JOB TITLE: SALARIED GENERAL PRACITIONER
REPORTS TO: THE GP PARTNERS / PRACTICE MANAGER
HOURS: as contracted
- To work as an autonomous general practitioner integrated with the primary health care team
- To possess and demonstrate the full range of knowledge, skills and professional behaviours expected of a GP
- To exercise professional autonomy and clinical judgement in delivering high quality evidence-based care
- To participate fully in the work of the GP team, including routine and urgent clinical work, duty doctor, on-call and extended hours rotas
Rycote Practice ethos
The Rycote Practice is committed to delivering the best possible care and to ensuring that patients’ physical, psychological and social needs are met. Our care is defined by the values that all staff share and is summed up in the term “Excellent Care by Working Together”. We believe that continuity of care helps to ensure high standards and therefore every patient has a named GP allocated to their care. The practice is committed to the founding principles of the NHS, that it should be free to all.
We pride ourselves on being an inclusive and friendly environment in which to work and one where all staff are encouraged to contribute to the development of the practice. As a group the GP’s are mutually supportive and non-hierarchical. Salaried GPs are invited to attend practice business meetings, to share in the decision-making process and implementation of subsequent initiatives.
Clinical Care – to:
- Provide appropriate care in the assessment and management of patients with a full range of healthcare problems including acute illnesses and chronic disease management
- Work autonomously but in partnership with the clinical, reception, administration and management teams
- Assess patients with undifferentiated healthcare problems
- Take responsibility for assessing and managing patients, prioritizing clinical need, determining differential diagnosis and initiating appropriate holistic, evidence based care in accordance with practice, national and CCG guidelines
- Become the ‘usual doctor’ to a defined group of patients on a pro rata basis with sessional commitment, as with GP partners
- Consult at times required by the practice and in keeping with other GPs provide both face to face / telephone consultations and home visits when required
- Record all consultations on a contemporaneous basis
- Whenever possible adopt a structured approach to record keeping e.g. using appropriate clinical care templates
- Maintain the clinical record in an optimum form including an up to date list of active clinical problems and medication
- View and respond to laboratory and imaging results for own patients on the day of receipt
- Respond to prescription requests / complete ‘medicines management tasks’ on the day of receipt in accordance with local / national guidance
- Respond in a timely fashion to miscellaneous clinical and administrative functions which are communicated in a variety of ways (e.g. by email and Emis tasks)
- Read and action within 24 hours of receipt correspondence for own patients and those of absent colleagues via Docman
- Write or dictate appropriate patient referrals promptly and take steps to ensure referrals are not overlooked
- Include patients in appropriate care protocols where this does not happen automatically (e.g. palliative care, admission avoidance etc.)
- Participate in local and national enhanced services and any other quality initiatives agreed by the practice
- Share in the duty doctor rota on a pro-rata basis according to sessional commitment (see separate document Duties of the Duty Doctor)
- Ensure clinical practice is safe and effective and remains within the boundaries of competence
- Ensure resources are utilized cost effectively and contribute to identifying alternative, more cost effective resources
Salaried GP’s are encouraged to develop areas of clinical expertise on behalf of the practice – for example provision of care for the local residential / nursing home and to take responsibility for particular QOF areas.
Participation in teaching and training
The Rycote practice places a strong emphasis on both undergraduate and postgraduate education, having been a teaching and training practice for many years. We currently have two GP trainers and take GP registrars from both the Oxford and Aylesbury schemes. We are unique in taking both 5th year and 1st year graduate-entry course (GEC) medical students from Oxford and occasionally students from other medical schools.
All GP’s are given protected time to supervise 5th year medical students and de-brief registrars. Salaried GPs are also encouraged to take a lead role in the organization and provision of teaching for GEC students.
The practice participates in a programme of Protected Time for Learning (10 afternoons p.a.) and all GP’s contribute to resourcing these sessions.
The practice also occasionally takes student nurses; GP’s assist in their education as required.
Salaried GP’s are invited to participate in and contribute to the Rycote management agenda at all practice-wide meetings including
- Business meetings
- Clinical delivery meetings
- Primary health care team meetings
- Significant event meetings
- Protected time for learning educational events
- Miscellaneous other clinical, audit or educational meetings
- Contribute to the further development and ongoing evaluation of clinical and operational policies within the Practice.
- Provide clinical expertise and advice to other members of the practice team as required
All GP’s are required to:
- Maintain GMC registration
- Practice at all times in accordance the GMC’s Good Medical Practice
- Complete an annual NHS appraisal as part of the current 5 yearly revalidation cycle
- Maintain membership of a professional indemnity organization commensurate with clinical workload and scope of practice
- Comply with all Practice and OCCG protocols, procedures, guidelines and policies
- Act as a resource to health care professionals, acting as a professional, visual competent role model at all times
- In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
- In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
- Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
Health & safety
The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the practice Health & Safety Policy, to include:
- Using personal security systems within the workplace according to practice guidelines
- Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
- Making effective use of training to update knowledge and skills
- Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
- Reporting potential risks identified.
Equality and diversity
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
- Acting in a way that recognizes the importance of people’s rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
- Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
- Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:
- Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
- Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
- Complete mandatory training and remain up to date in her own areas of expertise
The post-holder will strive to maintain quality within the practice, and will:
- Alert other team members to issues of quality and risk
- Assess own performance and take accountability for own actions, either directly or under supervision
- Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance
- Work effectively with individuals in other agencies to meet patients needs
- Effectively manage own time, workload and resources.
- To maintain concise accurate records both in written and IT formats
As well as the nursing and GP teams, there is a need to work closely with reception and administrative staff to ensure the smooth running of the practice, reporting any problems encountered to the relevant person and ensuring that everyone is aware of the different roles within the nursing team
There is also a need to establish and maintain good liaison with other surgeries and agencies, including secondary care.
Co-operate and participate as required in any research projects within the Practice
Changes to Jobs
All staff are expected to undertake reasonable additional duties and responsibilities in order to meet the evolving service needs of the Practice. Changes should be made in consultation with staff. Variations to job descriptions can be a common occurrence and do not in themselves justify a reconsideration of the grading of a post.
Provide cover for absent colleagues if possible.