Salaried GP

Job overview

Gloucestershire Health and Care NHS Foundation Trust are looking for experienced GPs to join the Integrated Urgent Care Service (IUCS).

The overall aim of the Integrated Urgent Care Service is to provide a consult and complete model of care for people needing urgent care. The key features of the service include NHS 111, Clinical Assessment Service and Out of Hours services (face-to-face base and home visiting). The NHS 111 service will be provided by Health Advisors and Clinical Advisorshosted by our partner organisation, IC24. Where a senior clinical review is indicated, this will be completed within the Clinical Assessment Service, which will be jointly delivered by GHC Senior Clinical Leads based at Edward Jenner Court, Gloucester and remotely by IC24 CASclinicians. The post holder will act as the Senior Clinical Lead for CAS and be part of the rota covering the service 24/7.

This role is offered on a permanent basis. We currently have a range of hours and shifts available during the week and at weekends, between 08:00-00:00. These can be offered as a fixed pattern.

Please note that enhancements are offered, please see attached, for out of hours working and any CAS Senior Lead hours attract 3% if salaried before the enhancements are then added. For any bank hours you will see the different rates attached for the two types of roles.

The qualification, training & experience requirements for the role are underlined in the Job Description/Person Specification.

Job description

The postholder will work collaboratively with the service team and have oversight of all clinical queues across the IUCS pathway to direct patients without delay to the correct parts of the urgent care system utilising the Gloucestershire Directory of Service.

The Senior Clinical Lead will provide support and guidance to all colleagues across the service ensuring everyone is confident and supported to work to the top of their license.

As a GP working within the service they will use their clinical expertise and professional knowledge to assess and manage patients as part of clinical telephone triage, working as part of a multi-disciplinary team to deliver high quality and patient centred service when in hours General Practice is closed.

Where required and available, the CAS will haveaccess to direct booking into the Out of Hours bases and Home visiting service and work closely with other community services within GHC such as Minor Injury and Illness Units, Rapid Response and Evening and Overnight District Nursing. The CAS will provide an enhanced assessment supported by the NHS Pathways Clinical Consultation Support (PaCCS) module to identify clinical need/risk. It will also oversee and take actions relating to any abnormal urgent pathology results communicated by Gloucestershire Hospitals NHS Foundation Trust (GHFT) Pathology Service during the OOH period.

Job responsibilities

Please see the attached job description for full details of the role,

Activities may include the following, but not exhaustive:

• Aim to provide timely high-quality clinical care and assessments primarily through telephone clinical triage and video consultation
• To manage acute and chronic presentations across adult and paediatric patients
• To deliver personalised, evidence informed medical care to all patients requiring senior clinical assessment
• Validation of ambulance dispositions on the CAS clinical queue
• Support for Health Care professionals offering advise, guidance and navigation
• To provide advice, treatment, signposting and onward referral as appropriate.
• To adhere to local prescribing guidelines, including electronic prescribing practices
• Keep good quality up to date medical records including ensuring appropriate documentation and coding is used to provide consistent audit and monitoring of the service
• To provide clinical advice and support to non-medical team members as requested.
• To provide supervision, clinical advice and support to other learners, including GP trainees and Advanced Clinical Practitioners and trainees
• To work in close partnership and liaison with primary care, acute and specialist services, community Services, social services, mental health services and voluntary services both clinically and in relation to service development.This role is not eligible for sponsorship as per the Governments UK VISA and Immigration Rules and Regulations. For more information please visit https://www.gov.uk/browse/visas-immigration/work-visas To support compliance with UK immigration requirements, all applicants who require a visa to work in the UK must disclose their visa history in full. This includes current and previous sponsors, dates of sponsorship, visa category, and any changes of employment. If you are on a Graduate or Dependant Visa, please disclose the expiry date on your application. Incomplete information may mean we are unable to consider your application

About the organisation

We have a skilled and dedicated workforce of over 5000 colleagues working in a diverse range of services over 55 sites and within people's homes. We strive to enable a welcoming workplace culture that builds and celebrates civility, inclusivity and diversity, while providing a sense of belonging and trust.

Annual staff surveys, regular Pulse surveys and other engagement opportunities provide our people with lots of opportunity to tell us about their experiences of working with us. In the latest staff survey, 61% of colleagues gave us their views. It was great to hear that:

• 72% of colleagues would recommend the Trust as a place to work, ranking us 1st for Provider Trusts in the South West region on this question.
• 76% would recommend the standard of care provided in our services if a friend or relative needed treatment, also ranking us 1st in the South West region.
• 81% said that care of patients and service users is the Trust's priority, compared with an average in comparable NHS Trusts in England of 64%.

This high-level overview shows we are in a healthy position, with higher scores than average for comparable organisations, alongside a great response rate, indicating good staff engagement. However, we also know we have plenty of room for improvement in many areas. To that end, we continue to prioritise and invest in our commitment to genuinely becoming a Great Place to Work with consistent top-quartile performance in the annual staff survey and Pulse surveys.

Person specification

Qualifications

Essential

• Basic Medical Qualification
• Current and full registration with the General Medical Council
• Inclusion on GP Performers list
• Evidence of ongoing management and professional development
• Satisfactory appraisal with the last 12 months (or within the most recent 12 months of work, if current career break)

Experience

Essential

• Current and credible experience as a medical practitioner (GP)
• Experience of driving improvement and ensuring patient safety through clinical governance systems.

Desirable

• GP OOH Experience or other urgent care settings
• Experience of working in an integrated service/system

Knowledge

Essential

• Ability to make appropriate assessments in the management of Primary Care patients

Supporting documents

• Job Description.pdf (PDF, 433 KB)