Trust Registrar in Older People’s Services React

An exciting opportunity has arisen for an additional middle grade doctor to join our award winning REACT (Reactive, Emergency, Assessment, Community Team) service. Based in the lovely county of Suffolk, this is a key role to support the development of the virtual frailty ward and the 2-hour urgent community response across East Suffolk.

The virtual frailty ward seeks to manage individuals living with frailty who have an acute medical condition that would usually necessitate an admission to the hospital but with the support provided by the virtual frailty ward team, the individual will be supported to remain in their own home receiving a high level of clinical care ,diagnostic and therapeutic interventions to manage the acute episode.

The Middle Grade Doctor would be an integral part of both these key functions within the REACT team and would be a key player in building relationships between REACT and primary care, the acute trust, East of England Ambulance Service Trust (EEAST) and the wider community integrated neighbourhood teams.

The role will provide the opportunity to work within REACT, taking referrals from the ambulance stack and providing clinical assessment and appropriate treatment to enable the patients to remain in their own home to receive their care. In addition, clinical input will be required to assist in the development and running of the frailty virtual ward, hosted by REACT.

East Suffolk and North Essex NHS Foundation Trust (ESNEFT) provides hospital and community health care. We serve a wide geographical area with a population approaching 800,000 residents. We deliver care services from two main hospitals in Colchester and Ipswich, six community hospitals, high street clinics and in patients’ own homes. We have nearly 10,000 staff, with an annual budget of over £650 million. We are the largest NHS organisation in the East Anglia.

We are building for better care with an exciting capital development programme across our sites - totalling £100million over the next five years.

We are building a new elective orthopaedic centre for ESNEFT at Colchester Hospital. It will be one of the biggest centres in the country and will ensure we can retain complex and low volume cases locally for the people we serve.

We are also now building a £7million specialist interventional radiology and cardiac angiography unit at Colchester.

At Ipswich we are investing £35million in a new Emergency Department and co-located Urgent Treatment Centre, with additional diagnostic imaging kit (MRI and CT). There’s a £5.3million molecular diagnostic laboratory soon to open at Ipswich, and works begins soon for a new Breast Care Centre and a Children’s Unit.

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The post holder will be responsible for providing the medical review of patients within their own home environment, who are on the REACT and virtual frailty ward caseload. This will include the planning and management of complete episodes of care, initiation and management of therapeutic diagnostics and interventions, working in partnership with the multidisciplinary team, and delegating and referring as appropriate to optimise health outcomes and resource use. The REACT caseload is discussed on the daily morning handover and the virtual ward has a twice weekly MDT. Senior medical cover is provided by Dr Lim, clinical lead for REACT, and the nurse consultant. There is also advice available from consultant covering the frailty assessment base Monday-Friday 9-5pm.

Initially this post will be Monday to Friday 8.30am-4.30pm with appropriate breaks but as the virtual frailty ward develops then the post holder will be asked to participate in a rota that provides 7 day a week cover alongside the other trust grade doctor post and the 2 ACP posts.