PCN GP inExeter inExeter PUBLISHED THU 17 OCT 2024

Nexus PCN in Exeter is seeking a passionate and qualified GP to join our multidisciplinary team (MDT) for an exciting 5-month opportunity (to end of March 2025) , with the potential for extension. We invite newly qualified GPs who have completed their training within the last two years to apply. In this role, you will work across five practices, providing clinical care to our diverse patient population for 4 to 6 sessions per week. Our supportive culture emphasises teamwork and collaboration to ensure the best patient outcomes. You'll be expected to work in accordance with GMC standards and demonstrate good medical practice while meeting DES requirements. If you're looking to develop your skills in a dynamic environment and make a positive impact on patient care, we would love to hear from you

As a PCN GP, the job holder will work autonomously while also being an integral part of a multidisciplinary team (MDT) that collaborates to improve patient care within Nexus PCN. This role involves providing comprehensive medical services to patients, ensuring a smooth integration of care.

PCN GP is also responsible for meeting the requirements of the Directed Enhanced Services (DES), which involves implementing specific healthcare initiatives and programs effectively. Adhering to the standards set by the General Medical Council (GMC), the job holder will practice good medical ethics and maintain high standards of clinical practice.

A key aspect of this role will be triaging patient needs, allowing the job holder to prioritise care and ensure timely interventions for those who require immediate attention. The job holder will further need to well manage their workload, handling daily tasks, referrals, and patient consultations efficiently across five different practices. This will require strong organisational skills and the ability to adapt to varying demands. Ultimately, the job holder's decision-making will focus on the best interests of patients, ensuring high-quality, patient-centred care while navigating the complexities of the healthcare system. Balancing autonomy with effective teamwork will be important in achieving positive patient outcomes.

About us

Key Responsibilities

The PCN GP is tasked with providing high-quality, patient-centred care while adhering to clinical guidelines and professional standards. Key responsibilities include:

Clinical Responsibilities

• Providing a safe, evidence-based, cost-effective, individualised patient care in the surgery, patients homes, or other care environments.
• Clinically examine and assess patient needs from both physiological and psychological perspectives.
• Develop and implement clinical care plans, referring patients to appropriate services in a timely manner according to practice and/or PCN guidelines.
• Recognise the need for and perform investigatory procedures, including laboratory tests and radiological assessments, and interpret the results.
• Prioritise health problems and intervene appropriately in complex, urgent, or emergency situations, including the initiation of effective emergency care.
• Ensure appropriate follow-up care for patients post-intervention.
• Support patients in adopting health promotion strategies and self-care principles.
• Deliver anticipatory care plans to proactive health management.
• Independently prescribe medications within the scope of practice / PCN, adhering to local and national prescribing guidelines.
• Compile and issue computer-generated acute and repeat prescriptions.
• Review and adjust medications according to NICE guidelines and local care pathways.
• Maintain an awareness of developments in clinical practice and implement changes as and when necessary.

Administrative Responsibilities

• Process referrals, repeat prescription requests, and other administrative tasks in a timely manner.

Record clear consultation notes using the clinical system (SystmOne) to agreed standards.

• Work collaboratively with colleagues, sharing practice workload equitably and contributing to the overall efficiency of the team.
• Contribute to the successful implementation of quality initiatives within the PCN and engage in clinical audits.

Professional and Policy Compliance

• Comply with all national, statutory, legislative, and local policies.
• Proactively contribute to the development and improvement of local policies and protocols.
• Be aware of duties and responsibilities regarding safeguarding children and adults, adhering to policies and procedures.
• Always maintain patient confidentiality and ensure that sensitive information is handled according to PCN policies.
• Follow relevant practice policies and guidelines, including those related to prescribing, confidentiality, data protection, health and safety, and Quality and Outcomes Framework (QOF) standards.

Patient Management

• Create opportunities to address patient care needs efficiently, managing patient expectations realistically.
• Encourage the use of technology and alternative care options when appropriate to improve service delivery.
• Report any concerns related to safety or quality of patient care to the Clinical Director, Practice Manager, or PCN Manager immediately.
• Engage in regular communication with patients to reassure them and address any concerns regarding their care.

Training and personal development

• Staff training requirements will be monitored by yearly appraisals and will be in accordance with PCN requirements.
• Personal development will be encouraged and supported by the PCN. It is the individuals responsibility to remain up to date with recent developments and appropriate member/fellowship requirements if any.
• Enhance own performance through Continuous Professional Development, attendance at courses and study days as deemed useful, and imparting own knowledge and behaviours to meet the needs of the service.
• If it is necessary to expand the role to include additional responsibilities, full training will be given.
• Develop and maintain a Personal Learning Plan.

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 recognises 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 that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/Professional development:

The post-holder will participate in any training programme implemented by the PCN 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 PCN, 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 recognise the importance of effective communication within the team and will strive to:

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