Core GP

Job summary

The post holder will act as a GP working within ABCs Core GP Team that spans the Remote and Refugee and Asylum Seeker services.

Main duties of the job

Our Core GPs are at the root of all clinical activity within ABC, working seven days a week supervising, supporting and running our often-evolving central services. This team, running alongside our operational and non-medical prescriber teams, allows us to set up services safely, efficiently and quickly and it is the knowledge, experience, energy and passion of our Core GPs that allows us to do this. Agility is at the heart of this role.

About us

Alliance for Better Care (ABC) is a GP Federation uniting 77 NHS GP member practices across 98 sites within 24 Primary Care Networks in Sussex and Surrey. We support our Primary Care colleagues - and their patients - to transform how healthcare is delivered in their communities.

We work closely with GP Practices, PCNs, Hospitals, Community Organisations, and the Third Sector. These vital partnerships enable us to deliver a truly integrated approach that offers the support and expertise needed to effectively serve our populations.

More about our organisation: www.allianceforbettercare.org

Our Values

• We innovate

• We are honest

• We care

• We are inclusive

• We deliver

Services that ABC Provide

• Additional Primary Care
• Anti-Viral COVID Medication (nMABs)
• Anticipatory Care
• Enhanced Access
• Health Checks
• Inclusion Health
• MMR Service
• Outbreak Response Service
• Refugee and Asylum Seeker Support
• Remote Services
• Spirometry and Reversibility Service
• Sussex Smoking Cessation

Study Leave/Training

There are opportunities for a study leave allowance.

Supervision

Regular supervisions on a one-to-one basis including an annual formal appraisal will be held with a line manager. If you are in a patient-facing role, you will also receive regular Clinical Supervisions with a Clinical Supervisor.

Induction Programme

You will receive an in-depth induction programme and will be invited to a face-to-face induction day within your first week to give you relevant information about the organisation and your job role.

Job responsibilities

1. Clinical Supervision

As part of ABCs commitment to developing our clinical workforce, all our Core GPs must complete their Clinical Supervisor training. Triage to and supervision of our various HCP and NMP teams is an integral part of this role, as is leading various internal and external multi-disciplinary team meetings.

2. Refugee and Asylum Seeker Service (RASS)

RASS Triage

• Must be available to answer phones from refugee and asylum seeker accommodation from 8am-8pm.
• Triage calls from patients and respond appropriately either by providing advice, prescribing medication, arranging a F2F visit from an HCP or roving doctor or signposting to other services.
• Work closely with RASS Roving GP and Team of HCPs on the day to ensure service needs are met.
• Provide clinical support and supervision to HCPs working that day.
• Record any patient contact on SystmOne or EMIS, including registering new patients on the clinical systems when needed.
• Review and file health check blood results inbox daily on SystmOne and EMIS & ensure any urgent results are actioned on the same day and patients are phoned through the results.
• Discuss blood results from health checks with patients and act on these appropriately.
• Ensure patients are referred appropriately via local pathways (mental health, sexual health, TB team etc.) and any follow-up is arranged.
• Remain flexible with the possible need to rove if new arrivals and services are busy.
• Liaise with hotel staff and managers to ensure any ongoing patient needs are met.
• Ensure original FP10 prescriptions are hand delivered or posted to pharmacies in a timely manner.

RASS Roving

• Assess all new arrivals F2F to screen for diphtheria, other infectious diseases and any acute medical concerns.
• Be available for any F2F visits that are required during the day 8am-8pm in asylum seeker accommodation.
• Attend planned and ad hoc dedicated clinics at hotel/other sites when the need arises.
• Work closely with RASS Triage GP and HCPs on the day to ensure service needs are met.
• Provide clinical support and supervision to HCPs working that day.
• Be available to answer triage line calls (calls will be diverted to roving doctor if triage doctor not available to answer).
• Record any patient contact on SystmOne or EMIS, including registering new patients on the clinical systems when needed.
• Review and file blood results inbox daily on SystmOne and EMIS & ensure any urgent results are actioned on the same day and patients are phoned through the results.
• Ensure patients are referred appropriately via local pathways (MH, sexual health, TB team etc.) and any follow-up is arranged.
• Liaise with hotel and accommodation staff and managers to ensure any ongoing patient needs are met.
• Ensure original FP10 prescriptions are hand delivered or posted to pharmacies in a timely manner.

3. Remote Services

ABC provide a variety of Remote Services in both Surrey and Sussex, and our Core GP Team are the senior clinicians on the day covering the below:

• General Virtual Wards
• Enhanced Access
• nMABS (COVID Antivirals)
• Additional Primary Care
• uCATS (Urgent Care at Scale)
• UKHSA Outbreak
• Workflow Support
• Referral Support
• Smoking Cessation
• Inclusion Health outreach and vaccinations

Clinical Requirements

To manage a varied working day with the support of our central operations team which may include:

• Patient consultations
• Issuing medication
• Acting as the clinical decision maker for our Virtual Wards service (with the support of the Virtual Wards ACP team)
• Triaging patient consultations and allocating them to the most appropriate clinician
• Advising other services on admission avoidance pathways/actions
• Leading on the day to date activity within our Outbreak service managing the outbreak response for patients and contacts as required
• Providing coding advice and general clinical support to our Workflow Administrators and Pharmacy Technician

Administrative Requirements

• Appropriate handling of prescriptions and FP10s, either via EPS or via handwritten prescriptions delivered to pharmacy.
• To supervise HCPs, ACPs and NMPs working within our remote services
• Record any patient contact on SystmOne or EMIS, including registering new patients on the clinical systems when needed.
• Review and file blood results inbox daily on SystmOne and EMIS & ensure any urgent results are actioned on the same day and patients are phoned through the results.
• Ensure patients are referred appropriately via local pathways (MH, sexual health, TB team etc.) and any follow-up is arranged.

Person specification

Skills and Abilities

Essential

• Patient focused
• Ability to work independently and to lead a team
• Interest in education and mentoring of allied health care professionals
• Interest in primary care services, workforce and at scale provision
• Ability to motivate a team
• Ability to communicate effectively in challenging situations
• Interest in working with refugee/asylum seeker population

Desirable

• Knowledge of primary and urgent care pathways
• Familiarity with commissioning pathways
• Knowledge of local systems / services

Experience

Essential

• Experience of working in a primary care environment
• Experience of continued professional development
• Experience of working in an urgent care environment (UTC/ED/MIU)
• Experience of leading, and working within, a team of clinicians and GPs
• Experience or demonstrable interest of working with underserved/ marginalised populations facing complex health and social challenges
• Willingness to engage with voluntary sector organisations, community groups, and partners supporting refugee and asylum-seeking populations
• Proactive approach and strong communication skills to build trust and rapport with patients from diverse backgrounds and reduce health inequalities

Desirable

• Experience of working effectively in collaboration with other organisations
• Use of EMIS/SystmOne

Qualifications

Essential

• Qualified GP
• General Practitioner (Certificate of Completion of Training CCT)
• Full GMC Registration
• National Performers List registration
• Appropriate defence indemnity (MPS/MDU)
• MRCGP
• Clinical Supervisor Certification

Desirable

• Diploma in Tropical Medicine
• Diploma in Infectious Diseases
• Diploma in Acute Medicine
• Smoking Cessation Qualification
• Additional training/qualification in refugee health, global health, mental health, or trauma-informed care

Behaviours and Values

Essential

• Flexibility in shift/working patterns to meet the needs of the service
• Strong Team Player
• Displays ABC Values
• Highly motivated, self-directed practitioner with excellent organisation skills
• Excellent communication skills both verbally and written