It is an exciting time to join this team, as we work to implement our Ageing Well and Frailty Strategy across the Guilford and Waverley healthcare system. Our Acute Frailty Service is among the best in the country and the strategy has supported us in developing a Frailty Same Day Emergency Care facility, direct conveyance to this unit by working in partnership with local Ambulance services, a Geriatrician of the Day model providing acute clinical triage and a Hospital at Home service. Opportunities exist to rotate through all of these pathways and prospective cover is within budget. The MICH hub was developed during the pandemic and looks to support neighbourhood teams with standardised CGA assessment. We are looking to work with system partners to risk stratify older people living with frailty, to proactively offer CGA to them and to integrate with locality based MDTs.

All new posts will contribute to our Frailty Academy which has been running since 2021 and has embedded frailty training across the organisation and local system, including the development of the a trainee ACP programme and an internal CESR programme. We recently won a bid to expand the academy and to help develop a strategic workforce plan fit to meet the needs of an ageing population.

Main duties of the job

Post 1: Clinical Lead for the integrated crisis pathway.We are looking for a Clinical Lead to support delivery of an integrated acute frailty service including Urgent Community Response, Hospital at Home, our dedicated Frailty Same Day Emergency Care facility and the award winning Acute Frailty Team based in the Emergency floor.

Post 2: Clinical Lead for integrated proactive care: We are looking for a Clinical Lead to support development of our CGA centre based in our Milford Integrated Care Hub (MICH). This role will provide key medical leadership to the hub and will also be system facing, helping to shape the Guildford and Waverley proactive care strategy and development of neighbourhood MDTs using population health management.

Post 3: Interface Geriatrician working across the integrated crisis pathway:This is a substantive post based in the integrated crisis pathway, offering rotation through our services including Hospital at Home, Same Day Emergency Care and the Acute Frailty Team.

Post 4: Clinical Lead for the iOPAL service:this post will work in an established Acute Frailty Unit and lead the inpatient Older Peoples Advice and Liaison Service, offering standardised CGA to older people with frailty in outlying wards.

About us

Royal Surrey NHS Foundation Trust is a friendly, supportive, busy but welcoming acute and community Trust that is ambitious about developing our services and your career.

Our compassionate, caring and friendly colleagues make up our Royal Surrey family and are at the heart of what we do. We all have a passion for learning, continuous improvement and excelling together through innovation, research and development. There are over 4,500 members of our Royal Surrey family.

We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in the community and homes across Guildford and Waverley.

We have received an overall Good rating from the CQC with Medical care (including older peoples care), End of Life Care and Maternity services being deemed Outstanding by the CQC. We are investing in our colleagues through our health and wellbeing programme and a commitment to supporting professional development as well as investing more than �45 million in our physical environment and new equipment in the next few years.

There has never been a better time to join us.

Job description
Job responsibilities

This is a 10 PA post for a Consultant Geriatrician based at the Royal Surrey NHS Foundation Trust.

These are full-time posts in Geriatric medicine working across the acute and community interface. The Royal Surrey NHS Foundation Trust is looking to fully integrate acute and community services to create one seamless pathway for older adults living with frailty and complexity. Working with the Chief of Service and already established Clinical Director for Frailty Services, we are looking to appoint 4 Consultant Geriatricians working across integrated roles to help us lead this transformation:

Post 1: Clinical Lead for the integrated crisis pathway. We are looking for a Clinical Lead to support delivery of an integrated acute frailty service including Urgent Community Response, Hospital at Home, our dedicated Frailty Same Day Emergency Care facility and the award winning Acute Frailty Team based in the Emergency floor.

Post 2: Clinical Lead for integrated proactive care: We are looking for a Clinical Lead to support development of our CGA centre based in our Milford Integrated Care Hub (MICH). This role will provide key medical leadership to the hub and will also be system facing, helping to shape the Guildford and Waverley proactive care strategy and development of neighbourhood MDTs using population health management.

Post 3: Interface Geriatrician working across the integrated crisis pathway: This is a substantive post based in the integrated crisis pathway, offering rotation through our services including Hospital at Home, Same Day Emergency Care and the Acute Frailty Team.

Post 4: Clinical Lead for the iOPAL service: this post will work in an established Acute Frailty Unit and lead the inpatient Older Peoples Advice and Liaison Service, offering standardised CGA to older people with frailty in outlying wards.

Please see job description for full details.

Person Specification
Experience
Essential

• Wide experience of managing patients with Frailty
• General internal medicine
• Significant evidence of experience in clinical leadership
• Relevant experience of management of medical emergencies
• Understand the principals of Clinical Governance
• Evidence of experience of / commitment to audit and improving clinical practice/service development
• Experience and interest in undergraduate and postgraduate teaching
• CPD - Evidence of post qualifying and continuing professional development clinical knowledge and skills

Desirable

• Active interest in quality improvement or research and commitment to clinical innovation
• Experience / interest in service modernisation and improvement

Qualifications
Essential

• Full registration and a license to practice with the GMC
• Entry on the GMC Specialist Register for Emergency Medicine (or relevant specialty) via:
• CCT (CCT date must be within 6 months of the interview date)
• CESR or
• European Community Rights
• MBBS or equivalent
• MRCP or equivalent
• Provider status in ATLS/APLS/ALS or equivalent, or willingness to obtain within 6 months of interview date

Desirable

• Instructor status in ATLS/APLS/EPLS/ALS or equivalent
• Educational Supervisor qualification
• An appropriate Higher Degree (MD, PhD or equivalent)
• Appraisal qualification
• Qualification in leadership and/ or clinical management.
• Teaching/Education Qualification

BMJRef: BMJ-123275/384-C9384-EMF11862