Job Vacancies 

Tonbridge Medical Group is a forward-thinking, friendly, and supportive surgery, with a list size of over 17,000 patients, working in a brand new state of the arc building.  We have a team of 9 Partners, 7 Salaried Doctors, 5 Practice Nurses, 3 HCAs, and a supportive admin team. We are a training practice and part of the Tonbridge PCN.  

We  have a vacancy for a Physician Associate to work 24 hours per week.

Please send a covering email and your C.V to tonja.delafons@nhs.net  or call Tonja Delafons, Practice Manager on 01732 352907

Job description and person specification

 

Job title

Physician Associate

GP Mentor

Partner

Accountable to

Practice Manager

Hours per week

24 (Flexible with days and hours)

 

Job summary

The Physician Associate will independently assess, diagnose and manage patients with acute and chronic medical conditions, coordinating with other primary and secondary healthcare services as appropriate. There is an expectation that the Physician Associate will attend to patients within the practice and at their own homes or care homes and will coordinate care with other members of the organisation team and external providers.

 

Whilst the Physician Associate role is not able to prescribe independently at present, the expectation will be to make recommendations regarding drug treatment and medication reviews.

 

Appropriate training and mentoring will be provided as necessary.

 

 

Mission statement

 

  1. Provide high quality, ethically sound, comprehensive patient centre care
  2. Provide equal access to our services and value the diversity of our patients and staff
  3. Encourage patient involvement in the management of their care
  4. Provide excellent customer service by ensuring we respond to our patients in an open, caring, non-judgemental and timely manner
  5. Ensure clinical and non-clinical staff partake in continuous professional development
  6. Work with the wider healthcare community to deliver an innovative and holistic service
  7. Regularly communicate with patients and staff on surgery performance

 

 

 

Generic responsibilities

 

All staff at Tonbridge Medical Group have a duty to conform to the following:

 

Equality, Diversity and Inclusion

 

A good attitude and positive action towards ED&I creates an environment where all individuals can achieve their full potential. Creating such an environment is important for three reasons – it improves operational effectiveness, it is morally the right thing to do and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care.

 

 

They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

 

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued, and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation.

 

Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.

 

Safety, Health, Environment and Fire (SHEF)

 

This organisation is committed to supporting and promoting opportunities for staff to maintain their health, wellbeing and safety.

 

The post holder is to manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients and monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures, and guidelines.

 

All personnel are to comply with the:

 

 

Confidentiality

 

The organisation is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality at all times.

 

It is essential that, if the legal requirements are to be met and the trust of our patients is to be retained, all staff protect patient information and provide a confidential service.

 

Quality and Continuous Improvement (CI)

 

To preserve and improve the quality of organisation outputs, all personnel are required to think not only of what they do but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work.

The responsibility for this rests with everyone working within the organisation to look for opportunities to improve quality and share good practice and to discuss, highlight and work with the team to create opportunities to improve patient care.

 

Tonbridge Medical Group continually strives to improve work processes that deliver healthcare with improved results across all areas of our service provision. We promote a culture of continuous improvement where everyone counts and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

 

Staff should interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.

 

All staff are to contribute to investigations and root cause analyses whilst participating in serious incident investigations and multidisciplinary case reviews.

 

Induction

 

At Tonbridge Medical Group, you will be required to complete the induction programme and the practice management team will support you throughout the process.

 

Learning and development

 

The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills, knowledge, attitude, and competences to perform their role. All staff will be required to partake in and complete mandatory training as directed by your line manager.  It is an expectation for this post holder to assess their own learning needs and undertake learning as appropriate

 

The post holder will undertake mentorship for team members and disseminate learning and information gained to other team members to share good practice and inform others about current and future developments (e.g., courses and conferences).

 

The post holder will provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.

 

Collaborative working

 

All staff are to recognise the significance of collaborative working and understand their own role and scope and identify how this may develop over time. Staff are to prioritise their own workload and ensure effective time-management strategies are embedded within the culture of the team.

 

Teamwork is essential in multidisciplinary environments and the post holder is to work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working and to work effectively with others to clearly define values, direction and policies impacting upon care delivery.

 

Effective communication is essential, and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.

 

 

All staff should delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.

 

Plans and outcomes by which to measure success should be agreed.

 

 

 

 

Managing information

 

All staff should use technology and appropriate software as an aid to management in the planning, implementation and monitoring of care and presenting and communicating information.

 

Data should be reviewed and processed using accurate SNOMED codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.

 

Service delivery

 

Staff will be given detailed information during the induction process regarding policy and procedure.   

 

The post holder must adhere to the information contained within organisation and local practice policies and regional directives, ensuring protocols are adhered to at all times.

 

Security

 

The security of the practice is the responsibility of all personnel. The post holder must ensure they remain vigilant at all times and report any suspicious activity immediately to their line manager.

 

Under no circumstances are staff to share the codes for the door locks with anyone and are to ensure that restricted areas remain effectively secured. Likewise, password controls are to be maintained and are not to be shared.

 

Professional conduct

 

All staff are required to dress appropriately for their role.

 

Leave

 

All personnel are entitled to take leave. Line managers are to ensure all of their staff are afforded the opportunity to take a minimum of 20 days’ leave each year and should be encouraged to take all of their leave entitlement. 

 

Public holidays will be calculated on a pro-rated basis dependent on the number of hours worked.

 

 

 
   

 

 

 

 

 

 

 

 

 

 

 

 

Primary key responsibilities

The Physician Associate has the following key responsibilities in delivering health services at Tonbridge Medical Group.  There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

 

  1. Provide first point of contact care for patients presenting with undifferentiated, undiagnosed problems by utilising history-taking, physical examinations and clinical decision-making skills to establish a working diagnosis and management plan in partnership with the patient (and their carers where applicable)

 

  1. Support the management of patients’ conditions through offering specialised clinics following appropriate training including (but not limited to) family planning, cervical screening, baby checks, COPD, asthma, diabetes and anticoagulation

 

  1. Provide health/disease promotion and prevention advice, alongside analysing and actioning diagnostic test results

 

  1. Develop integrated patient-centred care through appropriate working with the wider primary care multi-disciplinary team and social care networks

 

  1. Utilise clinical guidelines and promote evidence-based practice and partake in clinical audits, significant event reviews and other research and analysis tasks

 

  1. Participate in duty rotas; undertaking face-to-face, telephone and online consultations for emergency or routine problems as determined by the organisation, including the management of patients with long-term conditions

 

  1. Undertake home visits when required

 

  1. Develop and agree a personal development plan (PDP) utilising a reflective approach to practice, operating under appropriate clinical supervision

 

  1. Receive referrals and directed patients from triage services and other clinicians

 

  1. Manage a caseload of complex patients and potential care institutions

 

  1. Plan, implement and evaluate treatment/interventions for patients with acute and chronic physical and psychological conditions

 

  • Utilise as needed the full range of non-drug therapies for all patients, consider pharmacological interventions and make recommendations to prescribers in accordance with evidence-based practice and national, local and practice protocols

 

  1. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care

 

  • Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care

 

  • Review the latest guidance ensuring the organisation conforms to NICE, CQC etc.

 

  1. Provide targeted support and proactive reviews for vulnerable, complex patients and those at risk of admission and re-admission to secondary care

 

  1. Be responsive to the changing needs of patients and service provision in terms of scope and nature of clinical practice

 

  1. Prioritise, organise and manage own workload in a manner that maintains and promotes quality

 

  1. Undertake clinical responsibilities as required by the organisation within scope of practice defined by RCP/GMC

 

  1. Identify and be proactive in own training needs and development and as agreed with clinical mentor

 

  1. Recognise and work within own competence and professional code of conduct as regulated by the GMC

 

  1. Produce accurate, contemporaneous and complete records of patient consultations, consistent with legislation, policies and procedures

 

  1. Support in the delivery of enhanced services and other service requirements on behalf of the organisation

 

  1. Support virtual and remote models of consultation and support including e-consultations, telehealth and telemedicine

 

  1. Participate in the management of patient complaints when requested to do so and participate in the identification of any necessary learning brought about through incidents and near miss events

 

  1. Develop yourself and the role through participation in clinical supervision, training and service redesign activities

 

  1. Contribute to a patient safety culture through the reporting and investigation of significant events and patient safety incidents and to undertake proactive measures to improve patient safety

 

  1. Actively signpost patients to the correct healthcare professional

 

  1. Undertake all mandatory training and induction programmes

 

  1. Contribute to and embrace the spectrum of clinical governance

 

  1. Attend a formal appraisal with your manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed

 

  1. Contribute to public health campaigns (e.g., COVID-19 and flu clinics) through advice or direct care

 

  1. Maintain a clean, tidy, effective working area

 

Secondary responsibilities

In addition to the primary key responsibilities, the Physician Associate may be requested to:

 

  1. Support delivery of QOF, incentive schemes, QIPP and other quality or cost effectiveness initiatives

 

  1. Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner

 

  1. Duties may vary from time to time without changing the general character of the post or the level of responsibility.

 

  1. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels.

 

 

Person specification – Physician Associate

Qualifications

Essential

Desirable

Physician Associate Postgraduate Diploma/Masters from accredited UK university

 

ü

 

Registered with Faculty of Physician Associates/PAMVR and or the General Medical Council following implementation of statutory regulation, working within the latest code of professional conduct (CIPD)

ü

 

Has passed the UK Physicians Associate (PA) National Re-Certification Exam which needs to be taken every six years

 

ü

 

Experience

Essential

Desirable

Evidence of working autonomously or as part of a team

 

ü

 

Experience of working in a primary care setting

 

 

ü

Understanding and knowledge of healthcare provision in GP surgeries, QOF, Enhanced Services and national standards that inform practice (NSF, NICE Guidelines)

 

ü

 

Understanding GMC Good Medical Practice and the medico-legal aspects of PA role

 

ü

 

Experience and an awareness of common acute and chronic conditions that are likely to be seen in general practice

 

ü

 

Understanding of the mentorship process

 

 

ü

An appreciation of the new NHS landscape including the relationships between individual practices, PCNs and the commissioners

 

 

ü

Skills

Essential

Desirable

Good organisational skills, enthusiastic and dynamic member of the clinical team

 

ü

 

Effective time management

 

ü

 

Reflective practitioner

 

ü

 

Excellent interpersonal, influencing and negotiation skills and organisational skills with the ability to constructively challenge the view and practices of managers and clinicians

 

ü

 

Clear, polite telephone manner

 

ü

 

Good clinical system IT knowledge of EMIS/SystmOne/Vision

 

 

ü

Demonstrate personal accountability, emotional resilience and work well under pressure

 

ü

 

Personal qualities

Essential

Desirable

Ability to follow legal, ethical, professional and organisational policies/procedures and codes of conduct

 

ü

 

Ability to maintain confidentiality

ü

 

 

Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity

 

ü

 

Ability to use own initiative, discretion and sensitivity

 

ü

 

Problem solving and analytical skills

ü

 

 

Sensitive and empathetic in distressing situations

 

ü

 

Ability to identify risk and assess/manage risk when working with individuals 

 

ü

 

Able to provide leadership and to finish work tasks and be both flexible and cooperative

 

ü

 

Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety 

ü

 

Ability to follow legal, ethical, professional and organisational policies/procedures and codes of conduct

 

ü

 

Other requirements

Essential

Desirable

Disclosure Barring Service (DBS) check

 

ü

 

Participates in continuing professional development opportunities by keeping up to date with evidence-based knowledge and competence in all aspects of the role, meeting clinical governance guidelines for continuing professional development (CPD)

 

ü

 

 

Is working under supervision of a doctor as part of the medical team

 

ü

 

 

Evidence of continuing professional development

ü

 

 

Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own home

 

ü

 

 

This document may be amended following consultation with the post holder to facilitate the development of the role, the organisation and the individual.

 

All personnel should be prepared to accept additional or surrender existing duties to enable the efficient running of the organisation.