Salaried GP

Place of work

City Road Medical Centre Hours

4 sessions per week

Contract

permanent We operate a total triage system and you will have dedicated triage sessions where you are also duty doctor. Once a patient has been triaged and assessed as appropriate, they will be scheduled for an initial consultation, either in person at the practice or via telephone/virtual consultation. Clinicians document their consultations within EMIS, the primary care electronic record system. This ensures seamless access to the patients medical history and timely communication with other healthcare providers, such as GPs or specialists, ensuring follow-up actions are visible to all involved in the patient's care. Templates are available within EMIS to streamline documentation, and each clinician will receive an induction to familiarise themselves with the system to optimise its use. PCN GPs are expected to review incoming clinical results within EMIS and take appropriate action for any abnormal findings. They are also responsible for addressing any clinical queries arising from virtual or face-to-face consultations. In cases where a procedure is deemed necessary, the appropriate local clinical pathways will be followed. This includes ensuring informed consent and conducting any necessary pre-operative investigations. Clinical sessions are structured for 4 hours and 10 minutes. Initial consultations and follow-up consultations can be varied between 12 and 15 minute slots. Additional time may be allocated for specific needs, such as using interpreters or supporting patients with additional requirements. At the end of each clinical session, admin time is dedicated for addressing results, preparing referral letters, completing tasks, and ensuring that all documentation and follow-up actions are completed.

Other duties include

To provide the full range of NHS Primary Medical Services to the patients including clinical examination, diagnosis, treatment and referral as appropriate. To be personally accountable for professional and ethical actions and practices within a legal and ethical framework that adheres to the GMCs requirements and local policies and procedures. To ensure that prior to any course of action involving individuals/groups, their informed consent or other valid authority has been obtained. To ensure that record-keeping is managed through the creation and maintenance of concise, contemporaneous computerised records, and that all care is recorded accurately and in a timely fashion. Notes should include a Problem READ coded, history, examination where appropriate and a clear management plan. To interpret and explain complex facts in relation to a patients condition, taking appropriate action and giving advice in a professional manner to team members, and when appropriate to family and other carers, in such a way that protects and preserves the patients dignity. To have continuing responsibility for Adult and Child Safeguarding in all cases of suspected or confirmed abuse, and to ensure compliance with local and national guidelines, policies and procedures. To ensure that concerns and identified potential risks are referred to the appropriate Agency immediately. To assess and diagnose across a wide range of conditions, order investigations, plan and provide treatment as needed and discharge patients. If an examination is required, a chaperone will be provided should the patient request one. It is expected that all patients undergoing an examination will be asked if they would like a chaperone. Be aware of where the emergency equipment and medication are kept at the start of each clinic. To record in the medical record why investigations are being undertaken. To analyse the results and record in the medical record what actions are required. If a referral to secondary care is required, the clinician will complete the relevant referral letter and ensure the onward referral is completed or tasked to the admin team depending on agreed guidelines. If the patient needs a 2 week wait (2WW) referral, the clinician will complete the referral form in clinic and do the eRS referral themselves to ensure it is completed within 24 hours. To assess, tolerate and manage risk and deal with uncertainty. To use evidence-based practice to develop and maintain high quality, clinically effective and cost-effective primary care. To prescribe in accordance with regulations and with the post holders training and registration and in accordance with CCG, NHS England, NW London Prescribing Team, Practice Based Commissioning and local formulary. To maintain full registration with the General Medical Council at the employees own expense. To maintain professional indemnity which covers the scope of work. Attendance at clinical meetings All clinicians meet weekly and there is an expectation that all within the service are expected to attend and contribute to governance procedures.