In this role, a successful applicant will manage the PCN clinical frailty pathway (Hub) that all practices within this PCN can refer into. The post holder will provide a well-triaged frailty service and offer care in patients’ homes, providing a high-quality patient experience and a collaborative way of working across the system to reduce unplanned admissions to hospital. The Frailty General Practitioner will be responsible for providing clinical leadership to the frailty hub team and medical leadership to the wider community team of Community Matrons, District Nurses, Pharmacists, etc. The PCN has worked together over several years and is therefore mature in its collaboration with member practices as well as external provider organisations. Our team of experienced clinical leads & GP Partners will provide regular supervision.
As a Frailty General Practitioner, you will be responsible for proactive triage and management of the PCNs frail patients who have been referred. These referrals will come from a range of sources, including those proactively identified in-house. Management of this cohort includes developing care plans for patients at risk of hospital admission and using your clinical skills to diagnose and treat patients accordingly in order to improve their care. This will involve a holistic MDT approach to patient care, liaising with other professionals responsible for the patients care, referring to other teams as necessary, as well as liaising with secondary care, community care, social care, mental health services and other local providers.
South Tandridge Primary Care Network (PCN) is a partnership of local GP surgeries working together to help people live healthier lives. The PCN is made up of Oxted Medical Practice, Pond Tail Surgery and Lingfield Surgery, with a population of approximately 35K. The PCN has worked together over several years and is therefore mature in its approach to collaboration with member practices and external providers, working alongside staff, patients, their families and carers, and the public to provide high‑quality healthcare close to home. You will also be supported by the wider DHC Federation and network of frailty GPs across our member PCNs. DHC is a supportive, local GP Federation which works hard to prioritise the healthcare needs of the community, as well as the well‑being of its staff.
- Competitive salaries
- Membership of the NHS pension scheme
- 27 days annual leave plus bank holidays, increasing with length of service
- Access to an Employee Assistance Programme
- Opportunities for training, development and career progression
- Some of our sites have free on‑site parking subject to availability
- We aim to be an employer of choice and conduct annual staff satisfaction surveys
DHC actively encourage and promotes diversity, ensures all voices are heard and included and is committed to equal opportunities for all.
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