GP Out of Hours Work

1. GP Out of Hours Work Andrew Baldwin

2. Getting started • In a GP/ITP post, or as an ST3, you are required to undertake a total of 24 hours OoH work for each 4 month rotation • In ST3 this totals 72 hours for the year • Local OoH care is provided by ‘Integrated Care 24’, formerly South East Health, formerly SeaDoc • IC24 also provide 111 triage

3. Register with IC24 • Contact IC24 and request a ‘Registrar Application Form’ • Jo Langridge • Integrated Care 24 • Unit 6 • Hunns Mere Way • Woodingdean Office Campus • Brighton • BN2 6NX • jo.langridge@ic24.nhs.uk • Tel: 01233 505527

4. Register with IC24 • Complete and return the application form • You will also need to provide: • An up-to-date CV • Copy of your Hep B status certificate • Evidence to confirm your eligibility to work in the UK (eg copy of passport) • Evidence of your National Insurance number (eg copy of p45 or NI card) • Evidence of resuscitation training • Copy of GMC registration document • Copy of DBS (CRB) disclosure • Copy of Medical Defence Insurance Certificate

5. Sign-up for shifts • Once registered you will be sent login details for RotaMaster. This willallow you to view and book suitable shifts. • Go to the RotaMaster website http://southeasthealthlimited.com/securitylogin.asp • Enter your username and password

6. Sign up for shifts • Click on the ‘More Registrar Shifts’ bar and enter the area you wish to work. • This will show all the supervisors and their availability.

9. Place and types of shift • Rother, Hastings, Bexhill, Eastbourne, Newhaven, Uckfield (or Brighton) • Primary care centre • Car shift ‘Delta’

10. Sign up for shifts • Click on the shifts you wish to request and then ‘send’. • This will generate an automatic e-mail to you showing the shifts you have requested. • This email is not a confirmation. • Once the rota has been uploaded (usually about twice a day) you will be able to see the shifts on the first page under ‘Registrar Shifts’. • Ignore the text saying ‘You have no confirmed shifts at this time’, the software only classes paid shifts as confirmed. • If your shifts are not shown contact Kate Orton [Kate.Orton@IC24.nhs.uk] to ask for confirmation

11. CLEO • Consultations are recorded electronically on CLEO, which also requires a username and password. • If you have not been sent a login for CLEO, contact Jo Langridge • Remember to take the log-in details with you to your shift.

12. Traffic light system

13. Recording your OoH shift • Take a form with you • Remember to ask your supervisor to sign this at the end of your shift • Scan and upload to ePf plus write a reflection if you wish • Go to http://kssdeanery.org/general-practice/trainees/gp-specialty-training/ooh-training • On the right-hand navigation panel click on ‘COGPEd OOH paper_2007 revision2010’ to download a word document. • p61 (!) is the template page for recording an OoH session. Print out this page and take it with you to your shift.

15. Example consultation • Telephone: 33yr old male • Reason: needs prescription for ‘oralmorph’ • What next?

16. Before contacting the patient: • Look at previous consultations on CLEO • x6 contacts since January • Each time requesting oramorph • Given 100ml on x3 occasions • Contact psych liaison • Is this person known for substance misuse? • IC-24 have no policy on providing/replacing controlled drugs • What would you do?