Salaried GP

Job summary

We are a unique dispensing practice in a picturesque Cotswold town with excellent railway connections to both Oxford and London. Attractive Cotswold Stone single site premises with good on-site parking. Easy access to Charlbury Station, which is only a 15 minute journey from Oxford Station. We use EMIS Web, AccuRx and Docman 10 and are a dispensing practice. We are a forward thinking practice with a strong cohesive, happy team.

We are seeking a Salaried GP for 4 sessions per week, likely to involve a Monday and a Thursday with 2 sessions on call per week.

• 25 x 15 minute appointments and 2.5 hours admin per day.
• Minimal home visits due to the support of Early Visiting Service.
• No Nursing Home.
• This post is offered as a permanent position with 6 weeks annual leave and 1 week study leave pro rata.
• Salary dependent on experience.
• Monthly afternoon practice meetings.
• Well supported by our existing team of clinicans and administrative staff.
• We are a Research Active Practice.

Our team currently consists of GP partner, Paramedic/Managing Partner, Salaried GPs, Practice Nurses, Nurse Associate, Health Care Assistants and we also have a physiotherapist, pharmacist team and mental health practitioner working at our practice.

Main duties of the job

Main Duties and Responsibilities

Clinical Duties

• Provide face to face and telephone for undifferentiated and un-diagnosed conditions.
• Manage a personal patient caseload and ensure continuity of care.
• Conduct clinical assessments, develop management plans, and provide health education.
• Identify risk factors and early signs of illness.
• Prescribe medications in line with national and practice guidelines.
• Request, interpret, and act on diagnostic tests and results.
• Make appropriate referrals to secondary care and community services.

Administrative and Governance Duties

• Complete clinical administration including correspondence, reports, and accurate record keeping.
• Maintain highquality clinical notes using EMIS Web, AccuRx, and Docman 10.
• Participate in clinical audits, quality improvement activities, and achievement of QOF and contract targets.
• Attend practice meetings and contribute to service development.

Team and Practice Involvement

• Work collaboratively with partners, salaried GPs, nurses, HCAs, paramedics, pharmacists, physiotherapists, social prescribers, and mental health practitioners.
• Support teaching, training, and development activities where appropriate.
• Adhere to safeguarding, confidentiality, and all practice policies.

Practice Context

4 sessions per week, including Fridays, with 25 x 15 minute appointments plus admin time.

Opportunities to contribute to research and take on lead roles.

About us

The Charlbury Medical Centre provides GP services to 5,489 patients in a rural area of the Cotswolds, in the small picturesque market town of Charlbury. The practice serves an area with an overall low level of deprivation, although there are pockets of rural poverty, with related issues of geographical isolation, including ease of access to medical care.

The practice has two partners and 3 salaried GPs There are 2 practice nurses, a nurse associate and 2 healthcare assistants. We are a very friendly, strong, cohesive, happy team The surgery building was built in the late 1990s. There is an onsite dispensary which can provide pharmaceutical services to patients who live more than one mile (1.6km) from their nearest pharmacy premises. Two dispensers currently provide the services to approximately one third of the practices patients. The practice is fully open from 8am to 6.30pm Monday to Friday. The out of hours service is provided by Oxford Health and is accessed by calling NHS 111.

Job responsibilities

The post-holder will manage a caseload and deal with a wide range of health needs in a primary care setting, ensuring the highest standards of care for all registered and temporarypatients. Responsibilities will reflect requirements of the NHS GP Contracts, and as such may be subject to change as services adapt.

Clinical responsibilities:

In accordance with the practice timetable, as agreed, the post-holder will make him/her-self available to undertake a variety of duties including surgery face to face, telephone and online consultations and queries, visiting patients at home, checking and signing repeat prescriptions and dealing with queries, paperwork and correspondence in a timely fashion

Making professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation

Assessing the health care needs of patients with undifferentiated and undiagnosed problems

Screening patients for disease risk factors and early signs of illness

In consultation with patients and in line with current practice disease management protocols, developing care plans for health

Providing counselling and health education

Admitting or discharging patients to and from the caseload and referring to other

care providers as appropriate

Recording clear and contemporaneous consultation notes to agreed standards

Collecting data for audit purposes

Compiling and issuing computer-generated acute and repeat prescriptions (avoiding hand-written prescriptions whenever possible)

Prescribing in accordance with the practice prescribing formulary (or generically)whenever this is clinically appropriate

In general the post-holder will be expected to undertake all the normal duties and

responsibilities associated with a GP working within primary care.

Completion of medical reports (including NHS and private services as required)

Other responsibilities within the organisation:

• Awareness of and compliance with all relevant practice policies/guidelines, e.g.
• prescribing, confidentiality, data protection, health and safety
• A commitment to life-long learning and audit to ensure evidence-based best practice
• Contributing to evaluation/audit and clinical standard setting within the organisation
• Contributing to the development of computer-based patient records
• Contributing to the summarising of patient records and read-coding patient data
• Attending training and events organised by the practice or other agencies, where
• appropriate.

Confidentiality:

• 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 implement and lead on a full range of promotion and management
• their own and others health and safety and infection control as defined in the practice
• health & safety policy, the practice health & safety manual, and the practice infection

control policy and published procedures. This will include (but will not be limited to):

• Using personal security systems within the workplace according to practice
• guidelines
• Awareness of national standards of infection control and cleanliness and regulatory /
• contractual / professional requirements, and good practice guidelines
• Providing advice on the correct and safe management of the specimens process
• including collection, labelling, handling, use of correct and clean containers, storage
• and transport arrangements
• Correct personal use of Personal Protective Equipment (PPE) and ensuring correct
• use of PPE by others, advising on appropriate circumstances for use by clinicians,
• staff and patients.
• Management of the full range of infection control procedures in both routine and
• extraordinary circumstances (e.g. pandemic or individual infectious circumstances)
• Hand hygiene standards for self and others
• Managing directly all incidents of accidental exposure
• Management and advice relating to infection control and clinically based patient
• care protocols, and implementation of those protocols across the practice
• Active observation of current working practices across the practice in relation to
• infection control, cleanliness and related activities, ensuring that procedures are
• followed and weaknesses / training needs are identified, escalating issues as
• appropriate to the responsible person
• Identifying the risks involved in work activities and undertaking such activities in a
• way that manages those risks across clinical and patient process
• Making effective use of training to update knowledge and skills, and initiate and
• manage the training of others across the full range of infection control and patient
• processes
• Monitoring practice facilities and equipment in relation to infection control, ensuring
• that proper use is made of hand cleansing facilities, wipes etc, and that these are
• sufficient to ensure a good clinical working environment. Lack of facilities to be
• escalated as appropriate to the responsible manager
• Safe management of sharps use, storage and disposal
• Maintenance of own clean working environment
• Using appropriate infection control procedures, maintaining work areas in a tidy,
• clean and sterile, and safe way, free from hazards. Initiation of remedial / corrective
• action where needed or escalation to responsible management
• Actively identifying, reporting, and correction of health and safety hazards and
• infection hazards immediately when recognised
• Keeping own work areas and general / patient areas generally clean, sterile,
• identifying issues and hazards / risks in relation to other work areas within the
• business, and assuming responsibility in the maintenance of general standards of
• cleanliness across the business in consultation (where appropriate) with responsible
• managers
• Undertaking periodic infection control training (minimum twice annually) Correct waste and instrument management including handling, segregation, and
• container use
• Maintenance of sterile environments

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 peoples 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.

Personal/professional development:

• In addition to maintaining continued education through attendance at any courses and/or
• study days necessary to ensure that professional development requirements for PREP are
• met, 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.

Quality:

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 teams performance
• Work effectively with individuals in other agencies to meet patients needs
• Effectively manage own time, workload and resources.

Communication:

The post-holder should recognize the importance of effective communication within the

team and will strive to:

• Communicate effectively with other team members
• Communicate effectively with patients and carers
• Recognize peoples needs for alternative methods of communication and respond
• accordingly.

Contribution to the implementation of services:

The post-holder will:

• Apply practice policies, standards and guidance
• Discuss with other members of the team how the policies, standards and guidelines
• will affect own work
• Participate in audit where appropriate

Person specification

Qualifications

Essential

• Full GMC Registration
• Fully Qualified GP with CCT, MRCGP
• National Performers List
• UK Driving Licence
• Eligibility to practice in UK independently
• Excellent verbal, written interpersonal communication skills
• Competent IT skills
• EMIS WEB
• Docman
• Ability to work independently and as part of a team.

Desirable

• Coils/Implants
• Educational GP Trainer
• Interest in Research
• Qualified in Pessary Fitting and Removal
• Minor Surgery