General Practitioner with Enhanced Role

• Providing comprehensive medical assessment and clinical review of patients with severe and complex obesity.
• Supporting risk stratification and development of individualised, shared care plans.
• Providing clinical leadership and medical input to the multidisciplinary team.
• Assessing suitability for, initiating, titrating, monitoring, reviewing and discontinuing weight management medication in accordance with relevant NICE guidance and local prescribing arrangements.
• Supporting the safe use of GLP-1 and GLP-1/GIP therapies where clinically appropriate.
• Reviewing concurrent medication where significant weight loss may alter treatment requirements.
• Providing specialist medical input into the physical healthcare of people living with severe mental illness.
• Working collaboratively with primary care, mental health services, secondary care and specialist/Tier 4 weight management services.
• Supporting escalation and onward referral where clinical risk or complexity requires specialist intervention.
• Delivering face-to-face, telephone and video consultations.
• Participating in and, where appropriate, chairing multidisciplinary team meetings.
• Acting as a source of clinical advice and support to the wider MDT and referring clinicians.
• Contributing to clinical governance, audit, quality improvement and service development.
• Supporting the education and development of colleagues across the service and wider primary care system.
• Contributing to the formal evaluation of this programme.

• Provide comprehensive medical assessment and clinical review of adults referred to the service.
• Undertake clinical assessment of obesity-related comorbidities, cardiometabolic risk, medication and potential secondary or contributory causes of weight gain.
• Contribute to risk stratification and individualised, shared care planning.
• Arrange, interpret and act upon appropriate investigations.
• Provide senior medical input and clinical decision-making within the multidisciplinary team.
• Assess suitability for, initiate, titrate, monitor, review and discontinue weight management pharmacotherapy in accordance with relevant NICE guidance and local prescribing arrangements.
• Provide clinical expertise in the use of weight management pharmacotherapy, including GLP-1 and GLP-1/GIP receptor agonist therapies where clinically appropriate.
• Review concurrent medication where weight loss may affect treatment requirements.
• Provide medical leadership in relation to the physical health and cardiometabolic needs of people living with severe mental illness.
• Recognise and appropriately escalate deterioration in physical or mental health.
• Provide advice to referring GPs, Primary Care Networks and other professionals.
• Support appropriate referral and escalation to secondary care and specialist/Tier 4 weight management and bariatric services.
• Deliver face-to-face, telephone and video consultations.
• Participate in and, where appropriate, chair multidisciplinary team meetings.
• Provide clinical advice to the wider MDT and respond appropriately to clinical queries.
• Contribute to clinical governance, safeguarding, audit, significant event review and quality improvement.
• Support education, teaching and clinical supervision within the service and wider primary care system.
• Contribute to the development and review of clinical pathways, protocols and prescribing arrangements.
• Contribute to the programme's monitoring, reporting and formal evaluation.
• Maintain accurate, contemporaneous clinical records and ensure appropriate communication with patients, carers and other professionals.
• Work flexibly across the service's community locations in Spalding, Lincoln and Skegness, with remote working where appropriate.

Essential

• Reliable, flexible and adaptable.
• Caring, respectful and non-judgemental attitude to patients, families and carers.
• Commitment to equality, diversity and anti-discriminatory practice, and to reducing health inequalities.
• Willingness to travel between service sites and to work the agreed hours flexibly.

Desirable

• Willingness to undertake additional professional responsibilities at local, regional or national level.
• Ability to motivate and develop a multidisciplinary team.
• Interest in the design and evaluation of new models of care.

Essential

• MBBS or equivalent primary medical qualification.
• Full registration with the GMC with a licence to practise.
• Inclusion on the GP Register and the National Performers List.
• Evidence of a satisfactory recent appraisal and engagement with revalidation.
• Minimum of two years' post-CCT experience in general practice
• Evidence of CPD in obesity, weight management or cardiometabolic medicine.

Desirable

• Membership of, or affiliation to, the Royal College of General Practitioners or equivalent.
• Existing accreditation as a GPwER, or a postgraduate qualification or certificate in obesity or weight management.
• Diploma or higher qualification in a relevant field (e.g. diabetes, cardiometabolic health).

Essential

• Up-to-date working knowledge of the assessment and management of obesity as a chronic condition, and of relevant NICE guidance (NG246, TA1026).
• Experience of independent prescribing in a primary care or community setting, including complex medication review.
• Experience of managing patients with multimorbidity and cardiometabolic risk.
• Understanding of the physical health needs and health inequalities experienced by people living with severe mental illness.

Desirable

• Experience of prescribing GLP-1 or GLP-1/GIP receptor agonist therapy.
• Experience of working in a specialist or community weight management service.
• Experience of working alongside mental health services or with an SMI caseload.
• Knowledge of Tier 4 and bariatric surgical pathways, including pre- and post-operative medical considerations.
• Experience of establishing or mobilising a new clinical service.

Essential

• Commitment to clinical governance, significant event analysis and quality improvement.
• Experience of clinical audit.

Desirable

• Knowledge of evidence-based practice and service evaluation methods.
• Experience of contributing to research, service evaluation or publication.
• Interest in contributing to the programme's evaluation and innovation outputs.

Essential

• Excellent clinical assessment, history-taking and examination skills.
• Clear, comprehensive and timely clinical record-keeping and correspondence.
• Ability to work autonomously, exercise independent clinical judgement and manage clinical uncertainty.
• Effective multidisciplinary team working, including with non-medical clinicians and coaches.
• Ability to communicate sensitively about weight without stigma, using person-centred and motivational approaches.
• Sound understanding of clinical risk management and safeguarding.
• IT literacy, including clinical systems and remote consultation.

Desirable

• Ability to apply behavioural and psychological models in practice.
• Teaching, supervision or mentoring experience.
• Experience of clinical leadership within an MDT.
• Experience of co-design or co-production with patients and people with lived experience.