General Practitioner with Enhanced Role


Company:	NHS Jobs
Salary:	£100,870 - £111,441
Hours:	Full-time
Location:	Fairfield Industrial Estate, LN11 0LS
Job type:	Contract
Posting date:	11 Aug 2026
Closing date:	4 Sept 2026

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Summary

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.

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