Job summary
- Main area
- Emergency Department
- Grade
- NHS Medical & Dental: Salaried GP
- Contract
- Permanent: There is potential for this service to run 7 days a week
- Hours
- Part time
- Job share
- Job ref
- 216-G2-ECD6923907
- Employer
- University Hospitals Plymouth NHS Trust
- Employer type
- NHS
- Site
- University Hospitals Plymouth
- Town
- Plymouth
- Salary
- £117,969.31 per annum
- Salary period
- Yearly
- Closing
- 30/01/2025 23:59
Employer heading
Urgent and Emergency Care Doctor
NHS Medical & Dental: Salaried GP
Job overview
As a key member of the University Hospital Plymouth NHS Trust Urgent Treatment centre’s, this role will be responsible for providing face to face care for patients that access the service, when the UTC is open. Patients who present to the UTC will be walk-in patients or patients booked in by NHS 111. This doctor will ensure that all patients are dealt with appropriately and efficiently within their competencies, whilst maintaining a high-quality service and keeping the high standards that UHP expect. On a day-to-day basis, you will follow UHP operational policies and procedures. Generally, the role requires similar skills to those of an ‘in-hours’ GP, but there is also the potential to extend your competencies into minor illness and other areas of UEC practise with support and training if desired. You will assist in the development of an integrated approach to the delivery of patient care across the UTC and you will work in partnership with all relevant stakeholders.
Main duties of the job
The post holder will be a GP or doctor with a UEC skill set who will work within the UTC alongside the wider team in the Emergency Department (ED).
Main responsibilities.
You will be expected to provide evidence based clinical care to all patients who are attending the service and undertake duties consistent with it, including but not limited to:
· Review and assess the health care needs of patients with undifferentiated and undiagnosed problems suitable for primary care
· Work as part of the team to provide safe and effective care to patients in a timely manner
· Provide cross cover for colleagues to ensure adequate staffing and safe delivery of the service
Contribute to the wider work of the senior clinical team, supervision, contribute to guidelines and contribution to the working of a successful team.
Working for our organisation
University Hospitals Plymouth NHS Trust is the largest hospital in the south west peninsula, providing comprehensive secondary and tertiary healthcare.
Our geography gives us a secondary care catchment population of 450,000 with a wider peninsula population of almost 2,000,000 people who can access our specialist services. The population is characterised by its diversity – the rural and the urban, the wealthy and pockets of deprivation, and wide variance in health and life expectancy. Population ageing is a recognised national trend, but is exacerbated locally by the drift of younger people out of the area and older people in. The proportion of our population aged 85 or over is growing ahead of the national average by approximately 10 years, giving Plymouth the opportunity to innovate on behalf the nation in services for the elderly.
Location of the Derriford Urgent Treatment Centre
The service will be provided within the new Urgent Treatment Centre which is based at Derriford Hospital, PL6 8DH , within the Emergency Department estate, the Acute Frailty Unit and the Urgent Treatment Centres at Tavistock Hospital, Kingsbridge Hospital and the Cumberland Centre.
The aim of the unit is to be open from 08:00 – 20:00 hrs, 7 days a week.
Detailed job description and main responsibilities
Working alongside the ED footprint until the new Onsite UTC is built. The GP will work with a dedicated HCA, seeing patients streamed from triage.
You will see general practice presentations and use your primary care skills and insight to provide effective, patient-centred care. The majority of patients will be discharged home. You will also be able to refer to second care partners within the Trust. These patients will be monitored against the Trust 4-hour standard target.
At times the post holder may be asked to be flexible across other days of the week and provide resilience to the service in terms of cover.
The GP will work as part of the ED team, which includes GPs, ENP’s, Nurse, HCAs, emergency medicine doctors, nursing staff, allied health professionals, administrative staff and social workers.
The GP will need to work co-operatively with each other, the service manager, other clinical and administrative staff to maximise opportunities to improve patient pathways.
The GP will be expected to develop good relationships within referring clinicians and with medical colleagues working within the secondary care setting. They will also need to liaise with other health professionals working in health and social care in the community.
Appropriately redirecting the patient if admission is not required by taking all relevant details and facilitating appropriate care elsewhere.
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 multi-disciplinary team and planning for discharge at the point of admission.
Ensure that high clinical standards are maintained throughout the service.
Maintain a professional image of the organisation. Work with consultant and other clinical colleagues to improve non-elective care pathways in the Hospital.
Work with GPs and other community colleagues to develop new pathways of care within the community as alternatives to Hospital admission.
Contribute to the development and teaching of the team of GPs, nurses, advanced nurse practitioners within the organisation and with other partner organisation
There is a requirement for the service to be covered between 08.00 – 20.00, patient facing, 5 days a week. We aspire to provide services from 08.00 – 20.00, 7 days a week.
Offers of flexible and part working will be considered.
We commit to support continuing professional development in line with standard outlined in the BMA model contract for GPs.
There is a monthly evening meeting which we promote in a positive way to share learning and developments and can be accommodated within the CPD allocation.
There is also a regular service review meeting looking at the service performance and review against operational targets.
Person specification
Qualification
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
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
- Zoe Vanstone
- Job title
- Deputy Service Line Manager - Emergency Department
- Email address
- [email protected]
- Telephone number
- 01752434493
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