Newly Qualified Salaried GP

Job summary

The East Lancashire Alliance (ELA) is a valuesdriven, not-for-profit provider of innovative healthcare across EastLancashire. Led by a Clinical Board, it has been providing excellent qualitycare to patients since its inception in 2021. Fundamentally, we align ourselveswith the NHS and embrace the ethos of social enterprise, reinvesting surplusesgenerated back into our services.

We are passionate about providing the bestquality care for patients in our Place, for the betterment of our system.

Thepost-holder will manage and deal with a wide range of health needs in a primarycare setting, within the Hyndburn Central PCN Area.

Following the release of ARRS GP funding we are looking for newly qualified (within 2 years) to Join Hyndburn Central Primary Care Network on a fixed term salaried contact until 31 March 2025. We will consider applications for between 4 and 6 sessions with a start date as soon as possible.

In general, the post-holder will be expected to undertake all the normal duties and responsibilities associated with a GP working within primary care.

Please note: to be eligible for thisrole, you must be within two years of certificate of completion of training atthe start date of your employment and have not previously held a substantivepost as a General Practitioner.

Main duties of the job

Clinical responsibilities

Assessing the health care needs of patients with undifferentiated and undiagnosed problems Screening patients for disease risk factors and early signs of illness Developing care plans for health in consultation with patients and in line with current practice disease management protocols Providing counselling and health education Admitting or discharging patients to and from the caseload and referring to other care providers as appropriate Recording clear and contemporaneous consultation notes to agreed standards Collecting data for audit purposes Compiling and issuing computer-generated acute and repeat prescriptions (avoiding hand-written prescriptions whenever possible) Prescribing in accordance with the Lancashire Medicines Management Board prescribing formulary (or generically) whenever this is clinically appropriate

Checking and signing repeat prescriptions

Cover all the clinical management of the patients in surgery as appropriate including initiating investigations, reviewing results, making referrals to secondary care or to other providers as appropriate

Develop care and treatment plans in consultation with patients and in line with current Practice disease management protocols as well wider guidance such as that from NICE

Administration - dealing with queries, patient test results, referral letters NHS/private, task, emails and other paperwork and correspondence in a timely manner

About us

The East Lancashire Alliance is a network of 9 PCNscovering 48 GP practices covering a population of over 390,000 patients acrossEast Lancashire. Patients are at the heart of everything we do and we prideourselves in ensuring our patients feel safe, supported, communicated with andrespected at a time when they may be feeling vulnerable. The Alliance are proudto represent our member practices and to champion our Primary Care Partners, byworking with local general practice and other system partners in the provisionof patient centred, local healthcare services.

Each practice has a close-knit team of staff whocollectively seek to improve the health of their patient populations.

East Lancashire is one of the world's most innovative,original and exciting places to live and work. From the beauty of thesurrounding countryside, to the heart of the vibrant inner Towns and Villageswith great shopping, entertainment and dining options. Wherever you go you willexperience a great northern welcome with people famed for their warmth, humourand generosity.

Job description

Job responsibilities

MAIN TASKS:

CLINICAL

Recording clear and contemporaneous based consultation notes to agreed standards

Provide safe, evidence-based, cost-effective, individualised patient care within the surgery, patients own home or other environment where patient care is carried out

Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly referring patients to other services/agencies in a timely manner, utilising Practice, PCN and local guidelines.

To recognise the need for and be able to perform and interpret investigatory procedures, including laboratory and radiology.

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.

Ensure appropriate follow up of patients

Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care

Support the delivery of anticipatory care plans

Recognise and work within your own competence and in accordance with professional codes of conduct, maintaining accurate and contemporaneous health records

Independently prescribe for patients within your scope of practice. Prescribing in accordance with locally agreed or national guidelines.

Compiling and issuing computer-generated acute and repeat prescriptions

Review medications following the appropriate policies, NICE/local clinical guidelines and local care pathways.

To maintain an awareness of developments in clinical practice

Awareness of and compliance with all relevant practice policies/guidelines prescribing, confidentiality, data protection, health and safety and QOF standards.

Be aware of your duties and responsibilities regarding current legislation and adhere to our policies and procedures on Safeguarding Children and Safeguarding Adults.

CONFIDENTIALITY

You will have access to confidential information relating to patients and their Carers, practice staff and other healthcare workers. 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

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the 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 our Health & Safety Policy, to include :

Using personal security systems within the workplace according to PCN guidelines

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

Making effective use of training to update knowledge and skills

Using appropriate infection control procedures, including maintaining a tidy and safe way work area free from hazards. Effective hand hygiene.

Provide advice on the correct and safe management of the specimen's process, including collection, labelling, handling, use of correct containers, storage and transport arrangements

Correct use of personal protective equipment (PPE) in both routine and extraordinary circumstances

Managing directly all incidents of accidental exposure

Safe use of sharps, storage and disposal

Reporting potential risks identified

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 recognises the importance of peoples rights, interpreting them in a way that is consistent with 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-judgmental and respects their circumstances, feelings priorities and rights.

TRAINING, PERSONAL/PROFESSIONAL DEVELOPMENT - Training requirements will be monitored in accordance with PCN requirements. Relevant personal development will be encouraged and supported by the PCN. You will be expected to take responsibility for maintaining a record of own personal and/or professional development

Undertake mandatory and statutory training as required and attend courses/ study days as deemed appropriate/necessary

Continually review clinical practice, responding to National policies and initiatives where appropriate

Participation in an annual individual performance review / internal appraisal and annual external GP appraisal including taking responsibility for maintaining a record of own personal and/or professional development

Provide leadership and education for members of the multi-disciplinary team, providing guidance and support when necessary.

Assess own performance and take accountability for own actions, either directly or under supervision.

QUALITY - The post-holder will strive to maintain quality within the practice, and will:

Contribute to the achievement of the highest possible quality standards such as those detailed by their regulatory body and the CQC.

Monitor the safety and effectiveness of own clinical practice through quality assurance strategies such as the use of audit, mentor feedback, case review and peer review. Implement improvements where necessary

Understanding of the audit process and of clinical risk management

Alert other team members to issues of Clinical Governance, quality and risk. Participate in Significant Event and/or near miss analysis reviews .

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Effectively manage own time, workload and resources

Work in partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.

To accept delegated responsibility for a specific area (or areas) of QOF

Collecting data for audit purposes

COMMUNICATION

Excellent communication skills (written and oral), when dealing with patients and other team members. The ability to make clear decisions with confidence and communicate these effectively.

Demonstrate sensitive communication styles to ensure patients and carers are fully informed and consent to treatment

Recognise people's needs for alternative methods of communication and respond accordingly.

Use developed communication, negotiation and conflict management skills recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background etc.

MANAGING RISK

Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients. This includes the escalation of clinical concerns or appropriate referrals where the management of a clinical situation requires it, or it falls outside of clinical competence.

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 and in accordance with the practice policy

Person Specification

Clinical Knowledge and skills

Essential

Ability to effectively triage, assess and diagnose Requesting pathology tests and processing the results, advising patients accordingly Assessing and managing acute deteriorations/exacerbations of Long-Term Conditions Understands the importance of evidence-based practice Ability to assess and manage patient risk effectively and safely. Broad knowledge of clinical governance Ability to work within own scope of practice and understanding when to refer to GPs

Desirable

Knowledge of public health issues in the local area Knowledge of health promotion strategies

Experience

Essential

Experience of working in urgent care and/or a primary care environment Experience of dealing with a range of clinical conditions Experience of providing home visits Proven ability to evaluate the safety and effectiveness of own clinical practice. Understanding of evidence-based practice. Evidence of working autonomously, with some support and supervision

Desirable

Experience of supporting service change. Experience of team leadership. Experience in Triage Knowledge of Quality and Outcomes Framework. Knowledge of public health issues in the local area Awareness of issues within the wider health arena Knowledge of health-promotion strategies

Personal qualities, attributes & abilities

Essential

Polite and confident, flexible and cooperative Motivated, forward thinker with ability to use own judgement and common sense Problem solver with the ability to process information accurately and effectively, interpreting data as required High levels of integrity Sensitive and empathetic in distressing situations Ability to work under pressure / in stressful situations Effectively able to communicate and understand the needs of the patient Commitment to ongoing professional development Punctual and committed to supporting the team effort Observance of strict confidentiality.

Other

Essential

Excellent communication skills (written and oral) including recording of accurate clinical notes. Strong IT skills and competent in the use of Microsoft Office and Outlook Effective time management (Planning, Organising and Prioritising), with excellent problem solving and analytical skills Ability to work autonomously, and as part of a multi-disciplinary team Ability to listen and empathise whilst being honest and caring Ability to follow clinical policy and procedure with and understanding of the audit process

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