Community GP, Team Up Derbyshire (2 sessions - Fridays) - South Hardwick Primary Care Network

Job summary

Are you enthusiastic about providing holistic care for frail patients?

Do you want an alternative to the current model of General Practice, where you can spend more time with the most complex patients?

South Hardwick PCN are seeking to recruit a Community GP to support our multi-disciplinary team providing healthcare to our housebound patients and patients in care or residential facilities across the PCN footprint.

This is an ideal role for a portfolio GP with negotiable sessions available.

This is an exciting opportunity to be at the forefront of the delivery of our Ageing Well model of care - Team Up Derbyshire. The role transcends the traditional health and social care organisational boundaries. It will involve true MDT working, building relationships with GP practices, Community Core and Rapid Response Nursing and Therapy services, Falls services and Adult Social Care, to help clinically deliver the service on a day-to-day basis.

This is an evolving service, so you will have the opportunity to contribute to the development of Team Up and the Home Visiting Service if you wish to.

The aim for the service is to ultimately provide a holistic approach to acute on-the-day/rapid response services, enhanced health in care homes and enhanced proactive care for older people with frailty and patients with multi-faceted health problems.

Main duties of the job

Key Duties Tasks and Responsibilities

Provide day-to-day clinical leadership for the multi-disciplinary team including debriefing after visits if needed

Maintain a visible clinical profile, having both advisory and clinical input into the medical management of patients presenting to the service

Home visiting for clinically complex cases e.g. end of life care, diagnostic uncertainty, complex prescribing decisions

Provide senior clinical triage for the Acute Home Visiting service

Maximise best care in the patients' own homes to reduce the need for hospital or care home admissions

Build relationships across the extended team including, but not limited to social care, ambulance, social prescribers, community, and mental health clinicians.

Lead/Engage in service development as the team expands

Lead/Engage in MDT meetings

Provide holistic comprehensive assessment and enhanced advance planning

Maximise best care in the patients own homes to reduce the need for hospital or care home admissions.

Provide end of life care in line with the patients wishes

Maximise opportunities for teaching and mentorship

About us

South Hardwick Primary Care Network is a group of 8 forward thinking and progressive practices (population 69,372) who have developed a friendly and effective working relationship with one another.

South Hardwick is a mix of former mining communities, suburbs, and rural communities to the south of Chesterfield.

Your employer would be North Eastern Derbyshire Healthcare Ltd, and you would be entitled to NHS pension.

To understand more about the role of a Community GP, please see this video:

https://www.youtube.com/watch?v=OZ_77QcLG_4

Job description

Job responsibilities

Please see attached Job Description and Person Specification which outlines the key tasks and responsibilities.

Person Specification

Qualifications

Essential

• A vocationally trained and accredited GP

• Current registration with GMC

• On the GP performers list

Desirable

• MRCGP

• Recognised qualification in Care of the Elderly

• Recognised qualification in medical education/clinical supervision

• Evidence of leadership development

Skills and Abilities

Essential

• Ability to understand others' competencies and support them to work within/at the top of those competencies, and to recognise/act when others are going beyond their competency.

• Ability to work effectively across traditional organisational and professional boundaries.

• Excellent organisational and communication skills.

• Ability to work effectively as a member of a team.

• Ability to work effectively with colleagues, patients and external organisations.

• Ability to triage patients in order of clinical need.

• Effective communication, verbally and in writing.

• Full driving license required as travelling required for the role.

• Committed to the development of integrated community teams.

Desirable

• Leadership of service delivery / change.

Aptitude and Personal Qualities

Essential

• Flexible, supportive, collaborative.

• Recognise the benefits of multiagency & multidisciplinary team working.

Experience

Essential

• Experience and evidence of an interest in care of the Elderly

• Understanding of adult safeguarding and Deprivation of liberty procedures

• Experience of multidisciplinary working, and of working effectively as a team member

• Experience of senior clinical triage for the Acute Home Visiting to determine the urgency and type of response needed, according to clinical need.

Desirable

• Knowledge and experience of undertaking Comprehensive Geriatric Assessment

• Experience of medical education/clinical supervision

• Experience of using SystmOne or another clinical system

Values, Drivers and Motivators

Essential

• A Passion for excellent, holistic, patient centred care for older people with frailty