Working as a GP in Integrated Urgent Care (IUC) and Out of Hours (OOH)

15 Dec 2020

15 Dec 2020

Working as a GP in Integrated Urgent Care (IUC) and Out of Hours (OOH) gives me the opportunity to combine aspect of the vocation of General Practice that enthuse and challenge me the most; practicing clinical medicine, provide clinical leadership, and respond to challenges whilst striving to continuously achieve improvement ensuring the delivery of excellent patient care.


Being an Out of Hours GP suits my home life and other roles

Having always enjoyed the out of hours clinical environment as a GPST in Dundee, when I moved to the South East of England, I spent an evening a week, and some weekend mornings for half a decade, getting to know the services.  In addition to my Medical Lead role I enjoy doing a mixture of telephone triage, base appointments, and home visiting shifts. There is also opportunity for homeworking telephone triage. 

This has always amalgamated well with family life, as when our twins were younger, I was able to look after with them during the day whilst my spouse was at work.  Then, after a quick hand over, nap, and some coffee was able to come to the out of hours for an evening shift (and a break from Peppa Pig!)

I still work part-time within in-hours primary care, and whilst this is also hugely rewarding, out of hours differs in that there is no paperwork, DOCMAN, blood results or tasks and when your shift finishes… it finishes, no staying late!


“No decision in isolation”

Although clinicians may worry that OOH can be an isolated place to work, within the Practice Plus Group setting you are never alone. In our Clinical Assessment Service, there is always a Senior Clinical Decision maker who you can approach for help or advice, and a Senior GP as Medical Director on-call 24/7. 

Practice Plus Group is one of the few IUC providers that gives clinicians a fully stocked virtual doctor’s bag.  Being able to prescribe electronically, perform video consultations, and have full access to patient’s in-hours GP records (with their consent) helps me to provide safe and effective patient care. 

The world of in and out of hours General Practice has changed, and to support colleagues we have clinicians working group meetings, Webinars, and free Basic Life Support and Safeguarding training for clinicians.  Not only does this help keep oneself up-to-date, but promotes our supportive team work environment.


Want to find out more?

If you want to find out more – about support available, how we manage certain clinical situations or even about working arrangements - please contact our recruitment team who can arrange an informal conversation with a local Medical Lead. We look forward to hearing from you. 


Dr. Vishnu Madhok

General Practitioner & Medical Lead, Integrated Urgent Care, Surrey, Practice Plus Group, Integrated