East Lancs Teaching Hospitals NHS Trust is looking to appoint a Consultant in Interface Medicine working between our in-hospital and community and intermediate care services.
We are seeking a consultant with drive, commitment and enthusiasm who will bring a consistent focus to high performance and quality of care, working collaboratively with colleagues and providing clinical leadership to the wider team in this new innovative role.
Main duties of the job The successful applicants will play a pivotal role in the care of the patients, working collaboratively with primary, secondary and community colleagues. This role will also undertake the Clinical Lead role for Consultant in Interface Medicine, integrated with our existing Intensive Home Support Service (IHSS) and evolving and expanding the Rapid Response Services to address frailty, multi-morbidity and deterioration in those long term conditions. The role will support the frail elderly patients on the Older Person's Rapid Assessment (OPRA) Unit and Older Person's Units (OPU), work alongside our Acute Physicians in Acute Medicine and support community services to increase the complexity of patients who can be cared for in their own home
About us ELHT is one of four Trusts nationwide to be named as a development site for the Royal College of Physicians Future Hospitals programme.
The Trust delivers safe effective quality care to a population of approximately 550,000.
We are keen to consider applications from dynamic candidates who have a medical specialty interest that may benefit the service.
Our main hospital sites Royal Blackburn Teaching Hospital and Burnley General Teaching Hospital are Teaching Hospitals. We are actively involved in education for both undergraduates and postgraduates and contribute to the Health Education North West training programme.
We have a comprehensive range of community and intermediate tier services that work alongside our local authorities and emerging Primary Care Networks.These postholder will work in a multi-cultural area with beautiful locations including the Lake District, the Dales, and the Forest of Bowland on the doorstep. Cities such as Manchester, Leeds and Liverpool are readily accessible by public transport and by road. We have some excellent state and private schools in the area, and desirable areas to live where property is still at realistic prices.
Job description Job responsibilities This is a full time substantive post and supports our ongoing comprehensive reconfiguration of services. The successful applicant will develop the role of Consultant in Interface Medicine across acute, frailty and community pathways. This innovative new post will have clinical leadership responsibility whilst developing the new models of care a Hospital at Home integrated with our existing Intensive Home Support Service (IHSS) and evolving and expanding the Virtual Ward model to address frailty, multi-morbidity and deterioration in those long term conditions. The role will work alongside our Acute Physicians in the Acute Medical Unit, support the frail elderly patients on the Older Persons Rapid Assessment (OPRA) Unit and Older Persons Units (OPU), and support community services to increase the complexity of patients who can be cared for in their own home.
The successful candidate must hold or be within 6 months of being eligible for specialist registration in General (Internal) Medicine.
Our Acute Medical Unit has significantly expanded in size over recent years, with improved facilities and additional staff. A new area resulting from a £10m investment was opened in December 2020, and incorporates an enhanced care area. The department is forward-looking, with point-of-care ultrasound facilities, Advanced Nurse practitioner training and recruitment, and integrated pharmacist support. There is ongoing expansion of ambulatory care services.
The OPRA Unit has 9 assessment areas and two 19 bedded Older Persons Units. This forms our new Frailty Unit with consultant board rounds throughout the day and full MDT input. There are no long-stay beds. The frailty model continues to develop, and it is anticipated that the postholder will work closely with the Frailty Team to facilitate care closer to home where appropriate.
Our community services incorporate the Intensive Home Support Service (IHSS) and the Intermediate Care Allocation Team (ICAT). IHSS are an integrated health and social care team, consisting of Advanced Nurse Practitioners, Community Nurses, Physiotherapists, Occupational Therapists, Social Workers and a Mental Health Nurse. IHSS provide in reach provision into ED, AMU A & B, OPRA and acute wards.
The Intermediate Care Allocation Team (ICAT) offers a single point of access to all Intermediate Care services throughout East Lancashire. ICAT is an established and truly integrated team of health and social care professionals, consisting of Social Workers, Occupational Therapists and Nurses as well as a team of Co-ordinators and business support staff with the aim of ensuring timely access to the most appropriate intermediate care services for the people of East Lancashire.
This is a 10 programmed activity (PA) post, although additional PAs up to a maximum of 12 may be negotiated with the post-holder by mutual agreement. 7.5 PA are set aside for Direct Clinical Care (DCC) and 2.5 PA for Supporting Professional Activities (SPA), of which 1.5 PA SPA will be designated as core activities, in line with trust policy. The remaining SPAs are dependent upon the individual role in clinical/educational supervision, governance, patient safety, quality, improvement etc.
In line with the specific leadership responsibilities with respect to development of the new interface model, the starting job plan will substitute some of the DCC and SPA with PAs for these additional responsibilities (see below).
The job plan will be subject to re-negotiation and annual review with the line manager.
This post will contribute to the acute medical on-call rota which is a 1:21 (3% supplement to pay) for overnight cover and 1:6 for weekend cover of the acute medical units.
- To develop the interface medicine and hospital at home model, in conjunction with the management team and consultant colleagues in the Directorates of Medicine for Older People, Acute Medicine and Community Services.
- To develop and support the service to create a sustainable model of care which interfaces with primary care, community care and secondary care.
- Lead the development of a Clinical Governance framework for interface medicine.
- Evolve and expand the Virtual Ward model to address frailty, multi-morbidity and deterioration in those with long term conditions.
- To provide continued clinical responsibility for the patients under his/her care in conjunction with colleagues in medicine for older people, acute medicine and community services.
- To take part in agreed provision of cover for consultant colleagues during leave.
- To develop and promote services that minimise hospital stay and maximise opportunities for recovery and independent living.
- To lead/participate in medical audit and clinical governance.
- To provide professional supervision, direction and training to junior medical and allied health professional staff.
- To participate in undergraduate and postgraduate teaching
- To attend appropriate meetings of the Directorate of Medicine for Older People, acute medicine and community services
- Support compliance with the two hour community rapid response standard.
- Increase the complexity of patients who can be cared for in their own home.
It is the responsibility of the appointee to ensure that they maintain their knowledge and skills to the appropriate level laid down for their specialities by the relevant professional bodies (e.g. Royal College, Speciality societies) and to ensure validation is completed in a timely manner. The trust for its part supports CPD in principle and is committed to providing the necessary time and financial support for such activities, subject to agreed local policies.
There is a degree of flexibility within the role and candidates will be supported in specialist interest where this compliments current service availability and service need.
The Trust will consider time off in lieu to support an appropriate work/life balance where required.