Role Boundaries for GP Receptionists and Care Navigators

Scope, competence, pressure, messages, results and escalation

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Scope, competence and local protocols

GP reception desk with staff assisting patient

Scope defines the duties your role is intended to cover. Competence is what you can do safely given your training, experience and available support. Protocols state how the practice requires a task to be carried out.

Experience does not replace the need to follow protocols. Pressure does not increase your authority. If a task falls outside your scope, competence or the protocol, stop and ask for help.

Care Navigation with Dr Nick Hayward

Video: 1m 37s · Creator: Bradford District & Craven Healthcare Partnership. YouTube Standard Licence.

This Bradford District and Craven Healthcare Partnership video features GP Dr Nick Hayward describing care navigation as a way to direct patients to the most appropriate service from first contact. He explains that this often involves asking a few questions about the reason for the appointment request.

The video clarifies that these questions are not intended to elicit intimate details for staff curiosity but to guide patients to the right place. The description notes that information is kept confidential, patients may choose what to share, and a GP appointment will not be refused if requested.

It lists possible routes such as a GP appointment, a nurse appointment, direct access to mental health services or other local services, with the aim of making care quicker and more accessible.

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Check before acting

  • Am I trained to do this?
  • Is this task in my role or job description?
  • Is there a current protocol or script?
  • Do I understand what information to record?
  • Do I know when to escalate?
  • Has someone accepted responsibility for the outcome?

Confidence is not the same as competence - follow the protocol and ask for help when a task exceeds your training.

Scenario

You are asked to cover a workflow you have not used before. A colleague says, "It is easy. Just do what looks sensible."

What should you check first?

 

Ask Dr. Aiden


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