Exceptional GP opportunity at Bruton Surgery for up to 8 sessions per week working Monday, Tuesday, Wednesday and Friday; however we are also very open to part-time applications. For individuals seeking leadership opportunities, the Rural PCN are looking for a Clinical Director, there is therefore the potential for the right candidate to combine both roles.
Our practice list of 6,000 patients is small enough for you to know our patients, but we’re also part of Symphony, the largest GP provider in Somerset, so benefit from the experience and learning across a network of 20 practices. As a practice, we provide care as a multi-disciplinary team including GPs and ANP's and are supported by MSK physio, dermatology specialist and social prescribers.
We are a small, country practice in a rural idyll with the support of a network of practices behind you so you can concentrate on patient care.
We have fast links to London, Bristol, Exeter and Bath by rail or road, and Bristol, Bournemouth, Southampton and Exeter International Airport links Somerset to the world.
Bruton has established a reputation for excellent properties; as have many surrounding villages and hamlets. Visit Somerset website says, “Bruton is a bit of a one off, even more so than every Somerset town” with first-class eateries and restaurants, fine shops, local artistic ventures, and excellent private and state schools including three boarding schools.
Main duties of the job
You would undertake all the clinical duties associated with a GP working in primary care, without the responsibilities and risks associated with being a partner. We can offer opportunities from salaried through to employed and consultant level GP posts depending on your experience and the level of responsibility you take on at the practice.
All GPs working for us are paid as Employees, unlike Partners, which means less risk for you and more time to focus on patient care. We put patients first, with our Employed and Consultant GPs working flexibly according to need, so contributing to areas such as QOF, QI, training and research projects providing a huge amount of variety to the role. However, our Salaried GPs have a clearly defined job plan setting out the hours of work and responsibility and tasks associated with the role.
Through annual appraisal, we encourage career development and progression and are keen to support GPs who wish to extend their role, or have specialist skills which can be utilised in primary care. We recognise that some GPs will wish to stay salaried, and some will wish to assume more responsibility once they have found their feet and aspire to Employed or Consultant roles.
Symphony Healthcare Services was established in 2016 as part of the award-winning Symphony Programme Vanguard, developing new models of care. We now support 20 practices across Somerset (including one in Devon) providing care for 120,000 patients.
Symphony has developed a model where each practice is encouraged to operate autonomously, but as a subsidiary of Yeovil Hospital and with the backing and economies of scale from a central support team (particularly for HR and strategic management matters).
Providing NHS services is at the heart of what we do. Our vision is to ensure that primary care is sustainable for patients and practices in Somerset, and we aim to be a national exemplar for primary care provision. We work closely with our practice teams to support, develop and transform patient care and working practices with innovation and technology at the heart of what we do. We also work hard to make sure primary care has a loud voice in Somerset.
Job description and responsibilities
The three different GP roles in Symphony are:
Salaried GP Role
The post-holder will provide general medical services managing a caseload and deal with a wide range of health needs in a primary care setting, ensuring the highest standards of care for all registered and temporary patients. This may, with prior agreement, include being the “named GP” for a specified group of patients.
In accordance with the Practice timetable, as agreed, the post holder will make themselves available to undertake a variety of duties including surgery consultations, telephone and other remote consultations and queries (including, for example, online and text consultations), visiting patients at home, etc. They may also undertake the role of duty GP as required.
Additionally, the post holder will, during designated times within the daily workload template, participate in clinical administration including, but not confined to, laboratory results, tasks, radiology results, and hospital communications, issuing and signing acute and repeat prescriptions, and dealing with administration queries, paperwork and correspondence in a timely fashion.
Make professionally autonomous decisions in relation to presenting problems, whether self-referred or referred internally within the Practice.
Record clinical information in the GP practice computerised clinical software systems.
Receive patients with undifferentiated and undiagnosed problems and makes assessment of their health care needs.
Manage patients with chronic disease or complex problems, and palliative/terminal care needs.
Screen patients for disease risk factors and early signs of illness.
Develop care plans for health in consultation with patients and in line with current Practice disease management protocols.
Provide counselling and health education.
Prescribe in accordance with the NHS Somerset prescribing formulary whenever this is clinically appropriate.
Admit or discharge patients to and from caseload and refers them to other care providers internally or externally as appropriate.
Support the trainers in teaching in the Practice and gives clinical supervision to training doctors and students.
Comply with relevant Practice policy/guidelines, e.g. Child Protection, confidentially issues etc.
Be committed to lifelong learning, audit and evidence based best practice, supported by designated CPD internal and external sessions.
Attend important Practice Meetings. (NB: where meetings are held outside of working hours, time to attend meetings with either be paid as additional hours or may be taken as time in lieu)
NB: Salaried GPs will have a clearly defined job plan setting out the hours of work and responsibilities and tasks associated with the role.
Employed GP Role
Additional responsibilities over and above that of the Salaried GP role:
Proactively manage the health of the patient list with the support of the Enhanced Primary Care team (including health coaches, care co-ordinators, advance nurse practitioners, ECPs, MSK practitioners, social workers, mental health workers etc.) with the emphasis placed on patients where there are clinical concerns.
Regularly undertake the role of duty GP.
Support clinical administration as defined above, and ensure that all such administration is completed in a timely manner (there is the expectation that Employed GPs and GP consultants will undertake some of this activity outside of core working hours in order to achieve this responsibility).
Ensure and support continuity of care for patients requiring a named GP.
Be available to support any members of the practice team and practice support teams (e.g. district nurses) as required whilst at work.
Manage own time and be accountable for own professional actions and deliver on objectives agreed by the practice leadership team and the Symphony Healthcare Services Board.
Support the practice in achieving its contractual requirements both in relation to the Core Contract and Enhanced Services.
Contribute to the management of QOF and carry out QOF reviews
Support QI initiatives outside of QOF, whether related to the practice, PCN, or SHS.
Participate in the significant events and complaints processes for cases relating to practice patients.
Support the practice in achieving the requirements of the PCN Directed Enhanced Service.
Support SHS with its ambition to innovate and to offer best patient care, and be flexible and adaptable in order to be able to respond to change, learning, development, and improvement.
NB: Employed GPs work flexibly according to the needs of the service and therefore do not work to a defined job plan at this level. This will include covering (within their contractual hours all the sessions that SHS is commissioned to provide including those that might fall outside of the core contracted hours.
GP Consultant Role
Additional responsibilities over and above that of the Employed GP role:
Undertake one or more Clinical Leadership roles in the Practice, e.g. QOF, Safeguarding, Cancer, Prescribing, QI.
Lead on key clinical areas of QOF.
Act as a consultant and supervisor to, and monitor consultations carried out by, other members of the MDT, i.e. ANPs, ECPs, Pharmacists; check notes and discuss with staff any areas of concern, and be available at all times (when at work) to support the MDT workforce.
Carry out training, education and supervision sessions for other staff and students.
Take a lead role in SHS research programmes.
NB: GP Consultants work flexibly according to the needs of the service and therefore do not work to a defined job plan at this level. This will include covering (within their contractual hours all the sessions that SHS is commissioned to provide including those that might fall outside of the core contracted hours.
GP roles and responsibilities
Symphony differentiates GP roles to provide a greater range of options for GPs, to enable career progression at all levels, and to support recruitment and retention.
For more information about this role or to arrange an informal visit, please contact Annabel Bowditch (Deputy Director of HR) on firstname.lastname@example.org
If this advert has sparked your interest in being a Symphony GP within Somerset please contact us on SymphonyHR@somersetft.nhs.uk
A medical practitioner whose name is included in the General Practitioner Register under article 10 of the General and Specialist Medical Practice Order 2003
Not subject to suspension under section 41A of the Medical Act 1983
Qualified General Practitioner (completed certificate of Completion of Training CCT)
Currently on a performers list and not suspended from that list or from the medical register
Accredited as a member of the Royal College Of General Practitioners (MRCGP) MBBS or equivalent medical degree
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.
Applicants must have current UK professional registration. For further information please see NHS Careers website