Bexley Whole Health System Fellows. Development opportunities for recently qualified GPs. December 2017

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1 Bexley Whole Health System Fellows Development opportunities for recently qualified GPs December 2017 Would you like to be part of a unique fellowship giving participants the opportunity to work in General Practice and also develop their knowledge and skills in various organisational settings covering palliative care, elderly community medicine and the CCG? We want to appoint recently qualified GPs, who have a passion for excellence and are looking for their next challenge. Bexley Community Education Provider Network (CEPN), in collaboration with Oxleas Foundation NHS Trust, Greenwich & Bexley Community Hospice / Macmillan Cancer Support, Bexley CCG, local practices and Health Education England (South London) have developed a unique 2 year Fellowship in General Practice. Each role encompasses working five sessions in General Practice (across two practices) and up to four sessions in one of two placements in either elderly community medicine or in a CCG clinical leadership role across the two years. Bexley Health Neighbourhood Care CIC, the local GP federation will be the employing organisation of this fellowship programme. There is flexibility in the number of sessions offered. Our hope is that the fellowship will attract applicants interested in becoming the change-agents of the future in the transformation and clinical redesign of wholesystem pathways in Bexley. GPs are already well placed to influence service change as they see the full pathway of their patients and are therefore able to identify service gaps and inefficiencies that exist across the system. The Fellows will not only have the insight from their one-to-one interactions with patients but from seeing first-hand the patient journey at end of life when cared for by the hospice, or the journey when a complex elderly patient has a fall requiring increased health and social care support. This will ultimately develop GPs who have the multi-professional relationships and system understanding to participate in radical and innovative transformation of the way in which health services are delivered in Bexley. The fellowship will offer participants: peer support and networking with local clinicians and health professionals, career development through the acquisition of a wider portfolio of skills and experience such as commissioning, leadership and negotiating skills educational support encompassing individual mentorship and educational supervision from clinical leaders in all placements. 1

2 For enquiries about the role, or to arrange an informal discussion, please contact or by phoning There is the option to introduce some flexibility into these posts. 2

3 Job Description Job Title: Location: Whole Health System Fellowship in General Practice London Borough of Bexley Duration: 24 month fixed term contract, commencing 1 st February 2018 Salary Band: 85,000 Posts available: 1 Fellowship 1. Overview This Whole Health Systems Fellowship provides recently qualified general practitioners with a unique opportunity to explore a future in general practice, elderly community medicine and commissioning in a supported environment. This gives candidates the ability to build networks across two facets, and will provide a solid foundation for career progression. This scheme is intended to support the on-going education and developmental needs of recently qualified GPs, aid recruitment and retention of GPs locally, enhance the quality and consistency of primary care services for our local populations and support system-wide transformation. 2. Context This scheme sits in the wider context of the development of Bexley s local care networks where providers work in an integrated way to provide community based services to whole populations. It is hoped that these roles will facilitate cross-fertilization of knowledge and skills allowing staff to work more flexibly if that best meets the needs of patients in a costeffective way. In Bexley, we recognise the benefits in developing our workforce so that general practice is not only a great place to work, but is also the driving force behind innovation and transformation of local health services targeted to population health need. This means that GPs need to move beyond being responsible for the patient in their consulting room; building a deeper understanding of population health, understanding how to commission services based on outcomes and value, and developing new skills to lead local transformation. 3. Structure This Fellowship offers individuals: An extended period of supporting learning and development in a forward thinking primary care and commissioning environment; Peer support and networking with local clinicians and health professionals; 3

4 Career development through the acquisition of a wider portfolio of skills and experience; and From a practical perspective, successful candidates would spend: 5 sessions per week undertaking clinical work in one or two local practices; 4 sessions per week undertaking one of the following placements: Community medicine Commissioning work with the CCG The number of sessions available is negotiable. Please contact Bexley CEPN if you would like to discuss in more detail. 4. Responsibilities Fellows will be expected to: Attend educational modules and developmental opportunities associated with the Fellowship (e.g. peer support sessions) Participate in a local evaluation of the scheme, including regular feedback to the programme coordinator Build networks across health and social care, and with other Fellows to create opportunities for shared learning Act as an ambassador for the Fellowship scheme and promote general practice leadership. Take a proactive approach to his/her own development and participate in appraisal. The duties and responsibilities outlined above are not intended to be exhaustive, may vary over time and are subject to management review and amendment. 5. Placement-based duties General Practice Over the course of the Fellowship the post holder will work across two practices, that have agreed to work together to support the learning and development of the post holder. The role will also contribute to up-skilling, transmitting learning and best practice between the practices and helping to raise quality and consistency across the locality. Fellows will be expected to: Undertake clinical work in the participating practices, for example: o deliver appropriate treatment, screening and advice within the professional competence of the post-holder to the practice population and where appropriate federation population; including prevention and brief intervention 4

5 o o o contribute to the development of quality within the practice, and the achievement of the practice objectives including QOF targets contribute to the working arrangements within practices to cover on call and extended hours duties on a pro rata basis work within the GMC code of conduct. CCG Clinical Leadership The aim of this placement is to gain more experience of working in a management or leadership role alongside working as a GP in general practice. This will support with clinical leadership succession planning for the CCG and there is also scope for this role to support the development of the emerging GP federation. Fellows will: Provide clinical leadership for agreed commissioning projects. Projects will be selected that align with the objectives of the programme and the CCGs priorities Being involved in the full commissioning cycle from planning, to commissioning intentions and delivery Apply their growing knowledge and skills from hands on experience to inform the redesign and commissioning of services Receive mentorship from the CCG Clinical Chair Elderly Community Medicine This placement aims to provide the post holder with a broad understanding of the range of services that need to be involved with managing complex elderly care patients to keep them at home. Supervision and support to the role will be provided by the Consultant Geriatrician and Lead for Integrated Care. This placement will include but not be limited to the following: Working within practices to identify patients with long term conditions which are not being managed and taking a preventative focused approach Identifying patients at end of life and ensuring appropriate care packages Linking with community teams including district nursing, rapid response, specialist teams, intermediate care/rehabilitation, social workers, and mental health teams that are involved in the case management of complex elderly. Opportunity to facilitate MDTs and case conferences with community teams and practice staff 5

6 Working to support nurses clinically to up-skill them and enable them to better predict crisis Working with Oxleas Community clinical leads and the CCG to provide support to system improvements 6. Mentorship There will be clinical supervision within each placement to ensure that the post holder has guidance in setting objectives and agreeing a personal development plan. There will also be an overarching dedicated tutor who will supervise and mentor the Fellow. There will be 1 session per month participating in peer-group learning and leadership development facilitated by the tutor. This session will be released from one of the existing nine sessions. 7. General Individual responsibilities The post holder has a responsibility to adhere to all practice and host organisations policies and procedures (e.g. Information Governance, Data Protection, Records Management), and relevant legislation including the requirements of any professional bodies. The post holder is also expected to maintain satisfactory personal performance and professional standards. Confidentiality The post holder is required not to disclose such information, particularly that relating to patients and staff. All employees are subject to the Data Protection Act 1998 and must not only maintain strict confidentiality in respect of patient and staff records, but the accuracy and integrity of the information contained within. The post holder must not at any time use personal data held by the organisation for any unauthorised purpose or disclosure such as data to a third party. Fellows must not make any disclosure to any unauthorised person or use any confidential information relating to the business affairs of the organisations, unless expressly authorised to do so by the organisation. Health and safety The post holder must co-operate with management in discharging responsibilities under the Health and Safety at Work Act 1974 and take reasonable care for his or her own health and safety, and that of others. The post holder must also ensure the agreed safety procedures are carried out to maintain a safe environment for patients, employees and visitors. 6

7 Equal opportunities The post holder is required at all times to carry out responsibilities with due regard to each organisation s Equal Opportunities Policy and to ensure that staff receive equal treatment throughout their employment with the organisation. Risk management All staff have a responsibility to report all clinical and non-clinical accidents or incidents promptly and when requested to, co-operate with any investigation undertaken. Conflict of interests The post holder may not, without the consent of the organisation engage in any outside employment and in accordance with the organisation s Conflict of Interest Policy must declare to their manager all private interests, which could potentially result in personal gain as a consequence of the employment position in the organisation. Interests that might appear to be in conflict should also be declared. In addition the NHS Code of Conduct and Standards of Business conduct for NHS Staff (HSG 93/5) required the post holder to declare all situations where the Fellow or a close relative or associate has a controlling interest in a business (such as a private company, public organisation or other NHS voluntary organisation), or in any activity which may compete for any NHS contracts to supply goods or services to the organisation. The post holder must therefore register such interests with the organisation, either on appointment or subsequently whenever such interests are gained. Fellows should not engage in such interests without the written consent of the organisation, which will not be unreasonably withheld. It is the Fellow s responsibility to ensure that they are not placed in a position, which may give rise to a conflict between their private patient s interest and their NHS duties. 8. Person Specification The person specification describes the characteristics (skills, knowledge, experience and qualifications) that are needed to carry out the duties in the job description. Education qualifications & Essential Recent Vocational Training in General Practice (post CCT less than 3 years) Desirable Other relevant post-graduate diplomas Experience Abilities & An understanding of the core values of general practice, GP practice pressures, challenges and ways of working Evidence/demonstration of self-directed learning Good communication skills Evidence of personal initiative in achieving educational objectives Experience of working in the NHS Experience of contributing to clinical service design/service improvement 7

8 Some understanding of national and regional strategies relating to Primary Care Transformation Ability to develop and maintain effective working relationships; and develop professional and personal credibility Ability to adapt to new working environments and be flexible Skills Excellent communication skills both written and verbal Ability to achieve professional and personal credibility with a range of stakeholders Personal Qualities Forward thinking with an innovative and creative approach to problem solving Good interpersonal skills Embraces change, viewing it as an opportunity to learn and develop Self-confident and motivated Flexible and willing to work in different locations 8