Weekday Professional Line – BrisDoc

Avon Local Medical Committee Ltd; West of England; Hybrid; GBP 90,000 - 115,000; Full time

Benefits offered by this job

Co-ownership model

Job summary

BrisDoc is seeking a senior GP to operate at the primary-secondary care interface in BNSSG. Based at Osprey Court, you will manage acute presentations, support safe community care, and facilitate timely referrals when hospital care is required.

The role involves working within a multidisciplinary team and remote assessment via System CAS during the day. You will lead clinical decision-making, collaborate across urgent care pathways, and contribute to service development while maintaining high

Qualifications

• Full registration on the GMCGP register.
• Inclusion on NHS England's Performer's List.
• MRCGP or JCPTGP qualification required.

Responsibilities

• Receive telephone referrals and assess acute medical presentations from primary care clinicians.
• Develop patient-centred plans to support community management and avoid admissions where possible.
• Refer to Frailty-ACE and System CAS teams as appropriate.
• Provide medical advice to community clinicians and signpost to pathways.
• Coordinate urgent hospital referrals via appropriate routes.
• Engage in remote assessment for NHS111 dispositions during the day.
• Collaborate with Weekday Professional Line, Frailty-ACE and System CAS teams.

Skills

GMC GP registration

NHS England Performer's List

MRCGP or JCPTGP qualification

Education

MRCGP or JCPTGP qualification

Job description

Job summary

This is a senior, weekday GP role at the primary-secondary care interface. You'll speak with GPs and other community clinicians about acute medical presentations, agree a clear plan, and support the best next step for each patient. You'll help teams avoid admissions where safe, and when hospital care is needed, support timely referral via the right route.Based at Osprey Court, you'll work within a supportive multidisciplinary team alongside System CAS colleagues. The role is varied and offers a strong mix of clinical thinking, professional collaboration and system knowledge across BNSSG.The WDPL team operates 08:00-18:30, Monday to Friday, and is based at Osprey Court. We receive calls from primary care clinicians and other community healthcare professionals seeking advice or admission for adult patients with acute medical presentations.

Main duties of the job

Our key function is to:

• explore management pathways not yet considered that could support safe community management, and
• facilitate admission to hospital via the most appropriate route when required.

We provide this service for patients within the catchment of the three BNSSG acute hospitals: Southmead Hospital, Bristol Royal Infirmary and Weston General Hospital.

You’ll also receive a small number of cases from NHS 111 during the day (including poisonings), and you’ll work alongside the System Clinical Assessment Service (System CAS) team, supporting remote clinical assessment for patients who might otherwise be directed to ED or 999 without clinical input.

About us

BrisDoc is an employee-owned social enterprise that has been providing NHS healthcare for over twenty years. Serving more than one million patients across Bristol, North Somerset, and South Gloucestershire, BrisDoc offers a range of primary care services, including:

• Severnside Integrated Urgent Care (IUC):A 24/7 NHS urgent care service combining NHS 111 and the GP Out of Hours Service, and more, ensuring patients receive timely medical attention when their GP practice is closed
• In-Hours Primary Care: Operating GP practices such as Broadmead Medical Centre and Charlotte Keel Medical Practice, providing comprehensive healthcare services during standard hours
• Homeless Health Service: Dedicated to addressing the healthcare needs of homeless individuals, offering support through clinics and outreach teams

As a social enterprise, BrisDoc prioritises the health of its patients, environmental sustainability, and the social and economic well-being of the community. The organisation is committed to reducing health inequalities and improving overall well-being.

At BrisDoc, we are proud to be an employee-owned organisation, meaning every member of our team is a 'co-owner' with a real stake in the success of the business. This unique structure empowers our staff to influence decisions, shape the future direction of the organisation, and take pride in the care and services we provide.

Job description

Job responsibilities

• Receive telephone referrals for medical admission from primary care clinicians, carefully exploring the medical presentation and the callers concerns
• Demonstrate shared clinical decision-making and critical thinking to agree a patient-centred plan, aiming to support community management wherever possible and particularly for patients with terminal illness and/ or advanced frailty
• Facilitate referral to the Frailty-ACE (Assessment and Coordination for Emergency and urgent care) team for those frail patients who would benefit from a further discussion to determine whether community management would support their needs
• Provide medical advice and support to community clinicians who are working to maintain management of adult medical patients in the community, signposting to specialist input and community management pathways if required
• Seek specialist advice when required to support admission avoidance
• Facilitate urgent/ same day hospital referral via the most appropriate hospital pathway
• Remote assessment and management of a small number of dispositions/ cases referred from NHS111 during the day, including accidental toxic ingestions and people aged < 2 or > 85 years with unclear needs
• Remote clinical assessment of patients who, without clinical input, would otherwise be directed to a Category 3/4 ambulance or Emergency Department, alongside System CAS colleagues
• Excellent communication skills and a supportive and collaborative approach with both clinical and operational colleagues on shift, referring clinicians and colleagues in affiliated organisations
• Proactive approach to case discussion and supporting clinical decision making across Weekday Professional Line, Frailty-ACE and System CAS teams
• Contribute to the development of and/ or embrace new patient pathways, admission avoidance options and service developments to enhance care for patients
• Support with assessment and management of patients referred to the Covid Medicine Delivery Unit, where required.

Person Specification

Qualifications and Training

Essential

• Full registration GMC GP register
• Inclusion on NHS England's Performer's list
• MRCGP or Certificate from the Joint Committee on Postgraduate Training for General Practice

Desirable

• Higher post graduate membership/ qualification e.g., MRCP/ MSc

Knowledge and Experience

Essential

• Experience and interest in working across urgent primary care settings
• Actively working in General Practice or some form of community medicine or IUC service
• Effective multidisciplinary team working as part of current or recent primary care experience, either in practice or IUC, or both

Desirable

• Experience of work in urgent or emergency care (eg Emergency Department, Acute Medicine, Integrated Urgent Care/ out of hours)
• Interest in frailty
• Knowledge of BNSSG acute care pathways
• Experience of referral management, and/ or the primary care/secondary care interface
• Experience of teaching Medical Students
• Experience of GP Training/ Clinical supervision
• Familiarity with the BNSSG healthcare system
• Acute/ general medical experience
• Experience of referral management/ Primary care/ hospital interface decisions

Skills, Abilities and Attributes

Essential

• Motivated to provide high standards of patient and workforce care
• Excellent verbal and written communication skills
• Able to form strong relationships both internally and externally
• Able to listen carefully and to manage sensitive situations
• Able to manage confidentiality at all times, for both staff and patients
• Able to use own initiative to achieve the objectives of the post
• Flexible approach to working pattern and location according to service need
• Organised, systematic and with good time management; able to prioritise work, multi task and work under pressure
• Willing to analyse own work and performance, to recognise own limitations and act appropriately
• Commitment to BrisDoc's values, social enterprise status and Co-ownership model
• Positive attitude towards innovations and change.
• Good team player who is able to support, value and respect the contribution of all members
• Able to remain impartial, objective and non-judgmental when working with others

Desirable

• Familiarity with Cleo and EMIS systems