Consultant in Medicine for The Elderly

2 weeks ago

Dundee, United Kingdom NHS Scotland Full time

Applications are invited for an MFE Consultant post to join the innovative Medicine for the Elderly Team in Dundee.

Dundee has a diverse and integrated geriatric model across acute hospital (Ninewells hospital) services to our communities. The acute component includes a 7 day per week multidisciplinary Acute Frailty Team and a 24 bedded Acute Medicine for the Elderly Unit (AME Unit) as a separate ward in the Medical Admission Unit. This innovative front door model has strong, integrated community links with staff working across this interface, which facilitates seamless early community discharge. In addition, in Ninewells hospital, we have a 30 bedded geriatric assessment and rehabilitation unit in Ninewells Hospital, aimed at managing acute severe illness in frail people, while at the same time rehabilitating to protect loss of functional ability.

This frailty front door service is a key component of the Tayside Unscheduled Care model which is recognised nationally as an exemplar.

In addition to the acute hospital, we have flourishing community care models with community hospitals and Royal Victoria Hospital, the centre for step-down rehabilitation in Dundee. We have a strong community presence and support Enhanced Community Support (ECS) with regular GP practise-based MDT meetings supported by designated locality MFE consultants aligned to each GP practice. In addition to this we also have Dundee Enhanced Community Support Acute Team (DECSA) which is essentially a form of hospital at home model which supports our ambition to manage the care of frail people in their own home, if safe to do so.

At the heart of our model is locality working where the team concentrate on the care of older people in one of the four specific Dundee localities or GP clusters. This delivers population continuity of care. As an MFE consultant, you are enabled to manage the care of the same frail person in the community, outpatient clinics and while an in-patient throughout an older person’s life. It is a very holistic and rewarding model to work in.

We are supported by a great team of career grade doctors, as well as 9 MFE Advanced Nurse Practitioners and two nurse consultants. This level of support allows each consultant to function at the senior level we aspire to and lead in care delivery to our respective populations, without necessarily having to individually deliver all the vast amount of care needed.

The Medicine for the Elderly team has a strong senior speciality doctor/ consultant group with no unfilled posts. The Dundee Health and Social Care Partnership and NHS Tayside have an ambitious strategy for Older People which demonstrates commitment to this population. Rewardingly, much of the leadership in Tayside is clinically co-led, which genuinely allows a clinical voice and input into care models. The Medicine for the Elderly team is at the heart of this leadership model and so has a very strong voice allowing continuous service progression across the whole system to the benefit of older people in Tayside.

Innovation and continuous service improvement is the norm in Tayside, hence our ambitious strategy around frailty in our surgical division. Recently a surgical Acute Frailty Team has been introduced to support emergency and elective surgery and stage two of our plan is to enhance our orthogeriatric model. The team currently have two advanced nurse practitioners (ANPs), three specialty doctors and a consultant.

In addition, as part of our remobilisation plan there is significant focus in Tayside on planned/elective care and developing the surgical/orthogeriatric arm of this service is part of the vision.

Interview Date 27th March 2023.

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