Do you want to make a tangible difference to people's lives, with the best of London on your doorstep?
Central London Community Healthcare (CLCH) is one of the largest community healthcare organisations in London and Hertfordshire, providing our services to diverse communities/boroughs in 11 London Boroughs - Barnet, Brent, Ealing, Hammersmith & Fulham, Harrow, Hounslow, Kensington and Chelsea, Merton, Richmond, Wandsworth, Westminster - and Hertfordshire.
We are rated Good by the Care Quality Commission and are ranked among top NHS employers. Community healthcare is our focus and our passion. We champion the role of community health professionals to make sure our patients get great care closer to home.
Job overview
Job Purpose
Central London Community Healthcare NHS Trust (CLCH) delivers the Stroke and General community in-patient rehabilitation service for Barnet as well as offering some step-down and non-weight-bearing beds across the wards.
The units provide a comprehensive community-based step-down facility that supports patients’ rehabilitation and recovery in a community setting, with an active therapy programme.
Ongoing assessments for those patients who are medically optimised but who require further assessments (typically Continuing Healthcare (CHC) assessments) outside of the acute setting in relation to their health and social needs and future living arrangements are also undertaken where necessary.
All run a 24/7 service with nurses always present and doctors/therapists available in core hours.
Main duties of the job
The aim of the post are to:
1. Manage the medical care of patients referred to the ward for rehabilitation. The doctor will be the only medic resident on the ward – There are Consultant reviews twice weekly (Ward round and MDT) and Consultant advice is available by phone.
2. Manage any medical deterioration on the ward as appropriate and with the advice of the ward Consultant. (Consultant is based off-site). Patients are required to be deemed medically optimised to be transferred for rehabilitation, but due to frailty and comorbidities may require medical input during their rehabilitation admission. Treatment options depend on the severity of issue and include both management on the ward and transfer of care to acute hospital ward/hospice.
3. Proactively work to prevent unnecessary admission/readmission to an acute hospital – including daily review of patients on the ward.
4. Facilitate appropriate discharge from the Unit to the optimal location for the patient wherever possible including their own homes.
5. Support patients, carers and families.
Working for our organisation
Just as we care about our patients’ wellbeing, we care about yours!
We can offer you:
* A comprehensive induction into the community service followed by a local induction to introduce you to the role
* Single occupancy accommodation in Central London – (we can help you find accommodation in London, support you with your deposit)
* Support with gaining your driving license *T&C’s apply
* Car lease scheme *T&C’s apply
* Flexible working options
* Training, support and development in your career
At CLCH we appreciate and are proud of the diversity in the communities we serve and the workforce we employ. Applications are open and welcome to anyone, regardless of your age, sexual orientation, ethnicity, religion, and disability.
Detailed job description and main responsibilities
Main Duties and Responsibilities
1. Work within a multi-disciplinary team of healthcare professionals including nursing staff, pharmacists, allied health professionals and medical staff.
2. Manage the medical care of patients referred to the ward for rehabilitation. The doctor will be the only doctor resident on the ward – there are Consultant reviews twice weekly (Ward round and MDT) and Consultant advice is available by phone.
3. Clerk in new patients. On admission patients should be reviewed – full medical history should be taken, the patient should be examined, full notes entered to SystmOne and/or paper notes, VTE assessment undertaken as per protocols, and medications prescribed.
4. During core hours, daily review of ward patients including attendance at ward sweep/handover.
5. During out of hours, patients identified by the ward matron or other nursing/therapy staff as needing a review, and/or patients with new symptoms or signs, should be reviewed, including a relevant comprehensive history and physical examination.
6. Manage any medical deterioration on the ward as appropriate. Patients are required to be deemed medically optimised to be transferred for rehabilitation, but due to frailty and comorbidities may require medical input during their rehabilitation admission. Treatment options depend on severity of issue and include both management on the ward and transfer of care to acute hospital ward/hospice.
7. Assessment of unwell patients escalated to doctor by nursing/therapy staff.
8. Advise nursing/therapy staff regarding medical management of unwell patients.
Person specification
Education/Qualification
* GMC registered with a licence to practise.
* Completed Foundation Training (FY1 and FY2)
* Two years post-Foundation Training experience
* Up to date Resuscitation and Safeguarding Training.
* Speciality Doctor with training in relevant area e.g., Elderly Care Medicine, Rehabilitation Medicine.
* MRCP, DGM or equivalent
Experience
* At least two years experience working as a Doctor in a rehabilitation setting
* Experience of working in the NHS
* Experience working with patients with frailty
* Previous experience working in a ‘community hospital’, rehabilitation service or frailty service would be an asset
Skills and Knowledge
* Knowledge of GMC ‘Duties of a Doctor’
* Experience of using SystmOne and ICE
Due to the high number of applications that are received for some posts we may close this vacancy before the advertised closing date. Therefore please apply for this post as soon as you can, if you are interested and you meet the requirements of the Person Specification.
Only those candidates who clearly demonstrate how they meet the person specification will be shortlisted for this job.
Interview arrangements will be communicated via email so please check your email regularly following the closing date.
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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