Job advert for Symptoms of concern GP

We have availability in our symptom of concern pathway for an experienced GP to join the team, this role creates the opportunity to develop skills, understanding and drive development of future healthcare.

The Symptoms of Concern pathway gives a coordinated and compassionate response for people with symptoms suggestive of cancer. This is a clinical role, providing assessment to those who may have a cancer or serious non- cancer diagnosis, linking with the oncology MDT and driving development of services to promote early diagnosis.

The role will be within the acute GP Service based on the Medical SDEC Unit and working alongside the acute physicians

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.

Please contact Danny Fay daniel.fay@nhs.net or Anna Prout aprout@nhs.net to arrange a time to talk.

Main duties of the job

The Medical SDEC Unit aims to support people with non-elective care needs to get the right care, in the right place and at the right time.

The purpose of the post is to ensure that patients who might have been admitted to hospital or the Emergency Department are managed in the most appropriate setting. This is done through a process of assessment, negotiation, treatment and signposting and through the development of new patient pathways as an alternative to hospital admission.

About us

We are a people business - where every member of staff matters and can make a difference. Patients are at the heart of everything we do. Joining University Hospitals Plymouth NHS Trust means becoming part of a team of dedicated staff, who are committed to leading the way through innovation, clinical excellence and great customer care. The Trust has great opportunities for career development in a highly progressive working environment. We offer all of this in a vibrant, modern city with a historic reputation for adventure. PLEASE NOTE THAT ALL COMMUNICATION WILL BE ELECTRONIC, PLEASE CHECK YOUR EMAIL ACCOUNT REGULARLY. If you have any issues with applying online and need additional support including reasonable adjustments with the application process please contact the recruitment team on 01752 432100. We recognise that work life balance is important for our colleagues and so we invite requests from applicants around less than full time/flexible working for our advertised roles. Please contact the recruiting manager to discuss this prior to your application submission. We commit to giving this full consideration in each case. We encourage people from diverse backgrounds to apply for our roles, as diversity strengthens our teams. It is sometimes necessary to close vacancies before the closing date. If you have not heard from us within 4 weeks of the closing date, please assume that you have not been shortlisted.

Job description
Job responsibilities

Working within the Medical SDEC Unit and within various departments in the Derriford footprint depending on the future development of the service. Work at community Urgent Treatment Centres including but not exclusively detailed above.

At times the post holder may be asked to be flexible across other days of the week.

The GP will work as part of the Medical SDEC team, which includes GPs, Acute Physicians, 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 post holder will be expected to develop good relationships with 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.

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.

Being clear about the 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 the patient 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 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, Advance nurse practitioners within the organisation and with other partner organisations.

Person Specification
Qualifications
Essential

• Full registration with the GMC
• JCPTGP Vocational training certificate or PMETB equivalent
• Evidence of registration on a CCG GP Performers list

Desirable

• Postgraduate qualification
• Previous GPwSI accreditation

Clinical Experience, Training and Skills
Essential

• Able to work in a challenging post, within a rapidly developing area
• Able to work in an MDT 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 the use of appropriate investigative resources
• Competent in the use of Microsoft Office and GP clinical systems

Desirable

• Able to constructively challenge care issues with other professionals, suggest appropriate alternatives to admission, 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

• Experience of teaching and training other clinical staff

Desirable

• Knowledge and experience of advanced nurse practitioner training - in particular prescribing module

Commitment to Specialty
Essential

• 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

• Previous Emergency Medicine and/or Acute Medicine Experience
• Working knowledge of local alternatives to admission
• An understanding of 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

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