Consultant in Older Peoples Service *Welcome Bonus 12K*
East Suffolk and North Essex NHS Foundation Trust
The Trust is looking to recruit two Consultants in Geriatric Medicine, based at Colchester Hospital, to join the existing Consultant workforce.
It is expected that the new appointee will participate in the development of Older Peoples Services and the provision of care to elderly patients. Other subspecialty interests are also welcome including movement disorders and Parkinson's disease, acute frailty service, community interface, and orthogeriatrics. The key elements of the role include inpatient care, frailty work, outpatient clinics, acute medical on call as well as teaching and training junior medical staff.
Our frailty service is provided by "community at the front door", in reaching to the emergency department. The Frailty service is predominantly outpatient based for the provision of Comprehensive Geriatric Assessment of frail elderly patients. The Frailty Service is staffed by a nurse consultant, middle grade Dr, GP trainee, nurse practitioners, senior nurse, Occupational therapist, Physiotherapist, Pharmacist, and healthcare assistant.
The post is full time (10 PAs). The job plan will be divided into direct clinical care (DCC) 8.5 PA and supporting professional activities (SPA) 1.5 PA. Of the 1.5 SPA, 1 is allocated for revalidation, with the additional 0.5 PA for additional activities, such as clinical and educational supervision.
The on call acute medical commitment equates to an additional 1 PA. The frequency of on call is 1 in 8.5 weekends.
Main duties of the job
The post-holder will:
* Work with colleagues to provide a Consultant-led service with the highest standard of care;
* Work with the multi-professional team to develop care pathways and clinical guidelines;
* Develop and maintain good working practices with wards, out-patients, and the Emergency Department (ED);
* Collaborate and promote close working links with colleagues, other departments, and primary care;
* Offer educational, clinical support, and leadership to junior medical colleagues, nursing colleagues, and other members of the multi-disciplinary team;
* Ensure appropriate information is made available to staff to measure clinical performance and enable meaningful benchmarks to be established and evaluated within your area of responsibility;
* Ensure there is a robust process for reviewing the quality of services provided, explaining the causes of success and failure, and ensure the highest standards are maintained;
* Provide a role model of professional leadership, which underpins the corporate values and behaviours agreed by the organisation, ensuring these are understood and demonstrated by the medical workforce within your area and take remedial action where poor behaviour is demonstrated;
* Ensure that junior doctors' training conforms to College requirements; and
* Participate in the appraisal of medical staff within the department in line with the Trust's agreed policy.
About us
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 East Anglia.
We are building for better care with an exciting capital development programme across our sites - totalling £100 million over the next five years.
We are also building a £7 million specialist interventional radiology and cardiac angiography unit at Colchester.
At Ipswich, we are investing £35 million in a new Emergency Department and co-located Urgent Treatment Centre, with additional diagnostic imaging kit (MRI and CT). There's a £5.3 million molecular diagnostic laboratory soon to open at Ipswich, and works begin soon for a new Breast Care Centre and a Children's Unit.
Job responsibilities
* Take part in the acute medical intake working. Provide ongoing medical supervision for those patients admitted under his/her care following the acute take. There are four Older Peoples Services wards and a nurse-led medically optimised ward with consultant in-reach as required. A ward-based system for junior doctors and patients currently operates so patients admitted under one consultant are often transferred to the care of another once they move off EAU and onto another ward. The appointee will be supported by a Registrar and a team of resident doctors including foundation trainees, IMT, and GP trainee doctors. He/She will be responsible for managing in-patients on their allocated ward.
* Work closely with the other consultants in Older Peoples Services to share in the care of patients in all aspects of care including acute care.
* Liaise with consultants within the department on the development and implementation of protocols and guidelines for the management of elderly patients and the development of clinical audit.
* Provide a consultant advisory service to colleagues in other specialties in the trust as well as those in the mental health trust.
* Participate in the Postgraduate and Undergraduate teaching programmes, and teaching of other health professionals, within the department.
* Participate in the appraisal and assessment of junior medical colleagues, as delegated by the Unit Training Director; and
* Participate in the teaching of Registrars and other resident doctors.
* Support cross-cover for consultant colleagues during periods of annual leave.
Person Specification
* Full registration with the General Medical Council
* Entry onto the Specialist Register or a UK SpR within 6 months of CCT date at interview
* MRCP or equivalent
* Ability to offer expert clinical opinion on a full range of acute medical emergencies, rehabilitation, and intermediate care
* At least 4 years at SpR level (or equivalent)
* Ability to build, lead, and work as part of a multi-disciplinary team
* Excellent verbal, listening, and written communication skills, along with excellent interpersonal skills and the ability to deal with difficult situations
* Ability to manage risk and end-of-line decisions
* Ability to organise and prioritise work effectively and to be involved in the organisation of the department
* Entry onto the Specialist Register in G(I)M & Geriatric Medicine
* Evidence of work submitted for Peer review
* Ability to apply research outcomes to clinical problems
* Attendance at teaching course
* Attendance at management course
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.
East Suffolk and North Essex NHS Foundation Trust
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