Salaried GP Unscheduled Care/Community React Team

This innovative post will provide the Postholder with a unique opportunity to work within a multidisciplinary team supporting people to age well. Working as part of a multi-disciplinary team, the Postholder will work flexibly across a wide range of services within the community, community and intermediate care beds in addition to supporting safe discharge from hospital.

The Post holder will support where appropriate a rapid response function to all settings within the community, enabling continued management of patients within a community setting, preventing avoidable admission/attendance in secondary care.

This role will provide medical advice and guidance to community care colleagues.

The Post holder will work with clinical managers to ensure that services are delivered in accordance with national quality standards.

An Enhanced DBS with Children's and Adults' Barred List checks will be obtained during pre-employment checks.

This post involves contact with patients and families face to face within a community setting. Therefore it cannot be ruled out that the postholder may come in contact with people who have COVID-19, although the Trust provides PPE and takes all reasonable steps to minimise risk.

Main duties of the job

To work flexibly across a wide range of service timetables within a community care setting, providing face to face consultation sessions, clinical sessions, telephone triage, home visits, case management and clinical administration.

To assess, investigate and (where appropriate) undertake clinical reviews for all referrals to CRT/Intermediate Care Community Services and community beds including frailty assessment.

To review and action diagnostic tests promptly. To provide medical support/advice to other primary and community care colleagues. Utilising an asset-based approach and promotion of self-management to support ongoing care.

To promote and implement end of life strategies (Gold Standard Framework etc.), delivering high quality palliative care. To facilitate and support advance care planning including ceilings to care plans.

To provide medical input and cover to virtual wards, community beds/residential nursing, EMI care homes, IMC beds, Daily ward round for community beds and home visits.

To work closely with other primary and community care colleagues in locality hubs/teams to deliver high quality patient-centred clinical care. This will include where appropriate attendance/participation in multi-disciplinary team meetings (MDTs).

The service is operational seven days a week and own transport is essential for the ability to travel across the borough.

About us

Choose Well - Choose WWL

Wrightington, Wigan and Leigh NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that 'happy staff makes for happy patients'. We have a recognised track record in staff engagement and living our values 'the WWL Way'.

WWL is committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind, we are seeking to recruit people who share our values and beliefs.

COVID-19 vaccination remains the best way to protect yourself, your family, your colleagues, and of course our patients from the virus when working in our healthcare settings. Whilst COVID-19 vaccination is not a condition of employment, we do encourage our staff to get vaccinated. If you are unvaccinated, there is helpful advice and information available by contacting covid-19.vaccine@wwl.nhs.uk where you can also ask about how to access vaccinations.

Job description
Job responsibilities

Key results from the job holder

• To work flexibly across a wide range of service timetables within a community care setting, providing face to face consultation sessions, clinical sessions, telephone triage, home visits, case management and clinical administration.
• To work flexibly providing cover for leave arrangements.
• To prescribe in accordance with the national formulary for all patients and where it is deemed necessary to prescribe outside the national formulary, to ensure clinical rationale is fully recorded in patient notes.
• To assess, investigate and (where appropriate) undertake clinical reviews for all referrals to CRT/Intermediate Care Community Services and community beds including frailty assessment.
• To assess/treat the patient in accordance with agreed clinical pathways.
• To review and action diagnostic tests promptly.
• To support the establishment of links and referral processes/pathways within secondary or specialist care, in line with local policies and protocols.
• To facilitate safe & effective handover practice in accordance with service operational procedures.
• To provide appropriate self-management and preventative health care advice to all ages and levels of health needs.
• To provide medical support/advice to other primary and community care colleagues.
• Utilising an asset-based approach and promotion of self-management to support ongoing care.
• To promote and implement end of life strategies (Gold Standard Framework etc.), delivering high quality palliative care. To facilitate and support advance care planning including ceilings to care plans.
• To interpret urgent diagnostic investigations such as ECG, X-Ray and Blood Tests.
• To provide medical input and cover to virtual wards, community beds/residential nursing, EMI care homes, IMC beds, Daily ward round for community beds and home visits.
• To work closely with other primary and community care colleagues in locality hubs/teams to deliver high quality patient-centred clinical care. This will include where appropriate attendance/participation in multi-disciplinary team meetings (MDTs).
• To participate in long-term condition management with appropriate investigation, recall, and referral to specialist clinics.
• To prioritise work and deliver appropriate case management care.
• To work as part of a team to ensure operational targets are met.

Planning and Organisational Duties

• Planning and organisation of daily work and patient priorities.

Responsibility for Health & Safety

Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.

Person Specification
Qualifications
Essential

• Full Registration with the GMC as General Practitioner and hold valid licence to practice.
• MB, ChB, MRCGP or equivalent certificate of prescribed/equivalent training in general medicine.
• Member of the Royal College of General Practitioners.
• Joint Certificate of Vocational Training or equivalent.

Desirable

• ILS or ALS certificate.

Experience
Essential

• Post-registration Primary Care experience.
• Evidence of annual GP Appraisal Revalidation.

Desirable

• Demonstrate experience of working within an OOH or within a GP rota covering service.
• Experience of palliative care.
• Experience of paediatrics care.
• Experience of A+E Avoidance.
• Teaching and training of other Health professionals.

Skills
Essential

• Computer literate and familiar with how patient management systems work.
• Demonstrate skills in written and spoken English adequate to enable effective communication about medical topics with patients, relatives and staff.

Knowledge
Essential

• Understanding of the principles of evidence-based medicine rationale prescribing.

Desirable

• Knowledge of the national quality requirements in the delivery of out of hours service.
• Knowledge of clinical coding.
• Knowledge of SystmOne electronic patient management system.

Additional
Essential

• The ability to travel independently across the Trust.
• The ability to work flexibly in accordance with service needs.

302-24-6884509MHR-C