Job Plan for Salaried GP
The job plan is the document that translates expectations of employee and employer into a working schedule. It ensures that the post delivers its aims and the requirements of the contract of employment are met, including provision for continuing professional development (CPD). It is essential to the practice that each person has the right skills for their role and has the ability to work as an effective person within our team. We regard ourselves as a friendly practice in which every member of the team is important and receives due respect regardless of position. It is our common aim to provide as efficient and professional service to all our patients in a friendly manner in pleasant surroundings.
Duties and Responsibilities
· The duties of the post are to provide a full range of general medical services details are and are set out in more detail in the Salaried GP Job Description.
· There is a requirement to be “on call” for clinically urgent and emergency problems in accordance with the Practice rota
· The post holder is expected to support the partners of Cowdenbeath Medical Practice in providing all services outlined in the GMS (Scotland) Contract, Enhanced Service Contracts and Scottish QOF
· The post holder is encouraged to utilise and develop any skills for the improvement of services to patients, such as minor surgery, child health surveillance, family planning training etc in consultation with the GPs.
Job Plan:
(a) Clinical duties: You are contracted to work 18 hours over 2 days on a Monday and Wednesday normally between the hours of 8.00 and 18.00 hours, but these times may be varied. Currently we do not require you to participate in Extended Hours under the existing Extended Hours Contract. However, should the requirements of the Extended Contract change, your hours of work may be varied if there is a requirement by the NHS to operate weekend surgeries or surgeries early morning or additional surgeries in the evening.
(b) Increasingly the practice is called upon to provide telephone consultations and the standard is that two telephone consultations can be put in place of one face to
face consultation.
(c) Appointments are scheduled at 10 minute intervals and you will provide a minimum 12 face to face consultations in the morning and 15 in the afternoon, plus you will take your share of extra consultations where demand is excessive. It is policy that when there are 2 doctors off on holidays morning surgeries are extended by one or 2 appointments at times of high demand.
(d) You are expected to participate in the “Duty Doctor” rota on a pro rata basis. As duty doctor you are expected to be on call from 8am-1pm or 1pm-6pm
(d) You will be required to make home visits within the time specified.
(e) You will be expected to deal on a daily basis with telephone queries from patients or other health care professionals in your administrative time.
(f) You are expected to follow up results, x-rays, correspondence related to your own allocated batch of patients and also those that you have generated yourself (investigations and queries related to your consultations)
(g) Clinical duties will include seeing people with acute conditions, ongoing chronic conditions which will also include reviews based on the QOF
Administration/paperwork:
(a) The Partners believe that the job plan allows sufficient time in the job plan to complete all administrative duties related to your clinical work, recognising the fact that all practitioners work at different rates.
(b) Referrals should be completed on a daily basis.
(c) Investigations and referrals should be completed and associated documentation dealt with within appropriate timescales.
(d) Results are normally communicated either electronically or by letter, you will be expected to action these on a daily basis for your own patients. You will also take a share in
dealing with the daily post including correspondence addressed to you and to take a share of the workload for absent Partners.
(e) Reports: You will be expected to complete reports for various agencies and insurance companies/solicitors etc within a 3 week period as per the Practice Policy. At periods of annual leave these reports will be completed on your return.
(f) You will be required to undertake the summarising of clinical notes according to the Practice Protocol on a pro rata share basis.
(f) Computerised records: You will be expected to use appropriate processes for computerised record keeping including computerised clinical templates and protocols as
well as ensuring that significant information as determined by the practice is recorded accurately e.g. all QOF domains.
4. Primary care team meetings
You are required to attend formal or informal meetings, essential to the delivery of team based care held at the Practice and you will have a close working relationship with the primary care team on a daily basis.
5. Personal Development
The practice is committed to the highest standards of evidence based medicine and supporting colleagues in achieving this. You will be expected to participate using your Personal Development Time, in discussions on clinical practice standards, developing practice protocols, mutual professional support for the individual practitioners, audit, significant event analysis, meetings with colleagues in the locality, Primary Care Trust etc. Where these occur on an ad hoc basis, adjustments to clinical workload may
be required.
6. Personal CPD (continuing professional development) time:
You are allocated 18 hours paid study leave per annum.
7. You will be expected to provide support for any students or trainees in the practice when this has been approved by the Partners.
8. You may be expected to become responsible for particular areas of practice development.
9. You may be expected to be responsible for an area of the Quality
and Outcomes Framework (QOF).
10. Work Scheduling – TIMES WILL BE NEGOTIABLE however as Practice surgery consultations generally start at 8.30am in the morning. Work scheduling will take into the various Rota Times as set out
ROTA TIMES
DUTY 1 AM Surgery 0830 to 1020 then calls
PM On call from 1300 to 1800
Booked surgery 1430 to 1510
Rest of time for emergency appointments, advice and visits
Carry mobile phone
DUTY 2 AM Surgery 0830 to 1020 then calls
PM No surgery (half day)
DUTY 3 Only if Consulting Room availability is limited.
AM Calls first then late surgery 1100 to 1250
PM Surgery 1450 to 1600
Break
Surgery 1630 to 1730
DUTY 4 AM Surgery 0830 to 1020 then calls or 8.10am – 10.00 by arrangement
PM Surgery 1420 to 1520
Break
Surgery 1550 to 1700
DUTY 5 AM On call 0800 to 1300
Do visits first
Emergency Surgery 1130
Deal with emergency visits and all late calls (Calls after 11am)
Carry mobile phones
PM Surgery 1450 to 1600
Break
Surgery 1630 to 1730
DUTY 7 AM Surgery 0830 to 1020 then calls
PM Surgery 1430 to 1540
Break
Surgery 1700 to 1750
DUTY 8 Extended Hours, 6.00pm-8.30pm 10 pre-booked appointments
8.30am Practice Meeting or Appointments, visits – off duty at 11am until 6.00pm
MEDICALS PM As per GP Rota – Usually 5.30 pm before Duty 8
q Child Health Surveillance 1420 start on Tuesday.
q There is a Practice Meeting or Educational/Audit Meeting Thursday mornings 0830 – 0940 however Locum GPs are not required to attend these.
q Primary Health Care Team meeting 1st Friday of each month at 1300.
q Lunchtime palliative care meetings and any urgent or special meetings may be held Tuesdays, Wednesdays and Fridays 1300-1400. Meetings schedule is on Notice board by switchboard.
q PMA Reports scheduled as per GP Rota as is GP Admin time.
q Important changes and events are advertised on the Practice Intranet via CMP Icon on Desk Top.
Appointment ColoursWhite: Book in Advance
Amber: Book on the Day
Red: Emergency (Duty Dr)
Moss Green: GP planned contact (initiated by GP) 5 mins
Blue: Telephone Message
Purple: Admin Message
Violet: Minor Op/Steroid Injection
Deep Purple: Telephone Consultation / Pale Pink: Flu (seasonal)
Yellow: Blood Appts
Pale Green: BP Appts
Pale Yellow: CHS Appts
Pale Blue: Smear Appts
Red: (Add appt) at GP request extra
Burgundy: GP bookable treatment room emergencies
Telephone consultations 5mins TBC
Deep Green: GP Request Appt
WHITE BOARD AT SWITCHBOARD INDICATES WHICH ROOM EACH GP HAS BEEN ALLOCATED ON A DAILY BASIS.
11. Holiday Planning/Scheduling & OTHER Tim Off
You are entitled to 90 hours paid annual leave in addition to this any Fife notified public holiday days for which the Practice closes that fall on your working day. Should the Practice remain open on a notified Public Holiday and you are rostered to work, this you will be credited with 9 hours per day. You will be included in and will participate in the holiday priority allocation system. The Practice operates a system where there will only be 2 GPs off at any time, unless by 2/3rds majority agreement by the Partners additional absences are granted. Holiday planning takes place in December and June each year. Holidays will run from 1st January to 31st December. For all other time off requirements the Policies in the Practice Staff handbook apply.