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physician assistant Easingwold, England

South Hambleton and Ryedale Primary Care Network

Full Time Easingwold, England 10.56 - 12.04 GBP Today

Job description

JOB DESCRIPTION

Job title: Urgent Care General Practitioner

Hours: Full or part time

Location: Easingwold Area

Locum or salaried post available

Pay: £10,000 per session per annum

Job Role/Purpose:

Our PCN has developed its own GP led urgent care service that sits alongside the 7 GP practices. Whilst the team has grown over the past year, it will see further expansion in 2023/24 allowing it to provide a robust urgent care service supporting access to GP practices.

The urgent care service takes same day urgent care patients out of local GP practices allowing them to focus on complex and routine care. The team currently contains a skill mix including (but not limited to) paramedics, ANPs and GPs.

It is an exciting and varied role that would suit a GP who is comfortable assessing and managing same day urgency patients in both remote telephone and face to face settings.

There is a large component of leadership to this role with the supervision of the ARRS roles with both formal teaching and informal supervision.

Of particular note, the person who succeeds in getting this role will be helping us develop our urgent care service, and so creativity, a team working ethic and an interest in new models of work will be key.

Given it will be essentially supernumerary, this role can also offer a degree of flexibility that may be harder to find in more fixed GP roles, allowing for fixed start and finish times, sessional work, and no admin within the current job plan.

The post holder will demonstrate: critical thinking in the clinical decision-making process, work collaboratively with the general practice team to meet the needs of patients, support the delivery of policy and procedures, and provide leadership to the ARRS roles on shift as required.

An understanding of System1 and Accurx would be advantageous but not essential as training can be provided.

This role will provide support to the South Hambleton and Ryedale Primary Care Network (SHaR PCN).

CONTEXT:

SHaR PCN is a group of seven doctor surgeries and medical centres that work closely together as part of a network. It employs health professionals including clinical pharmacists, occupational therapists, first contact physiotherapists, paramedics, urgent care practitioners, health and wellbeing coaches, first contact mental health practitioners, specialist care co-ordinators (e.g., dementia and frailty) and social prescribing link workers. Working as part of multi-disciplinary teams, these clinical and non-clinical health professionals provide tailored care for patients allowing GPs to focus more on patients with complex needs. This role will be based in the Easingwold area.

Key Duties and Responsibilities

Clinical Practice

Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.
Manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action.
Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice.
Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person.
Complete the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example trainee advanced nurse practitioners and the personalised care roles.

Communication

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
Communicate with and support patients who are receiving ‘bad news’.
Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
Anticipate barriers to communication and take action to improve communication.
Maintain effective communication within the urgent care service and with GP practices and external stakeholders.
Act as an advocate for patients and colleagues.
Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

Delivering a Quality Service

Recognise and work within own competence and professional code of conduct as regulated by the GMC. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
Deliver care according to NICE guidelines and evidence-based care.
Assess effectiveness of care delivery through self and peer review, bench-marking and formal evaluation.
Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.
Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.
In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
Evaluate patients’ response to health care provision and the effectiveness of care.
Support and participate in shared learning across the practice and wider organisation.
Use a structured framework (eg root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events.
Assess the impact of policy implementation on care delivery.
Understand and apply legal issues that support the identification of vulnerable and abused children and adults and be aware of statutory child/vulnerable patients health procedures and local guidance.

Leadership – Personal and People Development

Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode.
Support staff development in order to maximise potential.
Critically evaluate and review innovations and developments that are relevant to the area of work.
Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services.
Take a lead role in planning and implementing changes within the area of care and responsibility.
Contribute to the development of local guidelines, protocols and standards.
Market the role of the advanced nurse practitioner in general practice.

Team Working

Understand own role and scope and identify how this may develop over time.
Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
Create clear referral mechanisms to meet patient need.
Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team.
Work effectively with others to clearly define values, direction and policies impacting upon care delivery.
Discuss, highlight and work with the team to create opportunities to improve patient care.
Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team.
Agree plans and outcomes by which to measure success.

Management of Risk

Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
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.
Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all.
Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.

Managing Information

Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information.
Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.
Manage information searches using the internet and local library databases.
Understand responsibility of self and others to the practice and primary care trust regarding the Freedom and Information Act.

Learning and Development

Undertake mentorship for more junior staff, assessing competence against set standards.
Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences).
Assess own learning needs and undertake learning as appropriate.
Provide an educational role to patients, carers, families and colleagues in an environment that facilitates.

Other Responsibilities

Work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients, and where required and as appropriate, refer people back to other health professionals within the PCN.
Raise awareness within the PCN of shared decision-making and decision support tools.
Raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and patients.
The post holder will maintain the security of sensitive personal and other confidential information and will apply all relevant Information Governance policies reliably to working practice. Additionally, they will be expected to follow secure operating procedures for handling information in all formats, including verbal, written and that held electronically.
The post holder will have the appropriate level of child protection and adult safeguarding knowledge, skills and practice required for the post; be aware of and comply with child protection and adult safeguarding policies and procedures.
This post will be subject to a DBS (Disclosure and Barring Service) Check.
In addition to observing the host Practice’s rules and procedures, which all staff are required to observe and follow, the post holder is also required to follow general policies and procedures that apply to the employment relationship. It is the duty of the post holder to accept personal responsibility for the practical application of these policies, procedures and standards.

GENERIC INFORMATION

Confidentiality

While seeking treatment, 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.
In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the individual practices. All such information from any source is to be regarded as strictly confidential.
Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practices may only be divulged to authorised persons in accordance with the host 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 the host practice Health and Safety Policy, to include:

Using appropriate infection control procedures, maintain work areas in a tidy and safe way and free from hazards.
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.
Promptly report any potential risks identified.
Using personal security systems within the workplace according to practice guidelines.
Making effective use of training to update knowledge and skills.
Being familiar with the operation and maintenance schedule for fire, panic and intruder alarms.

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 recognizes the importance of people’s rights, interpreting them in a way that is consistent with host 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-judgemental and respects their circumstances, feelings priorities and rights.

Personal/Professional Development

The post-holder will participate in any training programme implemented by SHaR PCN and/or the host practice as part of this employment, such training to include:

Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
Taking responsibility for your own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality

The post-holder will strive to maintain quality within the host practice/PCN and will:
Alert other team members to issues of quality and risk.
Assess own performance and take accountability for own actions, either directly or under supervision.
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.
Work effectively with individuals in other agencies to meet patients’ needs.
Effectively manage own time, workload and resources.

Job Types: Full-time, Part-time

Ability to commute/relocate: