Salaried GPNHS

Job summary

Middlewood operates a personalised list model of care, providing continuity with a named GP when available and appropriate. However, with a service model that includes a robust triage and urgent care system, LTC clinics, specialist clinics, prescribing and recall services, and the skills of a wider MDT including PAs, ANPS, pharmacists, MH practitioners and physios, we focus on the wellbeing on our clinicians as much as that of our patients.

We are looking for two additional GPs who share our vision and who will want to contribute to shaping how we deliver care. Each post is a 6 session per week post, one is for a fixed term of 5 months and the other of 8 months.

The roles offer fantastic opportunities to be part of, and contribute to, the development of new ways of working within a forward-thinking and transformed primary care organisation.

Main duties of the job

In general the post-holders will be expected to undertake all the normal duties / responsibilities associated with a GP working within primary care. For full details, please see attached Job Description

Clinical Responsibilities

Undertake a variety of duties including face to face consultations, telephone and online consultations and queries, visiting patients at home, checking and signing repeat prescriptions and dealing with queries, paperwork and correspondence

If required, support the Middlewood Prescribing Team with medication queries

When required support the Middlewood Urgent Care Team and be part of our rota to support our clinical reception triage function.

Making professional, autonomous decisions in relation to presenting problems

Assess the health care needs of patients with undifferentiated and undiagnosed problems

Screen patients for disease risk factors and early signs of illness

In consultation with patients and in line with current practice disease management protocols, develop care plans for health and social well-being

Record clear and contemporaneous consultation notes to agreed standards

Collect data for audit purposes

Compile and issue computer-generated acute and repeat prescriptions

Provide support, informal training & advice to other members of the team and students

Job description

Please see attached job description for more information

With a total list size of 34,000 patients, and care and support collectively provided by 150 members of staff from four locations in three towns in Eastern Cheshire, we are now looking to increase our GP capacity. This is a unique opportunity to be part of, and contribute to, the development of new ways of working within a forward-thinking and transformed primary care organisation. We are looking for GPs who share our vision and who will want to contribute to shaping how we deliver care.

At Middlewood we are committed to:

Providing high quality, sustainable, General Practice care from premises in Bollington, Disley and Poynton

Providing services that are joined up with other health, social care and voluntary providers.

Retaining developing and supporting our staff.

Continuing to be at the forefront by offering excellence in education and training for inter-professional staff

Developing specialist services and care that are provided for patients registered with the practice across the geographical area of Bollington, Disley and Poynton.

Participating in research that is relevant and beneficial to our patients.

Becoming a recognised local employer offering a supportive and developmental working environment to grow new talent

We have a well-established team of clinicians including

Partner and Salaried GPs

Advanced Nurse Practitioners

Diabetes Specialist Nurses

Clinical Pharmacists and Pharmacy Technicians

Physician Associates

Paramedic

Social Prescribers

MSK Practitioners

Mental Health Practitioners

We work very closely with our community team and have established a shared visiting service with our district nurses. In addition, we have in place a single point of access (for telephone requests) and digital triage process where all clinical requests are allocated by a clinically-supported team based in our Clinical Hub.

We are keen to embrace the opportunities that the modern NHS provides, whilst meeting the challenges together through a more sustainable and evolving organisation and model of care.

This opportunity would suit GPs looking;

To gain experience of working in a different way, focussing on continuity, proactivity and teamwork

To gain experience of working within a PCN multi-disciplinary team

To develop skills in both core general practice and other specialist and leadership roles over time.

We welcome informal discussions and visits to our Practices. Please contact Debbie Whitmore at [email protected] if you would like to arrange these.

Job Description

The post-holder will be an important member of our clinical team and will provide high quality General Medical Services including dealing with a wide range of health needs in a primary care setting, ensuring the highest standards of care for all registered and temporary patients.

Clinical Responsibilities:

• Undertake a variety of duties including face to face consultations, telephone and online consultations and queries, visiting patients at home, checking and signing repeat prescriptions and dealing with queries, paperwork and correspondence in a timely fashion.
• If required, support the Middlewood Prescribing Team with medication queries

When required support the Middlewood Immediate and Necessary Team (urgent care) and being part of our rota to support our clinical reception triage function.

• Making professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation
• Assess the health care needs of patients with undifferentiated and undiagnosed problems
• Screen patients for disease risk factors and early signs of illness
• In consultation with patients and in line with current practice disease management protocols, develop care plans for health and social well-being
• Record clear and contemporaneous consultation notes to agreed standards
• Collect data for audit purposes
• Compile and issue computer-generated acute and repeat prescriptions (avoiding hand-written prescriptions whenever possible)
• Provide support, informal training and advice to other members of the team, as well as students and training on an ad-hoc basis.
• In general the post-holder will be expected to undertake all the normal duties and responsibilities associated with a GP working within primary care.

Other Responsibilities within the Organisation:

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

• A commitment to life-long learning and audit to ensure evidence-based best practice
• Contributing to evaluation/audit and clinical standard setting within the organisation
• Maintain patients clinical records in line with the practice patient record system.
• Attending training and events organised by the practice or other agencies, where appropriate.
• Attend team meetings and other meetings as may be necessary
• To work within a team setting, with flexibility and due care for all members of staff.

Confidentiality:

In the course of seeking treatment, 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

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential

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 & Safety:

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice health & safety policy, the practice health & safety manual, and the practice infection control policy and published procedures. This will include:

Using personal security systems within the workplace according to practice 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, maintaining work areas in a tidy and safe way, free from hazards

Actively reporting health and safety hazards and infection hazards immediately when recognised

Keeping own work areas and general/patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role

Undertaking periodic infection control training (minimum annually)

Reporting potential risks identified

Demonstrate due regard for safeguarding and promoting the welfare of children

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 that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights

Personal/Professional Development:

The post-holder will participate in any training programme implemented by the practice as part of this employment

Quality:

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

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

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload and resources

Communication

The post-holder should recognise the importance of effective communication within the team and will strive to:

Communicate effectively with other team members

Communicate effectively with patients and carers

Recognise peoples needs for alternative methods of communication and respond accordingly

Contribution to the Implementation of Services:

The post-holder will:

Apply practice policies, standards and guidance

Discuss with other members of the team how the policies, standards and guidelines will affect own work

Participate in audit where appropriate

The list of duties in this job description is not exhaustive and is intended to outline the main activities of the postholder. Duties and responsibilities may be subject to change taking into account the development needs of and following full discussion with the postholder

About us

The Middlewood Partnership is a group of four practices across a Primary Care Network footprint which was established following a merger in 2019. We have created a modern GP organisation that retains the benefits of family medicine, including continuity, teamwork and support, but with the benefits of working at scale. This includes the ability for GPs to work a one session, one job rota, opportunities to work sessions in at scale services such as prescribing, urgent care, triage, care homes and specialist clinics, and leadership roles where appropriate