Mount Road Surgery -Salaried G.P.With a View to Partnership

Job Description2015

Background

The practice is well established and over the last 20 years we have developed a dedicated, stable and friendly team of staff. We work from very pleasant premises which had a major face-lift and an extension completed in 2000. We have a strong team of two nurses and an HCA who do most of the chronic disease management. Please see the attached practice profile for more detail of the staff and facilities.

The practice serves South Gorton which was traditionally a white working-class area though in recent years a considerable influx of immigrants has brought some interesting variety. The list size is approximately 7,400 and the practice currently has 4 partners and 1 salaried GP. Another partner, Dr Alison Hutton, has recently retired after 28 years of working in the practice creating this vacancy.

The practice is paper light and makes full use of IT systems including EMIS Web, Docman, a computerised dictation system and remote access. We offer our patients the facility to book appointments and order repeat prescriptions online and we also use electronic prescribing.

Background to clinical and administrative duties

The new doctor will be engaged to work six sessions per week, including Friday afternoon and at least one session on a Tuesday, other sessions to be decided. The sessions could be spread over three or four days.

We endeavour to share out the daily clinical workload as equally as possible.

We are keen, where practicable, to give patients the option of phone consultations and on each surgery there are embargoed slots for these.

During the morning the nurses and doctors triage all the requests for same day appointments. We have found that many of these requests can be dealt with on the phone but there are reserved appointment slots that can be used if required.If a request is made in the afternoon for an urgent appointment but surgeries are full then the call is triaged by the doctors as an extra phone consultation.

We also speak on the phone to all requests for visits and as a result have an extremely low visiting rate; typically no more than three or four visits per week between all the doctors.

Though we are a group practice we have always had a personalised list system which means that the Usual Doctor on EMIS is generally responsible for that patient and any tasks that relate to them. We would like the new GP to also have their own list, initially by taking over many of Dr Hutton’s patients and then to continue building their list by taking on a portion of the new patients joining the practice and “adopting” patients of the other partners as happens by chance.

When one of the doctors is away urgent administrative matters relating to their patients are covered by the other doctors and the salaried GP willtake a share of this role

Clinical Duties

  • Face-to-face consultations – as per appointment slots. Also a share of any extras if needed (usually there are no more than one or two of these)
  • Phone consultations - usually at the end of surgery
  • Morning Visits – triage of requests and occasional visits in collaboration with the other doctors on duty.
  • Afternoon visits, rarely required -responsibility for covering for theseon a Friday afternoon.
  • Triage in the morning
  • Triage in the afternoon -occasional requests only.

Administrative duties

  • Results – actioning one’s own results
  • Scripts – signing own scripts
  • Docman – looking at own documents and adding data, or indicating for clericalstaff to add data,as per surgery routines.
  • E-mails – dealing with own
  • Enquiries & practice notes – dealing with own and any urgent ones for an absent colleague.
  • Other Admin – to deal with these for own patients and any urgent items for doctor.

If a colleague is away their administrative tasks are shared between the other doctors.

  • Checking computer records of own new patients – all notes will be summarised and problem entries put on by administrative staff. More complex records need to be briefly reviewed by the usual doctor.

Attending Meetings

The practice holds meetings on Tuesday lunchtimes which we would like the new doctor to attend. These differ from week to week and may be clinical or administrative. They include: doctor/nurse meetings, meetings with our community nurses, meetings to review our palliative care patients and a meeting with all our practice staff. There may occasionally be a meeting on a Thursday lunchtime.

Extra time

Some flexibility is expected from both sides in terms of small overruns of time or being able to leave a bit early if not busy. However if there is an emergency, or another need to stay an hour or more over, this can be paid on a pro-rata basis.

If an extra session is required this will be paid on a “locum” basis at the local locum rate. The salaried doctor would be allowed first refusal before an external locum was booked.

We usually employ locums for 12 or more sessions per year.

If extra administrative time is needed regularly the partners should be informed.

GPC model contract and variations

  • Period of notice – 3 month on either side (as per model contract)
  • Annual leave – 6 weeks pro-rata (as per model contract) i.e. 30 – 36 sessions off
  • Public holidays – 8 statutory days per year (as per partners.) Where a public holiday falls on a usual day off no time in lieu is given.
  • Study leave – 1 week per year i.e. 6 sessions (as per partners). More leave may be allowed for longer courses by mutual agreement.
  • NHS Appraisals – 1 session off per year to be appraised
  • Maternity leave and pay – as per model contract
  • Sickness pay – as per model contract
  • Fees for forms etc – will be the property of the practice (as per model contract)

Pay

Salary would be according to experience and in accordance with BMA scales.

It is envisaged that the new doctor will begin on a salaried basis and then, if mutually agreed, progress to becoming a partner in the practice after a period of 12 months.

Training

Over the years we have developed a fairly unified approach, both in termsof data entry on the computer, particularly via templates, and in the formulary that the surgery uses. The new salaried GP will be trained in the surgery procedures.

Further information

Interested shortlisted applicants are welcome to arrange to come to visit the surgery informally. Please ring and speak to Jackie Lewis-Hughes our practice manager if you would like to do this.

Any of the partners or Ashifar Sardar(our current salaried GP) would also be happy to speakto prospective candidates over the phone - Tel: 0161 231 4997

06.07.2015