GP with extended role in Chronic fatigue Syndrome ( CFS )

GP with extended role in Chronic fatigue Syndrome (CFS)

To work alongside and in support of the current GP with Extended Role Clinical Lead of the Chronic Fatigue Syndrome (CFS) Diagnosis Service in providing the diagnostic element of the CFS pathway Hertfordshire wide, including triage of referrals, Advice and Guidance, and face to face diagnostic assessments.

Provide medical input to the ACTIVATE for CFS and Persistent Pain multidisciplinary team within Hertfordshire Community NHS Trusts integrated Musculoskeletal Service serving the population of East and North Hertfordshire.

The post holder will work within a multidisciplinary team to deliver appropriate care to the patients referred into the service and provide medical expertise in diagnosis and MDT medical support.

Responsibilities

• Undertake comprehensive medical assessment of patients with suspected CFS, to include a thorough review of the patient's ideas, concerns and expectations; history; systems review; symptoms; investigations; medications; examination findings. Formulate a full clinical plan including any differential diagnoses or suggested onward investigations/referrals. Refer to therapy services if appropriate.
• Adopt a holistic and compassionate approach to complex patients who may have had difficult prior experiences and present with medical complexity.
• Enter full details of history, examination findings, diagnosis and treatment plan in the clinical record on SystmOne (Patient Recording System).
• Ensure that patient or carers are informed fully about the condition, answer any questions, supply written information if available and involve them in decisions about the treatment.
• Create a letter to the patient's GP at the time of the consultation for every patient in accordance with service procedure.
• Triage referrals received, reviewing pre-referral investigation results, and following service criteria.
• Respond to Advice and Guidance requests on ERS within their competence.
• Respond to medical queries and requests for medical reviews received from members of the Therapy services.
• Work with other members of the team to deliver a high quality, patient centred service which will include attendance at Operational meetings, Educational meetings & MDT meetings.
• Participate in data collection including patient surveys and HCT audits as requested.
• Comply with GMC standards of Good Medical Practice and the NHS constitution.
• Undertake all required GPwER training and development to maintain skills/accreditation.
• Maintain up to date knowledge of current NICE guidelines and keep up to date of any new developments in the management of the conditions.
• Attend regular doctors meeting/peer supervision for case discussion and mutual support with Clinical Lead GPwER.

Qualifications

• GMC (Full License)
• Basic Medical Qualification e.g. MBBS
• MRCGP or other recognised Postgraduate Qualification

Experience

• Experience of working in General Practice as a GP
• Willingness to learn about Chronic fatigue, Post viral Syndromes and Fibromyalgia
• Experience of working within a Multi Disciplinary team
• Experience or Interest in Clinical Complexity

Knowledge and Skills

• Excellent Oral and Written Communication Skills
• Good Organisational Skills
• Openness, Flexibility, Clarity of Independent Clinical Decision Making
• Adaptable to situations, can handle people of all capabilities and attitudes
• Commitment to team working, and respect and consideration for the skills of others
• Able to adapt for patients with particular communication or other needs - including disability and neuro divergent conditions
• Knowledge and awareness of trauma and ability to work with patients who have had difficult prior experiences

Other

• Ability to travel in order to meet the requirements of the post and cover other units where required
• High standards of professional probity
• Holistic approach to patient assessment and care

Teaching and Training

• Support a range of clinical staff with training relevant to the post where appropriate

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.