Consultant Geriatrician, Interest in Peri-Operative Medicine

3 weeks ago


London, United Kingdom NHS Full time

Consultant Geriatrician, Interest in Peri-Operative Medicine King's College Hospital NHS Foundation Trust
We are looking for an enthusiastic and committed individual to join our team at Denmark Hill in a less-than-full-time post of 5PA minimum with the possibility of adding to those substantive PAs from other sources (Trust and externally). The Department of Clinical Gerontology is a dynamic department with a strong track record in delivering innovative pathways of care, high quality multi-professional training, and academic research.
This post would suit both a seasoned clinician and aspiring clinical leaders holding a CCT in Geriatric Medicine and General Internal Medicine, or within six months of completing specialist training, or equivalent.
This is a specific Less-Than-Full-Time substantive post intended to pair with a current consultant working Less-Than-Full-Time - both sharing a 10PA post.
In our Surgical Liaison Service (also known as PROKARE), covering older adult trauma, orthopaedics, and other surgical specialties.
# On our Frailty Assessment Unit (FAU) and Health & Ageing Unit (HAU), and in General Internal Medicine, at weekends.
# Occasionally, on our Frailty Assessment Unit (FAU) on weekdays.

The post-holder will be required to play an active role in the general workload of the Department of Clinical Gerontology (DCG) and the Acute Specialties Medicine (ASM) Care Group and contribute to teaching and training of junior staff.
The Department of Clinical Gerontology provides a comprehensive service for older adults with an increasing number of sub-specialty services reflecting the increasing evidence base for quality services for this population. There are 90 specialist beds, not including stroke rehabilitation which is managed by Neurosciences currently.
The Trust operates an integrated approach to General and Geriatric Medicine with a mix of generic acute medical beds but also dedicated specialty beds for the care of the more complex older adult. All older people admitted to hospital with an acute medical problem are cared for by general physicians of whom approximately 25% are geriatricians. The department has an expanding ambulatory care portfolio reflecting the varied interests and expertise of departmental staff and the needs of the local population.
King's is in a privileged position having been a key partner in developing integrated older people's services across health and social care and the third sector in recent years. There has been a strong focus on delivering integrated care locally for older people and members of the department work with community rehabilitation, care homes, local GPs, and with our local hospital at home service. There is a heightened interest in frailty and multi-morbidity in our local population and Geriatricians contribute to community multi-disciplinary team meetings.
King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of c£1 billion, 1.The Trust provides a full range of local and specialist services across its five sites. Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.
At King's College Hospital NHS Foundation Trust we are proud of our diverse workforce and the strength that gives us to provide compassionate care to all of our patients. We are fortunate to employ a workforce that represents the population we care for, and we celebrate the value of differences in age, disability, gender reassignment, marital status, pregnancy and maternity, race, sex, sexual orientation and religion or belief.
The post-holder will allow us to continue to deliver a seven-day acute frailty service and a seven-day consultant-delivered service on our inpatient wards, as well as supporting an expanded GIM consultant body to support an enhanced support to the acute medical take. Specifically with this role we are looking to maintain our Surgical Liaison Service (also known as PROKARE).
The post-holder will be expected to contribute to the General Unselected Medical Take, weekend Frailty and Gerontology support, as well as the out-of-hours Gerontology telephone on-call rota. Outpatient activity supports the inpatient activity through targeted follow-up and contributes to the admission avoidance rapid access HOT clinics provided by the departments Consultant Connect service (descriptions of these services can be found below). The post-holder may have a clinic commitment in part of their job plan on taking up the post or in the future.
The post-holder would be expected to play a significant role in service re-design and previous experience of introducing and effecting change and quality improvement is highly desirable. It is envisaged that as the result of this activity and other work within the department, consultants will work increasingly across traditional boundaries between primary and secondary care as well as supporting community services and GPs.
In addition, the individual will be required to play an active role in the general workload of the department with a commitment to teaching, training of junior staff, departmental efficiency, and research. There would be an opportunity for individuals with an academic track record to be accommodated within the department for this position as the department looks to expand its research portfolio in the coming years.
Training and Experience
~ Wide experience in all aspects of peri-operative and surgical liaison medicine, and in Geriatric Medicine and General Internal Medicine, culminating in award of Certificate of Completion of Training by GMC, or award of Certificate of Eligibility for Specialty Registration (CESR) by GMC

Experience in day-to-day organisation of Geriatric Medicine and General Internal Medicine services in a busy Teaching Hospital
Familiarity with information technology and general computer skills
Familiar with current structure of UK National Health Service and conversant with recent initiatives and changes
Audit and Quality Improvement
Thorough understanding of principles of medical audit
Must have undertaken and completed audit projects
Experience of clinical research
Relevant research experience in one or more aspects of Geriatric Medicine and General Internal Medicine
Experience of undergraduate and post-graduate teaching and exam preparation
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.
London Zone Allowance.
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