Salaried GP

Job Title: Salaried GP

Salary: Negotiable DOE

Hours: Sessions per week

Responsible to: Clinical Directors

Key Relationships: 32 General Practices, 4 PCNs, NWL ICB, Central London Borough Team, Westminster City Council, Bi-Borough (West London), Central and North West London NHS Foundation Trust (CNWL), Central London Community Healthcare NHS Trust (CLCH); One Westminster, Imperial College Health Partners

BACKGROUND

WHO WE ARE

Healthcare Central London Ltd (HCL) is the GP Federation owned by our 32 General Practices covering the Central London (Westminster) area. The organisation supports 4 Primary Care Networks (PCNs). We operate several NHS contracts on behalf of our PCNs including a Community Dermatology Service; Community Cardiology Service and a Secondary Care Referral Service and an out-of-hospitals provision which is sub-contracted to our 32 General Practices.

On behalf of our practices we are the host employers of a large, and rapidly growing team of ARRS (Additional Roles Reimbursement scheme) roles including Clinical Pharmacists; Pharmacy Technicians; First Contact Physiotherapists; Dieticians; Paramedics; Social Prescribers; Care Coordinators, Digital & Transformation Leads, Nursing Associates, GPAs and Care Co-ordinators.

HOW WE WORK

Our vision is to be recognised as a leading GP provider network, run by clinicians for the benefit of our local population and practices. We will achieve this by working with patients and partners to ensure that general practice remains sustainable and independent. We aim to further diversify our income by exploring commercial joint ventures and expanding our research team in the coming years.

Our people are our greatest asset. When we feel included, valued and supported in work this positivity reaches those very people we are here for, the patients. HCL is committed to actively supporting diversity and inclusion and ensuring that all our employees are valued, treated with dignity and respect and enabled and supported to reach their potential.

Our employees work flexibly according to the needs of our customers, typically onsite at our practices or hub sites or at our offices near Marylebone/Edgware Road. Our office-based roles are typically worked as hybrid roles the pattern of which are agreed and reviewed according to service/team requirements.

ROLE PURPOSE

Due to expansion of our services, we are seeking a dedicated and experienced Salaried General Practitioner (GP) to join our dynamic healthcare team. The Salaried GP will play a key role in delivering high-quality primary care services to our patients and collaborating with other healthcare professionals to promote patient well-being. This can be a hybrid role to include face to face with some remote working opportunities.

This GP will work as a member of the in-house clinical team and provide a critical role of delivering appointments and access to the registered list of patients. Although you will not hold a named doctor list, you will manage the patients with a list-holding mentality, offering continuity and case management where needed and appropriate. You will manage your own admin such as blood results, and be part of a team to collectively manage shared admin alongside remote-working GPs and supporting list-holding lead GPs with their caseloads. You will take part in other activities to support high quality care at the practice, including an exciting opportunity to work within the emerging triage hub for managing all same-day requests for care. Responsibilities will reflect requirements of the NHS GP Contracts, and as such may be subject to change as services adapt.

Main duties of the job

As part of our clinical team, you will be committed to maintaining clinical continuity for patients in crucial circumstances. You will actively participate in learning events, audits, and other agreed-upon projects. We value teamwork and expect you to respect agreed ways of working, including prescribing practices. Your willingness to understand and improve practice systems, learn new IT systems, and support continuity of care will be highly regarded. Taking responsibility for your tasks and completing them efficiently will contribute to minimising unnecessary follow-up work. Collaboration with colleagues, mutual learning, and respect for multidisciplinary teams are essential. As an advocate for patient care, you will work across organizational boundaries when required. Staying updated with new guidance and addressing any time-management challenges will ensure smooth operations. Join our team and make a difference in the lives of our patients.

Clinical responsibilities

The team is really engaged and enthusiastic about their work, and very supportive and welcoming. You should bear in mind however, that this is a dynamic team which is continuing to develop.

These are the things you can do to help become a full member:

1. Show your commitment to high quality, safe care that supports clinical continuity for those patients and clinical circumstances where this is crucial
2. Take part in learning events, audits, and discreet pieces of work where formally agreed
3. Respect ways of working that have been agreed among the clinical team (for example, benzodiazepine prescribing)
4. Commit to understanding your role in practice systems and to flagging where there are learning events so the system can improve
5. Commit to learning new IT systems and innovations in use of IT in service of patient care
6. Commit to supporting continuity where this is clearly best for the patient
7. By taking responsibility and ensuring you follow through and complete tasks where possible (therefore avoiding unnecessary follow up or work by others)
8. Discuss cases with colleagues where appropriate with a commitment to learning from experience and sharing learning
9. Respect multidisciplinary colleagues
10. Work across organisational boundaries when this is in the interests of patient care
11. Keep up to date with new guidance
12. Keep to time as far as this is possible, and raise and discuss continuing problems with time-keeping

Sessional allocation:

Sessions are composed of either 3 hours of clinical appointments (face to face or telephone), 4.5 - 5 hours of digital triage working side by side a digital hub administrator, or a remote clinical admin session the length and timing of which is negotiable and flexible. Appointment times are a minimum of 15 minutes with double appointments used for patients who need interpreters and for complex patients. All GPs are expected to do a combination of face to face, triage and admin sessions; the balance of this work is negotiable.

The clinical meeting is once a week and once a month there is a whole team meeting instead, in addition to extra educational and reflective practice meetings. Ad hoc check ins with the Clinical Lead can be arranged as needed and colleagues can be reached via Teams or in person if you have clinical queries.

During the session you may receive an urgent task to provide support and supervision to other members of the practice MDT including but not limited to pharmacy, nursing and admin staff. These are usually managed by the triage GP.

Other responsibilities within the organisation:

1. Awareness of and compliance with all relevant practice policies/guidelines, e.g., prescribing, confidentiality, data protection, health, and safety
2. Life-long commitment to audit, contributing to evaluation/audit and clinical standard setting within the organisation
3. Contributing to the development of computer-based patient records
4. Contributing to the summarising of patient records and read-coding patient data
5. Attending training and events organised by the practice or other agencies, where appropriate
6. Discuss with other members of the team how the policies, standards and guidelines will affect own work

Person Specification

Experience

Essential

• Experience of working in UK
• General Practice
• Experience of working with vulnerable groups
• Recent experience of being the named GP for a list of patients or of providing continuity of care as a trainee GP

Desirable

• Clinical experience of 2+ years
• Experience using EMIS Web, Docman, Accurx
• Experience of clinical triage
• Experience of working with deprived populations
• Experience of using telephone interpreter
• Delivery of clinical audit
• QOF management
• Experience of working in Islington/ NCL general practice

Understanding of:

Essential

• NHS system
• Challenges facing NHS.
• Vulnerable groups and how to support them

Desirable

• QOF & Enhanced Services
• GP Networks/Federations

Qualifications

Essential

• GMC Registered
• Qualified General Practitioner (MRCGP or equivalent)
• Currently on a CCG performers list
• Clear enhanced DBS check

Desirable

• Evidence of CPD
• DFSRFH & competence in coil insertion
• Work as a GPWSI
• Minor surgery skills
• GP trainer

Skills and Abilities

Essential

• IT fluency including troubleshooting
• Remote consulting skills
• Use of Teams to access policies, documents, communicate through chat groups
• Team player
• Calm under pressure
• Friendly and inclusive
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