The Elderly Care team with 15 funded Consultant Geriatrician posts (12 in place) currently provides a wide range of hospital and community-based services including Acute Frailty services and specialist clinics for patients with Parkinson's disease, falls, and general medical conditions. We have recently started a Rapid Access Clinic for Elderly as part of Frailty- Same day Emergency Care (F-SDEC). Inpatient elderly care wards include 6 acute elderly care wards (one of which is based in the community in Sheppey Hospital) and an established purpose-built Acute Frailty Unit with 10 Assessment beds, 22 short stay beds, and 2 clinic rooms. In addition to existing services, we are seeking colleagues to take on the challenge of developing new models of care for frail elderly people in the community.
Pioneering work has already established Integrated Locality Review meetings (MDT meetings, 4/week). Consultants are working closely with existing community teams to proactively assess and manage frail individuals in the community. The post holder will join the existing team of full-time Consultants and will be responsible for the management of patients admitted to their specialty Elderly Care ward (12-15 patients) routinely and those admitted under their care whilst on call for Acute Frailty.
The latter would average 15-20 per on call. These patients are then streamed to the Frailty Short Stay Unit if early discharge is planned (< 48 hours) or one of the 5 Frailty Base wards for longer admissions. The Acute Frailty Unit has a dedicated Elderly Care Team with 2 Consultant Geriatricians supported by their own team of junior doctors and a Multidisciplinary Team. There are 10 funded posts for Middle Grades in the department, with currently 9 in post.
Current Elderly Care Consultants participate in an Acute Frailty On-call service. The post-holder will be paired with another Consultant so that in a 12-week block they provide 2 weeks of weekday on-call and 2 weekends on-call. Full registration with the GMC and the ability to make decisions at a senior level are required. The role will allow you the opportunity to continue your personal development and participate in the teaching, research, and governance programs within the Department. All subspecialist interests are welcome.
There is an opportunity, in negotiation with the other consultants, for participation in the running of the established clinics such as Falls and Movement Disorder Clinic. The successful applicant will also have an outpatient workload comprising of new and follow-up referrals for managing complex co-morbidities. A typical clinic would have 2-4 new patients and a similar number of follow-up patients. For suitably qualified candidates considering the CESR route to a substantive Consultant position, we provide structured and established departmental support.
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