Here's your chance to join our diverse and dynamic team to drive better care at the interface between the hospital and community. Our patients and colleagues need to navigate the shifting health care environment. We have availability in a front door clinical role with the opportunity to develop skills, understanding and drive development of future healthcare.
The Acute GP Service is based on the Acute Assessment Unit and works alongside the acute physicians and acute frailty service to provide same day emergency care (SDEC) and support access to urgent care for people with medical problems. We link with community GPs, the ambulance service and community services to facilitate hospital admission and alternatives to hospital care.
This role maximises the impact of skilled GPs with the ability to deliver holistic and flexible care. You have access to the resources of the acute hospital and will work alongside the physicians, nurses and therapists of the 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.
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
- 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
The Acute Assessment Unit (AAU) is a day assessment unit where University Hospitals Plymouth (UHP) supports delivery of an integrated approach to avoid unnecessary admissions. The AAU provides same day emergency care (SDEC) 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 or to arrange an informal walk around please contact AAU Dr Jameson, Acute GP Lead on email@example.com or Becki Greenwood, Operations Manager on firstname.lastname@example.org.
- Working alongside the acute physicians on the AAU: a dedicated space for patients to be appropriately assessed, close to the Emergency Department and with strong links with health and community services
- Support an MDT approach to urgent care to provide a better experience for the patients
- Enables Primary Care Streaming from ED by offering a dedicated function to treat and care for minor illness
- 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
- Provides a dedicated acute frailty service (AFS) enabling multi-professional and inter-agency assessments of needs of people with complex needs and frailty.
- The AAU 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
- Full Registration with the GMC JCPTGP Vocational training certificate or PMETB equivalent Evidence of registration on a CCG GP performer's list
- oPostgraduate qualification oPrevious GPwSI accreditation
Clinical Experience, Training & Skills
- oAble to work in a challenging post, within a rapidly developing agenda oAble to work in a multi-disciplinary team committed to innovation and service redesign oAble to work flexibly across professional boundaries oGood verbal and written communication skills oGood interpersonal skills oGood clinical skills in terms of history taking, documentation, clinical examination and use of appropriate investigative resources oCompetent in the use of Microsoft Office and GP clinical systems
- oAble to constructively challenge care issues with other professionals, suggest appropriate alternatives to admission and generate and facilitate new pathways of care oAble to insert IV cannulae and take blood samples oAble to interpret blood test, ECG and X-ray results
Academic Research Skills/ Teaching Management
- oExperience of teaching and training other clinical staff
- oKnowledge and experience of advanced nurse practitioner training - in particular prescribing module
Commitment to Specialty
- oPrevious experience of managing change oKnowledge of national and local agendas in respect of primary care, commissioning, non-elective and intermediate care. oCommitted to a team approach oCommitted to providing patient-centred care oSelf-motivated oAbility to recognise own limitations, identify learning needs and act on them appropriately oAbility to respect others opinions keeping the patient at the centre of what we do. oCaring attitude to patient and relatives oPragmatic approach to day to day irritations oAble to tolerate stress and manage it appropriately oDetermination to drive change that will improve patient care outside of the currently accepted pathways oAbility to maintain and build relationships across multiple physical and organisational boundaries
- oPrevious Accident and Emergency and Acute Medicine experience oWorking knowledge of local alternatives to admission oAn 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
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
University Hospitals Plymouth NHS Trust
Breast Road, Derriford
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