Community Gp
Amber Valley Health Limited
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Job summary
Amber Valley Health Limited is seeking a Community General Practitioner to support the ARCH PCN across Alfreton, Ripley, Crich and Heanor, focusing on frailty care. You will lead a multidisciplinary team delivering proactive home visits and enhanced routine care for older people living with frailty.
The post requires GMC registration, a vocationally trained GP, and involvement across health and social care boundaries.
Qualifications
- Essential: vocationally trained and accredited GP.
- Essential: current GMC registration.
- Essential: on GP performers list.
- Desirable: MRCGP or equivalent, and recognised qualification in medical education/clinical supervision.
- Aptitude for flexible, collaborative multi-disciplinary teamwork.
Responsibilities
- Provide day-to-day clinical leadership to housebound patients, including those in care homes, in collaboration with registered practices.
- Lead a multi-skilled team delivering Acute Home Visiting and Community Urgent Response services.
- Develop and implement new care pathways and standards for Ageing Well within ARCH PCN.
- Promote patient-centred care and support ACPs and MDT members in clinical decision making.
- Ensure high-quality care that aligns with patients' wishes and end-of-life preferences.
Skills
Education
Job description
Community General Practitioner
ARCH (Alfreton, Ripley, Crich and Heanor) Primary Care Network
Are you passionate about frailty?
Are you keen to work across traditional health and social care boundaries?
ARCH PCN is seeking a Community GP to support our multi-disciplinary and multi-agency team of professionals to provide effective, efficient and high-quality healthcare to our housebound patients and patients in care or residential facilities across the PCN footprint.
We are looking for GP cover on a Monday, Thursday (essential) and Friday.
This is an exciting opportunity to be at the forefront of the delivery of our Ageing Well model of care, part of TeamUp! Derbyshire. The role will operate across the traditional health and social care organisational boundaries, including with our GP practice partners, to help clinically lead the service on a day to day basis. The aim for the service is to ultimately provide a holistic approach to our acute home visiting service, enhanced care into care homes and enhanced routine care for older people with frailty for patients with multifaceted health problems.
To lead the clinical team on the day we are looking for a Community General Practitioner with a strong interest in working with people with frailty and who aspires to promote a continuous improvement approach to leading and delivering responsive, safe, patient-centred and effective care. The successful candidate will work alongside other clinicians delivering responsive clinical pathways for seamless working, challenge traditional ways of working and proactively support individuals within the team to develop the necessary skills, competencies and expertise needed to deliver the service.
About Amber Valley Health
This post will be hosted by Amber Valley Health - the umbrella organisation for ARCH PCN. ARCH PCN consists of 9 GP practices (91,000 patients) across the PCN area of Alfreton, Ripley, Crich and Heanor. The PCN is committed to improving the care of patients in the local geographical area and sustaining General Practice.
Amber Valley Health offers the NHS pension scheme.
- Provide day-to-day clinical leadership to provide proactive and reactive general medical services to the housebound population, including those in are homes, in collaboration with registered practices where appropriate;
- Promote and deliver a multi-skilled team response that includes GP Acute Home Visits, holistic assessment, care, pro-active follow up and care planning;
- Contribute to the development of the Acute Home Visiting and Community Urgent Response Service.
- Deliver an efficient, high quality, multi-disciplinary Acute Home Visiting and Community Urgent Response Service to people who have an urgent need that is best provided in their own home, or wherever they call home;
- Ensure that the Acute Home Visiting and Community Rapid Response Service that supports and links well to system infrastructure provided at a bigger scale e.g. Acute Hospitals, 99, 111, Ambulance services;
- Ensure Acute Home Visiting and Community Urgent Response Service that links well to routine and proactive services;
- Developing expertise within the community for improving the lives of people living with frailty;
- Promoting the use of supportive, non-statutory services to support self-care and social prescribing agendas;
- Maximize best care in the patients own home in order to reduce the need for hospital or care home admissions;
- Ensure that the care and support people receive is based on their wishes, preferences and aspirations, particularly towards the end of their lives;
- Provide medical expertise in the management of older people living with frailty in the defined community. To support ACPs and wider MDT members working in the community by:
- Providing Senior GP clinical triage for all Acute Home Visit requests to determine the urgency and type of response needed, according to clinical need.
- Regular debrief sessions for patients on their caseload.
- Lead and support the ACPs in their role in the MDT.
- Deliver formal and informal education for the ACPs during clinical interactions.
- Advising on complex clinical situations including:
- Complex prescribing decisions,
- Where there are difficult clinical risk decisions.
- Where there is disagreement between professionals, patients or their carers.
- Diagnosis is uncertain.
- Identification of end of life is difficult.
- Liaison with GPs and frailty unit when needed;
- Lead and engage in MDT and other team meetings, and quality improvement activities.
- Contribute to the development and implementation of new care pathways, systems and processes to support the service delivery;
- Contribute towards the development and implementation of new standards, policies and procedures;
- Advise local GP practices within the defined population to implement effective multidisciplinary working for people with frailty;
- Contribute to CPD programmes for the members of the ageing well team:
Clinical Mentorship/educational supervision of the team members including GP Registrars, Trainee ACPs, First contact practitioners;
- Ensure contemporaneous notes are recorded and clinical tasks are updated and completed within the agreed timescales;
- To work collaboratively with other teams and services to maintain an effective and efficient service;
- Participate in quality improvements and innovations, e.g. audits, significant events analysis and development of protocols and new services.
All staff working for AVH Ltd have both a common law duty and a statutory duty of confidentiality to protect patient information and only use it for the purposes for which it is intended. The disclosure and use of confidential patient information needs to be both lawful and ethical.
Work with your line manager to undertake continual personal and professional development.
Undertake relevant training as required.Continually update own knowledge and skills within the job role.
Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
Participate in annual individual performance review.
All staff working for AVH Ltd are bound by the organisation's policies and procedures, a clinical handbook and access to all policies will be provided upon commencement of employment.
Work as part of the team to seek feedback, continually improve the service.
Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.
Duties may vary from time to time, without changing the general character of the post or the level of responsibility.
Act at all times in a manner consistentwith legislation, policy and procedures in respect of Equality and Diversity, and safeguarding.
To develop and maintain effective working relationships with colleagues.
To abide by all relevant policies and procedures.
An enhanced DBS check will be carried out for all successful candidates.
The list of duties in this job description is not exhaustive and is intended to outline the main activities of the post holder. Duties and responsibilities may be subject to change taking into account the development needs for Ageing Well Service and ARCH Primary Care Network
- Experience and evidence of an interest in care of the Elderly
- Understanding of adult safeguarding and Deprivation of liberty procedures
- Experience of multidisciplinary working
- Experience of senior clinical triage for the Acute Home Visiting to determine the urgency and type of response needed, according to clinical need.
- Knowledge and experience of carrying out Comprehensive Geriatric Assessment
- Experience of medical education/clinical supervision
- Experience of using SystmOne or another clinical device
- Experience of working in a multi-disciplinary team.
- A vocationally trained and accredited GP
- Current registration with GMC
- On the GP performers list
- MRCGP
- Recognised qualification in Care of the Elderly
- Recognised qualification in medical education/clinical supervision
- Evidence of leadership development
- Flexible, supportive, collaborative.
- Recognise the benefits of multiagency & multidisciplinary team working.
- Ability to work as part of a multi-disciplinary team.
- Willingness to contribute to and participate in a peer support group.
- The ability to understand the competencies of others and support them to work within and at the top of those competencies. Also, to recognise and act when others are going beyond their competency.
- Ability to work effectively and provide leadership across traditional organisational and professional boundaries.
- Ability to demonstrate leadership skills within a multidisciplinary team.
- Excellent organisational and communication skills.
- Ability to work effectively as a member of a team.
- Ability to work effectively with colleagues, patients and external organisations.
- Ability to triage patients in order of clinical need.
- Effective communication, verbally and in writing.
- Full driving license required as travelling required for the role.
- Committed to the development of integrated community teams.
- Leadership of service delivery / change.
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.
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
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.
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
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