Trainee GP with Extended Role in Dermatology
Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup.St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it.Our community services include health visiting, school nursing and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.
In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’.Our adult community services achieved a rating of ‘outstanding’.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS.We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS.
Job overview
Southwark Community Dermatology is seeking 2 Fixed Term (18 month) part time (1PA and 2PA) General Practitioner with Extended Role in Dermatology to join a dynamic, enthusiastic and forward thinking team. The department is currently involved in many exciting initiatives and are looking for an individual(s) with appropriate skills to complement this team and help keep the service in the forefront of clinical and academic excellence.
The post holder(s) will be expected to show drive and initiative towards patient care putting the patient first. He/She should have significant experience in the provision of primary care services and either hold accreditation or seeking accreditation in dermatology, by completing a dermatology diploma or equivalent training.
This is an excellent opportunity to join a first class team in an active and progressive community service delivered on the sites of Guy’s Hospital and Elm Lodge Surgery.
Main duties of the job
The post-holder will be responsible to Southwark Community Clinic Lead Dr Amr Salam and GPwER Lead Dr Naomi Kemp. The post-holder will be accountable to Dr Stephen Thomas Clinical Director for Genetics, Rheumatology, Infection, Dermatology, Allergy and Sexual Health SDU.
It is intended that the role of the Community Dermatology Southwark (CDS) GPwERs will be broadly in line with the RCGP 2018 ‘Guidance and competences to support the accreditation of GPs with Extended Roles (GPwERs)’.
GPwERs will, in conjunction with Kings Health partners and under the auspices of IHL, provide a SEL CCG commissioned clinical service for Southwark GP registered patients with non-urgent dermatological problems that do not fall within the 2week wait remit.The GPwERS will be closely involved in developing dermatology services for the Southwark population working closely with local trusts and other clinical networks. They will support development of local guidelines and assist in the delivery of the training and education of local clinicians.
The GPwER will offer 9-10 consultations as a mixture of new, follow up and telephone follow-up patients.
Working for our organisation
The Trust includes St Thomas’ Hospital, Guy’s Hospital, Evelina London Children’s Hospital and both adult and children’s community services in Lambeth and Southwark. In 2021, the Trust merged with the Royal Brompton and Harefield NHS Foundation Trust, bringing together world leading expertise in the care and research of heart and lung disease.
We provide a full range of hospital services for our local communities in Lambeth, Southwark and Lewisham, as well as specialist services for patients from further afield, including cancer, cardiothoracic, women’s and children’s services, kidney care and orthopaedics.We have one of the largest critical care units in the UK and one of the busiest A&E departments in London. See www.guysandstthomas.nhs.uk for further details.
Our reputation for safe, high quality care is among the best in the UK and we strive to put patients at the heart of everything we do. ‘Barbara’s Story’ - a unique and moving staff training film to improve our care for patients with dementia - has been widely recognised as an example of best practice.
Detailed job description and main responsibilities
The role of the Dermatology GPwER- Offer dermatology consultations for assessment of patients referred into CDS service’s clinics with use of dermoscopy as appropriate
- Offer procedures such as cryotherapy, injections and surgical intervention as appropriate
- Arrange investigation, offer management plans for GP implementation (returning patients to GP care) or to offer follow up (either face to face or as a telephone consultation) or onward referral to secondary care as needed
- Maintain adequate and timely records of consultations, investigations, prescribing and procedures using the clinical system (currently EMIS) and its templates &/or a separate database where appropriate (eg biopsies)
- Ensure timely review of results with communication of the outcome to the patient or their carer and/or referring clinician as appropriate.
- Complete computerised outcome letters to the referring clinician/ patient/ carer and liaise with the administration team to ensure that letters reach them
- Prescribe in line with local dermatology formularies (Southwark/ South East London APC/ JMF)
- Practise in a way that seeks to comply with the SE London Treatment Access Policy.
- Practise within national 2WW/ NICE/ IOG/ BAD/PCDS/ local dermatology guidelines
- Practise within their competence/ acknowledge limitations and decline duties for which they’re not qualified. Liaise/ seek advice from the community dermatology consultant/ GPwER colleagues for optimal delivery of patient care and to address their training needs. It is anticipated that the GPwERs will work alongside or meet/ meet with a clinical supervisor face to face/ virtual clinic to discuss patients at least monthly
- Complete relevant activity documentation (by hand or within computer templates as requested) to allow tracking of KPI
- Complete mandatory training and comply with relevant regulations
- Handle data/ images/ patient information in a GDPR compliant manner eg ensuring use of nhs.net email addresses for transfer of patient specific information
- Take reasonable care for their safety and that of others in both actions and omissions. Report and seek immediate advice in the event of a needle stick injury or other injury sustained whilst delivering care
- Report significant or near miss events to clinical supervisor and manager (GSTT for clinics in North of CCG, IHL for clinics in South) at the earliest opportunity
- Triage incoming service referrals or requests for advice and guidance and offer cover for colleagues in this way during their annual leave/ sickness. This will be renumerated separately unless it has been agreed that it forms part of a regular session.
- Attend or participate in a regular (initially weekly) brief administrative and clinical meeting with colleagues.
- Support the delivery of dermatology education to referring clinicians who may sit in on clinics, attend educational sessions offered by the service or attend an annual PLT.
- Support the development of dermatology guidelines
- Be covered by GSTT indemnity for all activities carried out on behalf of the community dermatology service.
- Comply with IHL’s and GSTT’s policies and procedures
- Complete occupational health screening, maintain appropriate immunisation e.g. blood borne diseases, tetanus, polio and practise in a safe manner
- Maintain their GMC registration and be on a CCG medical practitioners’ list offering at least 2 GMS session per week; to provide evidence of this and to comply with appropriate standards of conduct
- Participate in audits of both service provision and clinical practise (surgical audits annually)
- Complete and document their training, CPD and assessments with a clinical supervisor(s) (usually from within the service) and maintain a reflective patient diary as necessary to achieve RCGP GPwER Dermatology accreditation at the earliest reasonable opportunity (The fee for one GPwER accreditation submission will be paid by the Southwark Community Dermatology service).
- Complete CPD to maintain competent practice as a GPwER dermatology in line with RCGP 2018 ‘Guidance and competences to support the accreditation of GPs with Extended Roles (GPwERs)’; this may, at different times, be achieved by working alongside a consultant colleague, bringing patients to consultant led clinics in the community or secondary care, in virtual clinics, by attending the monthly St John’s academy dermatology meeting or King’s complex cases meeting (both Thursday pm). Fees for courses will usually be the responsibility of the GPwER (St John’s Academy courses may be available at a reduced rate). Where a GPwER attends a supervision clinic this will be in lieu of another clinic, likewise where MDT attendance is necessary for service delivery (eg level 3 GPWERs x 4-5 / annum where managing BCCs) this will be renumerated.
- Complete an annual dermatology appraisal (this will usually be with a clinician from the community dermatology service) in addition to a standard GP appraisal and revalidation cycle
- GPwERs will participate in research programmes if appropriate
Patient and Public involvement
The GPwER will endeavour to ensure that services are responsive to the needs of people affected by skin conditions and will assist in patient surveys as requested.
Person specification
Essential
Essential criteria- Eligible for full UK GMC registration and a Licence to Practice.
- Leadership in the development of clinical services.
Essential
Essential criteria- Track record of clinical governance, audit, management and IT skills required
- Track record of service development.
Essential Criteria
Essential criteria- Understands the principles of research within clinical practice and evidence-based medicine.
- Evidence of research experience.
Guy’s and St Thomas’ celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.
Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.
As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.
Flexible working
We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual’s personal circumstances as well the needs of the service.We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.
Your e-mail address is important to us - We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis.
Please apply for this post by clicking "Apply Online Now."