GP Frailty York

Job summary

We are seeking to appoint a GPs withan interest in Frailty to support the delivery of the various developingFrailty Services, including but not limited to:

The York Frailty CrisisResponse Hub

York FrailtyOutreach Service

The YorkIntegrated Community Team MDTs

Low IntensityVirtual Frailty Ward patients follow up

Youwill need to hold the relevant professional registration (GMC) and haveexperience ofTriage / Telephone Assessment. Experience of working in GeriatricMedicine is desirable. Any successful candidates would join our growing team ofGPwERs in Frailty and be supported to obtain their Diploma in Geriatric medicineas well as join our regular education sessions.

This is predominantly a face-to-facerole based at Acomb Garth Community Centre between the hours of and 5pmbut if doing any evening shifts between 5 and 8pm then this can be doneremotely from home (evenings paid at enhanced rates).

As the clinician you will be workingon System One.

Main duties of the job

You will undertake a variety of duties, offering support and advice to System providers regarding vulnerable patients in Community as part of an MDT, undertake best interest discussions with patients and family members and help co-ordinate a response to support people in need to stay home whenever possible. More rarely you may be needed to visit a complex frail patient at home or undertake telephone consultations. Assessing the health care needs of complex patients with undifferentiated and undiagnosed problems, highlighting which services would support them best to stay in their home setting and independent. Cover the clinical management of patients as appropriate including initiating investigations, reviewing results, making referrals to other providers/services as appropriate. Compile and issue computer-generated acute and repeat prescriptions. Prescribe generically whenever appropriately and in accordance with NICE guidance and Good Prescribing Practice (as defined by British National Formulary guidance). Work with and support other members of the MDT, including but not limited to: social workers, therapists, social prescribers, voluntary support workers, frailty nurses, dieticians, UCR paramedics and other Frailty GPs. Participate in frailty training and maintain high volume of CPD in Frailty related conditions with the aim of obtaining the Diploma in Geriatric Medicine.

About us

About Us

Nimbuscare is anot-for-profit organisation that aims to be a collaborative and agile providerthat cares for its people and patients. Nimbuscare is based in York and isowned by all the practices in the city, however we deliver services over awider footprint.

Who are we

We deliver Urgent Careservices in collaboration with the hospital and GP practices in York,Scarborough, Whitby, Malton and Selby. We also provide community-based frailtycare, which focuses on treating people in the community where we can. We alsoaim to shift services into the community where possible, for example ourcommunity diagnostic centres run in partnership with the Acute Trust.

We are committed tocontributing towards a better NHS based on equity, fairness, innovation,collaboration and quality.

We are part of thesystem, and we are here to stay.

Nimbuscare is committedto improving the diversity of its workforce to better reflect the communitieswe serve. We welcome applications from everyone and work to promote aninclusive supportive culture that values and celebrates our differences.

As a DisabilityConfident Committed employer disabled applicants who meet the essentialcriteria for this job are guaranteed an interview.

Please note Nimbuscaredoes not hold a license to sponsor any visa applications and we are unable toprovide any advice about visas

Job description

Job responsibilities

Salary: £180 per session

Tenure: Substantive

Hours: One-Two sessions per week

Location and Hours: This is predominantly a face-to-face role based at Acomb Garth Community Centre between the hours of and 5pm but if doing any evening shifts between 5 and 8pm then this can be done remotely from home (evenings paid at enhanced rates).

Clinical Responsibilities:

You will undertake a variety of duties, mostly offering support and advice to System providers regarding vulnerable patients in Community as part of an MDT, undertake best interest discussions with patients and family members and help co-ordinate a response to support people in need to stay home whenever possible. You may be needed to visit a complex frail patient at home or undertake telephone consultations. Make professional, autonomous decisions in relation to presenting problems. Assessing the health care needs of complex patients with undifferentiated and undiagnosed problems, highlighting which services would support them best to stay in their home setting and independent whenever possible. Cover the clinical management of patients as appropriate including initiating investigations, reviewing results, making referrals to other providers/services as appropriate. Record clear and contemporaneous computerised consultation notes to agreed standards. Compile and issue computer-generated acute and repeat prescriptions. Prescribe generically whenever appropriately and in accordance with NICE guidance and Good Prescribing Practice (as defined by British National Formulary guidance). Work with and support other members of the MDT, including but not limited to social workers, therapists, social prescribers, voluntary support workers, frailty nurses, dieticians, UCR paramedics and other Frailty GPs. Promote the application of standards and codes of Practice set by the Royal College of General Practice, General Medical Council, Department of Health, British Geriatrics Society and local NHS trust. Participate in national frailty training and maintain high volume of CPD in Frailty related conditions with the aim of obtaining the Diploma in Geriatric Medicine.

Other Responsibilities:

Involve and contribute to the mentoring, supervision and training of the broad multi-professional clinical team. Be aware of and comply with all relevant policies/guidelines, prescribing, confidentiality, data protection, health and safety. Commitment and contribution to achievement of the highest possible quality standards. Commitment to life-long learning and audit to ensure evidence-based best practice. Contribute to evaluation/audit and clinical standard setting within the organisation. Attendance at regular in-house governance and educational meetings and training as well as events at other agencies as appropriate. Assist with the training of other staff members. Contribute to the development of computer-based patient records. Contribute to the summarising of patient records and Read-Coding patient data. Take responsibility that any equipment either clinical or otherwise, used when working, is taken due care of and locked away at the end of every working session.

Business responsibilities:

Act as a positive role model. Maintain ethos and culture of Nimbuscare. Positively promote Nimbuscare. Support Line Managers as required. Adhere to Health & Safety and educate staff within your role. Apply Nimbuscare policies, standards and guidance. Attend in-house governance, educational and staff meetings as appropriate.

Suggest and support the introduction of new working processes to optimise quality.

Communicate to ensure that all employees operate as an effective team. Build and maintain relationships with other healthcare professionals, including GPs, GP surgery personnel, care home personnel and CCG personnel etc.

Safeguarding

Everyone within Nimbuscare has a responsibility for, and is committed to, safeguarding and promoting the welfare of Adults-at-risk (vulnerable adults), children and young people and for ensuring that they are protected from harm. Be fully aware of and understand your duties and responsibilities arising from the Childrens Act 2004 and Working Together to Safeguard Children 2018, in relation to child protection and safeguarding children and young people. Be fully aware of and understand your duties and responsibilities arising from the DOH Policy No Secrets (2000), and the principles of safeguarding as they apply to Adults-at-risk (vulnerable adults) in relation to your work. Recognise the types and signs of abuse and neglect. Ensure the Nimbuscare Safeguarding Lead is alerted to, and kept fully informed of, any concerns you may have in relation to safeguarding adults, children and young people. Adhere to Nimbuscare and local Child Protection and Safeguarding Adult policies and procedures.

Learning and development:

You will participate in any training programme implemented by Nimbuscare as part of this employment, such training to include:

Participation in individual performance reviews, including maintaining a record of own personal and/or professional development. Working in conjunction with senior management, assess own learning needs and undertake learning as appropriate. Develop and utilise a written Personal Development Plan. Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information. Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments. Undertake mandatory and statutory training as required.

Team working:

Understand own role and scope in the organisation 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. Accept delegation from senior staff, prioritise own workload and ensure effective time management strategies are embedded in own practice. Participate in team activities that create opportunities to improve patient care. 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. Participate and support local projects as agreed with the management team. Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties.

Confidentiality:

In the course of seeking treatment, customers 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 you will respect their privacy and act appropriately. In the performance of your duties outlined in this Job Description, you may have access to confidential information relating to customers and their carers, Nimbuscare staff and other healthcare workers. You may also have access to information relating to Nimbuscare as a business organisation. All such information from any source is to be regarded as strictly confidential. Information relating to customers, carers, colleagues, other healthcare workers or the business of Nimbuscare may only be divulged to authorised persons in accordance with Nimbuscare policies and procedures relating to confidentiality and the protection of personal and sensitive data. Be aware of your responsibilities under the General Data Protection Regulations (GDPR).

Health & Safety:

You will assist in promoting and maintaining their own and others health, safety and security as defined in the Nimbuscare Health & Safety Policy, to include:

Using personal security systems within the workplace according to 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 your knowledge and skills. Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards. Reporting potential risks identified.

Equality and Diversity:

You will support the equality, diversity and rights of customers, 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 Nimbuscare procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of customers, 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.

Quality:

You will strive to maintain quality within Nimbuscare, 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. Effectively manage own time, workload and resources. Work within own limitations and experience. Be aware of and co-operate with audit. Work effectively with individuals in other agencies to meet patients needs. Portray a professional image at all times. Person Specification

Physical Skills

Essential

VDU use Own transport

Qualifications

Essential

Fully Qualified Doctor with current Professional Registration (GMC) MRCGP Qualification

Desirable

Evidence of CPD

Experience

Essential

Experience of Triage / Telephone Assessment

Desirable

Minimum 1 years' experience of working within a Primary Care environment Experience in Geriatric Medicine

Skills and Competencies

Essential

IT Skills (MS office / Systmone / EMIS) Advanced clinical assessment skills including history taking/clinical examination Excellent communication and interpersonal skills Ability to demonstrate problem solving with effective decision- making skills, supported by a best practice approach. Able to work autonomously and as part of a team.

Desirable

Evidence of Statutory and Mandatory Training

Personal Attributes

Essential

Lead by example The ability to prioritise effectively Able to work under pressure Flexible Adaptability Using initiative Self-audit and reflection

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