General Practitioner with Enhanced Role

This is an exciting opportunity for a GPwER who wants to make a real difference to people living with severe and complex obesity, while helping to shape and evaluate a new model of community-based care. About the service The Lincolnshire Community Weight Management Service is a new, multidisciplinary community service for adults living with severe and complex obesity. Funded through the Obesity Pathway Innovation Programme, the service is commissioned by NHS Lincolnshire ICB and supported by Innovate UK funding. It is designed as an innovative, community-based model that works alongside existing Tier 1 and Tier 2 weight management provision and provides an important interface with specialist and Tier 4 services. The service brings together a range of expertise, including:

• Medical assessment and clinical decision-making
• Dietetic support
• Behavioural and psychological support
• Health and wellbeing coaching
• Structured group-based education
• Weight management pharmacotherapy where clinically appropriate
• Physical health and cardiometabolic risk assessment
• Longitudinal follow-up and personalised care planning
• Step-up and step-down pathways across the wider health and care system

The service is particularly focused on addressing health inequalities. An important part of the initial caseload will be adults living with severe mental illness (SMI), recognising the significant physical health inequalities and increased cardiometabolic risk experienced by this population.

The role will include:

• Providing comprehensive medical assessment and clinical review of patients with severe and complex obesity.
• Supporting risk stratification and development of individualised, shared care plans.
• Providing clinical leadership and medical input to the multidisciplinary team.
• Assessing suitability for, initiating, titrating, monitoring, reviewing and discontinuing weight management medication in accordance with relevant NICE guidance and local prescribing arrangements.
• Supporting the safe use of GLP-1 and GLP-1/GIP therapies where clinically appropriate.
• Reviewing concurrent medication where significant weight loss may alter treatment requirements.
• Providing specialist medical input into the physical healthcare of people living with severe mental illness.
• Working collaboratively with primary care, mental health services, secondary care and specialist/Tier 4 weight management services.
• Supporting escalation and onward referral where clinical risk or complexity requires specialist intervention.
• Delivering face-to-face, telephone and video consultations.
• Participating in and, where appropriate, chairing multidisciplinary team meetings.
• Acting as a source of clinical advice and support to the wider MDT and referring clinicians.
• Contributing to clinical governance, audit, quality improvement and service development.
• Supporting the education and development of colleagues across the service and wider primary care system.
• Contributing to the formal evaluation of this programme.

We are looking for someone who shares these values and who understands the importance of delivering weight management care in a way that is compassionate, evidence-based and free from stigma.

If you are an experienced GP with an interest in obesity and weight management and would welcome the opportunity to help build something new, we would be delighted to hear from you.

At LADMS, we actively include, involve and empower all those we serve and work alongside, treating everyone with fairness, respect and dignity.

£100,870 to £111,441 a year Salary will be pro rata