initial examination, and request any pertinent diagnostic tests, following which if admission was required, the relevant information would be passed to the receiving clinical team. Communicating with other members of the multi-disciplinary team and planning for discharge at the point of admission. Ensure that high clinical standards are maintained throughout the service. Maintain a professional image of the organisation. Work with consultant and other clinical colleagues to improve non-elective care pathways in the Hospital. Work with GPs and other community colleagues to develop new pathways of care within the community as alternatives to Hospital admission. Contribute to the development and teaching of the team of GPs, nurses, advanced nurse practitioners within the organisation and with other partner organisation There is a requirement for the service to be covered between 08.00 20.00, patient facing, 5 days a week. We aspire to provide services from 08.00 20.00, 7 days a week. Offers of flexible and part working will be considered. We commit to support continuing professional development in line with standard outlined in the BMA model contract for GPs. There is a monthly evening meeting which we promote in a positive way to share learning and developments and can be accommodated within the CPD allocation. There is also a regular service review meeting looking at the service performance and review against operational targets. Job description Job responsibilities Working alongside the ED footprint until the new Onsite UTC is built. The GP will work with a dedicated HCA, seeing patients streamed from triage. You will see general practice presentations and use your primary care skills and insight to provide effective, patient-centred care. The majority of patients will be discharged home. You will also be able to refer to second care partners within the Trust. These patients will be monitored against the Trust 4-hour standard target. At times the post holder may be asked to be flexible across other days of the week and provide resilience to the service in terms of cover. The GP will work as part of the ED team, which includes GPs, ENPs, Nurse, HCAs, emergency medicine doctors, nursing staff, allied health professionals, administrative staff and social workers. The GP will need to work co-operatively with each other, the service manager, other clinical and administrative staff to maximise opportunities to improve patient pathways. The GP will be expected to develop good relationships within referring clinicians and with medical colleagues working within the secondary care setting. They will also need to liaise with other health professionals working in health and social care in the community. Appropriately redirecting the patient if admission is not required by taking all relevant details and facilitating appropriate care elsewhere. The GP would take a history, perform an initial examination, and request any pertinent diagnostic tests, following which if admission was required, the relevant information would be passed to the receiving clinical team. Communicating with other members of the multi-disciplinary team and planning for discharge at the point of admission. Ensure that high clinical standards are maintained throughout the service. Maintain a professional image of the organisation. Work with consultant and other clinical colleagues to improve non-elective care pathways in the Hospital. Work with GPs and other community colleagues to develop new pathways of care within the community as alternatives to Hospital admission. Contribute to the development and teaching of the team of GPs, nurses, advanced nurse practitioners within the organisation and with other partner organisation There is a requirement for the service to be covered between 08.00 20.00, patient facing, 5 days a week. We aspire to provide services from 08.00 20.00, 7 days a week. Offers of flexible and part working will be considered. We commit to support continuing professional development in line with standard outlined in the BMA model contract for GPs. There is a monthly evening meeting which we promote in a positive way to share learning and developments and can be accommodated within the CPD allocation. There is also a regular service review meeting looking at the service performance and review against operational targets. Person Specification Qualification Essential Full Registration with the GMC JCPTGP Vocational training certificate or PMETB equivalent Evidence of registration on a CCG GP performer's list Desirable oPostgraduate qualification oPrevious GPwSI accreditation Clinical Experience, Training & Skills Essential oAble to work in a challenging post, within a rapidly developing agenda oAble to work in a multi-disciplinary team committed to innovation and service redesign oAble to work flexibly across professional boundaries oGood verbal and written communication skills oGood interpersonal skills oGood clinical skills in terms of history taking, documentation, clinical examination and use of appropriate investigative resources oCompetent in the use of Microsoft Office and GP clinical systems Desirable oAble to constructively challenge care issues with other professionals, suggest appropriate alternatives to admission and generate and facilitate new pathways of care oAble to insert IV cannulae and take blood samples oAble to interpret blood test, ECG and X-ray results Academic Research Skills/ Teaching Essential oExperience of teaching and training other clinical staff Desirable oKnowledge and experience of advanced nurse practitioner training - in particular prescribing module Commitment to Specialty Essential oPrevious experience of managing change oKnowledge of national and local agendas in respect of primary care, commissioning, non-elective and intermediate care. oCommitted to a team approach oCommitted to providing patient-centred care oSelf-motivated oAbility to recognise own limitations, identify learning needs and act on them appropriately oAbility to respect others opinions keeping the patient at the centre of what we do. oCaring attitude to patient and relatives oPragmatic approach to day to day irritations oAble to tolerate stress and manage it appropriately oDetermination to drive change that will improve patient care outside of the currently accepted pathways oAbility to maintain and build relationships across multiple physical and organisational boundaries Desirable oPrevious Accident and Emergency and Acute Medicine experience oWorking knowledge of local alternatives to admission oAn understanding of the how non-elective services are accessed and how they are used by different social groups An understanding of the health needs of a deprived population and how these can be addressed Person Specification Qualification Essential Full Registration with the GMC JCPTGP Vocational training certificate or PMETB equivalent Evidence of registration on a CCG GP performer's list Desirable oPostgraduate qualification oPrevious GPwSI accreditation Clinical Experience, Training & Skills Essential oAble to work in a challenging post, within a rapidly developing agenda oAble to work in a multi-disciplinary team committed to innovation and service redesign oAble to work flexibly across professional boundaries oGood verbal and written communication skills oGood interpersonal skills oGood clinical skills in terms of history taking, documentation, clinical examination and use of appropriate investigative resources oCompetent in the use of Microsoft Office and GP clinical systems Desirable oAble to constructively challenge care issues with other professionals, suggest appropriate alternatives to admission and generate and facilitate new pathways of care oAble to insert IV cannulae and take blood samples oAble to interpret blood test, ECG and X-ray results Academic Research Skills/ Teaching Essential oExperience of teaching and training other clinical staff Desirable oKnowledge and experience of advanced nurse practitioner training - in particular prescribing module Commitment to Specialty Essential oPrevious experience of managing change oKnowledge of national and local agendas in respect of primary care, commissioning, non-elective and intermediate care. oCommitted to a team approach oCommitted to providing patient-centred care oSelf-motivated oAbility to recognise own limitations, identify learning needs and act on them appropriately oAbility to respect others opinions keeping the patient at the centre of what we do. oCaring attitude to patient and relatives oPragmatic approach to day to day irritations oAble to tolerate stress and manage it appropriately oDetermination to drive change that will improve patient care outside of the currently accepted pathways oAbility to maintain and build relationships across multiple physical and organisational boundaries Desirable oPrevious Accident and Emergency and Acute Medicine experience oWorking knowledge of local alternatives to admission oAn understanding of the how non-elective services are accessed and how they are used by different social groups An understanding of the health needs of a deprived population and how these can be addressed 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). 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 University Hospitals Plymouth NHS Trust Address University Hospitals Plymouth Plymouth PL68DH Employer's website https://www.plymouthhospitals.nhs.uk/ (Opens in a new tab)