Job summary

Are you a GP working in North Yorkshire and looking for a new challenge?

Join our Urgent Care Team!

Nimbuscare is looking for experienced and enthusiastic clinicians to join our growing urgent care team. We are a clinically-led organisation committed to innovation, collaboration, and delivering care that puts people first.

Applications for this role will be reviewed on an ongoing basis, and we reserve the right to close the advert once sufficient applications have been received.

Please note that email applications will not be accepted, in order to ensure fairness and consistency throughout the recruitment process.

For this role, there is the option to engage on a locum basis. Where applicable, you will be required to complete a tax assessment in line with government regulations.

Please note that sponsorship is not available for this role.

Interviews will be conducted remotely, and candidates will be notified of the arrangements in advance.

Agencies need not reach out.

Main duties of the job

As part of our team, you'll have the opportunity to work across our services, including:

• Clinical Assessment Service (CAS), based in Holgate, York
• Weekend Home Visiting Service based in York
• Face-to-face sessions at York, Selby, Malton, Scarborough and Whitby Hospitals
• Urgent Treatment Centres at York and Scarborough Hospitals
• Same Day Urgent Care clinics in York, Scarborough and Whitby

We're looking for skilled, compassionate professionals who can work both independently and as part of a multidisciplinary team. You'll be confident managing a broad range of urgent care presentations, delivering safe, effective clinical decisions and high standards of care.

In Urgent Care every day is different—and that's what makes it exciting. You'll work in an environment that helps you provide the best possible care for patients, supported by a network of experienced colleagues and an organisation that values your voice. We believe in empowering clinicians to make decisions, innovate, and lead with compassion.

If you're looking for a meaningful next step in your clinical career, we'd be delighted to hear from you!

Our offer:

• Support on shift
• SystmOne
• Collaborative multidisciplinary approach
• New open plan office environment for the Clinical Assessment Service at Holgate in York.
• 24/7 Operational and Clinical support

About us

Who are we?
Nimbuscare is a not-for-profit, socially driven organisation within the NHS family. We're collaborative, agile and innovative at our core, working with partners across the system to remove complexity, inspire trust and create person-centred solutions that make healthcare better for everyone.

What we do?
We work towards making a complex system simpler. Creating better, more seamless care closer to home.

How we do it?
By collaborating closely with GP Members, Patient Safety Partners and wider health and care organisations, combining shared insight and expertise to improve outcomes for local people.

As a Disability Confident Committed employer disabled applicants who meet the essential criteria for this job are guaranteed an interview.

Job responsibilities

Clinical responsibilities:

IUC Hub/Clinical Assessment Service:

• Consistently monitor incoming calls, responding promptly based on clinical need
• Provide telephone assessment for patients presenting via 111, closing cases over the phone where appropriate
• Provide clinical advice for Health Care Professionals and co-ordinate care for patients depending on clinical need
• Arrange to review patients face to face at the appropriate UTC/SDUC clinic
• Arrange home visits when clinically needed
• Provide clinical advice where appropriate to both internal and external staff as required e.g., triage nurse, GP colleagues, district nurses, ACPs, Paramedics etc
• Through prior agreement and where trained to do so, provide Clinical Supervision for GP SpRs/Trainee ACPs whilst on shift
• Develop knowledge of referral pathways to maximise the use of community services e.g., Pharmacy First, the community eye service etc.

Urgent Treatment Centres:

• Work within current scope of practice whilst developing and maintaining skills required to work across the full scope of urgent care presentations including minor illness and injury.
• Attend further training where needed to become competent in, for example, assessing and managing minor injuries
• Provide leadership for minor illness presentations whilst on shift
• Work with the Lead Urgent Care Practitioner for minor injuries to ensure appropriate prioritisation of patients based on clinical need
• Provide mentoring, supervision and training for GP SpRs and trainee urgent care practitioners whilst on shift.
• Provide regular clinical supervision meetings including Designated Medical Prescriber meetings and workplace-based assessments for Urgent Care Practitioners in training.
• Ensure clinical coding of patients seen in the UTC is accurate and complete before the end of the shift.

Same Day Urgent Care (SDUC) clinics:

• Work autonomously to assess, diagnose and manage minor illness presentations
• Through prior agreement and where trained to do so, provide Clinical Supervision for GP SpRs/Trainee ACPs whilst on shift
• Operate diagnostic equipment to monitor and assess patients, ensuring accurate readings for informed clinical decisions.
• Identify and report faulty equipment, ensuring it is removed from clinical areas for repair to maintain safety.
• Completion of event report forms when indicated

Across all aspects of the service:

• Appropriately assess, diagnose, treat & discharge or refer patients presenting to the IUC service
• Make professional, autonomous decisions in relation to presenting problems and formulate evidence-based management plans
• Provide health promotion and preventative health care advice to patients attending the service
• Prescribe and issue computer-generated electronic prescriptions
• Prescribe generically whenever appropriately and in accordance with NICE guidance and Good Prescribing Practice (as defined by British National Formulary guidance)
• Adhere to all medicines management governance and ensure correct procedures are followed
• Clearly and accurately document consultations, including safety netting advice, in a timely manner
• Where appropriate, educate patients about how best to use urgent care services
• Work collaboratively with other health and social care professionals and services to deliver care to meet patients clinical, social and transport need
• Proactively communicate with the On call Manager to escalate any concerns as appropriate to ensure smooth running of the shift
• Work with urgent care colleagues working across the service to maximise the effective and efficient delivery of care to patients
• Promote the application of standards and codes of Practice set by the Royal College of General Practice, General Medical Council, Department of Health and local NHS trust.
• Be aware of service KPIs & work accordingly to assist in achieving compliance
• Escalate and report patient safety/experience events or feedback in line with Nimbuscare's governance framework
• Contribute to and participate in the management of complaints and concerns where appropriate
• Provide clinical feedback to enable service development
• Understand, maintain knowledge of and adhere to relevant standard operating procedures, policies and pathways
• Represent the service and Nimbuscare in a professional manner when in contact with the general public and other professionals
• Report any concerns about the safety of the service particularly with regard to any concerns about the behaviour / performance of other staff working for the service.
• Inform Nimbuscare of any restrictions which may impact on the post holder's ability to undertake urgent care work
• On request of the On-call Manager, be prepared to move to an alternative site to ensure service delivery, as is reasonable based on individual circumstances
• Be aware of and comply with all relevant policies/guidelines, e.g., prescribing, confidentiality, data protection, health and safety.
• Commitment and contribution to achievement of the highest possible quality standards.
• Commitment to life-long learning and audit to ensure evidence-based best practice.
• Attendance at regular in-house governance and educational meetings and training

Person Specification

Qualifications

Essential

• Fully Qualified Doctor with current Professional Registration (GMC) MRCGP Qualification On National Performance List for GPs
• Evidence of medical indemnity insurance

Desirable

• Evidence of CPD

Personal Attributes

Essential

• Lead by example The ability to prioritise effectively Able to work under pressure Flexible Adaptability Using initiative Self-audit and reflection

Skills and Knowledge

Essential

• IT Skills (MS office / SystmOne ) Advanced clinical assessment skills including history taking / clinical examination Excellent communication and interpersonal skills Ability to demonstrate problem solving with effective decision-making skills, supported by a best practice approach. Able to work autonomously and as part of a team.

Desirable

• Evidence of Statutory and Mandatory Training

Experience

Essential

• Experience of Triage / Telephone Assessment Experience of working in an Urgent Care setting (UTC/GP OOHs/ED/Pre-hospital care) For UTC, experience of assessing and managing minor illness and injuries

Desirable

• Experience of working or shadowing in Urgent Care

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).