Job summary
- Main area
- Acute GP
- Grade
- NHS Medical & Dental: Salaried GP
- Contract
- Permanent
- Hours
- Part time
- Job share
- Job ref
- 216-G2-ACU6707713
- Employer
- University Hospitals Plymouth NHS Trust
- Employer type
- NHS
- Site
- Derriford Hospital
- Town
- Plymouth
- Salary
- £125,047 pro rata, per annum
- Salary period
- Yearly
- Closing
- 06/11/2024 08:00
Employer heading
Acute GP - Medical SDEC and Integrated Virtual Ward
NHS Medical & Dental: Salaried GP
Job overview
Join our diverse and dynamic team to drive better care at the interface between the hospital and community. We have availability in a front door clinical role with the opportunity to develop skills and drive development of future healthcare.
The Acute GP Service is based on the Medical SDEC (Same Day Emergency Care) Unit and works alongside acute physicians to support access to urgent care for people with medical problems. We link with community GPs, SWASFT and community services to facilitate hospital admission and alternatives to hospital care.
We provide clinical cover for our Integrated Virtual Ward to provide high quality, patient-centred care in the comfort of their own homes, reducing hospital admissions and length of stay in hospital and enhancing overall well-being through enhanced care co-ordination. This can involve working within a Livewell Community Hub.
This role maximises the impact of skilled GPs with the ability to deliver holistic and flexible care, accessing the resources of the acute hospital with opportunity to promote mutual learning and understanding. We use the SystmOne clinical system to coordinate care. The roles include paid non- clinical time and an expectation to participate in governance activity.
We provide a 7 day service with the aim of the unit opening from 08:00 – 23:00 hrs, 7 days a week. We are looking for 3 WTE Acute GPs. We are happy to consider part time and job share. Half and full day sessions available.
Main duties of the job
- Taking referrals from clinicians in the footprint of the acute hospital for a variety of specialties and appropriately exploring the request for admission from those clinicians
- Taking an active part in accepting referrals and communicating with the Emergency Department
- Taking an active role in accepting referrals and providing clinical management for Integrated Virtual Ward patients.
- Appropriately redirecting the patient if admission is not required by taking all relevant details and facilitating appropriate care elsewhere
- Clear intended management plan for the patient once a referral has been accepted, and agreeing the onward care plan
- Offering an on-site assessment facility for selected patients where they may require further investigation and diagnostics
- The GP would take a history, perform an initial examination and request any pertinent diagnostic tests, following which if admission was required, the relevant information would be passed to the receiving clinical team
- Communicating with other members of the MDT and planning for discharge at the point of admission
- Maintaining high clinical standards
- Maintain a professional image of the organisation
- Work with colleagues to improve non-elective care pathways in the hospital
- Working with colleagues to develop new pathways of care within the community as alternatives to hospital admission
- Contribute to the development and teaching
Working for our organisation
The Medical Same Day Emergency Care Unit (SDEC) is a day assessment unit where University Hospitals Plymouth (UHP) supports delivery of an integrated approach to avoid unnecessary admissions. The Medical SDEC provides same day review and treatment for people with medical problems who do not require hospital admission. We link to community services and general practice to support the interface between primary and secondary care
For more information regarding the post please contact Dr Birte Morris, Clinical Lead for Virtual Ward and Acute GP service on [email protected] or Dr Tim Whiter, Deputy Clinical Lead for Acute GP service on [email protected].
Detailed job description and main responsibilities
- Working alongside the acute physicians on the Medical SDEC: a dedicated space for patients to be appropriately assessed, close to the Emergency Department and with strong links with health and community services
- Working alongside the Integrated Virtual Ward team to provide an holistic approach to patient treatment planning and care. Providing a dedicated frailty service enabling multi-professional and inter-agency assessments of needs of people with complex needs and frailty.
- Support an MDT approach to urgent care to provide a better experience for the patients
- Deliver advice to enable ongoing care in the community and support discharge from the Emergency Department
- Support the advanced care team in community Urgent Treatment Centres (UTCs, includes Cumberland, Tavistock and Kingsbridge) to develop and deliver care in line with published guidance
- Medical SDEC aims to prevent unnecessary hospital admissions and to get patients back home/into the community
- Reduces unnecessary delays and create better flow
- Reduces overcrowding in the Emergency Department
- Support delivery of medical treatment of Ambulatory Care specific conditions
- Work to develop new pathways to optimise patient experience of same day emergency care
Person specification
Qualifications
Essential criteria
- Full Registration with the GMC JCPTGP Vocational training certificate or PMETB equivalent Evidence of registration on a CCG GP performer’s list
Desirable criteria
- • Postgraduate qualification • Previous GPwSI accreditation
Clinical Experience, Training & Skills
Essential criteria
- • Able to work in a challenging post, within a rapidly developing agenda • Able to work in a multi-disciplinary team committed to innovation and service redesign • Able to work flexibly across professional boundaries • Good verbal and written communication skills • Good interpersonal skills • Good clinical skills in terms of history taking, documentation, clinical examination and use of appropriate investigative resources • Competent in the use of Microsoft Office and GP clinical systems
Desirable criteria
- • Able to constructively challenge care issues with other professionals, suggest appropriate alternatives to admission and generate and facilitate new pathways of care • Able to insert IV cannulae and take blood samples • Able to interpret blood test, ECG and X-ray results
Academic Research Skills/ Teaching Management
Essential criteria
- • Experience of teaching and training other clinical staff
Desirable criteria
- • Knowledge and experience of advanced nurse practitioner training – in particular prescribing module
Commitment to Specialty
Essential criteria
- • Previous experience of managing change • Knowledge of national and local agendas in respect of primary care, commissioning, non-elective and intermediate care. • Committed to a team approach • Committed to providing patient-centred care • Self-motivated • Ability to recognise own limitations, identify learning needs and act on them appropriately • Ability to respect others opinions keeping the patient at the centre of what we do. • Caring attitude to patient and relatives • Pragmatic approach to day to day irritations • Able to tolerate stress and manage it appropriately • Determination to drive change that will improve patient care outside of the currently accepted pathways • Ability to maintain and build relationships across multiple physical and organisational boundaries
Desirable criteria
- • Previous Accident and Emergency and Acute Medicine experience • Working knowledge of local alternatives to admission • An understanding of the how non-elective services are accessed and how they are used by different social groups An understanding of the health needs of a deprived population and how these can be addressed
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Dr Birte Morris
- Job title
- Clinical Lead for Virtual Ward & Acute GP service
- Email address
- [email protected]
- Telephone number
- 01752435614
- Additional information
For more information regarding the post please contact Dr Birte Morris, Clinical Lead for Virtual Ward and Acute GP service on [email protected] or Dr Tim Whiter, Deputy Clinical Lead for Acute GP service on [email protected].
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