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Issue 55 - July 2014

Welcome...

We have sent this issue to practice managers only (and those GPs who emailed us requesting a copy) so we would be grateful if you could forward it to all GPs in your practice. 

If any GPs would prefer to receive it direct from us (especially locums and registrars) then please contact us by emailing Simon Jones and we'll add you to the mailing list as well. 

Latest News

 

Almost 40% of GP training places unfilled in the East Midlands


The proportion of GP training places filled in the East Midlands has fallen to 62%, the lowest rate in the UK.

The figures for the August 2014 intake reveal that 2,564 of positions have been filled in England, representing 87% of those available, which is a decrease on the 2,764 positions filled in August 2013.

This could cause major problems for the Government in achieving its target of training 3,250 new GPs a year by 2016, which itself was put back a year from the original planned implementation of 2015.

Nine in ten CCGs sign up for co-commissioning


GPs could see themselves performance-managed by colleagues, after NHS England revealed plans for CCGs to ‘monitor contractual performance’ and negotiate PMS contracts.

According to newly released board papers, 183 of England’s 211 CCGs have submitted expressions of interest in commissioning GP services after being invited to do so last month. NHS England said it would approve bids ‘in principle’ by autumn while actual delegating of budgets will start from next April.

The LMC outlined its concerns about co-commissioning at the Annual Conference of LMCs in June and is in the process of discussing with each CCG what it may mean in practice.

GP services face extra scrutiny from local government under DH guidelines


GP practices face an extra layer of scrutiny from local government after new DH guidance said practices had a duty to provide councils with information on performance, waiting times and even non-identifiable patient data to prove they are offering ‘effective and safe’ care.

The guidance said that NHS reforms gave councils extended powers of scrutiny to ensure services were ‘safe and effective’, and for the first time this included GP providers, who were previously not subject to health scrutiny regulations.

The LMC is looking into what this means and will advise accordingly in due course.

Practice IT disruption expected during July


Practices are being warned to prepare for possible disruption to IT services in July as the NHS’s information centre is planning work on the system that runs various parts of patient registration.

The transition will take place on the weekend of 25-28 July, and an update from the Health and Social Care Information Centre states that the weekend transfer will not affect the majority of practices, but weekend users of NHS Spine services should be aware that some services will be unavailable or read-only for parts of the weekend.

The services likely to be affected include Choose and Book, the Electronic Prescription Service, GP2GP and the Summary Care Record, but the latest update states the majority of disruption will be restricted to Saturday night or early on Sunday morning.

NICE propose new QOF indicators for next contract


NICE advisors have approved a QOF indicator that could see practices only being paid if they carry out eight separate checks in each diabetes patient.

The decision means the ‘bundled’ diabetes indicator - incorporating up to eight clinical processes, such as cholesterol, blood pressure and foot checks - will be included in negotiations over the 2015/16 GP contract.

NICE have also approved three new hypertension indicators for potential inclusion in next year’s GP contract. The three new indicators are on three measurements of target organ damage in patients newly diagnosed with hypertension, rewarding practices for testing for haematuria, measuring the urinary albumin to creatinine ratio and performing – or referring on for – an ECG.

The committee approved one other indicator, on giving women with serious mental illness advice on pregnancy, conception and contraception.

NICE to develop multimorbidity QOF indicators for frail elderly


NICE will develop a QOF indicator for managing patients with multiple long-term conditions, with plans to target frail elderly patients who are housebound.

The indicator may assign a GP to care for all aspects of a patient's health needs, including home visits. The provisional plans appear to echo parts of the 'named GP' responsibility for the over 75s introduced in April.

Lower BMI threshold for weight-loss surgery in diabetes


More people with type 2 diabetes will be offered weight-loss surgery on the NHS under NICE proposals to tackle rising cases of the disease.

The plans restate existing advice to offer bariatric surgery to patients with type 2 diabetes and a BMI over 35, while advising clinicians to consider an assessment for surgery in diabetes patients with a BMI as low as 30.

Updated draft NICE guidance on obesity, published for consultation, advised that anyone diagnosed with type 2 diabetes in the past 10 years and with a BMI of 35 or over should be offered an assessment for surgery.

Such an assessment can also be considered in those with a BMI of 30 to 34.9. People of Asian family origin should be considered for surgery at an even lower BMI.

RCGP to charge for new revalidation toolkit


RCGP members will have to pay for the college’s toolkit for revalidation after it announced it was teaming up with a commercial supplier to release a new version later this year.

The tool – which will be hosted, developed and supported by IT firm Clarity Informatics – should be available from late August and costs £50 a year, but will be free for the first four years for members who are using the existing tool.

College members who are currently using the RCGP’s existing tool will get a 25% discount on the yearly subscription after four years. Those members not currently using the existing toolkit will have to start paying straight away at the discounted rate if they decide to adopt the new version.

GPs should identify patients who live in cold homes, says NICE


GPs should take steps to identify patients who live in cold homes, put this information in their records and ‘take action where necessary’, according to NICE.

NICE has proposed that GPs and other health or social care professionals should provide patients – including those from vulnerable groups and their informal carers – with information about the potential problems associated with living in a cold home.

The draft guidance is aimed at reducing preventable, excess winter death rates and pressure on health and social care services, and to tackle ‘fuel poverty’ and the risk of being disconnected from gas and electricity supplies.

Latest Guidance

 

Unplanned admissions enhanced service


A revised version of the joint guidance on the unplanned admissions enhanced service has now been published, along with NHS England's service specification. The guidance now makes it clear that: 

•    There are now no minimum requirements in place for the content of care plans. While the guidance does provide some suggestions about what could be included in care plans and a care plan template, practices should use their clinical judgement to determine the content. 

The deadline for setting up the bypass number for healthcare providers and same day telephone consultations for case management register patients with urgent queries is the end of July. 

•    The request to provide "any information" on reasons for the use of the above telephone access as part of the reporting template does not mean that practices will be required to carry out an audit of telephone consultations or supply statistics. Practices should provide any information or learning points that they believe would be of value. 

The BMA has separately published a “step by step” guide on the enhanced service. The guide, which is being updated to reflect the above changes, is intended to minimise the administrative processes involved with the enhanced service, provide practical examples about how practices can meet the requirements and provide optional templates for practices to use to minimise bureaucracy for reporting purposes.

NICE extends co-sleeping guidance up to 1 years of age


Guidance for GPs on new parents sleeping with their infants has been issued for consultation by NICE, in a bid to cut the 244 deaths from Sudden Infant Death Syndrome that occur each year.

The draft recommendations by NICE extend the relevance of SIDS advice to children up to one year of age, and say GPs should advise new parents on the risks of co-sleeping with their infants.

This follows research which showed co-sleeping raised the risk of SIDS deaths, even amongst non-smokers.

Government issues guidance on driving while taking prescription drugs


The Government has issued new guidelines ahead of changes to legislation on people driving while taking prescription drugs.

The Department for Transport guidelines state that while it is already an offence to drive whilst impaired by drugs, the new offence will make it illegal to drive or to attempt to drive while over a generally prescribed limit.

They include information about the ‘medical defence’, which will allow patients to avoid prosecution if they can demonstrate they have taken drugs in accordance with their doctor’s instructions if they are found to be over the limit.

Limits for a list of 16 controlled substances were agreed in March this year, following consultation with a panel of medical and scientific experts, and are set at a level where a road safety risk could feasibly arise.

A full list of the drugs and their limits can be found on the Government’s website

CQRS guides for 2014/15 enhanced services


The Calculating Quality Reporting Service (CQRS) has been updated to support the first phase of enhanced services in 2014/15. A list of these and the accompanying CQRS user guides can be found on the CQRS website.

Updated tool to assess physical health of mentally ill patients


NHS England is urging GPs and other health professionals to use an updated version of a tool to make assessments of cardiac and metabolic health of people with mental health problems and reduce death rates.

The Lester Tool a summary poster that guides health workers in assessing the cardiometabolic health of people experiencing psychosis and schizophrenia, enabling staff to improve the physical health of mentally ill people.

Reviewing aspirin use in patients with atrial fibrillation


GPs will be asked to review all their patients with atrial fibrillation who are taking aspirin, under final NICE guidance that recommends anticoagulant therapy as the only option for stroke prevention in these patients.

The new guidance means GPs will need to start advising patients with atrial fibrillation who are on aspirin to stop taking it, and encourage them to take warfarin or one of the newer oral anticoagulants.

NICE said just over a fifth of the UK population with atrial fibrillation – around 200,000 patients – are currently on aspirin, many of whom should be able to be switched onto anticoagulation therapy of some sort.

GPs told to offer 'personalised care package' to AF patients


GPs should offer AF patients a 'personalised package of care' to help them become more involved in decisions about their care and better understand their risk of stroke, according to updated NICE guidance.

The care package should offer advice and support to help involve patients in managing, understanding and making informed decisions on treatment for their condition.

NICE’s guidance said this package should also give patients information on treatment with anticoagulants, including how to use them, possible side-effects, how their care will be monitored, and when and how to seek medical help.

Technical requirements for 2014/15 GMS contract changes


NHS Employers has published version three technical requirements for 2014/15 GMS contract changes. This version includes detail on the shingles vaccination programmes and further detail on the avoiding unplanned admissions enhanced service.

Guide to immunisation for babies


Public Health England has published the latest edition of the guide to babies’ immunisations up to 13 months of age. It includes information on the rotavirus vaccination and the change to the scheduling of the menC vaccinations.

Point-of-care test to guide antibiotic use for pneumonia


GPs should consider using a point-of-care test to help decide whether patients presenting with mild pneumonia need antibiotics, according to draft recommendations from NICE.

The draft guidance proposes GPs carry out the test – for C-reactive protein levels – if it is not clear from a clinical assessment whether antibiotics should be prescribed.

They should then offer a five-day course of a single antibiotic in patients with low-severity pneumonia – but not a fluoroquinolone – and tell patients to come back if their symptoms do not improve within three days.

The guidance also advises GPs to use the CRB65 risk score when making a judgement about whether patients should be referred to hospital.

Other Guidance


NHS England has published the enhanced service specification for the Shingles (catch-up) vaccination programme and the enhanced service specification for the seasonal influenza and pneumococcal vaccination programme. 

Public Health England has published guidance for healthcare professionals for vaccination against pertussis (whooping cough) in pregnant women and the final version of the supporting guidance for the 2014-15 vaccination and immunisation programmes has now been published and is available on the vaccines and immunisations pages on the BMA website.

Feature Articles

 

The Art of Listening 

By Louise Startin, Life Coach


I recently posted an article that I liked and agreed with on LinkedIn. It was a short, simple feature that highlighted the important skills required for ‘amazing listening’. Unsurprisingly, it was picked up, read and ‘liked’ by fellow coaches who practice the art of ‘active listening’ with their clients every day. It was also read and ‘liked’ by some ex-colleagues of mine who still work in the NHS. 

It got me thinking: have we lost the art of great listening in the rush to get lots done? Do we simply listen for the gap in the conversation to get our point across or even to shut down the conversation and move on? Are we listening but failing to hear what’s said or just as important what’s not said?

I can’t imagine what a GP’s life is like hour by hour with a continuous stream of patients to see, targets to achieve, budgets to adhere to, staff to manage and now commissioning and procurement decisions to make. What I can imagine is that GPs, like the other senior managers in the NHS that I work with, need to deliver excellent patient centric service whilst showcasing calm professional leadership qualities to their peers, staff and patients. 

In 2013 three significant reports (Francis, Keogh, Berwick) described failings in (some) NHS organisations and each emphasised the need for NHS culture change, including of course listening when issues are flagged by patients, carers, staff or independent inspectors. 

Listening is free, it can happen at any time and in any environment and it’s easy to improve what you’re already doing. Here are some ways great leaders listen and what benefits there are to be gained:
  1. Be Non-Judgemental: treat the conversation as the first you've ever had with that person, no baggage, no memories of previous conversations that may have been sour or difficult. Allow the person in front of you to express themselves in their own way. Be wary about finishing off their sentences, or assuming you know the end to their story.
  2. Use body language and build rapport: focus on making the person you are with the centre of your attention, even for just a few minutes allows them to feel relaxed and free to really express themselves. Displaying warm empathy with positive body language e.g. eye contact; easy smile; warm hand-shake; mirror their physical level; turn your body (and therefore your attention) to them; it’s surprisingly easy to do.
  3. Hold up the mirror: by actively listening and engaging with someone, you gain an extra layer of understanding of what they are saying. Use this extra understanding to reflect what you've heard back to them – it helps to show rapport, can clarify something you’re not sure of (thus eliminating any misunderstanding and ‘filling-in’ you may do), helps them to ‘hear’ what they've said via your reflection and builds trust.
  4. Acknowledge: in conjunction with holding up the mirror, a good listener also acknowledges what is being said. This isn't the same as agreeing with the content, but it does show to someone that they are being listened to and heard. Again this builds trust and it may pave the way for deeper more meaningful (and honest) conversations later on. The benefit to someone in crisis in hearing ‘I've heard your concerns and I understand’, could be that pressure release valve they need to then start having more constructive meaningful conversations going forward. 
  5. Time to Think: use the silence and allow your patient/peer time to form their conversation in their own rhythm. By holding the space, not filling the gaps, and respecting the conversation (and therefore the subject), more conversation and detail flow naturally.
  6. Establish follow-up: check at the end of the interaction if there are any actions to be taken. This check-in again re-enforces to the speaker that they've been heard and builds your credibility with them. In turn when you want to speak it increases your chances of being heard clearly and without prejudice. 
Try some of these tips with friends, family, patients and staff over the next few days and see if the quality of the interaction improves – it’s free so why not?!

 

Counting overtime when calculating holiday pay 

By John Krafts, HR Consultant


In this article, John Krafts of KHR Consulting Ltd looks at developing case law relating to the calculation of holiday pay and the inclusion in such calculations of overtime in addition to basic pay.

When the Employment Appeal Tribunal (EA1) hears the cases Neal v Freightliner and Bear Scotland v Fulton (they are being heard together as they deal with similar issues) at the end of July, employers should know the extent to which overtime needs to be taken into account when calculating holiday pay.

These cases are currently causing considerable nervousness among employers. Should the EAT decide that discretionary overtime pay be included in holiday pay calculations, the result may be a raft of claims for back payment of holiday pay. The costs could be considerable for those sectors where overtime is commonplace such as general practice.

Case law

Under the Working Time Regulations 1998, all workers are entitled to 5.6 weeks' paid holiday a year.  For those workers who have normal working hours, holiday pay calculations are based on a week's pay. A 2004 Court of Appeal case, Bamsey v Albion established that guaranteed overtime should be included when calculating holiday pay. Other case law has indicated that discretionary overtime need not be taken into account.

The Supreme Court case of Williams v British Airways in 2011/2012 called that into doubt. This case (in which certain questions were referred to the ECJ) held that certain additional amounts should be taken into account when considering what "normal remuneration" is for statutory holiday pay purposes including:
  • Remuneration intrinsically linked to the performance of a worker's contractual tasks
  • Allowances or payments that have a degree of permanence. 
The court also stated that:
  • It was essential that workers were not deterred from taking annual leave because of the holiday pay they received
  • Expenses payments which are genuinely and exclusively intended to cover costs need not be counted.
These principles have been challenged by employees arguing that additional allowances should be taken into account when calculating holiday pay.

Forthcoming cases

The two cases being heard in July will hopefully provide clarity on whether non-guaranteed, non-compulsory overtime should be taken into account by employers when calculating holiday pay.

When the Freightliner case was heard at the employment tribunal stage, the employment judge held overtime payments should have been included in the holiday pay calculation because overtime was 'intrinsically linked' to the employee's tasks. Neal worked regular overtime on a shift roster. Whether or not the EAT will agree with the employment tribunal decision remains to the seen.

The judgment could have broad repercussions for GP employers, as many do not currently count overtime when calculating holiday pay. If the EAT decides that discretionary  overtime should be taken into account  in some cases, and provided GP employees can show that overtime has not figured in the calculation of holiday pay, GP employers like all other UK employers could be hit with claims stretching back over a significant period of time.

What should GP employers do now?

Employers should review their current holiday pay arrangements to consider what areas of risk they have in their business. They should take account of all allowances, bonus payments, expenses payments where there is an element of 'profit', and overtime arrangements. They should seek advice about different strategies for dealing with these sorts of payments and should take care before introducing changes to the way in which they calculate holiday pay, so as to avoid highlighting problem areas.

Further information

John runs Kraft HR Consulting Ltd which supports General Practice and other small and medium sized businesses on human resource management issues & can be contacted by email or on 0115 849 1753.  If you wish to explore this issue further with him, he will be happy to give advice. Initial consultations are always welcome and always free!

Latest Events

 

LMC Open Meeting - 22 July


Our guest speaker will be Police and Crime Commissioner, Paddy Tipping, who will be speaking about the interaction between the police and GPs.

There will also be updates on GMS/PMS Contract issues and the Primary Care Development Centre. 

To reserve a place, please email the LMC office as soon as possible.

Trent Occupational Medicine Annual Symposium 2014


Date: 2 October
Venue: The Nottingham Belfry

This symposium will be of interest to Occupational Physicians, GPs with an interest in Occupational Medicine, and Occupational Nurse Advisers. 

5.75 hours of Continuing Professional Development (CPD) has been applied for from the Faculty of Occupational Medicine. A Certificate of attendance will be provided.

If you wish to reserve a place please book online and pay electronically by going to the event website.
 

PRIMIS event


Join us for a one day event focusing on better ways to extract knowledge and value from primary care data. This event aims to bring together all those who are interested in the better use of healthcare data and its future improvement.

PRIMIS produces highly effective and practical solutions to help people access, understand and use patient data held on GP IT systems. Delegates will be able to meet the developers of these tools and learn how to use them in practice.

Speakers include
  • Prof Mike Pringle, PRIMIS Strategic Director and President of the RCGP
  • Prof Tony Avery, Professor of Primary Health Care, The University of Nottingham
  • Clare Howard, Deputy Chief Pharmaceutical Officer, NHS England
  • NHS Improving Quality
  • Deborah Terry, Director, Information Governance Solutions Ltd
  • James Childs-Evans, Care Quality Commission
  • Richard Williams, Centre for Health Informatics, The University of Manchester
Themes include:
  • Data quality
  • Management of long-term conditions
  • Medicines optimisation and patient safety
  • Patient confidentiality and pseudonymisation
  • QOF 2014/15
Plus onsite help desk for PRIMIS audit tools, including all 2014 releases of Warfarin Patient Safety, Diabetes and Asthma. Speaker sessions by PRIMIS experts on the best use of the tools and users' case studies.

Prices

£85 standard delegate rate
£65 special rate for PRIMIS Hub full members

See more on the Forum website or book a place via the online store.

LMC Buying Group

 

How to use the new LMC Buying Group website


The LMC Buying Groups Federation has recently launched its new website. The site has a new design and layout and the log-in process has also been streamlined.

Any visitor to the website can still view basic information about the Buying Group and its suppliers without having to log-in to the Members section.

However since the special prices on offer through the Buying Group are only available to members, we keep the details of our deals within the password protected part of our website.

So the first time you visit the new website you’ll need to fill in the registration form to get your log-in details.

After you’ve received a confirmation email you can simply log-in as follows:
  1. Go to the log-in page
  2. Enter the email address and password you’ve just registered with then click Go.
  3. Go to the Suppliers page to see a list of the commodity areas. Click on whichever one is of interest to you e.g. staff uniforms to view that page.
  4. To order you need to contact the suppliers directly. All their contact details can be found on their individual pages. 
If you ever forget your password you can reset it yourself by visiting the Reset page. This will only work if you’ve previously registered with the site.

Things You Need To Know


In recent months we've realised there is a lot of misinformation floating around about the LMC Buying Groups Federation so we've summarised the top 10 things you need to know to make the most of your practice’s membership.
  1. All GP practices in Nottinghamshire are members of the LMC Buying Group so you don’t need to sign up before you start using the Buying Group’s suppliers.
  2. The LMC Buying Group is not a commercial company. We are simply a not-for-profit, free service available for practices to utilise.
  3. The LMC Buying Group don’t sell products or services directly to practices. What we do is negotiate excellent pricing on a range of products and services and then you order from our approved suppliers directly.
  4. You are free to use any of the offers at any time. There is no obligation on the practice to use all of the suppliers and there is no minimum monthly spend.
  5. All you need to do to access the discounts on offer is say you’re a member of the LMC Buying Group and give your practice’s name and postcode. The only exceptions to this are Alexandra Workwear who, in addition, need you to quote the account number NA6337 and DLT Magazines need to hear the code LMCBG before you get a discount.
  6. We offer all practices a free cost analysis which demonstrates the savings your practice would make by changing to our suppliers. If you’re interested drop us an email at info@lmcbuyinggroups.co.uk
  7. Be wary of rival suppliers’ claims. Other companies will try and entice practices with one-off or short-term price cuts (i.e. loss leaders) or offer to price match on a handful of items. Our suppliers keep their prices consistently low so we've found practices that are swayed to stay with rivals after taking up a one-off good deal end up paying a lot more for the products in the following months.
  8. We know practice managers are busy people. That’s why we spend a lot of time doing the ‘shopping around’ for you so you don’t have to! The Buying Group has over 5400 GP practice members across the UK now so that gives us significant negotiating power to get the best pricing for our members.
  9. Practices, who do change to our suppliers, should be aware that their incumbent supplier will often approach their staff and offer to match the pricing, which they will do for a month or so before increasing them again. Our approved suppliers’ prices are permanent for a year.
  10. If you ever need help, advice or want to raise a query about our suppliers’ pricing or service then call us on 0115 979 6910 or email info@lmcbuyinggroups.co.uk

Latest Vacancies

 

GP vacancies - The Linden Medical Group


Due to retirement of the senior partner and maternity leave we are looking for a committed, enthusiastic, energetic and flexible full time/part-time job share partner or a salaried GP and a full-time maternity locum for 6 months. 
 
You will join our friendly, hardworking and progressive team of 6 WTE GPs working from our two site surgery based in Wollaton and Stapleford (close to the University of Nottingham). 

Our practice:

•    GMS Practice – 11,000 patients. 
•    High performing Practice 
•    Active involvement in Nottingham West CCG 
•    Opportunity to develop new skills and services. 

Closing date:16 July. Please contact Fares Msaiei for more information.

Salaried GP - Parkside Medical Practice


Innovative and forward looking GP practice would like to meet enthusiastic ambitious GP to face the future NHS together. 
  • To begin as early as August 2014, but we can wait for the right person
  • 6-7 clinical sessions per week
  • Currently 3 partners (plus 6 locum sessions weekly), 6,800 patients
  • Convenient location, easy drive from central Nottingham and close to J26 M1
  • SystmOne and paper light
  • Supportive and friendly practice team, 2 Nurses and 1 HCA
  • Vibrant purpose built premises completed in January 2012 and shared with local library, cafe, youth centre, council services.
  • On site phlebotomy, health visitors, district nurses, midwives and physios and hot food
  • Our location next to tram, rail and bus stations, attractive premises and space for expansion leave us well placed for the coming competition in the NHS
  • Actively involved in clinical research and medical student training
  • Involved in CCG pilot area project to develop a local GP Federation
We recognise that every candidate will have a unique blend of skills and attributes to strengthen our team, so please get in touch. You may have additional interests to offer the practice or simply be keen to develop them in the future.

Interested? Please get in touch to see if we would be a good match. CVs with covering letter via email please to Louise Owen, Practice Manager.

Parkside Medical Practice, Bulwell Riverside, Main Street, Bulwell, Nottingham, NG6 8QJ
Tel: 0115 9279119

Candidates are very welcome to attend the practice for an informal visit.

Part-time Salaried GP - Clifton Medical Practice


Salary Range: £7,777-£8,383 pa per session dependent upon experience

Due to re-location we have a vacancy for up to 7 sessions per week commencing September 2014
  • Five-Partner, friendly, well organised practice 
  • BMA model contract 
  • 6 weeks annual leave and 2 weeks study leave
  • Approx 8000 patients
  • Purpose-built LIFT building
  • Dedicated nursing team and healthcare assistants.
  • TPP SystmOne computer system and paper-light
  • High QOF achievers
  • Community Matron
  • F2 Training Practice
  • No out of hours commitment
  • No extended hours
  • National Young Person Friendly Status
  • Visits welcome
For application pack for the above post please download from practice website

Enhanced DBS (formerly CRB) check will be required.
 
Applications by CV with covering letter by email to Marilyn Brooks.

For enquiries/informal visit ring 0115 878 6359.

Part time Salaried GPs - Gamston Medical Centre


An opportunity has arisen for two part time salaried GPs for 4-5 sessions. We are looking for committed, enthusiastic and flexible team players to join our current practice team.

Gamston Medical Centre is patient centred practice offering quality care with approximately 5000 patients. We are a GP training practice and we teach medical students from Nottingham University.

We are a well-established practice housed in a purpose built building in Gamston on the outskirts of West Bridgford in Nottingham. We use the SystmOne clinical system and have an excellent, friendly, supportive and efficient practice team.

Apply in writing with a covering letter and an up-to-date CV to: Kathryn West, Practice Manager, Gamston Medical Centre, Gamston District Centre, Gamston, Nottingham, NG2 6PS. Telephone 0115 945 5946 or by email.

Informal enquiries and visits welcome.

Closing Date: Friday 18 July 2014

Sessional GPs - Out of Hours, DHU


Sessional GP’s – Out of Hours 
 
Salary – £70-£90 per hour 
Location – Derby, Chesterfield, Buxton, Ilkeston 
Hours – Various 
  
Derbyshire Health United Ltd (DHU) provides quality Primary Healthcare Services. We have a commitment to high standards, a proactive approach towards patient care and to achieving the delivery of a patient focused service. 
 
The philosophy of DHU is to provide high quality patient services throughout the county from our 18 sites. We endeavor to deliver appropriate patient focused services. Where we provide our services, we deliver patient focused services in conjunction with the quality standards for out of hours services. This ensures a seamless integration across the county for call handling, triage, face to face assessments and our home visiting service. 

Derbyshire Health United is currently looking for Sessional GP’s across Derbyshire. In joining DHU we offer a comprehensive induction programme and on-going training. You would form part of a high quality Out of Hour’s organisation looking after 1 million patients across the region. Remunerations are highly competitive and attract NHS pension contributions also. 

Interested applicants must be on the Derbyshire or neighbouring Counties Performers List. 
 
If you wish to find out more about the role please contact Sonia Gale

GP in Emergency Operations Centre, EMAS


A unique opportunity to help make an impact on outcomes and appropriateness of urgent care provision in the East Midlands. 

Applicants must be: 

•    Senior GP, on GP medical performers list 
•    MRCGP preferred 
•    Minimum 5 years and on-going GP experience 
•    At least 3 years regular out of hours GP work 
•    Good communicator 
•    Good IT skills 

This innovative GP role will give experienced primary care physician advice and support to the EMAS crews and Clinical Assessment Team (CAT) nurses and paramedics. The CAT role is to assess and advise patient who do not necessarily require an emergency ambulance on clinical grounds, and help prioritise urgent calls. This initiative is supported by all CCGs in the East Midlands. Only one GP will be on each day so a pool of suitable GPs is required. 

Pay: £100 hourly rate weekends £150 Bank Holidays plus superan.
 
If interested please email Dr Trevor Mills, Medical Director via Dominic Allan

Salaried GPs - Leen View Surgery, Bulwell


We are looking for 2 x Salaried GP’s required Full Time for 8 sessions. 

Post 1 – To commence August 2014 
Post 2 – To commence November 2014 

Our practice: 
•    List size – 8300 
•    EMIS Web and paperlite 
•    Located in new LIFT premises 
•    Supportive, experienced and friendly practice team/ 
 
Our clinical team consists of: 
  • 2 GP partners 
  • 2 Advanced Nurse Practitioners 
  • 2 Salaried GP’s 
  • 1 Assistant Practitioner 
  • 1 Home Visiting Nurse 
  • 2 Practice Nurses 
From the end of June we will be adopting GP First appointment system. We also use ICE and are live on EPS.

Please contact Linda Lawton for more information. 

GP Partner, Oakenhall Medical Practice


We are a friendly GMS Practice looking for a GP Partner to replace our Senior Partner who is retiring. 
 
•    GMS Practice 
•    List Size 7200 
•    3 WTE doctors 
•    Supportive Nursing Staff 
•    CQC registered 
•    System One 
•    No extended hour/OOH commitment 
•    Supportive Patient Participation Group 
 
Owned premises in the centre of Hucknall (property share available for purchase following mutual assessment period). 
 
Opportunity to become involved in student teaching (current involvement 1st, 2nd and 5th year). 
 
We would encourage development of individual skills and interests. 
 
Informal visits would be actively encouraged. Please contact Lisa Ellison for further details on 0115 956 2298.

Salaried GP - Plains View, Mapperley


We have a vacancy for a salaried GP post to cover 5 to 7 sessions per week (to include 2 full days) in a modern, innovative and friendly practice in the Mapperley area of Nottingham. 
 
We are looking for a GP with an interest in becoming a Trainer or F2 supervisor. 
 
For further details, please contact the Practice Manager Ann Pillai.

Salaried GP/Partnership - Fountain Medical Centre


We seek an enthusiastic half-time GP (4 session week). We are a friendly, innovative and well-respected 6 partner GMS Practice, at the cutting edge of 21st century primary care. 

•    14,000 patients with high QOF achievement 
•    Strong CCG representation 
•    Highly skilled and experienced nursing team 
•    Excellent management and admin team 
•    Supportive clinical and managerial environment 
•    Training practice 
•    CQC compliant 
•    Generous holiday entitlement 
•    Desirable historic market town with excellent travel links – London 1hr 
•    15 mins by rail. 
 
For further details/application pack or an informal visit please e-mail our Practice Manager Gill Bullimore.  

Closing date: 22 August 2014  

Phlebotamist / Healthcare Assistant - Tudor House Medical Practice


25 hours per week (days/hours flexible)
Salary negotiable –minimum £8.50 per hour

Tudor House Medical Practice is a busy 2 partner practice in Sherwood, Nottingham.  We have a list size of 6000 patients and currently have 1 salaried GP, 1 full time practice nurse, 1 full time HCA and 5 Administrative/Reception staff.  

We are now looking to recruit an experienced Phlebotomist to join our friendly team.  Applicants must be a confident phlebotomist.  Ideally applicants will also have experience as a Healthcare Assistant although further training will be considered for suitable applicants.

The post holder will also be required to work as part of a small reception/Admin team providing front of house duties including phone answering, dealing with queries, issuing repeat prescriptions and providing general administrative support to the practice.  

If you would like further information about this post then please contact Patricia Gibbons or check our website www.tudorhousemedical.nhs.uk .

To apply please send an up to date CV with a covering letter outlining why you think you would be suitable for this role. Closing date Friday 25 July.  Interviews w/c 4 August.  We reserve the right to close this vacancy early if we receive a high volume of applications.

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