Enhanced Access General Practitioner

• Provide face to face, telephone, and remote consultations within the Enhanced Access Service.
• Assess patients presenting with urgent and routine healthcare needs.
• Undertake clinical assessment, diagnosis, and treatment of patients presenting with acute and long-term health conditions.
• Analyse and interpret patient history, presenting symptoms, examination findings, and diagnostic information to develop appropriate differential diagnoses.
• Prioritise clinical problems and initiate appropriate treatment, including emergency intervention where required.
• Formulate evidence-based management plans in line with national and local clinical guidelines.
• Prescribe medication in accordance with local and national prescribing guidelines.
• Ensure prescribing decisions are clinically appropriate, safe, evidence-based, and cost-effective.
• Make referrals to secondary care, community services, and other healthcare professionals where appropriate.
• Liaise with community pharmacies where necessary regarding patient safety and prescribing requirements.
• Provide health promotion, preventative care, and self-management advice.
• Issue fit notes, medical certificates, and other clinical documentation within professional competence and local policies.
• Assess and provide appropriate treatment, advice, and onward referral for patients presenting with complex physical and mental health needs, ensuring safe handover to the patient's registered practice where ongoing management is required.
• Escalate significant clinical concerns, incidents, and risks appropriately.
• Participate in safeguarding processes and act upon safeguarding concerns in line with local and national guidance.
• Ensure patients are managed in a safe, compassionate, and patient centred manner at all times.

• Conduct safe and effective remote consultations via telephone and approved digital consultation platforms.
• Demonstrate effective communication skills when consulting remotely, ensuring patients understand diagnosis, treatment plans, medication advice, safety-netting, and next steps.
• Assess and manage clinical risk during remote consultations, recognising when a face-to-face assessment is clinically required.
• Arrange escalation or onward referral where remote consultation is not appropriate or sufficient for safe patient care.
• Utilise EMIS Web, Accurx, and other approved digital systems effectively to support patient care.

• Maintain accurate, complete, and contemporaneous clinical records on the appropriate clinical system.
• Ensure compliance with Information Governance, GDPR, confidentiality, and Caldicott principles.
• Undertake mandatory training and maintain continuing professional development in line with GMC requirements.
• Comply with all relevant PCN, Enhanced Access, NHS, safeguarding, confidentiality, infection prevention and control, and health and safety policies.
• Provide clinical advice and support to colleagues where appropriate.

Essential

• Fully qualified General Practitioner registered with the GMC and licensed to practice.
• Inclusion on the NHS England Medical Performers List.
• Professional indemnity cover appropriate for General Practice work.
• Mandatory training must be up to date, including:
• Safeguarding Adults and Children
• Information Governance
• Equality and Diversity
• Basic Life Support
• Conflict Resolution
• Infection Prevention and Control

Essential

• Previous experience working as a GP within UK Primary Care.
• Experience using EMIS Web.
• Ability to work autonomously and make safe clinical decisions within an Enhanced Access setting.
• Knowledge of NHS primary care pathways and referral processes.

Desirable

• Previous experience working within an Enhanced Access, GP Out of Hours, Urgent Care, or Walk In Centre service.
• Experience working across multiple GP practices or PCNs.