Frailty - ACE GP

Work collaboratively, and flexibly with the wider Frailty-ACE team to comprehensively assess frail patients urgent care needs and coordinate holistic person-centred management plans that are in keeping with the patients preferences and best interests. Assess and manage the full breadth of clinical presentations and age groups which present in the urgent primary care setting, including physical and mental health needs. Take telephone referrals from Health Care professionals within the BNSSG area for appropriate adult medical admissions whilst being sensitive to the capacity issues of the hosting acute trust. Demonstrate excellent communication skills with referring HCPs, in order to build positive relationships so that alternative management ideas can be discussed without confrontation. Gain familiarity with the other urgent care services available in the BNSSG system, and how to access these for patients Undertake clinical work by telephone +/- video, consulting with patients and/ or their representatives and healthcare professionals in the community to appropriately assess the current concerns, establish an appropriate differential diagnosis and management plan. Seek to support community management wherever possible, but be able to recognise serious illness and emergency situations requiring admission and/ or an ambulance response Be able to prescribe appropriately for the urgent primary care context, including initiating and changing end of life medications where appropriate. Document the key findings from their assessment, such that the notes provide appropriate detail to log the assessment at the time, and support other clinicians who may be involved later in the patients journey Seek clinical advice from the senior GP on shift (the Clinical Coordinator) when required to support clinical decision making and access to appropriate services Buddy with new clinicians working their first shift in the Severnside service, as required, to support them to become familiar with the systems and processes following induction Be encouraged to contribute to on call clinician rotas at times of peak demand. Use all IT systems required for safe clinical work in IUC, including the clinical systems (CLEO, PACCS and EMIS), resources available to support clinical decision making (the Clinical Toolkit, BrisDoc weblinks, Remedy) Be proactive about identifying and reporting concerns and incidents, to support continued learning and improvement in the service provided to patients