Cumbria Health on Call
1. JOB DETAILS
Job title: GP with focus on the provision of urgent patient care
Accountable to: Medical Director
Location: Furness and South Cumbria
2. JOB SUMMARY
Cumbria Health on Call is a key element of the arrangements in Cumbria to
modernise access to primary care. The post holder will, as an integral part of
the clinical and operational team, provide high quality primary care services in
accordance with the CQC and Department of Health quality standards.
Working as part of a multi-disciplinary team, the post holder will be
responsible for the delivery of urgent care medical services to patients within
Furness and South Cumbria.
The service will evolve and it is intended that in the first year the core
elements of the service will be:
1. Provision of urgent primary care for patients registered with Furness
a. A. telephone triage and assessment.
b. Appointments, home visits and telephone management.
2. Proactive medical management of patients in care settings.
3. Medical leadership of ‘virtual ward’ patients.
4. Early development of flexible capacity to enable backfilling and rotation
of clinicians across Furness general practices.
Engagement with local GPs in Furness is essential to ensure effective patient
care and outcomes.
3. KEY WORKING RELATIONSHIPS
2. GP Practices in the Furness Locality
3. Furness Locality Commissioning Group
4. Community District Nurses
5. Rapid Response Teams
6. Care Home Staff
9. Acute / Community Hospital Staff
10. Mental Health Services
11. Social Services
12. Emergency Services
13.Palliative Care Services
14. Medical / Managing Directors
4. DUTIES AND RESPONSIBILITIES OF THE POST
The post holder will be responsible for providing high quality primary care
services. Clinicians must adhere to the Cumbria Health on Call Code of
Good Practice and keep updated with Cumbria Health on Call’s policies and
1. This post is to provide a full range of high quality primary care services
in line with approved protocols and evidence based medicine to the
population of Furness.
2. To respond to medical problems presented by patients as appropriate
which may include:
Clinical advice by telephone
Face to face consultations at the Cumbria Health on Call centres
History taking: make full notes in agreed IT software
Referral where appropriate
3. Care home management
- Taking formal medical responsibility for all patients in care homes.
- Conducting a face to face review of all patients, at least once a year.
- Reviewing patients who move permanently into a care home within
two weeks of their move.
- Conducting a full medication review every six months in conjunction
with the Integrated Care Service for Older People Service (ICSOP).
- Attending a dedicated weekly session per care home.
- Being the named lead GP for each care home to enable continuity.
- Addressing any concerns raised by the nursing home staff.
- Taking responsibility for assigning appropriate aspects of service
provision to other care professionals, with particular emphasis on
4. Virtual Ward Management
- Work closely with the Short Term Intervention (STINT) service to
provide medical leadership to frail patients or those with a high degree
of need being managed in the community.
- Taking formal medical responsibility for all patients in this category.
- Ensuring face to face review of all patients where it is requested by
STINT within 48 hours.
- Making full notes in the agreed IT software.
- Taking lead responsibility for assigning appropriate aspects of service
provision to other care professionals with particular emphasis on
5. Flexible capacity
- Clinicians working in this role will be expected to undertake roles
across a number of local providers including General Practice, CHOC,
CPFT and UHMBT. The role will include day time and some out of
hours work to support the needs of primary care in the Furness locality.
- Clinicians will have the opportunity to work in practices in the area to
backfill other clinicians and allow them to come out of daily work to
provide additional key services, address short term gaps, deal with
unusual pressures and provide targeted support where required.
6. Provide health promotion and preventative health care and advice
7. Comply with all safeguarding responsibilities.
8. Provide medical care in accordance with CQC and agreed KPI’s.
9. Prescribe and administer medicines in accordance with the medicines
management procedures adhering to the Lothian Joint Formulary.
10. To participate in and support the electronic methods of data collection
and record management whilst ensuring appropriate communication
with all professionals.
11. Produce clinical records in accordance with the RCGP standards to
enable full clinical details to be supplied to patients’ GPs by the start of
the next working day.
12. Report all untoward incidents to the Managing Director by completing
and forwarding the Significant Events Report.
13. Participate in the implementation of Clinical Governance
arrangements for Cumbria Health on Call and production of regular
performance monitoring reports as required.
14. Co-operate with the Managing Director and/or Medical Director in
Cumbria Health on Call’s Complaints Procedures, as necessary.
15. Comply with the requirements for appraisal and revalidation.
16. Maintain good medical practice and clinical care by undertaking
appropriate educational and training to allow the continued
development of the knowledge, skills and attitudes relevant to modern
primary care and to undertake paid training courses as directed by
Cumbria Health on Call.
17. Participate in formal reviews and audits as required.
18. To supervise and, where necessary, offer advice to GP Registrars,
Medical Students and Trainee Nurses and report back to the trainers in
each of the two organisations. Training will be offered to those
individuals who wish to undertake this role.
19. This job description is not exhaustive. The post holder will be expected
to undertake appropriate duties from time to time as requested by the
Medical Director and Managing Director.
20. This job description may be subject to alteration in the light of changing
priorities, circumstances and regulations.
21. The post holder will use all equipment and carry out all duties in a safe
manner in line with current health and safety legislation and regulation.
5. SCOPE OF THE JOB, TEAM SIZE
To provide high quality primary care services as part of a multi-disciplinary
6. SPECIAL CIRCUMSTANCES
The post will include working unsociable hours.
The post holder must maintain the confidentiality of information about
patients’, staff and organisation business in accordance with CHOC’s
Information Governance policies and procedures.
The post holder is responsible to the Medical Director for this.
8. HEALTH AND SAFETY
Employees must be aware of the responsibilities placed upon them under the
Health and Safety at Work Act (1974), to ensure that the agreed safety
procedures are carried out to maintain a safe environment for employees and
9. MANDATORY TRAINING
The post holder will be updated annually on:
10. RISK MANAGEMENT
It is a standard element of the role and responsibility of all Cumbria Health on
Call staff that they fulfil a proactive role towards the management of risk in all
of their actions. This entails the risk assessment of all situations.
All staff has a responsibility to report all clinical and non-clinical accidents,
incidents or near-misses promptly and when requested to co-operate with any
All staff must comply with Information Governance policies and procedures.
11. EQUAL OPPORTUNITIES
Cumbria Health on Call has adopted an equal opportunities policy and all
employees must be aware of their obligations to abide by the spirit and nature
of the policy to avoid direct and indirect discrimination.
12. JOB DESCRIPTION AGREEMENT
Post holder’s signature …………………………………
Line Manager’s signature …………………………………