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Applicant Information
Post: Out of Hours GP Development Fellowship
Reference: MD0519285
GP Out of Hours (OOHs) Development Fellowship
Are you a recently qualified GP or a less recently qualified GP looking for a change? Are you looking for an opportunity to get some more experience in day time and OOHs
general practice and work as part of a regular team? Do you want some dedicated paid time to focus on professional development activities? Do you want to develop your Urgent general practice skills?
If so, we want you!
Come and be a GP OOHs Development Fellow working within both daytime practice and OOHs services, with additional funded time to concentrate on your professional development.
The role has three distinct components:
1. 14 hours per week for the local OOHs service – all types of out of hours shifts will be an option including evenings, nights and weekends;
2. 20 hours per week within a set GP practice – there will be the opportunity to choose a practice from those supporting this programme;
3. Professional development – there will be the opportunity to consider activities such as medical education, leadership or teaching alongside working on a Quality Improvement project.
This post is available up to 48 hours, at a pro-rata salary circa £85,000 but there is flexibility for reduced hours commitments.
Informal enquiries should be made to Chris Mair (OOH Specialist Lead) at [email protected] Information, including the job description for the post is available from Medical Workforce by telephone on 01324 618327 or by email at [email protected]
To apply, applicants must submit a fully completed Medical and Dental application form to the above address by 12 noon, Sunday 7th July 2019
Applicants should have full GMC registration and a licence to practise.
These posts are open primarily to applicants who do not require a work permit to take up employment in the UK.
Interviews date to be confirmed
Please quote reference MD0519285 on all correspondence:
NHS Forth Valley is an equal opportunities employer.
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JOB DESCRIPTION:GP Out of Hours Development Fellowship
JOB DETAILS
Job Title: GP Out of Hours Development Fellowship
Directly accountable to: Specialty Leads, NHS Forth Valley
Professionally responsible to: Associate Medical Director Medical Directorate
Location: Forth Valley Royal Hospital, LarbertTerm: One year fixed term from Aug 2019
Time Commitment: Full Time / Part time
Time within: 18:00 to 08:00 weekdays, all weekend, public holidays for OOH time
0800-1800 for GP practice time
Remuneration: £85000 per annum (pro rata)
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INTRODUCTION TO NHS FORTH VALLEY
NHS Forth Valley is a single, integrated healthcare system comprising acute care facilities and community based services, which are delivered through Forth Valley Community Services Directorate.
NHS Forth Valley Board aims to improve health and healthcare for the people of Forth Valley. In recent years we celebrated the opening of the new Forth Valley Royal Hospital and we are now embarking on a new and exciting chapter of quality improvement as we continue to design and deliver healthcare services fit for the future, with the launch of our new Healthcare Strategy.
For further information on NHS Forth Valley please visit our website where you will find copies of our Healthcare Strategy and Annual Review. www.nhsforthvalley.com
NHS Forth Valley is the largest employer in the area, with approximately 8000 staff from a wide range of professional and support occupations. Currently, services are provided in one acute hospital, four community hospitals and fifty-six health centres. Acute Services are based in purpose built 860 bedded Forth Valley Royal Hospital, which opened in 2011 and provides inpatient and outpatient services for a population of approximately 310,000.
THE FORTH VALLEY AREA
The working environment in Forth Valley Royal Hospital is excellent, as is the quality of life that the Forth Valley area has to offer candidates and their families. The area has stunning scenery including the Trossachs and Loch Lomond and is steeped in history with Callander House in Falkirk, Stirling Castle, Bannockburn and the Wallace Monument to name but a few of the sites in the area. It also has many cultural and leisure facilities such as the Helix Ecopark, home to the 100ft Kelpies, the Falkirk Wheel, the MacRobert Arts Centre at Stirling and the National Sports Academy at Stirling University.
Forth Valley also lies equidistant between Scotland’s two largest cities; Edinburgh and Glasgow. With their respective airports, both are little over half an hour from most parts of Forth Valley, on the Falkirk, Larbert and Stirling area lines.
House hunters in the Forth Valley area are spoiled for choice. On offer is a large array of established and new properties in a variety of attractive settings.
Education in the area is first class, with excellent provision of pre-school, primary and secondary education. State schools in the area have strong reputations and there is also easy access to the area’s private schools in Dollar and Crieff. On the further education front, Stirling boasts an excellent University and access to the University cities of Glasgow and Edinburgh is easy. There are also further education Colleges in Falkirk, Stirling and Alloa.
In addition to its scenery, history, culture and shopping facilities, residents in Forth Valley have on their doorsteps a varied range of leisure and sporting facilities. There are marvellous golf courses, hills and mountains and everything from sailing and windsurfing.
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Forth Valley has a population of nearly 310,000 and covers a geographic area from Killin and Tyndrum in the North and Strathblane and Bo’ness in the South.
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Further information on the area can be found on the following websites:
www.falkirk.gov.uk - Falkirk Council www.stirling.gov.uk - Stirling Councilhttp://www.clacksweb.org.uk/ - Clackmannanshire www.visitscotland.com - Tourismhttp://www.scot.nhs.uk/organisations/forth-valley - NHS Locallywww.stirling.ac.uk - Stirling University
Living & Working in Scotlandhttps://medicaljobs.scot.nhs.uk/working-in-scotland/
Web Sites of Interest for CandidatesScottish Health on the web : http://www.scot.nhs.uk/ Scottish Government: www.scotland.gov.uk
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1. Background
NHS Forth Valley (NHSFV) serves a population of approximately 310,000 over 2,643 square kilometres. The region ranges from remote rural areas in the North West to heavily industrialised areas in the South East. A central acute hospital is based at Larbert with community hospitals in Stirling, Falkirk and Alloa.
Out of Hours services are provided by Forth Valley Health Board, through clinician led unscheduled primary care services from 18:00 to 08:00 weekdays, all weekend, public holidays and protected learning time sessions for general practices. Care is delivered from three centres:
Forth Valley Royal Hospital: working closely with the Emergency Department Stirling Care Village : co-located with a Minor Injuries Unit, Xray and 3 GP practices Clackmannanshire Community Healthcare Centre.
2. Job Purpose
This post is aimed at those who have completed MRCGP and are looking for varied experience of primary care in order to provide a professional development adjunct to future clinical activity.
We recognise the unique position newly qualified GPs are in, in terms of career choices, geographical location, and being medically competent but wishing to gain further experience. During GP training, their GP trainer and local peer group at vocational training schemes support GP registrars. However, on completion of training this support ceases. At the end of GP training, registrars are competent but may lack experience. The first years after training can be a challenging time for new GPs who find themselves in the ever-changing world of modern general practice and the new independent practitioner may feel vulnerable and isolated. The purpose of this job is to increase experience to independently manage in and out of hours primary care situations.
This post will offer successful applicants the opportunity to develop their clinical and professionalcompetence in a purposeful and supervised manner.
Recent reports have highlighted the importance of leadership and development throughout the medical career. This post offers early exposure and training in this area.
Clinical development will be combined with supervised and directed activity linked to an area of mutual professional interest, including clinical teaching, healthcare quality improvement, and development of management and leadership skills.
At the end of the duration of this post, the post holder may achieve formal training and experience in Quality Improvement (QI) projects, the opportunity to learn context of healthcare through medical leadership academy, and make contacts and develop networks with other NHS Development and Leadership fellows. This will be dependent upon discussion with the successful applicant.
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3. Key Results Areas
Providing High Quality Care to patients
The post holder will: Maintain GMC specialist registration and hold a license to practice Develop and maintain the competencies required to carry out the duties of the post Ensure patients are involved in decisions about their care and respond to their views
Personal and Professional Development (PPD)
PPD will consist of the following: Clinical teaching skills development through work with GP Training Programme Director
and Director of Medical Education in Forth Valley and Stirling University Management and Leadership skills development through the Medical Leadership
Academy and through Forth Valley Leadership Committees A quality improvement project that is primary care/interface based. It is anticipated that
the project will be written up so that it can be shared with other services in NHS Forth Valley
Research, Teaching and Training
Clinical development activity will be combined with supervised and directed activity linked to an area of mutual professional interest including clinical teaching, healthcare quality improvement, and development of management and leadership skills.At the end of the post the post holder may achieve formal training and experience in QI projects, opportunity to learn context of healthcare through medical leadership academy, make contacts and develop networks with other NHS Development and Leadership fellows. This will be dependent on discussion with the successful applicant.
4. Location
The post holder will be based in a variety of settings in NHS Forth Valley
5. Assignment and Review of Work
Self directed within agreed objectives as formulated by discussion between the successful candidate and the OOH Specialty Lead.
6. Communications and Working Relationships
Internal OOHs Management TeamForth Valley Quality Improvement Team Members of Primary Care TeamsSenior Managers and CliniciansOther OOH Staff including community & Palliative care nursing
External NHS 24Scottish Ambulance ServiceAcute & Community PharmacyGeneral PublicManagers and clinicians across NHSFV
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7. Indicative Job Plan
Specialty: Primary Care
Contract: Full time / part time
Grade: Out of Hours GP Development Fellow
Places of Work: OOH PCEC at CCHC, FVRH and SCV, GP practice
The exact format of each post is flexible and to be mutually agreed with the successful applicant, the GP practice/ primary care setting and the Specialty Lead of Forth Valley GP OOH services . However, the following general principles will apply.
Within a 48hr contract, the fellow will contribute approximately: 20 hours Supervised Clinical activity within a GP practice 14 hours of OOHs [out of hours] clinical activity with Forth Valley GP Out of Hours
Service 14 hours Personal and Professional Development (PPD)
Within GP OOH services the successful candidate will have the following responsibilities
Responsible for: Provision with clinical and administrative colleagues of an unscheduled primary care service during the out of hours period for NHS Forth Valley. With responsibility for the prevention diagnosis and treatment of illness and for the proper functioning of the OOH service.
Type of activity Description of activity including when and where activity is conducted.
Telephone consultation
Clinical telephone consultation with patients and other care providers regarding patients. To assess and where considered clinically appropriate form a diagnosis, advise on and provide treatment for the patient. When considered necessary for safe care, the patient to be redirected to a face to face consultation, a home visit arranged or to another care provider.
Access to and use of the Adastra case management system. Documenting the consultation in the case management system.
Providing consultations to all patients in Forth Valley according to the priority displayed in Adastra, as allocated by NHS24 or Forth Valley OOH hub operator, and the time of call request.
Use of telephones in any of the OOH centres.
Consultations to be provided in between scheduled home visit and face to face consultations, or as a priority when requested by OOH hub staff.
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Face to face consultation
Clinical face to face consultation with patients attending the OOH centres. To assess and where clinically appropriate form a diagnosis, advise on and provide treatment for the patient. When considered necessary for safe care, the patient to be referred on to another care provider.
Access to and use of the Adastra case management system. Documenting the consultation in the case management system.
Providing consultations to all patients in Forth Valley according to the priority displayed in Adastra, as allocated by NHS24 or Forth Valley OOH hub operator, and the time of appointment made.
Home visit consultation
Home visit consultation to patients on behalf of NHS Forth Valley. To assess and where clinically appropriate form a diagnosis, advise on and provide treatment for the patient. When considered necessary for safe care, the patient to be referred on to another care provider.
Access to and use of the OOH laptops through remote connection to the Adastra case management system to receive and review cases from the vehicles. Use of the OOH laptops through remote connection to the Adastra case management system to document the consultation and when onward referral of the patient is required, to forward the consultation notes to the secondary care provider.
Providing consultations to all patients according to the priority allocated by NHS24 or Forth Valley OOH hub operator.
Community Hospital visit
Provide the care as described for a home visit. Additionally document the consultation in the written clinical notes used in the community hospital, and record changes to medication on the written medication chart or directly on the HEPMA system if appropriate.
Dispense medication
Where it is considered clinically appropriate due to pharmacy opening times or ability to access a pharmacy, to dispense medication from stock available on home visits or in the OOH centres. To record the stock issued on the Adastra case record and on the paper prescription.
Professional to professional telephone support
Provide telephone decision support to other clinical professionals. Scottish Ambulance Service calls to be replied to within 15 minutes.
Patient related administration linked to clinical work.
In addition to the administration related to the above activities, transcribe consultation records sent from other NHS areas where the patient has opted to attend an OOH PCEC outside of Forth Valley.
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Local clinical governance activities
Attend Significant Event Analysis (SEA) meetings.Contribute completed SEA reports to the SEA meeting.Complete a SEA report on any complaints received
Where agreed: Attend and contribute to OOH clinical governance meetings.
Act as clinical lead for shifts, supporting the hub operator in the clinical prioritisation of workload.
Training Provide supervision and support to GPSTs working in the OOH service. Support advanced nurse practitioners, and paramedic practitioners.
Details of the facilities and resources necessary to support delivery of the doctor’s duties and objectives for all programmed activities
Primary care level service facilities for consulting with patients, including but not exclusively:
Consulting room, chairs, desk, PC, lighting, power, heat and hand washing facilities.
Primary care examination equipment including stethoscope, ophthalmoscope, otoscope, Blood pressure monitoring, oxygen saturations monitoring, thermometer, urine multi-stick testing and pregnancy testing.
Vehicles and drivers to facilitate home visits.OOH centre receptionist staff, OOH hub operators and OOH operational management.
Access to and use of Adastra call management system, NHS clinical email, use of Clinical Portal and other clinical reference systems as agreed relevant to OOH service delivery.
Facilities in line with SPA agreed responsibilities and service objectives.
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ENTRY CRITERIAGP Out of Hours Development Fellowship
ESSENTIAL DESIRABLEWHEN EVALUATED
Qualifications GMC Registered Medical Practitioner
License to practice in the UK
Satisfactory Completion of a GP Speciality Training Programme within the last 5 years (CCT or CEGPR) prior to commencing the Fellowship
Application form
Experience Experience of working in UK GP NHS
Eligible to join Health Board Performers List
Applicationform/Interview
Eligibility Eligible for full registration with the GMC at time of appointment and hold a current licence to practice.
Evidence of achievement of postgraduate medical training in line with GMC standards/Good Medical Practice.
Eligibility to work in the UK
Application form
Application form/Interview
Application form
Fitness toPractise
Is up to date and fit to practise safely Application formReferences
Health Meets professional health requirements (in line with GMC standards/ Good Medical Practice)
Application FormPre-employment health screening
Academic/ Research Skills
Research Skills:
Demonstrates understanding of the basic principles of audit, clinical risk management & evidence-based practice
Understanding of basic research principles, methodology & ethics, with a potential to contribute to research
Audit: Evidence of active participation in audit
Evidence of relevant academic & research achievementse.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements.
Evidence of participation in risk management and/or clinical/laboratory research
Application FormInterview
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PersonalSkills
Judgement Under Pressure:• Capacity to operate effectively under
pressure & remain objective In highly emotive/pressurised situations
• Awareness of own limitations & when to ask for help
Communication Skills:• Capacity to communicate effectively &
sensitively with others• Able to discuss treatment options with
patients in a way they can understand• Excellent written and verbal communication skills
Problem Solving:• Capacity to think beyond the obvious, with
analytical and flexible mind• Capacity to bring a range of approaches to
problem solving
Situation Awareness:• Capacity to monitor and anticipate
situations that may change rapidly
Decision Making:• Demonstrates effective judgement and
decision- making skills
Organisation & Planning:• Capacity to manage time and prioritise
workload, balance urgent & important demands, follow instructions
• Understands importance & impact of information systems
Excellent interpersonal skills Evidence of ability to present oneself in an
organised, professional manner Evidence of understanding of the importance
of team work Experienced with Microsoft Word including
PowerPoint, word-processing and spreadsheet software
Motivated and able to work unsupervised as well as within a small team under appropriate guidance
Application FormInterviewReferences
Probity Professional Integrity: Takes responsibility for own actions Demonstrates respect for the rights of all Demonstrates awareness of ethical
principles, safety, confidentiality & consent
Application Form
Interview
References
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CONTRACTUAL DETAILS
Contracted activities for this appointment will be defined and agreed with the post holder, the Specialty Leads and the Service Manager.
This post is available on a one year fixed term basis.
The grade of this post is a Clinical Development Fellow (GP) at a salary of £85,000 per year based on 48 hours per week (also available at reduced hours)
The terms and conditions of service applicable to this appointment are the NHS Forth Valley Out of Hours Doctor terms and conditions of service as amended from time to time.
NHS Forth Valley does not negotiate salary placements. On commencement of employment, salary will be determined in accordance with the NHS Forth Valley Out of Hours Doctor terms and conditions of service
Formal appointment to this post will be conditional upon satisfactory completion of all pre-employment checks, including satisfactory medical screening.
This appointment will be superannuable under the NHS Superannuation Scheme, which is contracted out of the State Earnings Related Pension Scheme (SERPS). New employees will automatically be enrolled in the scheme unless they opt out. For further information, please contact the Scottish Public Pensions Agency (SPPA) on 01896 893100 or visit www.sppa.gov.uk
The employment is subject to one calendar months notice on either side.
Annual leave entitlement is five weeks per year (pro rata for part time post holders), with additional statutory holiday entitlement as agreed by the Local Negotiating Committee and published annually.
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GENERAL EMPLOYMENT INFORMATION
Equality in Employment
NHS Forth Valley fully supports the principle of equality in employment and opposes all forms of unlawful and / or unfair discrimination which cannot be shown to be justified. NHS Forth Valley is committed to ensuring equality of treatment for both present and potential employees.
Human Resources Policies and Services
NHS Forth Valley is the largest employer in Forth Valley, and is committed to ensuring its employment and Human Resources policies and procedures reflect best practice. As a progressive employer, NHS Forth Valley is committed to supporting and developing all employees.
The Medical Workforce Team
In recognising the needs of services, operational requirements and medical staff, the operational Medical Workforce team provides a range of services for all grades of medical and dental staff. For assistance or information, please contact:
Jacqui Crilley Medical Workforce Manager 01324 [email protected]
Laura Bayley Medical Workforce Adviser 01324 618332(Contracts) [email protected]
Lynsey Doherty Medical Workforce Adviser 01324 618330(Contracts) [email protected]
Elspeth Gillespie Medical Workforce Adviser 01324 618329(Contracts) [email protected]
Karen Dewar Medical Workforce Adviser 01324 [email protected]
Hunter Rice Medical Workforce Adviser 01324 [email protected]
Pre-Employment Screening
Criminal Convictions - Protecting Vulnerable Groups (PVG) Scheme
The Protecting Vulnerable Groups (PVG) scheme has replaced the previous disclosure arrangements for people who work with vulnerable groups. The duties of this post require the post holder to undertake regulated work with children and young people (individuals aged under 18 years) and / or protected adults (individuals aged 16 or over who is provided with (and thus receives) a type of care, support or welfare service).
The post holder will be required to be a member of the PVG Scheme and to consent to NHS Forth Valley obtaining a Scheme Record or Scheme Record Update, as appropriate. Any failure to disclose convictions could result in the withdrawal of an offer of employment.
Any applicant wishing to discuss any existing criminal convictions and how these may impact upon an application for employment should contact the Medical Workforce Manager in the first instance.
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Occupational Health Screening
This post involves the performance of exposure prone procedures and therefore the successful applicant will be required to produce evidence of their Hepatitis B and C Immunity Status prior to appointment and to undergo satisfactory health screening. Any offer of employment will be subject to satisfactory Occupational Health assessment.
Confidentiality
During the course of their employment with NHS Forth Valley, employees may have access to information about staff or patients or other aspects of NHS Forth Valley’s activities, about which they have a duty to maintain confidentiality at all times. In common with all other staff, the post holder will have, in addition, a responsibility to ensure that information relating to your work and the operation of the Forth Valley Acute Services in general is kept and maintained securely in accordance with the requirements of the Data Protection Act (1998), the Board’s policies and good practice. In particular, the disclosure of commercial or other confidential information which may affect the Board’s business interests or endangers the survival of any of its services will be regarded as a fundamental breach of the mutual confidence which must exist between the employer and the employee.
Infection Control and Hand Washing Policy
NHS Forth Valley is committed to providing as clean and safe environment as possible for staff, patients and visitors. The post holder will be required to comply with the Infection Control and Hand Washing Policies.
Health & Safety at Work
All employees have a responsibility for their own health & safety and the health & safety of others who may be affected by what they do. Employees also have a duty to co-operate with their employer by following NHS Forth Valley policies and procedures and safe systems of work; by using equipment safely and by bringing any shortcomings in health and safety arrangements to the attention of their employer. Where something is provided in the interests of health & safety employees must not interfere or misuse it. All employees have a legal responsibility to report any shortcomings in terms of this in their area. Managers and supervisors have a responsibility for monitoring health & safety arrangements and ensuring staff are following policies and procedures and safe systems of work.
Partnership Agreement
NHS Forth Valley is committed to partnership working. All employees are required to contribute to the development of partnership working by:
supporting NHS Forth Valley in delivering its goals and objectives; supporting continuous improvement in individual performance and the performance of the
relevant team / department, directorate and NHS Forth Valley; attending training, development and other activities aimed at improving individual skills for the
benefit of the organisation and patient care.
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APPLICATION PROCESS
To apply for these posts, please complete fully the enclosed Medical and Dental Application Form.
It is important that all applicable sections are completed as it will not be possible to consider incomplete applications.
Please note that we do not accept applications in the form of Curricula Vitae.
Please note that applicants not currently entered onto the Specialist Register must be within 6 months of award at the date of interview for the post.
Applicants who are not yet in receipt of a Certificate of Completion of Training (CCT) or Certificate of Eligibility for Specialist Registration (CESR) are required to provide documentary evidence of eligibility to apply when submitting their application.
Please quote reference number MD0519285 on all correspondence.
Please note the following dates:
Closing Date: 12 noon, Sunday 7th July 2019
Interview Date: to be confirmed
Please return your completed application electronically to:
or by post to:
Medical WorkforceHuman Resources DepartmentRoom 2Administration OfficesFalkirk Community HospitalFALKIRKFK1 5SU
All applications will be acknowledged within two working days of receipt.
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