London Fields Primary Care Network ARRS GP - Job Description Responsible to: PCN Clinical Director and PCN Development Manager Accountable to: Primary Care Network Member Practices Sessions: 2-6 sessions per week Salary: Competitive Salary Contract: Fixed term until 31.3.2025 (may change subject to national DES contracting) London Fields PCN is a Primary Care Network (PCN) in Hackney East London, which is made up of six GP Practices. The PCN and Practice Teams consist of various roles, including advanced Practitioners, Clinical Pharmacists, Pharmacy Technicians, Physician Associates, Paramedics, Mental Health Pharmacists, First-Contact Physiotherapists, Social Prescribers, Health and Well-Being Coaches, Wellbeing Practitioners, and Care Coordinators, who serve a population of 56,000 patients. As a new ARRS-funded role, the PCN is looking for a dynamic, enthusiastic and forward-thinking individual, who works well both independently and as part of the wider Multi-Disciplinary Team (MDT). The GP will be provided with a named supervisor throughout the post. The funding for this role is currently guaranteed until March 2025, however, there may be possibilities to continue working with the Network beyond this date. In line with the funding requirements, the post holder must be a newly qualified GP (this is within two years of qualification and has not held a substantive post). Job Purpose The purpose of this role is to support the PCN in delivering high-quality care to the patients it serves. The role is intended to support the PCN and its practices in the delivery of their contract, which will require the post-holder to complete: Face-to-face and telephone consultations Home visits Checking and signing repeat prescriptions Administration - dealing with queries, patient test results, referral letters, tasks, emails and other paperwork and correspondence in a timely manner Cover all the clinical management of the patient surgery as appropriate including initiating investigations, reviewing results, making referrals to secondary care or other providers as appropriate. Develop care and treatment plans in consultation with patients and in line with current practice disease management protocols as well as wider guidance such as that from NICE. Key Responsibilities Providing safe, evidence-based, cost-effective, individualised patient care, making professional, autonomous decisions in relation to presenting problems. Assessing the healthcare needs of patients with undifferentiated and undiagnosed problems. This includes clinically examining and assessing patient needs from a physiological and psychological perspective, planning clinical care accordingly and referring patients to other services/agencies in a timely manner, utilising relevant guidelines. Supporting the delivery of advanced care plans. Recognising the need for and being able to request and interpret investigatory procedures, including laboratory and radiology tests. Screening patients for disease risk factors and early signs of illness and in line with disease management protocols. Prescribing, in accordance with relevant local and national guidelines, where clinically appropriate. Supporting patients to adopt health strategies that promote healthy lifestyles and apply principles of self-care, including providing counselling and supporting guidance on healthier living. Ensuring appropriate follow up of patients. Understanding the wider system support that is available to patients, and appropriately signposting / referring to wider Social Health or community organisation partners. Recording clear and contemporaneous IT based consultation notes to agreed standards. Organisational Expectations The post-holder will be expected to undertake all normal duties and responsibilities associated with a GP working within primary care. They will be required to contribute to the medical administrative needs for the efficient running of the Practices and PCN, and attending training and events organised by the Practices and PCN. The post-holder will also be required to attend and contribute to MDT meetings across the PCN. Communication Delivering a quality service The post holder will strive to maintain quality within the practice, and will: Contribute to the achievement of the highest possible quality standards such as those detailed by their regulatory body and the CQC. Monitor the safety and effectiveness of own clinical practice through quality assurance strategies such as the use of audit, mentor feedback, case review and peer review. Implement improvements where necessary. Have an understanding of the audit process and clinical risk management. Alert other team members to issues of Clinical Governance, quality and risk. Participate in Significant Event and/or near miss analysis reviews. 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. Prioritise, organise and manage own workload in a manner that maintains and promotes quality. Work in partnership with other clinical teams, collaborating on improving the quality of health care and responding to local and national policies and initiatives as appropriate. Leadership personal and people development Take responsibility for own learning and performance including participating in coaching/supervision and acting as a positive role model. Support staff development in order to maximise potential. Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice. Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services. 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. Contribute to planning and implementing changes within the area of care and responsibility. Contribute to the development of local guidelines, protocols and standards. Team working Understand your 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 needs. 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. This includes the escalation of clinical concerns or appropriate referrals where the management of a clinical situation requires it, or it falls outside of clinical competence. 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 and in accordance with the practice policy. 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 SNOMED codes in order to ensure easy and accurate information retrieval for monitoring and audit processes. Collate, analyse and present clinical data and information to the team. Learning and Development Training requirements will be monitored in accordance with PCN requirements. Relevant Personal development will be encouraged and supported by the PCN. You will be expected to take responsibility for maintaining a record of your own personal and/or professional development Undertake mandatory and statutory training as required and attend courses/study days as deemed appropriate/necessary. Continually review clinical practice, responding to National policies and initiatives where appropriate. Participation in an annual individual performance review / internal appraisal and annual external GP appraisal including taking responsibility for maintaining a record of own personal and/or professional development. Provide leadership and education for members of the multi-disciplinary team, providing guidance and support when necessary. Assess own performance and take accountability for own actions, either directly or under supervision. Confidentiality You will have access to confidential information relating to patients and their Carers, practice staff and other healthcare workers. Patients entrust us with or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. Information relating o patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.