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Consultant in Geriatric Medicine

Employer
West Suffolk NHS Foundation Trust
Location
Bury St Edmunds
Salary
£84,559 to £114,003 a year plus an on call availability supplement if appropriate.
Closing date
16 Sep 2022

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Sector
Hospital, Geriatric medicine
Career Level
Consultant
Contract Type
Permanent
Hours
Full Time
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Job Details

West Suffolk Foundation NHS Trust are seeking a Consultant Geriatrician to join our Care of the Elderly Team. This role isnt just about seeing patients in the acute facility, our Geriatricians also see patients in the community and are actively involved in admission avoidance for both frail and elderly patients. Our consultants complete outpatient clinics and work with Community Matrons to make sure patients receive the best possible outcome without needing to be admitted to an acute setting. We are also keen to teach the next generation of Geriatricians through engaging teaching exercises and a supportive environment.

The successful applicant will be joining an established team of Consultants within a very busy acute hospital environment. These are exciting times to be joining the Care of the Elderly Team as we continue to explore new ways of delivering our services in a pro-active and systematic way to care for patients with often complex needs.

Main duties of the job

Consultant support for Ward G4 (12 patients)

Weekly ward round and MDTs at our intermediate care beds (Newmarket Community Hospital)

Review of older in-patients under other specialties

Out-patient Clinics in General Geriatric Medicine and falls

Support the active case management of frail older patients as part of the acute Frailty assessment unit

Weekend post-take Ward Round on a Rotation (1 in 7)

Weekly MDTs with Community Matrons

About us

#BeKnown at West Suffolk NHS Foundation Trust. By us. By our patients. By our community

Were a busy, friendly, rural NHS Trust providing high-quality care and compassion to more than a quarter of a million people across west Suffolk. We care for, treat and support people in hospital, at home and in various community settings.

The West Suffolk Hospital in Bury St Edmunds provides acute and secondary care services (emergency department, maternity and neonatal services, day surgery unit, eye treatment centre, Macmillan unit and childrens ward). It has 500+ beds and is a partner teaching hospital of the University of Cambridge.

Adult and paediatric community services, provided in collaboration with West Suffolk Alliance partners, include a range of nursing, therapy, specialist, and ongoing temporary care and rehabilitation, some at our Newmarket Community Hospital.

We do our utmost to achieve outstanding clinical outcomes for patients and our values of fairness, inclusivity, respect, safety and team work guide how we work and behave as a team.

With nearly 5,000 staff, from all over the world, we strive to make our organisation a great place to work. Whatever your role or ambition, we want to help you be the best you can be.

We promote a diverse and inclusive community where everyones voice counts and you can #BeKnown for whoever you are.

Join us. What will you #BeKnown for?

Job description
Job responsibilities

Please see job description attached.

General information

This is a full-time substantive consultant appointment (10 PA), though a part time appointment can be offered to suitable candidates. An interest in a geriatric medicine subspecialty will be encouraged.

The appointee will join a team of 6 existing consultants who provide sessions in both the acute hospital and the community. We currently provide
  • Care of older hospital inpatients on a 32 bedded ward at West Suffolk Hospital plus suitable patients outlying on surgical wards
  • Weekly ward round and MDT of intermediate care beds in Newmarket and Bury St Edmunds
  • Review of older in-patients under other specialties
  • Outpatient clinics in general geriatric medicine and falls
  • Early specialist frailty assessment of patients in ED and the acute admissions unit 5 days a week from 9am until 7pm
  • Surgical liaison service
  • Weekend post-take ward rounds on a rotational basis (1 in 7)

This post will consist of both acute hospital and community-based sessions.

Sessions at West Suffolk Hospital will include direct care of ward patients, seeing referrals from other specialties and contributing to the weekend geriatric medicine acute take. As we operate a ward based system the appointee will be responsible for a small number of younger patients placed on the ward so confidence in general internal medicine is a requirement for the post.

For the community sessions the appointee will be based in Newmarket Hospital,15 miles to the west of Bury St Edmunds, and will develop a model of working closely with the GP practices, community matron and community therapists to deliver comprehensive geriatric assessment to the local frail older population. Community based sessions will include a weekly MDT meeting and review of patients in intermediate care beds at Newmarket Hospital (32 patients), plus a twice monthly outpatient clinic at Newmarket Hospital or domiciliary assessments as deemed appropriate by the appointee.

The appointee will also be responsible for the supervision and training of assigned junior staff, and will contribute to the teaching of medical students attached to the department and training of nursing staff, physician associate students and allied health professionals within the department.

Timetable

A job plan will be agreed with the Clinical Director in the first instance and approved by the Medical Director on behalf of the Chief Executive.

The following will be incorporated within the job plan (see timetable). Indicative average numbers of patients are included in brackets, however as always medical workload depends on overall hospital activity and will be variable.
  • Ward rounds on acute geriatric medicine ward at West Suffolk Hospital (11-20 patients)
  • Weekly MDT (1hr) and patient review at Newmarket Hospital (2-4 patients)
  • Once a week commitment covering acute frailty assessment unit
  • Outpatient clinic at Newmarket Hospital (every 2 weeks, 4 patients)
  • Weekly MDT with community matrons (1hr)
  • Contribution to ward and departmental teaching programme
  • Attendance at departmental management meetings monthly
  • Weekend post-take ward rounds on a 1 in 7 basis (8-10 patients)
  • 1.5 PAs for supporting professional activities for revalidation such as CPD, audit
  • Additional PAs will be given for specific roles such as educational supervision, teaching and leadership as the appointee develops the skills to undertake these.


The initial job plan will be for 10 PA including weekend on call. Weekend work commitments will be offset by week time. However, the trust will be flexible to increase the number of PA by 0,5 to cover weekend hours if the candidate wishes to do so. The job plan will be reviewed after 3 months and will provide an opportunity for discussion of the individuals personal development plan and other subspecialty interest.

Mentoring

The new appointee will be supported and mentored by an existing consultant for the first six months of the post.

Person Specification
Qualifications
Essential
  • 1. Entry on the GMC specialist registers in General Internal Medicine and Geriatric Medicine or be eligible for entry (within a year of attaining Certificate of Completion of Training) at the time of interview and hold a licence to practice.
  • 2. Full GMC registration with a licence to practise
  • 3. MBBS or equivalent
  • Assessment: Application form
Research Experience
Essential
  • 1. Ability to apply research outcomes to clinical problems
  • Assessment: Application form, Interview and references
Desirable
  • 1. Experience of conducting research projects
  • 2. Publications in peer-reviewed journals
Management and Administrative Experience
Essential
  • 1. Ability to manage and lead a multidisciplinary team
  • 2. Ability to contribute to development of services
  • 3. Experience of clinical governance
  • 4. Ability and willingness to work within the Trust and NHS performance framework and targets
  • Assessment: Application form, Interview and references
Teaching Experience
Essential
  • 1. Experience of supervising junior trainees
  • 2. Ability to teach clinical skills to students and trainees
  • Assessment: Application form, Interview and references
Desirable
  • 1. Experience of teaching basic clinical skills to undergraduates
  • 2. Experience of teaching other professional groups
Experience
Essential
  • 1. Clinical training and experience equivalent to that required for gaining UK CCT in General/Geriatric Medicine.
  • 2. Ability to offer expert clinical opinion on a range of problems in adult medicine
  • 3. Ability to take full and independent responsibility for clinical care of patients
  • Assessment: Application form, Interview and references
Knowledge
Essential
  • 1. All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues which could be demonstrated by one of the following:
  • -that applicants have undertaken undergraduate medical training in English; or
  • -have the following scores in the academic International English Language Testing System (IELTS)-Overall 7.5. Speaking 7, Listening 7, Reading 7, Writing 7.
  • If applicants believe that they have adequate communication skills, but do not fit into one of the examples they need to provide evidence
  • Assessment: Interview and references


BMJRef: BMJ-88242/179-C9179-MSC33-22

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