GP for Community Respiratory Pathways

Job summary

This is a full time role, designed to bring a strong primary care clinical voice with expertise on managing respiratory conditions in the community, into the programme while supporting delivery at pace. The post holder will support the development and practical operation of integrated respiratory pathways across primary care, Solihull Community Respiratory Team, Virtual Ward, Locality Hub, frailty services, diagnostics and acute respiratory services. The role is intended to support a left shift in care by enabling more people with respiratory deterioration or complex respiratory need to be managed safely and proactively closer to home, where clinically appropriate.

Main duties of the job

The post holder will also support the Locality Hub, frailty assessment unit interface and respiratory support offer, working across both reactive pathways for deteriorating patients and proactive pathways for risk stratified patients. This will include facilitation of SCRT care through investigation requests, testing, diagnostics, treatment optimisation and pathway coordination, in conjunction with SCRT management and respiratory consultant support.

The role will operate at Place level, working in partnership with system leaders, clinicians, PCNs, GP practices, community respiratory teams, acute respiratory services, Virtual Ward, the Locality Hub and the Solihull Neighbourhood Coach to influence the design, delivery and embedding of respiratory pathways that support admission avoidance, earlier intervention and improved outcomes for local populations.

About us

University Hospitals Birmingham NHS Foundation Trust strives to have an inclusive culture where everyone feels like they belong, can thrive, knows that they add value and feels valued. We do this by developing compassionate and culturally competent leaders, being values driven in all that we do and by creating a welcoming and inclusive workplace that thrives on the diversity of our people. As such we want to attract and recruit talented individuals from all backgrounds, and for each of you to feel supported for the diversity you bring, to achieve your full potential. For those staff with a disability, including physical disability, long term health condition, mental health or neurodiverse condition, this also means being committed to making reasonable adjustments needed for you to carry out your role.

Job responsibilities

Respiratory clinical expertise -- able to provide credible GP leadership for respiratory medicine, including asthma, COPD, bronchiectasis, breathlessness, diagnostic uncertainty, exacerbation prevention and long-term condition optimisation

Admission avoidance and virtual ward working -- able to support respiratory Virtual Ward Admission Avoidance pathways, complex case discussion and safe care within the UCR/VW ceiling of care

MDT leadership and facilitation -- able to contribute effectively to twice-weekly MDTs for complex respiratory admission avoidance caseloads, supporting clinical reasoning, escalation and shared decision-making

SCRT facilitation -- able to work with Solihull Community Respiratory Team management to support care delivery through investigation requests, testing, diagnostics, treatment optimisation and pathway coordination

System working -- able to work across organisational boundaries and build effective relationships across primary care, SCRT, UCR, Virtual Ward, Locality Hub, frailty services,

acute respiratory services, diagnostics, urgent care, local authority and voluntary sector partners

Pathway redesign -- able to contribute to designing integrated respiratory pathways that improve access, reduce variation, support left shift of care closer to home and improve patient outcomes

Diagnostics and clinical quality -- strong understanding of respiratory diagnostics such as spirometry, FeNO, imaging, blood tests and blood gases, and ability to support safe, standardised use within community and primary care settings

Influencing and persuasion -- able to operate at Place level and influence decisions without direct authority

Communication and engagement -- excellent interpersonal and communication skills, with the ability to bring people with you and represent both the primary care and respiratory patient voice clearly

Quality, safety and governance focus -- able to work within agreed governance arrangements, recognising the consultant role in escalation and specialist oversight for complex respiratory cases

Pace, credibility and judgement -- able to work confidently in a complex environment, maintain momentum and provide clarity where there is ambiguity

Person specification

Qualifications

Essential

• *Full registration with GMC with a licence to practice
• *On the GMC GP Register