Job Title: Salaried GPwSI/GPwER Dermatology

Salary: Dependent on experience

AL: 30 days per annum (pro-rated as appropriate)

Hours: Sessions between 8:00am – 6:30pm, Monday - Friday). Potential overtime (including weekends).

Responsible to: Clinical Lead and Service Manager

Key Relationships: 32 General Practices, 4 PCNs, NWL ICB, Local Minor Surgery Services, Acute Specialist Service Departments (Level 4), Specialist Skin Cancer services, Secondary care specialties such as plastic surgery, rheumatology and diabetes.

BACKGROUND

WHO WE ARE - Healthcare Central London

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 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.

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.

Community Dermatology Service

Healthcare Central London’s Community Dermatology Service (CDS) offers non-emergency care close to home for patients with a range of chronic skin conditions, including eczema, extensive acne and psoriasis. The service is available to any patient aged 16+ who is registered with one of HCL’s member Practices.

The overarching aim of CDS is to provide an innovative, high quality, consultant-supported GPwSI/GPwER service to Westminster patients. The service aims to be accessible and efficient, whilst managing the majority of diagnostics and outpatient activity within primary and GPwSI/GPwER care settings, and significantly enhancing the capability of GPs and patients to effectively manage dermatological conditions.

ROLE PURPOSE

Due to expansion of our services, we are seeking a dedicated and experienced GP with an Extended Role (GPwER) or GP with a Specialist Interest (GPwSI) in Dermatology, to join our dynamic clinical team our CDS clinics. The GPwSI/GPwER will play a key role in delivering high-quality community services to our patients and collaborating with other healthcare professionals to promote patient well-being.

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 organisational boundaries when required. Staying updated with new guidance and addressing any time-management challenges will ensure smooth operations.

Job Responsibilities

Responsibilities will reflect requirements of the NHS Contracts, and as such may be subject to change. These responsibilities are crucial for ensuring the efficient and effective delivery of CDS, ultimately contributing to improved patient outcomes and satisfaction.

Patient Consultations: Conducting face-to-face and/or remote appointments. Assessment and Diagnosis - Conducting thorough assessments and making accurate diagnoses based on clinical presentation, history taking, physical examination, and relevant investigations. Treatment and Management - Developing and implementing appropriate treatment plans, recommendations for prescriptions, providing advice on self-care and lifestyle modifications, signposting and arranging referrals to other services when necessary.
Patient Triage: Participating in patient triage processes to prioritise and handle appointments based on clinical urgency and need.
GP Education: Conducting or participating in webinars aimed at Westminster referrers, with the purpose of improving management of appropriate conditions at primary care level and improving quality of information within referrals.
Patient Education and Empowerment: Providing patients with clear information about their health conditions, treatment options, and self-management strategies to empower them to take an active role in their healthcare.
Joint Clinics: Participating in clinics with a Consultant Dermatologist dealing with advanced clinical cases - learning/accreditation purposes.
Clinical Team Meetings: Participate (and occasionally, Chair) quarterly journal clubs and meetings aimed at clinicians with CDS, for the purpose of sharing learning.
Clinical decision making: Making rapid and informed clinical decisions, often in a fast-paced environment, to ensure patient safety and well-being.
Collaboration with healthcare team: Working collaboratively with members of other services, such as ANPs, nurses, FCPs, pharmacists, and administrative staff, to provide coordinated and holistic patient care.
Documentation and Record Keeping: Ensuring accurate and timely documentation of patient encounters, including clinical notes, investigations, treatment plans, and referrals, in accordance with relevant guidelines and regulations.
Quality Improvement and Clinical Governance: Engaging in continuous quality improvement activities, participating in clinical audits, maintain professional logbooks, and adhering to clinical governance frameworks to maintain high standards of care and patient safety.
Professional Development: Pursuing opportunities for professional development, such as attending relevant training sessions, courses, and conferences, to enhance clinical skills and keep abreast of best practices in primary care.
Adherence to Policies and Protocols: Following established policies, protocols, and clinical guidelines to ensure consistency and standardisation of care delivery within the services.
Patient Advocacy: Advocating for patients needs and preferences, ensuring they receive respectful, compassionate, and patient-centred care at all times.
Ethical and Legal Compliance: Adhering to ethical principles and legal requirements governing medical practice, including patient confidentiality, consent, and data protection regulations.

Requirements

Person Specification

Qualifications and Experience

Essential

Qualified GMC Registered GP
MRCGP
Accredited as a GPwER/GPwSI
Entry on the Performers List
Proven experience in handling busy and varied community care caseloads and responding flexibly to workload fluctuations
Clinical experience of 2+ years
Experience of clinical triage

Desirable

Training in Clinical Leadership or Management
Teaching/Training experience
Experience using S1, Accurx
Delivery of clinical audit
Experience of working in Westminster general practice

Knowledge

Essential

Knows when to make independent clinical decisions as necessary and to seek advice from senior clinicians as appropriate
Working knowledge and a commitment to team approach and multi-disciplinary working
Understanding of clinical risk management and clinical governance
Knowledge of various IT systems and good IT proficiency
An understanding, acceptance and adherence to the need for strict confidentiality

Desirable

Audit knowledge
Understanding of using SystmOne, PATCHS and Surgery Connect
Research interests relevant to specialty
Knowledge of local NHS service pathways

Skills

Essential

Effective counselling and communication skills
Ability to develop and sustain relationships with a wide range of individuals and within groups
Ability to work across organisations to deliver a common objective
Ability to draft letters, reports and protocols in a timely manner
Willingness to share and collaborate across entire HCL and PCN teams.
Ability to develop and maintain effective working relationships with multidisciplinary and multi-agency teams
Ability to work flexibly
Ability to recognize own limitations and act upon them appropriately
Willingness to learn new skills and to problem solve daily
Ability to work within the changing structures of the NHS and work to the requirements of other regulatory bodies
Excellent communicator - clear and responsive
Ability to work in line with practice systems and processes

Other

Essential

Professional Indemnity

KEY TASKS AND RESPONSIBILITIES

If you are a highly motivated and experienced leader with a passion for improving the delivery of primary care services, we encourage you to apply for this exciting opportunity.

The above list of job duties is not exclusive or exhaustive and the post holder will be required to undertake such tasks as may reasonably be expected within the scope of the post.

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Healthcare Central London

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Salaried GPwSI/GPwER Dermatology- Part Time