Job summary

  • Job Title: GP SPIN Fellow Haringey Homeless Health Inclusion Team (HHHIT)
  • Hours of work: 2 sessions / 1 day per week (9am-5pm)
  • Remuneration: £9250 per session per annum
  • Contract length: 12 Months (fixed term)
  • Responsible to: Assistant Medical Director / GP Clinical Lead
  • Accountable to: Chief Executive Officer
  • Location: 157 Medical Practice, 157 Stroud Green Road, London, N4 3PZ ( Haringey GP Federation Offices – 48 Station Road, Wood Green, London, N22 7TY).

Haringey Homeless Health Inclusion Team (HHHIT)

HaringeyHomeless Health Inclusion Primary Care service works to deliver the keyobjectives: supporting and strengthening access to General Practices forhomeless patients in Haringey by improving GP registration, providing a PrimaryCare Outreach Service and working in a multidisciplinary way with allied agencies.Our vision is to have a sustained, positive impact on the health and wellbeingof the homeless population in Haringey.

Main duties of the job

This is an amazing and exciting opportunity for a motivated, organised, and enthusiastic individual who would like to gain experience in reducing health inequalities and working in an innovative team.

PRIMARY AREAS OF RESPONSIBILITY

Primary Roles of the Job:

  1. To provide a clinical GP session for the Health Inclusion clinic for homeless patients in Haringey
  2. To support the service growth and development

About us

We are the Haringey GP Federation, a young and growing organisation working with 34 member practices and over 200 members of staff in the diverse and vibrant borough of Haringey in North London. Our vision is to support the people of Haringey to be healthier and happier. We do this by strengthening, innovating, and advocating for strong and sustainable General Practice in Haringey.

Our friendly, collaborative team has deservedly earned a strong reputation for providing best practice Primary Care services at scale. We are proud that our teams achievements have won external recognition, including a recent HSJ award for demonstrating professionally diverse clinical leadership in primary care.

We provide a range of services in Haringey, including those which are best delivered by Primary Care at scale, namely; integrated services, working with partners in our local borough partnership, together with support services, including back-office support, workforce and training and some shared staffing clinical teams. We also currently manage two local GP practices and lead the North Central London Training hub.

Date posted

13 January 2023

Pay scheme

Other

Salary

£18,500 a year £9250 per session per annum

Contract

Fixed term

Duration

12 months

Working pattern

Part-time, Flexible working

Reference number

U0002-23-3782

Job locations

48 Station Road

Wood Green

London

N22 7TY

The 157 Medical Practice

157 Stroud Green Road

London

N4 3PZ

Job description

Job responsibilities

Primary Responsibilities:

  • To deliver a high standard of patient care using advanced autonomous clinical skills with in-depth theoretical knowledge and evidence-based practice
  • To manage a clinical caseload and seal with presenting patients need in a clinic setting
  • To provided clinical leadership where appropriate within HHHIT and support other members of the team to develop and maintain clinical skills appropriate to your role and expertise
  • Recognise the need for alternative working patterns and flexibility

Clinical Practice

  • You will maintain clinical skills through appropriate continuing professional development (CPD) in line with annual appraisal
  • You will work in line with all organisation policies and procedures, including human resources, safeguarding children, etc.
  • Provide a point of contact within the health inclusion clinic (once an initial outreach review has been completed) for patients presenting with undifferentiated, undiagnosed problems, utilising history taking, physical examination, problem solving and clinical decision-making skills to establish a working diagnosis and management plan working in partnership with rough sleeping patients.
  • Undertake clinic-based consultations for immediately necessary care or routine problems including detection and initial management of long-term conditions. In addition, undertake telephone calls and video consultations.
  • Instigate necessary invasive and non-invasive diagnostic tests or investigations where there is capacity to do so or communicate the need for these to patients registered GP and interpret findings/reports within the scope of the GPs practices. Discuss the results and impactions of laboratory investigations with patients.
  • Utilise clinical guidelines and promote evidence-based practice.
  • Offer a holistic service to patients and their families (involvement of families is not routine, but possible), developing where appropriate an on-going plan of care/support with and emphasis on prevention and self-case.
  • Refer patients directly to other services or agencies using appropriate referral pathways.
  • Ensure safe handover of care within and outside the HHHIT service as appropriate.
  • Work directly with members of the HHHIT and support integrated patient centred care through appropriate working with the wider primary care / social care networks / multiple agencies such as Mental Health, Substance misuse and local authority teams.
  • Identify community health needs and participate in the development of patients/family-centred strategies to address them.
  • Contribute to the HHHIT service quality targets to consistently achieve high standards of safe, evidence-based, cost-effective patient care and service delivery.

Professional Responsibilities

  • You will maintain your professional registration, always working within the GPC code, and undertaking Revalidation and appraisal as required.
  • You will promote and provide evidence-based care that complies with the relevant legal and policy frameworks
  • You will work collaboratively with multidisciplinary teams across a range of care settings.
  • Maintaining your professional registration working with the latest code of professional conduit (CIPD)
  • Undertake statutory and mandatory training as required by the HHHIT service
  • Demonstrate clinical leadership
  • Pro-actively promote the role of the GP within the HHHIT service and externally to key stakeholders and agencies
  • Respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role

Training and Development

  • Participate in continuing professional development opportunities to keep up to date with evidence-based knowledge and competence in all aspects of the role to meet clinical governance guidelines for continuing professional development (CPD) and a personal development plan (PDP) utilising a reflective approach to practice.
  • Undertake a variety of research and analysis tasks associated with the improvement of clinical care, medical diagnosis and treatment where appropriate using the following means.
  1. Audit of clinical practice
  2. Significant event review / root cause analysis
  3. Review of relevant literature
  4. Research unusual symptoms and treatments options through consultation with general practitioners, physicians and other specialists

  • Participate proactively in a learning culture within the HHHIT
  • Contribute to regular multi-disciplinary meetings as well as HHHIT and GP Practice educational meetings.
  • Participate in multi-disciplinary protocol and patient group directions (PGDs) development as appropriate
  • Work closely with other clinical staff and administrative manager in setting up and/or improving of the HHHIT systems for monitoring/measuring performance against clinical governance and quality indicator targets.

Administration

  • Fully document all aspects of patients care and completed all required paperwork for legal and administrative purposes in accordance with relevant standards.
  • Work in accordance with internal administrative systems relating to but not limited to the management of clinical data.
  • Send and receive written information of behalf of the HHHIT relating to the physical and social welfare of patients.
  • Ensure that all HHHIT service policies are fully implemented

Confidentiality / Data Protection / Freedom of Information

The post holder will have access to confidential information relating to patients, their carers, practice staff and other healthcare workers. They may also have access to information relating to the Federation as a business organisation.

All such information from any source is to be regarded as strictly confidential. Post holders must maintain the confidentiality of information about patients, staff, and other health service business in accordance with the Data Protection Act 2018. Post holders must not, without prior permission, disclose any information regarding patients or staff. Moreover, The Data Protection Act 2018 also renders an individual liable for prosecution in the event of unauthorised disclosure of information.

Equal Opportunities

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 the practice procedures and policies and current legislation.
  • Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.

Health and Safety

Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act (1974), and to ensure that agreed safety procedures are carried out to maintain a safe environment for employees, patients, and visitors.

Risk Management

All post holders have a responsibility to report risks such as clinical and non-clinical accidents or incidents promptly. They are expected to be familiar with the risk management strategy and emergency procedures and attendance at training as required.

Infection Control

Infection Control is everyones responsibility. All staff, both clinical and non-clinical, are required to adhere to the Code of Practice on the prevention and control of infections and related guidance (2015) and make every effort to maintain high standards of infection control at all times thereby reducing the burden of Healthcare Associated Infections and complying with Government Directives, including COVID-19 regulations.

Safeguarding

Within their sphere of competence, each member of staff is responsible for promoting and safeguarding the welfare of the children, young people and / or vulnerable adults for whom they are responsible or may come into contact with, in the job role.

Review of this Job Description

This job description is intended as an outline indicator of general areas of activity and will be amended in the light of the changing needs of the organisation. To be reviewed in conjunction with the post holder on an annual basis.

Job description

Job responsibilities

Primary Responsibilities:

  • To deliver a high standard of patient care using advanced autonomous clinical skills with in-depth theoretical knowledge and evidence-based practice
  • To manage a clinical caseload and seal with presenting patients need in a clinic setting
  • To provided clinical leadership where appropriate within HHHIT and support other members of the team to develop and maintain clinical skills appropriate to your role and expertise
  • Recognise the need for alternative working patterns and flexibility

Clinical Practice

  • You will maintain clinical skills through appropriate continuing professional development (CPD) in line with annual appraisal
  • You will work in line with all organisation policies and procedures, including human resources, safeguarding children, etc.
  • Provide a point of contact within the health inclusion clinic (once an initial outreach review has been completed) for patients presenting with undifferentiated, undiagnosed problems, utilising history taking, physical examination, problem solving and clinical decision-making skills to establish a working diagnosis and management plan working in partnership with rough sleeping patients.
  • Undertake clinic-based consultations for immediately necessary care or routine problems including detection and initial management of long-term conditions. In addition, undertake telephone calls and video consultations.
  • Instigate necessary invasive and non-invasive diagnostic tests or investigations where there is capacity to do so or communicate the need for these to patients registered GP and interpret findings/reports within the scope of the GPs practices. Discuss the results and impactions of laboratory investigations with patients.
  • Utilise clinical guidelines and promote evidence-based practice.
  • Offer a holistic service to patients and their families (involvement of families is not routine, but possible), developing where appropriate an on-going plan of care/support with and emphasis on prevention and self-case.
  • Refer patients directly to other services or agencies using appropriate referral pathways.
  • Ensure safe handover of care within and outside the HHHIT service as appropriate.
  • Work directly with members of the HHHIT and support integrated patient centred care through appropriate working with the wider primary care / social care networks / multiple agencies such as Mental Health, Substance misuse and local authority teams.
  • Identify community health needs and participate in the development of patients/family-centred strategies to address them.
  • Contribute to the HHHIT service quality targets to consistently achieve high standards of safe, evidence-based, cost-effective patient care and service delivery.

Professional Responsibilities

  • You will maintain your professional registration, always working within the GPC code, and undertaking Revalidation and appraisal as required.
  • You will promote and provide evidence-based care that complies with the relevant legal and policy frameworks
  • You will work collaboratively with multidisciplinary teams across a range of care settings.
  • Maintaining your professional registration working with the latest code of professional conduit (CIPD)
  • Undertake statutory and mandatory training as required by the HHHIT service
  • Demonstrate clinical leadership
  • Pro-actively promote the role of the GP within the HHHIT service and externally to key stakeholders and agencies
  • Respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role

Training and Development

  • Participate in continuing professional development opportunities to keep up to date with evidence-based knowledge and competence in all aspects of the role to meet clinical governance guidelines for continuing professional development (CPD) and a personal development plan (PDP) utilising a reflective approach to practice.
  • Undertake a variety of research and analysis tasks associated with the improvement of clinical care, medical diagnosis and treatment where appropriate using the following means.
  1. Audit of clinical practice
  2. Significant event review / root cause analysis
  3. Review of relevant literature
  4. Research unusual symptoms and treatments options through consultation with general practitioners, physicians and other specialists

  • Participate proactively in a learning culture within the HHHIT
  • Contribute to regular multi-disciplinary meetings as well as HHHIT and GP Practice educational meetings.
  • Participate in multi-disciplinary protocol and patient group directions (PGDs) development as appropriate
  • Work closely with other clinical staff and administrative manager in setting up and/or improving of the HHHIT systems for monitoring/measuring performance against clinical governance and quality indicator targets.

Administration

  • Fully document all aspects of patients care and completed all required paperwork for legal and administrative purposes in accordance with relevant standards.
  • Work in accordance with internal administrative systems relating to but not limited to the management of clinical data.
  • Send and receive written information of behalf of the HHHIT relating to the physical and social welfare of patients.
  • Ensure that all HHHIT service policies are fully implemented

Confidentiality / Data Protection / Freedom of Information

The post holder will have access to confidential information relating to patients, their carers, practice staff and other healthcare workers. They may also have access to information relating to the Federation as a business organisation.

All such information from any source is to be regarded as strictly confidential. Post holders must maintain the confidentiality of information about patients, staff, and other health service business in accordance with the Data Protection Act 2018. Post holders must not, without prior permission, disclose any information regarding patients or staff. Moreover, The Data Protection Act 2018 also renders an individual liable for prosecution in the event of unauthorised disclosure of information.

Equal Opportunities

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 the practice procedures and policies and current legislation.
  • Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.

Health and Safety

Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act (1974), and to ensure that agreed safety procedures are carried out to maintain a safe environment for employees, patients, and visitors.

Risk Management

All post holders have a responsibility to report risks such as clinical and non-clinical accidents or incidents promptly. They are expected to be familiar with the risk management strategy and emergency procedures and attendance at training as required.

Infection Control

Infection Control is everyones responsibility. All staff, both clinical and non-clinical, are required to adhere to the Code of Practice on the prevention and control of infections and related guidance (2015) and make every effort to maintain high standards of infection control at all times thereby reducing the burden of Healthcare Associated Infections and complying with Government Directives, including COVID-19 regulations.

Safeguarding

Within their sphere of competence, each member of staff is responsible for promoting and safeguarding the welfare of the children, young people and / or vulnerable adults for whom they are responsible or may come into contact with, in the job role.

Review of this Job Description

This job description is intended as an outline indicator of general areas of activity and will be amended in the light of the changing needs of the organisation. To be reviewed in conjunction with the post holder on an annual basis.

Person Specification

Skills and Abilities

Essential

  • Ability to work flexibly to meet the needs of the HHHIT service
  • Interest in inclusion health and working with marginalised populations
  • Highly motivated
  • Energy and enthusiasm
  • The ability to work under pressure and organise workload effectively
  • An enquiring and critical approach to work
  • Caring attitude to patients
  • Ability to communicate effectively with colleagues, patients, relatives and agencies
  • Commitment to continuing clinical education and professional development
  • Declared history of medical-legal cases including any pending

Qualifications

Essential

  • Registered GP
  • GMC and RCGP certification
  • DBS clearance
  • Current and valid certification
  • Basic Life Support

Desirable

  • Evidence of continuing professional development activities
  • Experience working with patients experiencing homelessness

Knowledge

Essential

  • Advanced clinical skills
  • Clinical examination skills
  • Management of patients with common acute medical conditions
  • Management of patients with long-term conditions
  • Knowledge of the NHD
  • Understand of current issues and challenges facing primary care and the rough sleeping population
  • Recent experience of working in and outreach service / general practice environment
  • Management of patients with complex needs
  • Experience of preventative medication
  • Experience with chronic disease management
  • Experience of working to achieve standard within the Quality and Outcome framework (QoF)

Desirable

  • Experience of trauma informed care
  • Experience of mental health, substance misuse management
  • Experience of wound care
  • Experience of working with patients across a range of settings
  • Experience in managing conditions which affect rough sleeping and homeless populations

Experience

Essential

  • Ability to work well with colleagues and within a team
  • Ability to organise and prioritise workload effectively
  • Ability to exercise sound judgements when faced with conflicting pressures
  • Proficient in use of EMIS
  • Confident in use of email
  • Excellent record keeping skills
Person Specification

Skills and Abilities

Essential

  • Ability to work flexibly to meet the needs of the HHHIT service
  • Interest in inclusion health and working with marginalised populations
  • Highly motivated
  • Energy and enthusiasm
  • The ability to work under pressure and organise workload effectively
  • An enquiring and critical approach to work
  • Caring attitude to patients
  • Ability to communicate effectively with colleagues, patients, relatives and agencies
  • Commitment to continuing clinical education and professional development
  • Declared history of medical-legal cases including any pending

Qualifications

Essential

  • Registered GP
  • GMC and RCGP certification
  • DBS clearance
  • Current and valid certification
  • Basic Life Support

Desirable

  • Evidence of continuing professional development activities
  • Experience working with patients experiencing homelessness

Knowledge

Essential

  • Advanced clinical skills
  • Clinical examination skills
  • Management of patients with common acute medical conditions
  • Management of patients with long-term conditions
  • Knowledge of the NHD
  • Understand of current issues and challenges facing primary care and the rough sleeping population
  • Recent experience of working in and outreach service / general practice environment
  • Management of patients with complex needs
  • Experience of preventative medication
  • Experience with chronic disease management
  • Experience of working to achieve standard within the Quality and Outcome framework (QoF)

Desirable

  • Experience of trauma informed care
  • Experience of mental health, substance misuse management
  • Experience of wound care
  • Experience of working with patients across a range of settings
  • Experience in managing conditions which affect rough sleeping and homeless populations

Experience

Essential

  • Ability to work well with colleagues and within a team
  • Ability to organise and prioritise workload effectively
  • Ability to exercise sound judgements when faced with conflicting pressures
  • Proficient in use of EMIS
  • Confident in use of email
  • Excellent record keeping skills

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).