GP with Extended Role in Frailty (2 Sessions on Wednesdays)

An exciting opportunity has arisen for a GP with a specialist interest in frailty to deliver two sessions per week on a Wednesday (Sorry we are unable to change the required day) within an integrated community-based service that launched 12 months ago. The team support the frail housebound population across Easington and Sedgefield. This role offers the chance to play a pivotal part in shaping and delivering proactive, person-centred care in collaboration with local stakeholders. The Proactive Service has recently launched which aims to bring joined-up, multidisciplinary support to patients to make a real difference in their health and wellbeing.,

• Conduct Comprehensive Geriatric Assessments (CGAs) remotely.
• Perform medical, psychosocial, and medicines reviews, including advanced care planning.
• Manage diagnostic tests, communicate outcomes to GPs, and provide follow-up reviews where necessary.
• Make onward referrals to other specialties when appropriate.
• Work within and support a multidisciplinary team (MDT) including geriatricians, nurses, therapists, and social care professionals.
• Lead and facilitate MDT clinical decision-making processes.
• Supervise and support clinical staff.
• Take a leadership role in the development and expansion of frailty services.
• Contribute to the development of clinical guidelines, service pathways, and quality improvement initiatives.
• Participate in research, clinical audit, and service governance beyond revalidation requirements.
• Communicate effectively with patients, carers, colleagues, commissioners, and wider stakeholders.
• Promote and implement innovative, remote care models and use of digital health tools, including AI-based transcription.
• Uphold clinical governance standards and practice within national guidelines (e.g. NICE, GMC).
• Take part in staff supervision, performance review, appraisal, and professional development.
• Demonstrate emotional resilience, professionalism, and leadership under pressure and during service change.
  
  South Durham Health CiC is the managing agent for the 5 primary care networks (PCNs) in the Sedgefield and Easington localities. We also hold a number of NHS contracts providing additional services to our patient populations. We serve a combined patient population of 204,554 across 21 practices.
We are early adopters of the Integrated Neighbourhood Team strategy and have already developed 2 Integrated Neighbourhood Teams (INTs) aligned to our future work against NHS key strategies.