Central North Leeds Primary Care Network Ltd
Following the release of ARRS GP information and funding, we are looking for newly qualified (within 2 years and not having had a substantive post), enthusiastic, forward-thinking GPs to join Central North Leeds Primary Care Network on a fixed term salaried contract until 31 March 2025. We will consider applications for between 4 and 8 sessions with a start date as soon as possible.
You will be required to work across 5 practices (7 sites) supporting our practices through the winter period. All of our practices are rated good with CQC, 3 of which are training practices. We are a highly supportive PCN and the practices all work closely within the PCN, understanding the importance of a good work/life balance with an open door ethos.
Contract will be based on the BMA contract with 6 weeks annual leave plus bank holidays and 2 additional NHS days (pro rata). One week study leave (pro rata)
This is a great opportunity to get to know all our practices working across the mainly affluent area of North Leeds extending down through Meanwood into the more deprived area of Little London, providing the successful candidates with a varied role.
As this contract can be funded from 1st October, we would like to interview as soon as possible likely to be w/c 14th October. Please note that should this vacancy attract sufficient interest, it may be necessary to close the vacancy at an earlier date. We therefore suggest that you apply at an early stage to avoid disappointment.
Main duties of the job
The GP will undertake a variety of duties governed by the GMS contract and objectives of Enhanced Services including:
1. Share of Routine and Urgent appointments both face to face and telephone
2. Prescribe as per local & national guidelines
3. Share of home visits routine and emergency
4. Time-manage completion of administration: letters, results, tasks, referrals, telephone calls, emails
5. Take responsibility for appropriate referrals (following local guidance and good medical practice) and administration pertaining to them
6. Checking and signing share of repeat prescriptions
7. Cover for colleagues in exceptional circumstances such as sudden illness, taking into account the individual doctors' external commitments such as childcare.
8. On call sessions pro rata
9. Participate in Extended Hours between 7.30am- 8.00am and/or 6.30pm - 8.30pm if required by the PCN
10. Work with other health and social care providers to ensure a safe and integrated service. Provide comprehensive assessment, advice, and treatment for the registered practice population.
11. Maintain accurate and comprehensive records of consultations using both EMIS and S1 clinical systems
12. To provide clinical support to other members of staff, both clinical and administrative, in achieving the highest possible standards of care and QOF and Enhanced Services targets
13. The content of this post will be reviewed in consultation with the post-holder when necessary and in line with the service developments.
About us
Central North Leeds PCN consists of 5 GP Practices (over 7 sites): Alwoodley Medical Centre, Diamond Medical Group, Meanwood Health Centre, North Leeds Medical Practice and Street Lane Medical Practice, with a combined population of approx. 81,000 patients. We aim to provide high quality services adhering to principles of best practice, promoting equal opportunities and working positively with diversity.
We can offer you an invigorating and supportive working environment with excellent opportunities for career development, working alongside compassionate colleagues.
Central North Leeds PCN currently employs Pharmacists and Pharmacy Technicians, Health and Wellbeing Coaches, Paramedics, Health Care Assistants, Occupational Therapists, Social and Wellbeing Prescribers and a Nursing Team.
We expect all employees to carry out their duties in a professional manner with a client focus, ensuring that respect and courtesy is shown to them, colleagues, other service providers, and all those in contact with the organisation.
The Practices work together with a range of local providers, including community services, social care and the voluntary sector, to offer more personalised, coordinated health and social care to their local populations.
Job responsibilities
MAIN TASKS:
CLINICAL
1. Recording clear and contemporaneous I.T. based consultation notes to agreed standards
2. Provide safe, evidence-based, cost-effective, individualised patient care within the surgery, patients own home or other environment where patient care is carried out
3. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly referring patients to other services/agencies in a timely manner, utilising Practice, PCN and local guidelines.
4. To recognise the need for and be able to perform and interpret investigatory procedures, including laboratory and radiology.
5. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
6. Ensure appropriate follow up of patients
7. Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care
8. Support the delivery of anticipatory care plans
9. Recognise and work within your own competence and in accordance with professional codes of conduct, maintaining accurate and contemporaneous health records
10. Independently prescribe for patients within your scope of practice. Prescribing in accordance with locally agreed or national guidelines.
11. Compiling and issuing computer-generated acute and repeat prescriptions
12. Review medications following the appropriate policies, NICE/local clinical guidelines and local care pathways.
13. To maintain an awareness of developments in clinical practice
14. Awareness of and compliance with all relevant practice policies/guidelines e.g. prescribing, confidentiality, data protection, health and safety and QOF standards.
15. Be aware of your duties and responsibilities regarding current legislation and adhere to our policies and procedures on Safeguarding Children and Safeguarding Adults.
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 to 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.
HEALTH AND SAFETY
The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in our Health & Safety Policy, to include:
1. Using personal security systems within the workplace according to PCN guidelines
2. Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
3. Making effective use of training to update knowledge and skills
4. Using appropriate infection control procedures, including maintaining a tidy and safe work area free from hazards. Effective hand hygiene.
5. Provide advice on the correct and safe management of the specimen's process, including collection, labelling, handling, use of correct containers, storage and transport arrangements
6. Correct use of personal protective equipment (PPE) in both routine and extraordinary circumstances
7. Managing directly all incidents of accidental exposure
8. Safe use of sharps, storage and disposal
EQUALITY AND DIVERSITY
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
1. Acting in a way that recognises the importance of people's rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
2. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
3. Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
TRAINING, PERSONAL/PROFESSIONAL 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.
1. Undertake mandatory and statutory training as required and attend courses/ study days as deemed appropriate/necessary
2. Continually review clinical practice, responding to National policies and initiatives where appropriate
3. Participation in an annual individual performance review / internal appraisal and annual external GP appraisal including taking responsibility for maintaining a record of your own personal and/or professional development
4. Provide leadership and education for members of the multi-disciplinary team, providing guidance and support when necessary.
5. Assess own performance and take accountability for own actions, either directly or under supervision.
QUALITY
The post-holder will strive to maintain quality within the practice, and will:
1. Contribute to the achievement of the highest possible quality standards such as those detailed by their regulatory body and the CQC.
2. 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
3. Understanding of the audit process and of clinical risk management
4. Alert other team members to issues of Clinical Governance, quality and risk. Participate in Significant Event and/or near miss analysis reviews.
5. Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team's performance
6. Effectively manage own time, workload and resources
7. Work in partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
8. To accept delegated responsibility for a specific area (or areas) of QOF
COMMUNICATION
Excellent communication skills (written and oral), when dealing with patients and other team members. The ability to make clear decisions with confidence and communicate these effectively.
1. Demonstrate sensitive communication styles to ensure patients and carers are fully informed and consent to treatment
2. Recognise people's needs for alternative methods of communication and respond accordingly.
3. Use developed communication, negotiation and conflict management skills recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background etc.
MANAGING 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.
1. 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
2. Apply infection control measures within the practice according to local and national guidelines and in accordance with the practice policy
Person Specification
Other Skills
* Excellent communication skills (written and oral) including recording of accurate clinical notes.
* Strong IT skills and competent in the use of Microsoft Office and Outlook
* Effective time management (Planning, Organising and Prioritising), with excellent problem solving and analytical skills
* Ability to work autonomously, and as part of a multi-disciplinary team
* Ability to listen and empathise whilst being honest and caring
* Ability to follow clinical policy and procedure with and understanding of the audit process
* Knowledge of General Practice Clinical Systems eg. SystmOne and EMIS
* Polite and confident, flexible and cooperative
* Motivated, forward thinker with ability to use own judgement and common sense
* Problem solver with the ability to process information accurately and effectively, interpreting data as required
* High levels of integrity
* Sensitive and empathetic in distressing situations
* Ability to work under pressure / in stressful situations
* Effectively able to communicate and understand the needs of the patient
* Commitment to ongoing professional development
* Punctual and committed to supporting the team effort
* Observance of strict confidentiality.
Experience
* Experience of working in urgent care and/or a primary care environment
* Experience of dealing with a range of clinical conditions
* Experience of providing home visits
* Proven ability to evaluate the safety and effectiveness of own clinical practice.
* Understanding of evidence-based practice.
* Evidence of working autonomously, with some support and supervision
* Experience in Triage
* Knowledge of Quality and Outcomes Framework.
* Knowledge of public health issues in the local area
* Awareness of issues within the wider health arena
* Knowledge of health-promotion strategies
Other requirements
* Full UK driving licence with access to own vehicle
Clinical Knowledge and Skills
* Ability to effectively triage, assess and diagnose
* Requesting pathology tests and processing the results, advising patients accordingly
* Assessing and managing acute deteriorations/exacerbations of Long-Term Conditions
* Understands the importance of evidence-based practice
* Ability to assess and manage patient risk effectively and safely.
* Broad knowledge of clinical governance
* Ability to work within own scope of practice and understanding when to refer to GPs
* Knowledge of public health issues in the local area
* Knowledge of health promotion strategies
Qualifications
* Newly qualified GP (within 2 years and not having had a substantive post) with full GMC registration and license to practice.
* Experience of working in a GP training practice using SystmOne and/or EMIS.
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.
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