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Acute GP

4 months ago

Plymouth, United Kingdom University Hospitals Plymouth NHS Trust Full time

Here's your chance to join our diverse and dynamic team to drive better care at the interface between the hospital and community. Our patients and colleagues need to navigate the shifting health care environment. We have availability in a front door clinical role with the opportunity to develop skills, understanding and drive development of future healthcare.

The Acute GP Service is based on the Medical SDEC (Same Day Emergency Care) Unit and works alongside the acute physicians and acute frailty service to provide urgent care and support access to urgent care for people with medical problems. We link with community GPs, the ambulance service and community services to facilitate hospital admission and alternatives to hospital care.

This role maximises the impact of skilled GPs with the ability to deliver holistic and flexible care. You have access to the resources of the acute hospital and will work alongside the physicians, nurses and therapists of the hospital, with opportunity to promote mutual learning and understanding. We use the SystmOne clinical system to coordinate care. The roles include paid non- clinical time and an expectation to participate in governance activity.

We provide a 7 day service with the aim of the unit opening from 08:00 - 23:00 hrs, 7 days a week.

Main duties of the job

Taking referrals from clinicians in the footprint of the acute hospital for a variety of specialties and appropriately exploring the request for admission from those clinicians Taking an active part in accepting referrals and communicating with the Emergency Department Taking an active role in accepting referrals and providing clinical management for Virtual Ward patients on the Community pathway. Appropriately redirecting the patient if admission is not required by taking all relevant details and facilitating appropriate care elsewhere Clear intended management plan for the patient once a referral has been accepted, and agreeing the onward care plan Offering an on-site assessment facility for selected patients where they may require further investigation and diagnostics The GP would take a history, perform an initial examination and request any pertinent diagnostic tests, following which if admission was required, the relevant information would be passed to the receiving clinical team Communicating with other members of the MDT and planning for discharge at the point of admission Maintaining high clinical standards Maintain a professional image of the organisation Work with colleagues to improve non-elective care pathways in the hospital Working with colleagues to develop new pathways of care within the community as alternatives to hospital admission Contribute to the development and teaching

About us

The Medical Same Day Emergency Care Unit (SDEC) is a day assessment unit where University Hospitals Plymouth (UHP) supports delivery of an integrated approach to avoid unnecessary admissions. The Medical SDEC provides same day review and treatment for people with medical problems who do not require hospital admission.We link to community services and general practice to support the interface between primary and secondary care

For more information regarding the post or to arrange an informal walk around please contact Medical SDEC - Dr Birte Morris on birte.morris@nhs.net or Louise Huntley, Deputy Service Line Manager on louisehuntley@nhs.net.

Job description
Job responsibilities

Working alongside the acute physicians on the Medical SDEC: a dedicated space for patients to be appropriately assessed, close to the Emergency Department and with strong links with health and community services Support an MDT approach to urgent care to provide a better experience for the patients Enables Primary Care Streaming from ED by offering a dedicated function to treat and care for minor illness Deliver advice to enable ongoing care in the community and support discharge from the Emergency Department Support the advanced care team in community Urgent Treatment Centres (UTCs, includes Cumberland, Tavistock and Kingsbridge) to develop and deliver care in line with published guidance Support the Virtual Ward in accepting referrals from the Community and managing patient's treatment and care within the home environment. Provides a dedicated acute frailty service (AFS) enabling multi-professional and inter-agency assessments of needs of people with complex needs and frailty. Medical SDEC aims to prevent unnecessary hospital admissions and to get patients back home/into the community Reduces unnecessary delays and create better flow Reduces overcrowding in the Emergency Department Support delivery of medical treatment of Ambulatory Care specific conditions Work to develop new pathways to optimise patient experience of same day emergency care

Person Specification
Qualifications
Essential

Full Registration with the GMC JCPTGP Vocational training certificate or PMETB equivalent Evidence of registration on a CCG GP performer's list

Desirable

Postgraduate qualification. Previous GPwSI accreditation

Clinical Experience, Training & Skills
Essential

Able to work in a challenging post, within a rapidly developing agenda. Able to work in a multi-disciplinary team committed to innovation and service redesign. Able to work flexibly across professional boundaries. Good verbal and written communication skills. Good interpersonal skills. Good clinical skills in terms of history taking, documentation, clinical examination and use of appropriate investigative resources. Competent in the use of Microsoft Office and GP clinical systems

Desirable

Able to constructively challenge care issues with other professionals, suggest appropriate alternatives to admission and generate and facilitate new pathways of care. Able to insert IV cannulae and take blood samples. Able to interpret blood test, ECG and X-ray results

Academic Research Skills/ Teaching Management
Essential

Experience of teaching and training other clinical staff

Desirable

Knowledge and experience of advanced nurse practitioner training - in particular prescribing module

Commitment to Specialty
Essential

Previous experience of managing change. Knowledge of national and local agendas in respect of primary care, commissioning, non-elective and intermediate care. Committed to a team approach. Committed to providing patient-centred care. Self-motivated. Ability to recognise own limitations, identify learning needs and act on them appropriately. Ability to respect others opinions keeping the patient at the centre of what we do. Caring attitude to patient and relatives. Pragmatic approach to day to day irritations. Able to tolerate stress and manage it appropriately. Determination to drive change that will improve patient care outside of the currently accepted pathways. Ability to maintain and build relationships across multiple physical and organisational boundaries

Desirable

Previous Accident and Emergency and Acute Medicine experience. Working knowledge of local alternatives to admission. An understanding of the how non-elective services are accessed and how they are used by different social groups An understanding of the health needs of a deprived population and how these can be addressed

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