Current Vacancies

Our established and well-led partnerships at St Marys Surgery and Victor Street Surgery have merged form Southampton Sea City Partnership.  We are excited about our future and are proud to serve some of the most vibrant and diverse communities in the South of England.   Working for us you will have opportunities to develop your clinical skills and make a real difference in people’s lives. 

We are currently recruiting for an Enhanced Practitioner to join our growing multi-disciplinary frailty and visiting service. The role will focus on providing assessment and care for some of our more vulnerable patients with more complex health and social needs.  Our ideal candidate will have good assessment skills, recognised training in relevant areas of enhanced practice, experience in frailty and/or care for patients with complex needs as part of a multi-disciplinary team.  Whilst frailty specific experience would be valuable, a willingness to develop knowledge and skills is essential.   

We are looking for someone to work 25.5 hours per week. This role is part of our response to national initiatives to promote the shift of emphasis towards more proactive models of care, to help keep people well and independent, and to avoid unnecessary hospitalisation.    The post holder will be able to rely on the support of our aligned services (including strong GP leadership, primary care mental health team and social prescribers), competent admin and reception teams and will have regular contact with our colleagues in local community services teams.   Salary for the role will depend on qualifications and experience. 

Over 2025 we will be coming together to form a single partnership, single practice and PCN serving circa 40k patients.   We are a progressive organisation and have active plans for developing sustainable, high quality and modern general practice.  Over 2025 we will be developing and implementing a new clinical model that has improved access and care navigation arrangements, a greater range of services afforded by economies of scale and, at the same time, a strong emphasis on continuity.   We understand the importance of being local and we will continue to provide services from our four sites at St Marys, Telephone House, Mulberry and Victor Street surgeries – ensuring patients with more complex needs have continuity of care with a clinician they know and trust.  We are a well led organisation which has good links within our local health system and beyond.  We offer work in a positive and collegiate team and are committed to staff wellbeing and development.   You will be provided with in-house clinical supervision and professional development opportunities. 

Job Summary 

The post holder will be an Enhanced Practitioner who will provide holistic care for patients, their families and carers who are living with frailty and may have acute or chronic complex care needs.  

They will work within their professional scope of practice, providing care for patients within their own home, within the practice or via telephone.   

The post holder will work collaboratively with the multi-disciplinary general practice team operating within their own sphere of competence and agreed acceptable limits of practice to provide expert professional care to patients, carers and colleagues, ensuring clinical safety and excellence. 

Whilst frailty specific experience would be valuable, a willingness to develop knowledge and skills is essential.  

Key Responsibilities  

Summary 

• To ensure that the needs of the patients are placed at the centre of care delivery, whilst aspiring to highest standards of excellence and professionalism.   

• To improve the health and well-being of patients, their families and carers who are living with frailty and/or complex care needs. 

• Work within a multi-disciplinary team offering a holistic service that recognises the broader determinants of health and well-being of people living with frailty to ensure they maximise their quality of life.  

• To improve the experience of health services for patients, their families and carers, living with frailty and/or complex care needs.  

• Work within a multi-disciplinary team managing a clinical caseload of patients presenting with frailty and/or complex care needs that may include undifferentiated health needs, responding effectively to patient need and ensuring patient choice and ease of access to services. 

• To support patients to remain at home to receive care, preventing non-elective hospital admissions or extended hospital stays.  

• To remain clinically competent, registered with appropriate governing body as relevant to profession and ensure continuous professional development opportunities are undertaken to keep up-to-date and maintain competence.  

Clinical Role 

The post-holder will: 

• Function as a key member of the frailty and home visiting team at Sea City Partnership, delivering primary care services to patients. 
• Deliver a high standard of patient care as an Enhanced Practitioner in general practice, using autonomous clinical skills, and an in-depth theoretical knowledge base. 
• Provide ongoing holistic care to patients with frailty and/or complex needs, including liaising with appropriate internal and external teams to create holistic care plans and review them as required.
• Perform clinical assessment and management of patients in their home environments in both acute and proactive care contexts. This could include diagnosis, management/treatment plans and referrals as appropriate. 
• Maintain accurate and contemporaneous records, utilising computer systems where appropriate and consider the Caldicott Principles in relation to all data handling. 
• Prescribe safe, effective, and appropriate medication as defined by current legislative framework and local prescribing standards, if within scope of practice. 
• Refer patients directly to other services/agencies as appropriate including but not limited to services of the primary care network, acute hospital services, community services, mental health services and local social services.  
• Work within the practice guidelines, policies, and protocols. 
• Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery. 

Professional role 

The post-holder will: 

• Promote evidence-based practice using the latest research-based guidelines and the development of practice-based research. 
• Ensure practice which is of high quality, that meets regulatory and contractual requirements and to contribute to the development of clinical governance arrangements across Sea City Partnership services. 
• Monitor the effectiveness of their own clinical practice through quality assurance strategies such as the use of audit and peer review. 
• Maintain their professional registration with the relevant governing body for their profession. 
• Remain clinically competent in relation to their job-plan. 
• Participate with/ receive clinical supervision from the Lead GP, frailty and home visiting team on a regularised and ad-hoc basis.   
• Contribute to peer-to-peer and other supervision arrangements within Sea City Partnership 
• Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained. 
• Work within the latest Code of Professional Conduct relevant to profession. 
• Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation. 
• Work collaboratively with colleagues within and external to the practice 

Team role 

The postholder will:  

• Demonstrate and model positive behaviours that are aligned with the values of Sea City Partnership (refer to the Employee Handbook).  
• As a clinician be available to support other healthcare team members and to accept referrals from other team members. 
• Liaise with all members of the primary health care Team and other agencies local authority, social services, secondary care, voluntary sector, and primary care trust to assure appropriate and timely care is provided for the practice population. 
• Participate as a key member of the multi-professional Sea City team through the development of collaborative and innovative practice. 
• To work within the frailty and home visiting team and with wider clinical team and senior management team to develop and implement strategies which promote excellent patient care and evidence-based practice.   
• Contribute to the development of the frailty and home visiting team and wider practice multi-disciplinary team as a high functioning team where team members are supported to share responsibilities and lead on agreed areas of work. To work with peers to foster strong levels of autonomy within the team.  To promote an environment where issues and challenges are addressed collectively. 
• Value all team members across Sea City Partnership and associated partner health and social care agencies.  
• Work with colleagues and the wider Sea City clinical team ensure that services are patient centred.  To ensure that patients are actively engaged in the planning and delivery of their care.  To promote the voice of patients and carers and to ensure that feedback, complaints, and other representations from patients are thoroughly considered in the planning and delivery of services.   To ensure that all concerns and complaints raised by patients are managed in accordance with the practice’s complaints procedures.  
• Delegate appropriate tasks to other members of the primary care team whilst still maintaining responsibility for this area. 
• Attend meetings as required. 
• Ensure that orders for supplies are within a reasonable budget and one is constantly seeking to reduce costs to the Partnership. 
• Complete records, audits, reports and respond to appropriate questions and requests as required to support the continued improvement of clinical services at Sea City Partnership.  
• Support and contribute to effective communication channels across the Sea City Partnership. Work within and contribute to the practice’s clinical governance framework and relevant policies including but not limited to the investigation of significant events, sharing of best practice, and learning and infection prevention and control.  
• Actively participate in the delivery of QOF targets and other Sea City Partnership contractual arrangements  
• To contribute to relevant processes and activities which promote compliance with regulatory and contractual requirements.  Ensure the appropriate delivery of such processes and that effective records are appropriately filed to provide evidence of compliance. Provide assurance reports as required on a regular and ad-hoc basis to the Partners and Senior Management team. 
• To support the placement and supervision of healthcare learners supporting their development and the delivery of services to patients of Sea City Partnership.  
• To maintain awareness of national and local policies, guidance, and best practice relevant to the role and to adapt practice accordingly.  

Corporate responsibilities  

Health, safety and security 

• The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Sea City Partnership Health and Safety Policy, to include:  
• Use the personal security systems within the workplace according to Practice guidelines. 
• Identify the risks involved in work activities and undertake them in a way that manages the risks. 
• Use appropriate infection control procedures and maintain work areas in each clinical room so that they are clean, safe and free from hazards reporting of any potential risks identified. 
• Awareness of and adherence to the health and safety policies and procedures within the workplace, including fire procedures, maintaining documentation, monitoring, and maintaining of equipment and furniture within your area of responsibility. 

Service improvement 

• The postholder will contribute to the ongoing evaluation and development of services at Sea City Partnership Services to improve clinical outcomes and patients experience of services and to improve the effectiveness and efficiency through: 
• Work with colleagues in the team to contribute to the development of current and new services and other initiatives. 
• Receive feedback (including complaints) from patients, carers and other people involved in care delivery and to ensure that this is shared internally to inform future developments.  
• Participate in meetings and other organisational activities that create opportunities to improve patient care. 

Quality 

• The post-holder will strive to maintain quality within the services offered by Sea City Partnership, and will:  
• Alert other team members to issues of quality and risk in the care of patients. 
• Assess own performance and take accountability for own actions, either directly or under supervision.  
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance.  
• Ensure own actions are consistent with clinical governance systems. 
• Work effectively with individuals in other agencies to meet patient’s needs.  
• Enable patients to access appropriate professionals in the team. 
• Know and work within the practice’s policies available in the practice employee handbook. 
• Be able to manage your own time effectively. 
• Support in the delivery of standards and targets. 

Equality and diversity 

• The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: 
• Identify patterns of discrimination and take action to challenge and overcome this and promote diversity and equality of opportunity. 
• Enable others to promote equality and diversity in a non-discriminatory culture. 
• Support people who need assistance in exercising their rights. 
• Act as a role model in the observance of equality and diversity good practice. 
• Accept the rights of individuals to choose their care providers, participate in care and refuse care. 
• Assist patients from marginalised groups to access quality care. 
• Undertake any training required in order to meet the needs of the Practice. 
• Acting in ways that recognise the importance of people’s rights, interpreting them in a way that is consistent with procedures. 
• Respecting the privacy, dignity, needs and beliefs of patients and carers. 
• Understanding basic legal and communication issues regarding child abuse, family violence, vulnerable adults, safeguarding, substance abuse and addictive behaviour. 
• To act as chaperone for other clinicians in line with the organisation Chaperoning Policy.  

Information processes 

The postholder will  

• Record information and activities undertaken with patients and carers in an accurate and timely fashion using manual or computer systems as appropriate. 
• Review and process data using accurate read codes to ensure easy and accurate information retrieval for monitoring and audit processes. 
• Manage information searches using the internet and local library databases. 
• Understand responsibility of self and others to the Practice and primary care trust regarding the Freedom and Information Act. 
• Maintain confidentiality or information relating to patients, relatives, staff and the Practice. 
• Take the necessary precautions when transmitting information. 

Confidentiality  

• While seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately in the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. All such information from any source is to be regarded as strictly confidential in line with GDPR regulations and requirements Information relating to patients, carers, colleagues, other healthcare workers or the business of the PCN may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.  

The above is not exhaustive.  The postholder may from time to time be required to undertake other activities commensurate with the expected levels of responsibility and scope of the role, within levels of attained competence.   

Disclosure and Barring Service Check 

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.