JOB DESCRIPTION Job Title: Deputy Medical Director Reports to: Medical Director, Urgent Care Location: Across Greenbrook urgent care services. Key Working Relationships: Director of Operations; Director of Nursing; Associate Director for Quality and Governance. Has direct management responsibility for urgent care Clinical Directors. Job Summary: The Deputy Medical Director will: Provide senior clinical leadership and have senior clinical management responsibility for the governance and clinical quality of the Urgent Care Centres (UCCs), making sure they are safely developed to their full potential. Line-manage the urgent care clinical directors (and UCC Lead GPs where no clinical director is in place) to ensure they are managing the day to day delivery of safe clinical services. Work closely with the Director of Nursing to develop a senior clinical management workforce including clinical directors, lead GPs and Lead Nurses that are able to effectively manage the Greenbrook clinicians and allied healthcare professionals. Deputise for the Medical Director - Urgent Care when required The post holder will focus on urgent care but may take responsibility for specialist projects and other services when required. Our Vision and Values: Greenbrook is passionate about providing high quality NHS care and putting patients first. To underpin this, we have established a set of Core Values: Patients First Quality Integrity Safe and Efficient Our first priority is to our patients, providing them with excellent, safe and timely care We work hard to improve the quality of our services, learning from our successes and mistakes, and avoiding blame We are open, honest, empathetic and respectful, avoiding discrimination at all times We provide safe clinical care to every patient, in a timely fashion. We keep our administrative actions and processes simple 1
Communicating and Listening Teamwork We communicate clearly and listen well, whilst employing the highest standards of confidentiality We recognise the importance of good teamwork, within our own teams and across organisational boundaries Our training, policies, procedures and practices are all intended to support behaviours in line with our values and we expect all staff to uphold these. Key Responsibilities: Management Responsibilities will include: Senior clinical oversight of all Greenbrook Healthcare UCCs and Out of Hours services including: Oversight of clinical governance across the services including regular attendance at clinical governance meetings. Ensuring audit is integral in the monitoring and development of all services. Being visible and responsive to the needs of the clinical workforce, this will include being available at out of hours times where needed. Taking senior responsibility as part of the team investigating Serious Incidents (S.I) and Higher level Incidents (HLIs), conduct root cause analysis where needed. Working closely with the quality and governance manager to ensure governance processes are fit for practice. Supporting clinical directors in the sign off of clinical complaints; final sign off of complaints where no clinical director is in post. Day-to-day management of Greenbrook Clinical Directors and Lead GPs to ensure optimal delivery of clinical services Support sites to maintain CQC compliance and be involved with focused CQC preparatory work in the run up to inspections. Part of senior management on call team Part of local escalation processes Senior clinical input into clinical staff development Supporting the recruitment of GPs, lead GPs and Clinical Directors into new services Recruitment and induction of new Lead GPs and Clinical Directors Appraisal of senior Greenbrook clinicians Management of complex GP performance issues Senior clinical input into service development Working with the Operations Director to develop services and embed best practice across all sites Review and development of new policies and pathways as required Leading on new projects, supporting the medical director in the development of innovative and responsive clinical services. Mobilisation of new services as they arise Support in writing the clinical sections of bids for new services 2
Building relationships with key stakeholders Senior clinical staff in our partner organisations Senior clinical staff in host acute trusts Meetings with Commissioners Key responsibilities as a clinician: To provide triage where required To provide complete consultations with assessment, treatment and management of patients of all ages presenting with primary care problems at the UCC To record full clinical notes using the UCC IT systems To complete all admin work relating to consultations To work as part of the wider clinical team- supporting Nurse Practitioners, HCAs, and GP colleagues and training Doctors To manage referrals of UCC patients on to acute specialities, A&E or community services where required To support the redirection of patients to their registered GP To give education to patients on healthy living and disease prevention To give education to patients on appropriate use of NHS services To prescribe medicines in accordance with UCC formulary and dispense medicines from stock where available To complete discharge letters for all patients seen in the UCC To complete coding requirements on the clinical record in line with the Trust and Greenbrook requirements To use all internal and external referral pathways for patients in the UCC To adopt a reflective approach to clinical practice, to report all incidents and work with the team to investigate incidents To prepare response for any complaints concerning his / her work To follow the UCC safeguarding and vulnerable adults policy To restrict the use of diagnostics according to the specification of the UCCs To maintain full registration with the GMC and have full medical liability insurance Auditing clinical activity and contributing to its evaluation Attend team meetings and other meetings as necessary Education Training and Development: Engage in appropriate professional development activities in order to maintain clinical competence and performance by attending Centre staff meetings and joint educational meetings Contribute to the facilitation of a suitable educational environment in which to support the development and learning of junior doctors, junior Nurses, medical and nursing students on placement Undertake teaching sessions as required to undergraduate and post-graduate staff within the multi-disciplinary team, if required Undertake mandatory and statutory training, keeping up to date with emergency procedures undertaking training as required. These will include major incident, advanced resuscitation, fire, minimal handling 3
Personal & professional development 1. Annual reviews Participate in own annual NHS appraisal and GMC revalidation process. Participate in annual Greenbrook appraisal 2. Development of others Be an effective role model and resource for the UCC team and other members of the multi- disciplinary team. Maintain clinical excellence within the department and provide education and training both formerly and informally for colleagues. Health & Safety To act responsibly in respect of own and colleagues health, safety, welfare and security, following safe work practices and complying with Health and Safety Policies. Equality and Diversity To support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognises the importance of people s rights, and interpreting them in a way that is consistent with practice procedures and policies, and current legislation Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues Behaving in a manner which is welcoming, non-judgmental and respects the circumstances, feelings, priorities and rights of every individual. Communication To demonstrate politeness, courtesy, respect and sensitivity in dealing with patients/ clients, visitors/relatives and colleagues, maintaining good customer relations. To adapt communication skills to meet the needs of patients who may have barriers to understanding e.g. language To work cohesively with all members of the team in ensuring that the very best services to patients are provided at all times. General This job description is intended as a guide to the main elements of the role and should not be considered as a complete listing of all duties and tasks that may be undertaken. The postholder will be expected to undertake any other duties that may be requested by the line manager in order to facilitate the smooth running of the service. 4
Greenbrook Healthcare is constantly evolving and subject to change, therefore this job description is subject to review dependent on the needs of the service and the company. Any amendments will be discussed with the post-holder. The post is subject to the Terms and Conditions of Employment of Greenbrook Healthcare. SUPPLEMENTARY INFORMATION Health Clearance Health clearance is required for this appointment. Disclosure and Barring Service (DBS) Check A DBS check (previously Criminal Records Bureau check) will be required before appointment for all posts with access to children or vulnerable adults. Confidentiality Patients have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, staff and other healthcare workers. They may also have access to information relating to the company as a business organisation. All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business of the service may only be divulged to authorised persons in accordance with the Data Protection Act, and policies and procedures relating to confidentiality and the protection of personal and sensitive data. The post holder must always keep all patient-related information confidential; this includes if the patient is deceased and if the post-holder is no longer employed by Greenbrook Healthcare. Data Quality/Security The post holder is responsible for ensuring that he/she maintains the integrity and quality of both computerised and manual data. Safeguarding Greenbrook Healthcare is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults, and expects all staff to undertake this commitment.. Clinical Governance / Raising Concerns Greenbrook Healthcare aims to provide the highest standards of care. To further this aim the post holder is expected to adhere to acceptable working practices as defined in policies and guidelines. The post holder has a personal responsibility to keep up to date and, if s/he encounters unacceptable practice, to raise this in a responsible and appropriate manner, if necessary through the whistleblowing procedure. Codes of conduct and professional standards All staff should adhere to any codes of conduct or professional standards set by the regulatory bodies with whom they are registered or by professional bodies of which they are a member. 5
Uniform and Dress Code All nursing and Emergency Care Practitioners should adhere to infection control principles and must wear a uniform when on duty. Smoking Smoking is not allowed on any part of Greenbrook Healthcare premises. Policies & Procedures The post holder is expected to comply with Greenbrook Healthcare s policies and procedures. Personal Property Greenbrook Healthcare is unable to accept responsibility for articles of personal property lost or damaged on its premises whether by burglary, fire, theft or otherwise and staff are advised to insure against all risks. 6
Criteria for Selection Education/ Qualifications Person Specification Essential Requirements Desirable Requirements Assessment Method: e.g. A = App. form I = Interview T = Test Degree in Medicine Full registration with the GMC Membership of the Royal College of General Practitioners. A Experience and Knowledge A minimum of 5 years GP experience Experience of managing and leading change A minimum of 3 years Clinical Management experience Significant A&E, UCC or OOH experience Experience of teaching / supervision Significant experience of managing Clinical Governance processes Experience of managing complaints and feedback processes. Senior experience of managing clinical performance issues. Experience of using Adastra and/ or SystmOne Experience of developing and reviewing clinical policies. A.I Skills and Abilities Excellent communication skills Vision, strategic thinking and planning. Team player Adaptable /Flexible / energetic and enthusiastic To be a reflective practitioner Skills in appraisals of clinicians. Proven ability to deliver national, local and organizational targets and performance measures Challenge accepted practice Drive change I 7