The post attracts 10 PAs, including 1.5 core SPA in the expectation that career-grade medical staff will undertake additional roles as part of their normal agreed job plan. This will be increased according to additional contributions (e.g. clinical and education supervision of resident doctors). The appointee will have responsibilities across the department, but there will be opportunities to develop subspecialty interests depending on experience and service needs. The appointee will work in accordance with the Trust's standard operating procedures and policies. They will commit to attending accredited conferences and meetings to maintain their continuing professional development, in line with national CME requirements, as well as completing mandatory training. The appointee will be accountable to the CSL. The appointee will also participate in an annual job planning and appraisal process as required by the GMC. Clinical Responsibilities include ward rounds of our footprint of over 200 inpatient beds, assessment of new and follow up patients. Weekend ward rounds are included on a 1-in-6 basis (WTE). The role generates a degree of administrational work. The appointee will be expected to respond to results appropriately and liaise with other teams as required. The appointee will be accountable for clinical matters to the CSL. Governance We have an active governance structure that includes a monthly morbidity and mortality meeting. As well as being expected to prepare cases to present in the meeting, the appointee will recognise and respond to risks and incidents using widely used reporting systems. They will investigate and respond to patient complaints in a courteous and timely manner. They will contribute to audit of departmental and hospital-wide standards as well as leading quality improvement projects to address concerns. Management The appointee will be encouraged to adopt leadership roles within the department. This may include service development or roles that contribute to education, quality improvement, operational work, research or governance. After an introductory period, these roles will be mutually agreed following discussion with the CSL and incorporated into the appointee's job plan. In addition, the appointee will be supported to develop their own areas of interest that contribute to the wider development of Health Care of Older People as a speciality.