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GP, Notts Special Allocation Scheme (NOTSPA)
|Organisation||Notts Special Allocation Scheme (NOTSPA)|
The Schemes were introduced as a Directed Enhanced Service in 2004 to provide general primary care medical services in a secure environment to patients who meet the criteria for inclusion into the scheme. Designated GP practices provide services to patients by prior appointment and at specific locations and times as detailed in individually agreed contracts. Patients are allocated to the scheme following a process of immediate removal as a result of a violent incident in primary care that has been reported to the police.
There are already 3 GPs who run this scheme and ideally, they’re looking for 2 more recruits to triage calls and cover one day each 8am-6pm (telephone on call only) – note there are <40 patients on the scheme and usually 0-6 patients call on any one day and although each of those may call more than once, the workload is not generally very onerous. This is done remotely from any SystmOne access with calls passed by NEMS. In addition to the daily triage service, they have two F2F GP clinics (where security is also present) each week for those that need to be seen, but apart from holiday/sickness cover there is no current need for the new recruits to staff these.
Working amongst those with a history of aggression/violence is both challenging and rewarding; the aim is to try to get them back into mainstream general practice when safe to do so and they have (paid) meetings with the team every 2-3 months to discuss patients. Psych/Prison/alcohol and other drugs experience useful but not essential.
If interested, email any of the three GPs currently on the scheme for more information:
They are keen for two GPs to start asap – at present Mondays and Fridays would be preferred days to cover but there is some flexibility with this.
- Background info on the Violent Patient Scheme.