Urgent and Emergency Care Doctor

·
Part time
As a key member of the University Hospital Plymouth NHS Trust Urgent Treatment Centre, this role will be responsible for providing face-to-face care for patients that access the service when the UTC is open. Patients who present to the UTC will be walk-in patients or patients booked in by NHS 111. This doctor will ensure that all patients are dealt with appropriately and efficiently within their competencies, whilst maintaining a high-quality service and keeping the high standards that UHP expect. On a day-to-day basis, you will follow UHP operational policies and procedures. Generally, the role requires similar skills to those of an 'in-hours' GP, but there is also the potential to extend your competencies into minor illness and other areas of UEC practice with support and training if desired. You will assist in the development of an integrated approach to the delivery of patient care across the UTC and you will work in partnership with all relevant stakeholders.

Main duties of the job The post holder will be a GP or doctor with a UEC skill set who will work within the UTC alongside the wider team in the Emergency Department (ED).

Main responsibilities: Provide evidence-based clinical care to all patients attending the service. Review and assess the health care needs of patients with undifferentiated and undiagnosed problems suitable for primary care. Work as part of the team to provide safe and effective care to patients in a timely manner. Provide cross cover for colleagues to ensure adequate staffing and safe delivery of the service. Contribute to the wider work of the senior clinical team, supervision, contribute to guidelines and contribution to the working of a successful team.

About us University Hospitals Plymouth NHS Trust is the largest hospital in the south west peninsula, providing comprehensive secondary and tertiary healthcare. Our geography gives us a secondary care catchment population of 450,000 with a wider peninsula population of almost 2,000,000 people who can access our specialist services.

Location of the Derriford Urgent Treatment Centre The service will be provided within the new Urgent Treatment Centre which is based at Derriford Hospital, PL6 8DH, within the Emergency Department estate, the Acute Frailty Unit and the Urgent Treatment Centres at Tavistock Hospital, Kingsbridge Hospital and the Cumberland Centre.

Opening Hours The aim of the unit is to be open from 08:00 - 20:00 hrs, 7 days a week.

Job description Working alongside the ED footprint until the new Onsite UTC is built. The GP will work with a dedicated HCA, seeing patients streamed from triage. You will see general practice presentations and use your primary care skills and insight to provide effective, patient-centred care. The majority of patients will be discharged home. You will also be able to refer to second care partners within the Trust. These patients will be monitored against the Trust 4-hour standard target.

At times the post holder may be asked to be flexible across other days of the week and provide resilience to the service in terms of cover. The GP will work as part of the ED team, which includes GPs, ENPs, Nurse, HCAs, emergency medicine doctors, nursing staff, allied health professionals, administrative staff and social workers.

The GP will need to work cooperatively with each other, the service manager, other clinical and administrative staff to maximise opportunities to improve patient pathways. The GP will be expected to develop good relationships within referring clinicians and with medical colleagues working within the secondary care setting.

Ensure that high clinical standards are maintained throughout the service. Maintain a professional image of the organisation. Work with consultant and other clinical colleagues to improve non-elective care pathways in the Hospital.

Work with GPs and other community colleagues to develop new pathways of care within the community as alternatives to Hospital admission. Contribute to the development and teaching of the team of GPs, nurses, advanced nurse practitioners within the organisation and with other partner organisations.

There is a requirement for the service to be covered between 08.00 - 20.00, patient facing, 5 days a week. We aspire to provide services from 08.00 - 20.00, 7 days a week. Offers of flexible and part-time working will be considered.

We commit to support continuing professional development in line with standards outlined in the BMA model contract for GPs. There is a monthly evening meeting which we promote in a positive way to share learning and developments and can be accommodated within the CPD allocation. There is also a regular service review meeting looking at the service performance and review against operational targets.

Person Specification Qualification Essential Full Registration with the GMC JCPTGP Vocational training certificate or PMETB equivalent Evidence of registration on a CCG GP performer's list Desirable Postgraduate qualification Previous GPwSI accreditation Clinical Experience, Training & Skills Essential Able to work in a challenging post, within a rapidly developing agenda Able to work in a multi-disciplinary team committed to innovation and service redesign Able to work flexibly across professional boundaries Good verbal and written communication skills Good interpersonal skills Good clinical skills in terms of history taking, documentation, clinical examination and use of appropriate investigative resources Competent in the use of Microsoft Office and GP clinical systems Desirable Able to constructively challenge care issues with other professionals, suggest appropriate alternatives to admission and generate and facilitate new pathways of care Able to insert IV cannulae and take blood samples Able to interpret blood test, ECG and X-ray results Academic Research Skills/ Teaching Essential Experience of teaching and training other clinical staff Desirable Knowledge and experience of advanced nurse practitioner training - in particular prescribing module Commitment to Specialty Essential Previous experience of managing change Knowledge of national and local agendas in respect of primary care, commissioning, non-elective and intermediate care. Committed to a team approach Committed to providing patient-centred care Self-motivated Ability to recognise own limitations, identify learning needs and act on them appropriately Ability to respect others' opinions keeping the patient at the centre of what we do. Caring attitude to patient and relatives Pragmatic approach to day-to-day irritations Able to tolerate stress and manage it appropriately Determination to drive change that will improve patient care outside of the currently accepted pathways Ability to maintain and build relationships across multiple physical and organisational boundaries Desirable Previous Accident and Emergency and Acute Medicine experience Working knowledge of local alternatives to admission An understanding of how non-elective services are accessed and how they are used by different social groups An understanding of the health needs of a deprived population and how these can be addressed 216-G2-ECD6923907

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