at Wychbury Hill Hagley
Vacancy: Practice Nurse
We are recruiting for a part-time Practice Nurse in General Practice 26 hours per week: days and times to be negotiated but must include a Monday and Friday.
Salary: Band 5 or above depending on experience
The person appointed will join a well-established team of 5 practice nurses and 2 healthcare assistants. The Practice has a patient population of 21,500 and works across 3 surgery sites, home visiting may be required.
Applicants will ideally have some practice nurse experience with management of long term conditions and be able to provide essential treatment room services as described in job description e.g. cervical screening and immunisations, but this would be an opportunity for someone looking to move into practice nursing, as we are willing to provide training whilst in post.
We are committed to providing continued professional development of all our staff.
All posts are subject to an Enhanced Disclosure Application to the Disclosure and Barring Service.
The post is advertised on NHS jobs website: https://www.jobs.nhs.uk/xi/vacancy/?vac_ref=915412537
Closing Date: 8th February 2019
The Practice plans to recruit at least 2 salaried GPs to extend and enhance its current team to support those currently working at Wychbury Medical Group and improve patient services.
GP Job Advertisement
Wychbury Medical Group is an established practice providing care for 21,500 patients from 3 Dudley registered surgery sites. The organisation currently has 14 GP’s, 9 of whom are Partners. The practice has a diverse population and has surgery sites situated in varied residential locations within Dudley. The local area is within close reach of wonderful countryside and also provides excellent access to Birmingham city centre; there is a good central transport infrasturcture with easy connection to UK motorways and excellent local schools.
We had our first CQC visit in August 2016 and were very pleased with the outcome achieving ‘Good’ in all areas with a note of ‘outstanding’ for our Urogynae service. One thing that was identified and was well received by the inspector was that despite having 3 sites the practice is considered ‘lean’, this is felt to be because of efficient working practises. You can find the full details of the Practice presentation provided by Dr Adam Hardie and our CQC report by clicking on the following links.
Wychbury Medical Group CQC Report
Dr Susan Hyne
Postgraduate Registrar Training
Dr Elizabeth Mullins
Dr David Hegarty
Dr Gemma Matthewman
Dr Karen Hegarty
Dr Laura Buse
Dr Susan Anderson
Drug Abuse Clinics
Dr Prasanna Narayan
Regular locum provider
Dr Steven Coates
Postgraduate Registrar Training
Dr Shazia Mehmoona
Regular locum provider
Dr Stephanie Tunmore
End of life Care
Postgraduate Registrar Training
Dr Adam Hardie
Dr Rebecca Willetts
Dr Eleanor Brodie
|Sexual Health Clinic|
The practice is fortunate to have a wealth of experience amongst its GP team and many doctors have developed specialist interests. The practice embraces learning and the development of new services to its patients, with the current specialist clinics being offered alongside routine patient care, some of which are:
- Urogynae Clinic – this is a commissioned service offered to all Dudley registered practices. The clinic is run once each month and is supported by a consultant from Birmingham Women’s Hospital.
- Minor Surgery – This is managed in specific clinics, offering a range of minor surgery procedures and injection clinics.
- Drug Clinics – These are run fortnightly and have the support of a counsellor from the local drug service provider, this is only open to registered patients who have been recommended through from ‘The Warehouse Team’ to be managed locally.
- End of life care – this is led by 2 GP’s who meet with the multidiscipliary team every month to monitor patients both with cancer and non-cancer diagnosis.
- Sexual Health Clinic – this is a weekly clinic and provides IUCD fitting/removal and implant insertion/removal.
Advanced Nurse Practitioners
The Practice employs 3 Advance Nurse Practitioners to help manage ‘on the day, acute demand’, and ANPs provide a morning and evening surgery which equals that offered by doctors in the practice. They have enormous experience and are able to see patients of all ages, with a large variety of conditions and also provide home visiting, 2 of the team are also involved in admission avoidance and care planning. A further ANP is employed to manage patients with long term conditions where they have complex needs.
The nurse team is led by the clinical nurse manager, Kelly Poole, who is responsible for 5 nurses, 3 healthcare assistants and an administrative assistant. The nurse team is highly experienced in providing general nursing care and our senior nurses provide specialist care for long term conditions. The healthcare assistants provide much of the general care support undertaking ECG’s, registrations, blood pressure monitoring, stop smoking, weight management, removal of sutures etc. They are currently in the process of taking on B12 injections to release the nursing team to deal with more complex problems and one HCA has enrolled for the nurse associate course. Our HCAs have recently become involved in diabetes clinics supporting GPs undertaking annual diabetic reviews.
The practice has an excellent administration structure led by the practice manager, Sarah Reid , who have the support of a manager from each practice team. The management team meet regularly to discuss any concerns, implement change and disseminate information. This is essential in managing 3 sites where working practices are mirrored.
The administration team is led by Karen Clarke who manages and supports staff working across 3 sites, although most of the administration is dealt with at Wychbury Medical Centre. The teams include secretaries, data clerks, scanners, clinic administration and prescription clerks. They offer support to GP’s and nurses in managing their daily tasks and help to ease the pressure of work; likewise they offer an excellent service which helps patients to access services. The teams meet on a regular basis to ensure they are up to date with change and have an opportunity to discuss concerns. A recent addition to this team has been the introduction of letter readers, they have really proven to help reduce the administrative burden of GPs working within the Practice
The reception team is led by reception group manager, Gemma Chilton, who has a team of 26 receptionists working across 3 sites. All incoming calls are managed by the reception team in our call centre based at Cradley Road Medical Practice. They offer patients the first point of contact with the Practice and support the clinicians in dealing with day to day administration tasks, along with contact for other service providers.
Practice Based Pharmacy Team
We currently have 4 practice based pharmacists working at Wychbury Medical Group, with the team being led by Nazir Hussain. Although practice based pharmacists have been working in the practice for several years this new extended role has only been utilised in the last 16 months. It has seen the team providing support for GPs, taking much of the workload burden from repeat prescribing and liaising with our prescription clerk.
The organisation has always regarded itself to be forward thinking and considers ways to be innovative in delivering care to its patients. The Practice has recently worked with Dudley CCG being actively involved with ‘The Productive General Practice Programme’ as part of a pilot to evaluate its benefit to improve the way services are delivered; this has been very successful in helping to deliver change and we are now involved in a further programme called EPIC which is also about making change to improve how we work.
The Practice has a number of regular meetings to help with clinical concerns, learning and change within the organisation. These are mostly monthly, but some are more frequent;
- Clinical Meeting
- Practice Meeting
- Partners Meeting
- SUI/Complaints/Compliments Meeting
- End of Life Care
- Admission Avoidance
- Prescribing Team
How we work
The practice has morning and evening surgeries running Monday to Friday across all 3 sites although Chapel House closes at lunchtime on Tuesday and Thursday. The appointments are booked at 10 minute intervals and morning surgery is followed by a few telephone appointments, usually from GP tasks to follow up results or problems which can be dealt with by telephone. During morning and afternoon surgery there is an allocated period of GP administration time in order to review tasks, blood results and correspondence. After morning surgery GP’s will take a fair share of home visits which are divided by 12 noon.
An on call doctor is assigned each day using a rota planned at least a month in advance, full-time GPs are usually allocated 2 on call days per month, which means you need to be available between 08:00 – 18:30. This doctor will be responsible for triage and will deal with patients who consider their need urgent for the day once all booked appointments have been taken. This doctor is also responsible for any home visiting after 12 noon.
Wychbury Patient Participation Group meet every 2 months and have been integral to working with the practice in developing services; particularly so whilst we have been involved with Productive General Practice. The PPG is supported by a GP and staff members who joins their regular meetings. The PPG has developed over the last 12 years since its formation and have instigated a number of public events to promote patient self care management. The next planned event is being held in September 2018 and is ‘Prostate Cancer Awareness'
Wychbury Medical Group is involved in commissioning and works with Stourbridge, Lye and Wollescote Locality. The group meeting on a monthly basis to discuss services commissioned locally. Our commissioning lead GP is Dr David Hegarty and Dr Rebecca Willetts is involved in Dudley Integrated Care, however, all clinicans are encouraged to be involved in commissioning. Wychbury is currently engaging with its locality groups to form an MCP, which is currently in its early stages.
As you can imagine working across 3 sites means that you may not always regularly catch up with some colleagues so in order to allow an opportunity to do this social evenings are arranged with GPs, usually a meal at a local restaurant. The Practice always has a Christmas party and sometimes other events so we can meet as one group.
Wychbury Medical Centre
Wychbury was developed in 1996 to provide purpose built facilites. It is situated in a residential area, but is on the edge of green belt land with open countryside to the rear of the property. It offers consulting space for 10 clinicians and a treatment room. The waiting areas offer a main waiting room and sub waiting area, with patient library. There is dedicated space provided for patients to record, height, weight and blood pressure.
The first floor accommdation is utilised for administration and comprises of several offices, kitchen and meeting room. The medical library is also held on the first floor offering a wide range of up to date reading material.
Chapel House Surgery
Chapel House Surgery is the smallest premises and offers 4 consulting rooms with an administration area and waiting room. It is situated in a residential area and offers a small friendly service, which can be a contrast from working at our larger sites.
Cradley Road Medical Practice
Cradley Road Medical Practice is a purpose built property, which is about 20 years old. It is situated in Cradley Heath town centre and offers 9 consulting rooms along with a modern treatment room. It has a large waiting area and office accommodation to provide space for associated administration, it also has a small meeting area and a staff kitchen/rest room
Wychbury Medical Group
The Practice supports both undergraduate and postgraduate education and was recorded as ‘an outstanding training practice’ during its inspection visit. The involvement of all clinicians is welcomed in supporting education for these groups.
There is a number of systems which support staff working in the practice and all are linked across 3 sites
- EMIS Web clinical system
- Lexacom dictation system, currently piloting voice recognition
- Docman document integration/managment system
- TQuest for electronic blood test and x-ray requests
As our systems are linked it allows patients to move between sites to accept the most convenient appointment or service. The clinicians also work across the sites providing an opportunity to work with different patient groups and experiencing all the services the practice provides.
We provide extended hours on Tuesday, Wednesday and Thursday.
The practice area extends from Dudley in the north, to Hagley in the south and the east border is towards Halesowen town centre with the west boundary being the Ring Road, in Stourbridge. This is a large Practice area, but our surgeries are well placed for patients attending from any surrounding locality, but are not unreasonably far from each other to make working between 3 sites unmanageable.
Surgery site location on above map
Whilst the organisation currently operates from 3 sites it is hoped in the near future that this will be reduced to 2. The current sites were all pupose build to provide GP services, but they offer varied facilities hence the desire to consolidate resources.
Wychbury is a really friendly place to work and although it is a larger organisation everyone works to support each other. Further general information about the Practice is available on the website: www.wychburymedicalgroup.co.uk or you can call in to meet some of the staff and have a look round. If you would like any further information please call Sarah Reid on 01384 322310.