General Practitioner with Enhanced Role

Job summary

This is an exciting opportunity for a GPwER who wants to make a real difference to people living with severe and complex obesity, while helping to shape and evaluate a new model of community-based care.

About the service The Lincolnshire Community Weight Management Service is a new, multidisciplinary community service for adults living with severe and complex obesity. Funded through the Obesity Pathway Innovation Programme, the service is commissioned by NHS Lincolnshire ICB and supported by Innovate UK funding.

It is designed as an innovative, community-based model that works alongside existing Tier 1 and Tier 2 weight management provision and provides an important interface with specialist and Tier 4 services.

The service brings together a range of expertise, including: Medical assessment and clinical decision-making Dietetic support Behavioural and psychological support Health and wellbeing coaching Structured group-based education Weight management pharmacotherapy where clinically appropriate Physical health and cardiometabolic risk assessment Longitudinal follow-up and personalised care planning Step-up and step-down pathways across the wider health and care system The service is particularly focused on addressing health inequalities.

An important part of the initial caseload will be adults living with severe mental illness (SMI), recognising the significant physical health inequalities and increased cardiometabolic risk experienced by this population.

Main duties of the job The role will include: Providing comprehensive medical assessment and clinical review of patients with severe and complex obesity. Supporting risk stratification and development of individualised, shared care plans. Providing clinical leadership and medical input to the multidisciplinary team.

Assessing suitability for, initiating, titrating, monitoring, reviewing and discontinuing weight management medication in accordance with relevant NICE guidance and local prescribing arrangements. Supporting the safe use of GLP-1 and GLP-1/GIP therapies where clinically appropriate.

Reviewing concurrent medication where significant weight loss may alter treatment requirements. Providing specialist medical input into the physical healthcare of people living with severe mental illness. Working collaboratively with primary care, mental health services, secondary care and specialist/Tier 4 weight management services.

Supporting escalation and onward referral where clinical risk or complexity requires specialist intervention. Delivering face-to-face, telephone and video consultations. Participating in and, where appropriate, chairing multidisciplinary team meetings.

Acting as a source of clinical advice and support to the wider MDT and referring clinicians. Contributing to clinical governance, audit, quality improvement and service development. Supporting the education and development of colleagues across the service and wider primary care system.

Contributing to the formal evaluation of this programme.

About us

At LADMS, we actively include, involve and empower all those we serve and work alongside, treating everyone with fairness, respect and dignity . We are looking for someone who shares these values and who understands the importance of delivering weight management care in a way that is compassionate, evidence-based and free from stigma.

If you are an experienced GP with an interest in obesity and weight management and would welcome the opportunity to help build something new, we would be delighted to hear from you.

Job description

Job

responsibilities

LADMS is seeking an experienced and enthusiastic General Practitioner with Extended Role (GPwER) in Weight Management to join the new Lincolnshire Community Weight Management Service, delivered through the Obesity Pathway Innovation Programme (OPIP) .

This is an exciting opportunity to provide senior medical expertise within a new multidisciplinary community-based service supporting adults living with severe and complex obesity. The post holder will provide medical assessment, clinical decision-making, prescribing and clinical leadership within the service.

They will work closely with dietitians, behavioural and psychological practitioners, health and wellbeing coaches and other members of the multidisciplinary team.

A particular focus of the service is improving the physical health of people living with severe mental illness (SMI) , who experience significant health inequalities and increased cardiometabolic risk.

Main

Responsibilities

The post holder will: Provide comprehensive medical assessment and clinical review of adults referred to the service. Undertake clinical assessment of obesity-related comorbidities, cardiometabolic risk, medication and potential secondary or contributory causes of weight gain.

Contribute to risk stratification and individualised, shared care planning. Arrange, interpret and act upon appropriate investigations. Provide senior medical input and clinical decision-making within the multidisciplinary team.

Assess suitability for, initiate, titrate, monitor, review and discontinue weight management pharmacotherapy in accordance with relevant NICE guidance and local prescribing arrangements.

Provide clinical expertise in the use of weight management pharmacotherapy, including GLP-1 and GLP-1/GIP receptor agonist therapies where clinically appropriate. Review concurrent medication where weight loss may affect treatment requirements.

Provide medical leadership in relation to the physical health and cardiometabolic needs of people living with severe mental illness. Recognise and appropriately escalate deterioration in physical or mental health. Provide advice to referring GPs, Primary Care Networks and other professionals.

Support appropriate referral and escalation to secondary care and specialist/Tier 4 weight management and bariatric services. Deliver face-to-face, telephone and video consultations. Participate in and, where appropriate, chair multidisciplinary team meetings.

Provide clinical advice to the wider MDT and respond appropriately to clinical queries. Contribute to clinical governance, safeguarding, audit, significant event review and quality improvement. Support education, teaching and clinical supervision within the service and wider primary care system.

Contribute to the development and review of clinical pathways, protocols and prescribing arrangements. Contribute to the programme's monitoring, reporting and formal evaluation. Maintain accurate, contemporaneous clinical records and ensure appropriate communication with patients, carers and other professionals.

Work flexibly across the service's community locations in Spalding, Lincoln and Skegness , with remote working where appropriate. The service operates as a community-based model working alongside existing local authority weight management provision and specialist services.

It provides an important step-up/step-down interface across the wider system and is being delivered as an innovative proof-of-concept programme subject to formal evaluation. The post holder will be expected to work in accordance with relevant NICE guidance, GMC standards, local clinical governance arrangements and agreed service protocols.

Person Specification

Personal Attributes Essential Reliable, flexible and adaptable. Caring, respectful and non-judgemental attitude to patients, families and carers. Commitment to equality, diversity and anti-discriminatory practice, and to reducing health inequalities.

Willingness to travel between service sites and to work the agreed hours flexibly. Desirable Willingness to undertake additional professional responsibilities at local, regional or national level. Ability to motivate and develop a multidisciplinary team.

Interest in the design and evaluation of new models of care.

Qualifications

Essential MBBS or equivalent primary medical qualification. Full registration with the GMC with a licence to practise. Inclusion on the GP Register and the National Performers List.

Evidence of a satisfactory recent appraisal and engagement with revalidation. Minimum of two years' post-CCT experience in general practice Evidence of CPD in obesity, weight management or cardiometabolic medicine. Desirable Membership of, or affiliation to, the Royal College of General Practitioners or equivalent.

Existing accreditation as a GPwER, or a postgraduate qualification or certificate in obesity or weight management. Diploma or higher qualification in a relevant field (e.g. diabetes, cardiometabolic health).

Experience Essential Up-to-date working knowledge of the assessment and management of obesity as a chronic condition, and of relevant NICE guidance (NG246, TA1026). Experience of independent prescribing in a primary care or community setting, including complex medication review.

Experience of managing patients with multimorbidity and cardiometabolic risk. Understanding of the physical health needs and health inequalities experienced by people living with severe mental illness. Desirable Experience of prescribing GLP-1 or GLP-1/GIP receptor agonist therapy.

Experience of working in a specialist or community weight management service. Experience of working alongside mental health services or with an SMI caseload. Knowledge of Tier 4 and bariatric surgical pathways, including pre- and post-operative medical considerations.

Experience of establishing or mobilising a new clinical service. Governance, audit and evaluation Essential Commitment to clinical governance, significant event analysis and quality improvement. Experience of clinical audit.

Desirable Knowledge of evidence-based practice and service evaluation methods. Experience of contributing to research, service evaluation or publication. Interest in contributing to the programme's evaluation and innovation outputs.

Skills and Abilities Essential Excellent clinical assessment, history-taking and examination skills. Clear, comprehensive and timely clinical record-keeping and correspondence. Ability to work autonomously, exercise independent clinical judgement and manage clinical uncertainty.

Effective multidisciplinary team working, including with non-medical clinicians and coaches. Ability to communicate sensitively about weight without stigma, using person-centred and motivational approaches. Sound understanding of clinical risk management and safeguarding.

IT literacy, including clinical systems and remote consultation. Desirable Ability to apply behavioural and psychological models in practice. Teaching, supervision or mentoring experience.

Experience of clinical leadership within an MDT. Experience of co-design or co-production with patients and people with lived experience.

Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details Employer name Lincolnshire And District Medical Services (LADMS) Address Office 7 Fairfield Enterprise Centre Fairfield Industrial Estate Louth, Lincolnshire LN11 0LS United Kingdom Employer's website http://www.ladms.co.uk/ (Opens in a new tab) Employer contact details For questions about the job, contact: Medical Director Dr Elton Pardoe elton.pardoe@nhs.net Details Date posted 11 August 2026 Pay scheme Other Salary £100,870 to £111,441 a year Salary will be pro rata Contract Fixed term Duration 30 months Working pattern Part-time, Flexible working Reference number E0187-26-0008 Job locations Office 7 Fairfield Enterprise Centre Fairfield Industrial Estate Louth, Lincolnshire LN11 0LS United Kingdom Supporting documents Privacy notice Lincolnshire And District M