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Medecho LTD; Stornoway; On-site; GBP 83,000 - 124,000; Full time

Job summary

Medecho LTD is seeking a Locum GP for out-of-hours care in the UK. You will deliver timely assessments during base visits, conduct efficient home visits, and manage telephone triage with a focus on urgent cases and palliative referrals.

You will work in partnership with primary care and urgent care services, recording all clinical interactions in accordance with guidelines and local protocols.

Qualifications

• Clinical candidates should demonstrate ability to triage and assess patients.
• Experience with urgent care pathways is desirable.

Responsibilities

• Provide timely clinical care during base visits (20 min).
• Undertake home visits efficiently with quality care.
• Manage high quality telephone triage calls.
• Prioritize urgent referrals and palliative cases.
• Document care clearly for audits and records.

Skills

Triage

Clinical assessment

Time management

Documentation

Job description

Locum GP - OOH

• Provide timely high quality clinical care and assessments during base visits (20 minute appointments)
• Undertake home visits quickly and efficiently whilst providing high quality effective care.
• High quality telephone triage calls managing most patients over the phone. The service average for completing and closing a case without further face to face review sits between 70-80% of calls.
• All GPs regardless of shift type worked, should be working on the telephone triage lists when there are otherwise no base or home visits to complete.
• When only working on telephone triage or when there are no patients to see in base or at a patient’s home, you should aim to complete on average 4 high quality telephone triage calls per hour.
• When working through the triage list please prioritise call backs to palliative, high priority and urgent referrals first. You should periodically look at lower priorities and identify and call any patients that might need a more urgent call back or when cases in the top three priorities are low.
• Please do not simply focus on callbacks to cases that might seem quick and easy neglecting referrals where 111 have indicated a more urgent priority
• Provide evidence based care that adheres to NICE guidelines and/or local management guidelines – see https://clinox.info/
• Antibiotic prescribing should follow the SCAN antibiotic guidelines SCAN Guidelines (microguide.global)
• Keep good up to date written medical records that should clearly record information to answer the criterion defined in the national audit toolkit for urgent care - https://heeoe.hee.nhs.uk/sites/default/files/urgentcaretoolkit.pdf
• To work with and support other clinical and operational team members with clinical or operational matters that may arise from time to time during the live hours of the service
• To work in close partnership and liaison with primary care, acute and specialist services, including but not limited to Urgent Community Response (UCR), Hospital at Home, Single Point of Access (SPA), Community Services, social services, mental health services and voluntary services where possible to manage patients safely in the community without the need for hospital admission.
• To receive and review clinical and operational updates from the medical leadership team. These are usually provided every week by the medical advisor and will be forwarded to your employing agency to disseminate to any of their agency GPs that are undertaking sessions of work in this service.
• To arrive on time ready to start your shift for your booked time and work up until the end of your session(s) of work.
• Base visiting locations (clinic appointments) are in Banbury, Bicester, Oxford, Witney, Abingdon and Henley.
• A typical session is 4-5 hours in length which can be combined with further sessions to follow on i.e., back to back sessions.
• Overnight sessions are usually 9 hours in length (11pm to 8am) and are usually based out of Banbury, Oxford, Abingdon and occasionally Witney. The Working Time Directive advises an 11-hour rest period between working days.
• OHFT do not pay for meal breaks (for agency GPs) and will not process invoices (timesheets) where this has not been indicated. If this is not recorded on the timesheet, the urgent care admin team will add this to a timesheet and forward for payment of clinically worked hours.
• Agency GPs should take a meal break as follows:
  • Shift 6 hours or less = No break required
  • Shift more than 6 hours, but no more than 10 hours Break = 30 minutes
  • Shift more than 10 hours Break = 1 hour
• During your rest period, all our clinic sites have staff rest rooms