Salaried [ARRS] GP (Newly Qualified) Hyndburn Rural
The East Lancashire Alliance (ELA) is a values-driven, not-for-profit provider of innovative healthcare across East Lancashire. Led by a Clinical Board, it has been providing excellent quality care to patients since its inception in 2021. Fundamentally, we align ourselves with the NHS and embrace the ethos of social enterprise, reinvesting surpluses generated back into our services.
We are passionate about providing the best quality care for patients in our Place, for the betterment of our system.
The post-holder will manage and deal with a wide range of health needs in a primary care setting, within the Hyndburn Rural PCN Area.
Following the release of ARRS GP funding we are looking for newly qualified (within 2 years) to join Hyndburn Rural Primary Care Network on a fixed term salaried contract until 31 March 2025. We will consider applications for between 4 and 9 sessions a week with a start date as soon as possible.
In general, the post-holder will be expected to undertake all the normal duties and responsibilities associated with a GP working within primary care.
Please note: To be eligible for this role, you must be within two years of certificate of completion of training at the start date of your employment and have not previously held a substantive post as a General Practitioner.
Main duties of the job
Clinical responsibilities
* Assessing the health care needs of patients with undifferentiated and undiagnosed problems
* Screening patients for disease risk factors and early signs of illness
* Developing care plans for health in consultation with patients and in line with current practice disease management protocols
* Providing counselling and health education
* Admitting or discharging patients to and from the caseload and referring to other care providers as appropriate
* Recording clear and contemporaneous consultation notes to agreed standards
* Compiling and issuing computer-generated acute and repeat prescriptions (avoiding hand-written prescriptions whenever possible)
* Prescribing in accordance with the Lancashire Medicines Management Board prescribing formulary (or generically) whenever this is clinically appropriate
Cover all the clinical management of the patients in surgery as appropriate including initiating investigations, reviewing results, making referrals to secondary care or to 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.
Administration - dealing with queries, patient test results, referral letters NHS/private, task, emails and other paperwork and correspondence in a timely manner.
About us
The East Lancashire Alliance is a network of 9 PCNs covering 48 GP practices covering a population of over 390,000 patients across East Lancashire. Patients are at the heart of everything we do and we pride ourselves in ensuring our patients feel safe, supported, communicated with and respected at a time when they may be feeling vulnerable. The Alliance is proud to represent our member practices and to champion our Primary Care Partners, by working with local general practice and other system partners in the provision of patient-centred, local healthcare services.
Each practice has a close-knit team of staff who collectively seek to improve the health of their patient populations.
East Lancashire is one of the world's most innovative, original and exciting places to live and work. From the beauty of the surrounding countryside, to the heart of the vibrant inner towns and villages with great shopping, entertainment and dining options. Wherever you go you will experience a great northern welcome with people famed for their warmth, humour and generosity.
Job responsibilities
MAIN TASKS:
CLINICAL
Recording clear and contemporaneous IT-based consultation notes to agreed standards.
Provide safe, evidence-based, cost-effective, individualised patient care within the surgery, patients' own home or other environments where patient care is carried out.
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.
To recognise the need for and be able to perform and interpret investigatory procedures, including laboratory and radiology.
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
Ensure appropriate follow-up of patients.
Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care.
Support the delivery of anticipatory care plans.
Recognise and work within your own competence and in accordance with professional codes of conduct, maintaining accurate and contemporaneous health records.
Independently prescribe for patients within your scope of practice. Prescribing in accordance with locally agreed or national guidelines.
Compiling and issuing computer-generated acute and repeat prescriptions.
Review medications following the appropriate policies, NICE/local clinical guidelines and local care pathways.
To maintain an awareness of developments in clinical practice.
Awareness of and compliance with all relevant practice policies/guidelines e.g. prescribing, confidentiality, data protection, health and safety and QOF standards.
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:
Using personal security systems within the workplace according to PCN guidelines.
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.
Making effective use of training to update knowledge and skills.
Using appropriate infection control procedures, including maintaining a tidy and safe work area free from hazards. Effective hand hygiene.
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.
Correct use of personal protective equipment (PPE) in both routine and extraordinary circumstances.
Managing directly all incidents of accidental exposure.
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:
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.
Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
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 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.
QUALITY - 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.
Understanding of the audit process and of 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 team's performance.
Effectively manage own time, workload and resources.
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.
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.
Demonstrate sensitive communication styles to ensure patients and carers are fully informed and consent to treatment.
Recognise people's needs for alternative methods of communication and respond accordingly.
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.
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.
Person Specification
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
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 of supporting service change.
* Experience of team leadership.
* Experience in Triage
* Knowledge of Quality and Outcomes Framework.
* Knowledge of public health issues in the local area
* Aware of issues within the wider health arena
* Knowledge of health promotion strategies
* 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.
Other
* 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 an understanding of the audit process
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.
Depending on experience Sessional Rate [Contact HR for rate] - Not Aligned with AFC
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