Weekday Professional Line (WDPL) GPNHS

Job summary

This is a senior, weekday GP role at theprimary-secondary care interface. You'll speak with GPs and other community clinicians about acute medical presentations, agree a clear plan, and support the best next step for each patient. You'll help teamsavoid admissions where safe, and when hospital care is needed,support timely referral via the right route.

Based at Osprey Court, you'll work within a supportive multidisciplinary team alongside System CAS colleagues. The role is varied and offers a strong mix of clinical thinking, professional collaboration and system knowledge across BNSSG.

The WDPL team operates 08:00-18:30, Monday to Friday, and is based at Osprey Court. We receive calls from primary care clinicians and other community healthcare professionals seeking advice or admission for adult patients with acute medical presentations.

Main duties of the job

Our key function is to:

• explore management pathways not yet considered that could support safe community management, and
• facilitate admission to hospital via the most appropriate route when required.

We provide this service for patients within the catchment of the three BNSSG acute hospitals: Southmead Hospital, Bristol Royal Infirmary and Weston General Hospital.

You'll also receive a small number of cases from NHS 111 during the day (including poisonings), and you'll work alongside the System Clinical Assessment Service (System CAS) team, supporting remote clinical assessment for patients who might otherwise be directed to ED or 999 without clinical input.

Job description

• Receive telephone referrals for medical admission from primary care clinicians, carefully exploring the medical presentation and the callers concerns
• Demonstrate shared clinical decision-making and critical thinking to agree a patient-centred plan, aiming to support community management wherever possible and particularly for patients with terminal illness and/ or advanced frailty
• Facilitate referral to the Frailty-ACE (Assessment and Coordination for Emergency and urgent care) team for those frail patients who would benefit from a further discussion to determine whether community management would support their needs
• Provide medical advice and support to community clinicians who are working to maintain management of adult medical patients in the community, signposting to specialist input and community management pathways if required
• Seek specialist advice when required to support admission avoidance
• Facilitate urgent/ same day hospital referral via the most appropriate hospital pathway
• Remote assessment and management of a small number of dispositions/ cases referred from NHS111 during the day, including accidental toxic ingestions and people aged < 2 or > 85 years with unclear needs
• Remote clinical assessment of patients who, without clinical input, would otherwise be directed to a Category 3/4 ambulance or Emergency Department, alongside System CAS colleagues
• Excellent communication skills and a supportive and collaborative approach with both clinical and operational colleagues on shift, referring clinicians and colleagues in affiliated organisations
• Proactive approach to case discussion and supporting clinical decision making across Weekday Professional Line, Frailty-ACE and System CAS teams
• Contribute to the development of and/ or embrace new patient pathways, admission avoidance options and service developments to enhance care for patients

Support with assessment and management of patients referred to the Covid Medicine Delivery Unit, where required.

About us

BrisDoc is an employee-owned social enterprise that has been providing NHS healthcare for over twenty years. Serving more than one million patients across Bristol, North Somerset, and South Gloucestershire, BrisDoc offers a range of primary care services, including:

• Severnside Integrated Urgent Care (IUC):A 24/7 NHS urgent care service combining NHS 111 and the GP Out of Hours Service, and more, ensuring patients receive timely medical attention when their GP practice is closed
• In-Hours Primary Care:Operating GP practices such as Broadmead Medical Centre and Charlotte Keel Medical Practice, providing comprehensive healthcare services during standard hours
• Homeless Health Service:Dedicated to addressing the healthcare needs of homeless individuals, offering support through clinics and outreach teams

As a social enterprise, BrisDoc prioritises the health of its patients, environmental sustainability, and the social and economic well-being of the community. The organisation is committed to reducing health inequalities and improving overall well-being.

At BrisDoc, we are proud to be anemployee-ownedorganisation, meaning every member of our team is a 'co-owner' with a real stake in the success of the business. This unique structure empowers our staff to influence decisions, shape the future direction of the organisation, and take pride in the care and services we provide.