Locum Consultant in Geriatrics

Job Summary Worcestershire Acute Hospitals NHS Trust (WAHNT) and Worcestershire Health & Care Trust (WHCT) are investing in teams to help provide robust care for our frail population. We are in the process of aligning care in Worcestershire and Herefordshire, working with colleagues in primary, community and social care, and with patients and carers to ensure frailty is recognised early in all care settings and that people living with frailty have: Access to services that promote healthy ageing Care planned with them in advance, so they stay as well as they can Advance care planning, completed when their condition deteriorates Worcestershire Acute Hospitals NHS Trust has a talented, enthusiastic and motivated multi‑disciplinary team to deliver comprehensive Geriatric assessment which wants to expand both within the trust and into community. Working together, the two provider Trusts have roles for Geriatricians in acute and community settings. We are keen to hear from both senior clinicians and those just starting out. We can work with you to develop your area of special interest. Main Duties of the Job There are new academic opportunities appearing as WAHNT and WHCT have links with the University of Worcester with its Association for Dementia Studies as well as the medical school that opened in 2023 which is focusing on a curriculum emphasis on primary care, long term conditions and rurality. We have become a top priority for the trust and the Health and Care Trust to expand Acute Geriatrics / Frailty assessment on both sites (Worcestershire Royal and The Alexandra Hospital) to include Front Door Frailty Teams, Orthogeriatricians and Surgical Inreach Geriatricians, as well as having Geriatricians in the community who work with both WH & CH and the Acute Trust. Community working would be close with Worcestershire and Hereford STP which are responsible for 7 community hospitals which care for over 200 patients in total between them as well as 14 neighbourhood teams which link primary care, community care and social care. Outpatient Activity is available on 3 sites for speciality and general clinics including hot clinics. About us Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond. The Trust operates hospital‑based services from three sites in Kidderminster, Redditch and Worcester. Our workforce is more than 7,000 strong, and our caring staff are recognised as providing good and outstanding patient‑centred care. You could be one of them. We are committed to recruiting the best people to work with us. Our values, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do. Being open and honest Ensuring people feel cared for Showing respect to everyone We are proud to have achieved Timewise accreditation—this means we are committed to embedding flexible working within our organisation as a flex positive employer. DBS Checks and Costs: Any applicants who are offered posts requiring a DBS check as part of their employment check will have the cost of this check (at the current rate) deducted from their salary. Please see link in Supporting Information section for more details on DBS checks and costs. Job Description – Responsibilities Suitably experienced post-holders will be expected to provide a clinical service in the relevant specialty to patients of the Worcestershire Acute Hospitals NHS Trust and to General Practitioners. Post-holders will be expected to provide a service to patients of the Worcestershire Acute Hospitals NHS Trust, General Practitioners and to attend multi‑disciplinary meetings. The successful candidates will be expected to work within multi‑disciplinary teams in providing high quality clinical care. It is anticipated work will be undertaken on three sites and closer to the patient’s home. The Trust is seeking to extend services to GP surgeries/health centres etc and job plans may be revised in due course. Post holders will provide support to the A&E department and acute medicine to ensure timely appropriate care and patient flow through the hospital. Post-holders will provide consultation and advisory services to clinical colleagues in the Trust and Primary Care. Clinical opinion and support for teams in community hospitals: ward round / MDT. Clinical opinion and support for community neighbourhood teams. Clinical opinion and support for GPs supporting patients in their own homes and in care homes. Supporting clinical review of patients who are high users of community and secondary care. Face to face / phone advice / email / use of electronic patient records. Mentoring generalist clinical staff and supporting enhanced training. Encouraging a Comprehensive Geriatric Assessment approach to management of older people living with frailty in both stable and unstable situations. Encouraging an anticipatory planning approach to managing acute deteriorations including contingency planning and inappropriate admission avoidance. Supporting management and transfer decisions in all care settings to ensure right place of care. Supporting teams in managing the perceived risks of care outside an acute setting. Supporting the education of all those managing Older People living with Frailty and frailty related conditions e.g. GPs ANPs AHP nurses and care staff. Post-holders will attend cross‑county & cross‑site meetings. To collaborate with colleagues to deliver a high quality, timely service and to work towards meeting the Trust’s and departmental objectives. Post holders will if relevant, participate in the on‑call rota to ensure that both emergency and urgent services are provided out of normal hours, to be shared equally with consultant colleagues in post. The Trust would expect consultants whilst undertaking on‑call duties to attend the hospital site to review patients when clinically necessary. The consultant on call must be prepared to attend willingly whenever requested to do so by a member of their medical and nursing team. The post‑holder will develop close collaborative links with Clinicians working in his/her area of specialist expertise and work to develop services to patients in these areas to the highest standard, according to departmental protocols and Trust guidance. To include development of diagnostic and where appropriate therapeutic protocols and guidelines, where appropriate this will involve active participation with Primary Care colleagues. The post‑holder will participate in the Trust’s annual appraisal as described by DOH and leading to revalidation and job planning process. The post‑holder will seek approval for any absence from the Trust such as annual leave, professional leave, study leave & other leave and make available this record at your job plan review. Consultants will provide cross cover for periods of annual and study leave. Person Specification Qualifications – Essential Full GMC Registration with a Licence to practise. Success in Intercollegiate Specialty Examination or overseas equivalent. Hold MRCP or equivalent qualification. Qualifications – Desirable Higher degree. Entry on Specialist Register in General Medicine / Elderly Medicine (or CCT/CESR expected within 6 months of interview date). Experience – Essential Clinical training and experience equivalent to that required for gaining (UK) CCT/CESR in General Medicine and Geriatric Medicine. Ability to offer expert clinical opinion on range of problems both emergency and elective within specialty. Ability to take full and independent responsibility for clinical care of patients. Expertise in subspecialty of Orthogeriatrics where specified. Other Requirements – Essential An understanding of the current NHS environment, particularly in relation to reforms, initiatives and issues. Post holder will attend cross‑county and cross‑site meetings. Able to meet the travel requirements of the job and return to the hospital within 30 minutes when on call. Management and Administrative Experience – Essential Ability to organise and prioritise workload effectively. Ability to advise on efficient and smooth running of specialist service. Ability to organise and manage outpatient priorities. Ability to manage and lead the general medical, elderly care and multi‑disciplinary teams. Experience of audit management and conducting clinical audit. Management and Administrative Experience – Desirable Ability to manage and lead specialist unit and working parties as appropriate. Ability to use evidence based and clinical audit to support decision making. Teaching Experience – Essential Ability to teach clinical skills to medical, nursing staff and other disciplines. Experience of teaching clinical skills to undergraduates and postgraduates. Teaching Experience – Desirable Ability to supervise postgraduate research. Research Experience – Essential Ability to apply research outcomes to clinical problems. An awareness of current specialty specific developments and initiatives. Research Experience – Desirable Publications in relevant peer‑reviewed journals in the last 5 years. Evidence of having undertaken original research. Personal Attributes – Essential Ability to work in a team. Enquiring, critical approach to work. Ability to communicate effectively with patients, relatives, GPs, nurses and other agencies. Commitment to Continuing Medical Education. Personal Attributes – Desirable Willingness to undertake additional professional responsibilities at local regional or national levels. 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit UK Visas and Immigration website. From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website. Employer details Worcestershire Acute Hospitals NHS Trust Worcestershire Royal Hospital Charles Hastings Way Worcester WR5 1DD Employer's website https://www.worcsacute.nhs.uk/ #J-18808-Ljbffr