General Practitioner-Urgent Care
| Posting date: | 13 May 2025 |
|---|---|
| Salary: | £65.00 to £75.00 per hour |
| Additional salary information: | £65.00 - £75.00 an hour |
| Hours: | Full time |
| Closing date: | 27 May 2025 |
| Location: | York, YO31 8HE |
| Company: | NHS Jobs |
| Job type: | Contract |
| Job reference: | B0260-25-0036 |
Summary
Main Duties and Responsibilities: Clinical responsibilities: IUC Hub/Clinical Assessment Service: Consistently monitor incoming calls, responding promptly based on clinical need Provide telephone assessment for patients presenting via 111, closing cases over the phone where appropriate Provide clinical advice for Health Care Professionals and co-ordinate care for patients depending on clinical need Arrange to review patients face to face at the appropriate UTC/SDUC clinic Arrange home visits when clinically needed Provide clinical advice where appropriate to both internal and external staff as required eg triage nurse, GP colleagues, district nurses, ACPs, Paramedics etc Through prior agreement and where trained to do so, provide Clinical Supervision for GP SpRs/Trainee ACPs whilst on shift Develop knowledge of referral pathways to maximise the use of community services eg Pharmacy First, the community eye service etc. Urgent Treatment Centres: Work within current scope of practice whilst developing and maintaining skills required to work across the full scope of urgent care presentations including minor illness and injury. Attend further training where needed to become competent in, for example, assessing and managing minor injuries Provide leadership for minor illness presentations whilst on shift Work with the Lead Urgent Care Practitioner for minor injuries to ensure appropriate prioritisation of patients based on clinical need Provide mentoring, supervision and training for GP SpRs and trainee urgent care practitioners whilst on shift. Provide regular clinical supervision meetings including Designated Medical Prescriber meetings and workplace-based assessments for Urgent Care Practitioners in training. Ensure clinical coding of patients seen in the UTC is accurate and complete before the end of the shift. Same Day Urgent Care (SDUC) clinics: Work autonomously to assess, diagnose and manage minor illness presentations Through prior agreement and where trained to do so, provide Clinical Supervision for GP SpRs/Trainee ACPs whilst on shift and consistency. Operate diagnostic equipment to monitor and assess patients, ensuring accurate readings for informed clinical decisions. Identify and report faulty equipment, ensuring it is removed from clinical areas for repair to maintain safety. Completion of event report forms when indicated Across all aspects of the service: Appropriately assess, diagnose, treat & discharge or refer patients presenting to the IUC service Make professional, autonomous decisions in relation to presenting problems and formulate evidence-based management plans Provide health promotion and preventative health care advice to patients attending the service Precribe and issue computer-generated electronic prescriptions Prescribe generically whenever appropriately and in accordance with NICE guidance and Good Prescribing Practice (as defined by British National Formulary guidance) Adhere to all medicines management governance and ensure correct procedures are followed Clearly and accurately document consultations, including safety netting advice, in a timely manner Where appropriate, educate patients about how best to use urgent care services Work collaboratively with other health and social care professionals and services to deliver care to meet patients clinical, social and transport need Proactively communicate with the On call Manager to escalate any concerns as appropriate to ensure smooth running of the shift Work with urgent care colleagues working across the service to maximise the effective and efficient delivery of care to patients Promote the application of standards and codes of Practice set by the Royal College of General Practice, General Medical Council, Department of Health and local NHS trust. Be aware of service KPIs & work accordingly to assist in achieving compliance Escalate and report patient safety/experience events or feedback in line with Nimbuscares governance framework Contribute to and participate in the management of complaints and concerns where appropriate Provide clinical feedback to enable service development Understand, maintain knowledge of and adhere to relevant standard operating procedures, policies and pathways Represent the service and Nimbuscare in a professional manner when in contact with the general public and other professionals Report any concerns about the safety of the service particularly with regard to any concerns about the behaviour / performance of other staff working for the service. Inform Nimbuscare of any restrictions which may impact on the post holders ability to undertake urgent care work On request of the On-call Manager, be prepared to move to an alternative site to ensure service delivery, as is reasonable based on individual circumstances Be aware of and comply with all relevant policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety. Commitment and contribution to achievement of the highest possible quality standards. Commitment to life-long learning and audit to ensure evidence-based best practice. Attendance at regular in-house governance and educational meetings and training.