Job summary We wish to appeal to GPs with a desire to be involved in developing home delivered patient centred care who themselves strive to make a difference and be influential in shaping services for the future. The lead decision maker post holder will work in partnership with our Lead GP and multi-disciplinary team (MDT) to grow the 'HospitalHome' service, a frailty virtual ward serving frail people in Middlesbrough, Redcar and Cleveland and working in partnership with North Tees for patients in Stockton and Hartlepool and the wider health and social care system. HospitalHome is a patient-centred care model with shared decision-making. There is an ongoing program offer to more clinical pathways, enabling more patients to be cared for at home. Main duties of the job Main duties of the role The core functions of this post are: To provide clinical, educational and strategic support to the team, including Clinical skills development and knowledge tutorials To work in partnership with the Consultants and GP in Older Person's Medicine to establish an integrated frailty management system. To work in partnership with the leadership teams for Community Nursing and Therapies to support the development of the reactive team responding to frailty crisis in the community, preventing unnecessary hospital admission. To work in partnership with integrated neighbourhood teams including primary care networks and the leadership teams for Community Nursing and Therapies to support the development of the proactive team preventing frailty crisis in the community. Facilitate and support early discharge for inpatients where possible. Involvement in the development of proactive care service Provide senior clinical decision making to the team Develop networks with key stakeholders To provide pastoral support, mentorship and educational training in the management of frailty to staff within the healthcare economy Daily ward round/board round Continuity of care for patients and colleagues - same doctor each day for a run of preferably 3 days with handover of complex cases to out of hours staff and to the doctor taking over a run of shifts Discussion of cases with clinical staff who visit patients Patient visits About us Our ambition is to become the place of choice for acutely ill frail patients with increasing access to diagnostics and home interventions, working in a collaborative, integrated, fluid approach to providing healthcare in the community rather than static bedded care. In addition to this we are developing a strategy for proactive care, these post holders will be key to its development of this, the initial focus should be on delivering proactive care to the most complex and vulnerable patients with the aim of reducing avoidable exacerbations of ill-health and improving the quality of care for older people. These senior clinicians will work within an MDT with the aim of providing safe, excellent care for patients in their own home, providing continuity of care for patients and continuous improvement in quality and service development. Date posted 29 January 2025 Pay scheme Hospital medical and dental staff Grade Doctor - other Salary Depending on experience Contract Permanent Working pattern Full-time, Part-time Reference number 328-UE-MED-0185 Job locations Single Point of Access Daisy Lane Middlesbrough TS7 9PX Job description Job responsibilities Please see the full job description and person specification document(s) formain responsibilities of the role. Job description Job responsibilities Please see the full job description and person specification document(s) formain responsibilities of the role. Person Specification Clinical Responsibilities Essential To work without direct supervision where appropriate To prioritise clinical need To maximise safety and minimise risk experince Essential oMinimum of 3 years clinical experience in primary care and associated specialties (this experience could be gained alongside this role) experince Essential oPrevious experience in Older Persons medicine Person Specification Clinical Responsibilities Essential To work without direct supervision where appropriate To prioritise clinical need To maximise safety and minimise risk experince Essential oMinimum of 3 years clinical experience in primary care and associated specialties (this experience could be gained alongside this role) experince Essential oPrevious experience in Older Persons medicine 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name South Tees Hospitals NHS Foundation Trust Address Single Point of Access Daisy Lane Middlesbrough TS7 9PX Employer's website https://www.southtees.nhs.uk/ (Opens in a new tab)