Consultant Geriatrician

2 months ago

London, United Kingdom Lewisham and Greenwich NHS Trust Full time

Job summary

Applications are warmly invited fortwo Consultants in Geriatric Medicine, based at the Queen Elizabeth Hospital (QEH) in Woolwich, to join the existing 8 substantive consultants.

The posts have been created to develop and consolidate new ways of working. The trust has a separate "on take" system for older frail patients. The Frailty Unit enhances the flow of appropriate patients to the complex care wards,which Consultant Geriatricians lead comprehensive assessment and discharge planning.

The Frailty consultants provide daily telephone support to primary care and there is a daily frailty clinic.

The Frailty Unit is supported by appropriately skilled nursing staff, therapists and two facilitated discharge teams which serve the surrounding areas of Greenwich and Bexley.

The Frailty unit is working with local clinical commissioning groups and community partners to improve delivery of intermediate care, both within a person's home and within local nursing homes and community hospitals.

The new incumbent will form part of a team of ten Consultants developing and managing these services. It is envisaged that colleagues will have the opportunity to rotate around the various components of the care pathway (acute care, complex care, community interface), though colleagues with a special interest may wish to remain within their preferred area.

Newly appointed consultants will be offered a mentor from within the Trust. This may be from within the department or another speciality.

Main duties of the job

Support and further develop the geriatric service

Support and develop the interface frailty services for ED and relevant clinical areas

Support, lead and develop integrated care working with CCG's and community partners

Be an advocate for the care of older people within the organization.

Lead, support and mentor junior medical staff within the department and ensure training requirements are met.

Undertake work within a relevant area of interest.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development Widening access (anchor institution) and employability Improving the experience of staff with disability Improving the EDI literacy and confidence of trust staff through training and development Making equalities mainstream Job description

Job responsibilities

Clinical Responsibilities

The support and further development of the initiatives within the Department of Geriatric Medicine (as described above), and the consolidation of current inpatient clinical services for older people.

General Responsibilities

To provide high quality health care for older patients referred for diagnosis and treatment,

To respond to inpatient and outpatient referrals from other specialties

To provide prompt advice for General Practitioners

To participate in educational and audit meetings

To meet CPD and revalidation requirements

To provide cover for Consultant colleagues during periods of leave

To support the Hospitals Clinical Governance Strategy

To contribute to all other aspects of the Directorate and trust affairs

Medicine for the Elderly

To provide a consultant-led service in the specialty

To lead daily board rounds and ward rounds on relevant wards

To lead on the new initiatives for the care of older people

To contribute to research in Medicine for the Elderly in an area of special interest

To contribute to meeting the 18 week outpatient target

To contribute to meeting the 4 hour waiting time target in the Emergency Department

To contribute to otherquality indicators where relevant

To contribute to community services (Bat phone and Frailty Clinic)

Medical Education & Teaching

To supervise and teach Medical Students.

To participate in formal teaching of the Medicine in Old Age Syllabus to Year 4 medical students, and acute medicine to Year 3 students.

To supervise and manage trainee medical staff (in conjunction with other Consultants on the firm and in the Department) and ensure training requirements are met

To provide post-graduate training in Medicine for the Elderly for all grades of Medical Staff and for non-medical clinical staff.

To contribute to regular training and teaching sessions for General Practitioners and to foster increased knowledge and skills within the local Medical Community

To be a Clinical supervisor and Education supervisor to a number of trainees.

Clinical Audit/ Clinical Governance/ Research

To participate in clinical audit and implement audit findings as appropriate.

To support NIHR funded research.

Continuing Professional Development

1. Participate in continuing professional development at local and national level

2. Implement audit and research findings as appropriate in clinical practice

3. Prepare and participate in an annual appraisal in accordance with Trust policy

4. A willingness to undertake additional professional responsibilities at local, regional or national levels

Policy, Planning and Management

1. Support the Trust to deliver quality patient care

2. Contribute to the development of clinical and organisational protocols and guidelines

3. Assist in the development of the Annual Service Plan for the Directorate and Division and participate in the strategic planning of the service

4. Comply with all Trust lead or participate in the development of improved workflow through the Radiology Department, ensuring better patient experience and increased efficiency. This is a specimen plan reflecting proposed activities. Flexibility in these sessions is necessary depending on the changing demands on the service.

Person Specification

Qualifications

Essential

MBBS or equivalent MRCP or equivalent Full registration with the GMC and hold a licence to practise and be on the GMC Specialist Register for Geriatric Medicine or within six months of obtaining CCT at the time of interview Broad based general training

Desirable

MD/PhD or other higher degree

Training

Essential

Broad based training and wide experience of acute & general medicine Broad-based training in Geriatric Medicine

Desirable

A special interest within Geriatric Medicine complementing those currently in the directorate. An interest in managing frailty in acute care and the community would be particularly welcome

Clinical Experience

Essential

Understanding of the principles of clinical governance and clinical risk. Understanding and experience of audit.

Desirable

Previous broader experience of clinical governance, clinical risk management and associated areas

Clinical Audit

Essential

Wide experience of, and strong commitment to, undergraduate and postgraduate teaching (UHL is a main campus site of the Kings College London School of Medicine).

Desirable

Evidence of ability to organise training / teaching events Interest in, or previous experience of, clinical or service development research including successful delivery of research objectives

Teaching Experience

Essential

Understanding of the implications of the NHS Plan and other national guidance and policy relevant to the provision of geriatric medicine. Understanding of NHS organisation and management A commitment to participate in the management of the Directorate of Medicine.

Desirable

Formal management course with previous management experience especially of change management. Understanding of, or previous experience of, working closely with older people's services

Management and Administrative Experience

Essential

Knowledge of research methodology & Clinical trials

Other Attributes

Essential

Good communication and interpersonal skills Ability to lead a multidisciplinary team Flexibility to respond to the varying needs of a busy department

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