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.
Theaim of the post are to:
· To 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.
· 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.
· To proactively work to prevent unnecessary admission/readmission to an acute hospital – including daily review of patients on the ward.
· To facilitate appropriate discharge from the Unit to the optimal location for the patient wherever possible including their own homes.
· To support patients, carers and families.
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.
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
• Annual travel card loan
• Training, support and development in your career
To have a full look at our benefits and what it’s like working for us please go here:
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. We are proud to say that we follow the workforce race equality standard and 28% of our senior staff (8A and above) are from a BAME background. CLCH also has active BAME and LGBTQI networks.
Main Duties and Responsibilities
The Speciality Doctor will work within a multi-disciplinary team of healthcare professionals including nursing staff, pharmacists, allied health professionals and medical staff. You will undertake a range of essential routine tasks under the supervision and delegated authority of the relevant senior doctor in charge of the clinical area in which you are employed.
· To 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.
· 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.
· During core hours, daily review of ward patients including attendance at ward sweep/handover.
· 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.
· 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.
· Assessment of unwell patients escalated to doctor by nursing/therapy staff.
· Advising nursing/therapy staff regarding medical management of unwell patients.
This advert closes on Monday 6 Jan 2025