First Contact Practitioner - Epsom, United Kingdom - Surrey Downs Health and Care

Tom O´Connor

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Tom O´Connor

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Surrey Downs Health & Care


We are looking for a flexible, dynamic and forward thinking FCP to join our team in SDHC working in the Epsom PCN Community Hub.

You will be part of the MDT (including health and well-being coaches and pharmacists) working closely with the GPs and wider MSK pathway with an aim to fully integrate the service.


You will be the first point of contact for patients with musculoskeletal conditions and will be responsible for triaging them into the most appropriate pathway.

This may be to self-care; to yourself for further assessment or an Advanced Practitioner colleague; to community physiotherapy ; for appropriate diagnostics or to secondary care.


You will have excellent clinical assessment and triage skills; be a great communicator, have good motivational skills and be happy to step out of your comfort zone to drive forward rapid changes.


You must be self-motivated, organised, computer literate and able to demonstrate excellent interpersonal skills with a commitment to continued personal development.


There will be development opportunities in line with the Health Education England recommendations for First Contact Practitioners and Advanced Practitioners in Primary Care.


The post will be based in the Epsom area between GP surgeries and you must be able to meet the travel requirements of this post.

Please ensure that you have completed Stage 1 of the FCP framework and evidence this at the interview.


Provide clinical expertise, acting as first-contact Musculoskeletal (MSK) practitioner and making decisions about the best course of action for patients' care.

This will involve seeing patients, without prior contact with their GP.

Practitioners will use their clinical-reasoning skills to undertake an assessment of the presenting problem, interpret findings, develop working and differential diagnoses, and formulate, communicate and implement management plans that take account of individual's needs, goals and wishes, local service availability and local and national guidelines and policies.


Request investigations to facilitate diagnosis and choice of treatment regime, understanding the information limitations derived from these and the relative sensitivity and specificity of particular tests diagnostic services such as x-rays and blood tests, and interpret and act on results to aid diagnosis and the management plans of patients.

Enable individuals to make decisions about their care using the principles of shared decision making:

  • helping them to identify the priorities and outcomes that are important to them
- explaining in non-technical language all available options (including doing nothing)
- exploring with them the risks, benefits and consequences of each available option
- supporting them to make a decision on their preferred way forward


Surrey Downs Health and Care (SDHC) is a partnership between local NHS organisations that collaboratively provide adult community health services in Surrey Downs (Epsom, Dorking and East Elmbridge areas).

SDHC sits as one of the wider partner organisations within Surrey Downs Health and Care Partnership.

Our ambition is to create a health and care system that is built around the people and communities of Dorking, Epsom and East Elmbridge.


SDHC is a dynamic partnership of Primary Care, Community and Acute colleagues at the forefront of delivering services locally to meet our patient needs.

There are 6 PCNs within Surrey Downs. We have 7 FCP posts across the patch.

Expert Clinical Practice

  • Take professional responsibility as a first contact practitioner, with highlevel decisionmaking and clinicalreasoning skills to assess, diagnose and triage patients.
  • Electronically triage information received directly from patients via digital primary care platforms and determine the optimum pathway for management of that patient's condition, including advice and selfcare, MSK physiotherapy or and FCP appointment.
  • Manage a complex caseload (including patients with longterm conditions, comorbidities and multifactorial needs) across multiple healthcare settings.
  • Gather and synthesise information, both virtually and in a face to face setting, on the nature of the individual's presenting symptoms taking account of how these relate to relevant past medical history and investigations.
  • Critically appraise information obtained taking account of the potential for MSK symptoms to be features of nonMSK conditions, frailty, comorbidities or indicative of potentially serious pathology with implementation of appropriate onwards referral.
  • Request appropriate investigations based on level of competence and in line with national and local evidence based practice guidelines and interpret the findings to facilitate diagnosis and management plans with patients.
  • Advise, initiate, evaluate and modify a range of interventions, which may include selfmanagement and life style advice, injection therapy, other therapies, exercise prescription, social and

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