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Trust Doctor StR Lower - Geriatrics/Peri-operative Medicine

Employer
University Hospitals Plymouth NHS Trust
Location
Plymouth
Salary
£43,923 Per annum
Closing date
6 Dec 2023

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To ensure older patients admitted with fractures and trauma, and undergoing Orthopaedic surgery or non-operative management, receive prompt and high-quality peri-operative medical care timely access to surgery and ensuring high standards are met such as those outlined in the National Hip Fracture Database in order to achieve the best possible outcome for this frail patient group.
Main duties of the job
  • Attend the Morning Trauma Meetings and liaise with Orthopaedic staff regarding elderly patients with Fractured neck of femur and other Fragility Fractures/Trauma.
  • Review all new Fractured Neck of Femur patients ensuring background information available, seeking collateral history where necessary. Ensure appropriate medication review, VTE prophylaxis, analgesia, falls assessment and bone protection.
  • Provide peri-operative ward-based care for patients following initial review, primarily those with Fractured Neck of Femur.
  • Liaise with Orthopaedic teams to enable timely surgery.
  • Liaise with Anaesthetic colleagues where appropriate.
  • Liaise with families and carers, documenting discussions.
  • Attend MDT to coordinate and document discharge planning, rehabilitation progress and work towards set estimated discharge dates.
  • Arrange and attend family meetings where necessary to improve communication, discharge planning and management of patients with complex issues requiring case conference.
  • Take part in the Orthopaedic ward cover rota on a 1:5 basis at weekends.
About us

We are a people business - where every member of staff matters and can make a difference. Patients are at the heart of everything we do. Joining University Hospitals Plymouth NHS Trust means becoming part of a team of dedicated staff, who are committed to leading the way through innovation, clinical excellence and great customer care. The Trust has great opportunities for career development in a highly progressive working environment. We offer all of this in a vibrant, modern city with a historic reputation for adventure. PLEASE NOTE THAT ALL COMMUNICATION WILL BE ELECTRONIC, PLEASE CHECK YOUR EMAIL ACCOUNT REGULARLY. If you have any issues with applying online and need additional support including reasonable adjustments with the application process please contact the recruitment team on 01752 432100. We recognise that work life balance is important for our colleagues and so we invite requests from applicants around less than full time/flexible working for our advertised roles. Please contact the recruiting manager to discuss this prior to your application submission. We commit to giving this full consideration in each case. We encourage people from diverse backgrounds to apply for our roles, as diversity strengthens our teams. It is sometimes necessary to close vacancies before the closing date. If you have not heard from us within 4 weeks of the closing date, please assume that you have not been shortlisted.

Job description
Job responsibilities

Attend the Morning Trauma Meetings and liaise with Orthopaedic staff regarding elderly patients with Fractured neck of femur and other Fragility Fractures/Trauma.
  • Review all new Fractured Neck of Femur patients ensuring background information available, seeking collateral history where necessary. Ensure appropriate medication review, VTE prophylaxis, analgesia, falls assessment and bone protection.
  • Provide peri-operative ward-based care for patients following initial review, primarily those with Fractured Neck of Femur.
  • Liaise with Orthopaedic teams to enable timely surgery.
  • Liaise with Anaesthetic colleagues where appropriate.
  • Liaise with families and carers, documenting discussions.
  • Attend MDT to coordinate and document discharge planning, rehabilitation progress and work towards set estimated discharge dates.
  • Arrange and attend family meetings where necessary to improve communication, discharge planning and management of patients with complex issues requiring case conference.
  • Take part in the Orthopaedic ward cover rota on a 1:5 basis at weekends.

Audit, Research, Teaching and Service Development
  • Ensure elements required for achievement of Best Practice Tariff for Hip Fracture are recorded accurately and updated regularly.
  • Review delays to theatre for audit purposes, to understand themes causing delay to surgery and instigate guidelines and changes in practice for future improvement.
  • Participate in development of guidelines and pathways to promote good and safe practice and drive improvement in care.
  • Review hip fracture database (NHFD) and oversee continual audit aiming to provide high quality care and assessment to this patient group.
  • Present and participate in educational sessions for surgical and other healthcare staff on peri-operative topics such as delirium, falls, fluid management, acute kidney injury etc.
  • Develop skills in local anaesthetic blocks with Lead Anaesthetic Consultant and Orthopaedic staff.
  • Attend and participate in weekly Health Care of the Elderly Educational meetings and the Medical Grand Round.
  • Attend relevant conferences, local and national, pertinent to educational needs/professional development.
  • Attend regular Fractured Neck of Femur Ward meetings as part of our Clinical Governance to identify areas for these patients where care, communication and protocols could improve outcomes and the experience for our patients.
  • Attend regular teaching and clinical governance meeting within Trauma and Orthopaedics including CME for audit, and morbidity/mortality meetings.
  • There are excellent opportunities for getting involved in service development in this ever-developing specialty of peri-operative and Ortho-geriatric medicine, including a wide variety of audit and quality improvement opportunities, of both local and national relevance, such as pain relief, delirium management, adherence to recommended guidelines and treatment etc.

The hours for the post are Monday-Friday 0800 1730, taking part in 1 in 5 weekends (0800-1730) providing cover for the three Trauma and Orthopaedic Wards in addition to the on-call team. Opportunities to supplement the post via additional shifts may be possible via the rota co-ordinator. There are Continuing Professional Development (CPD) days built in within the rota to support portfolio and clinical governance commitments. Off days are rostered in to ensure adherence to EWTD regulations.

Managerial and Leadership The post holder will be professionally accountable to the Medical Director and managerially accountable to the Service Line Director Mr Mark Brinsden, Consultant Trauma and Orthopaedic Surgeon via Dr J Davies, Consultant Ortho-geriatrician.

Duration

Fixed Term Contract 12 months in the first instance with an option to extend or become permanent.

Managerial/Organisational RelationshipsDr J Davies, Consultant Ortho-Geriatrician

Dr R Philpott Consultant Ortho-Geriatrician

Dr L Zamfir, Associate Specialist Ortho-Geriatrician

Health Care of the Elderly SpR (rotating 6 monthly)

Working closely with Mr G Hattan, Advanced Care Practitioner

Key Working Relationships

Trauma and Orthopaedic Clinical Teams Consultants and junior doctors, AHPs, PAs nursing teams and Doctors Assistants.

Allied Health Professionals including physiotherapists, occupational therapists, speech and language therapists, pharmacists, tissue viability nurses and a dedicated ward-based dietician.

Trauma co-ordinators and NHFD audit data collector

Bone Health team
  • Imaging

Pathology

Person Specification
EDUCATION, QUALIFICATIONS & SPECIAL TRAINING
Essential
  • MBBS or equivalent medical qualification.
  • Applicants must: Be eligible for full registration with, and hold a current licence to practise from the GMC at time of intended start date Be eligible to work in the UK.
  • To have completed two years of foundation year training or equivalent
  • Advanced Life Support Certificate from the Resuscitation Council UK or equivalent (as required to complete Foundation competences) by intended start date
Desirable
  • Additional related qualifications, eg intercalated degree, BSc, BA, BMedSci or equivalent
KNOWLEDGE & EXPERIENCE
Essential
  • Ability to identify acutely ill patients
Desirable
  • Attendance at relevant course Clinical experience working in Healthcare of the Elderly and other acute medical posts Qualification such as Diploma in Geriatric Medicine
APTITUDE & ABILITIES
Essential
  • Communication skills: Demonstrates clarity in written/spoken communication, and capacity to adapt language to the situation, as appropriate Able to build rapport, listen, persuade & negotiate. Problem solving & decision making: Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach. Managing others & team involvement: Able to work in multi-professional teams and supervise junior medical staff Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, for example, audit and quality improvement projects Capacity to work effectively with others. Organisation and planning: Capacity to manage/prioritise time and information effectively Capacity to prioritise own workload and organise ward rounds Evidence of thoroughness (is well-prepared, shows self-discipline/commitment, is punctual and meets deadlines.) Vigilance and situational awareness:
  • Capacity to monitor developing situations and anticipate issues. Coping with pressure and managing uncertainty: Capacity to operate under pressure Demonstrates initiative and resilience to cope with changing circumstances Is able to deliver good clinical care in the face of uncertainty.
Desirable
  • AManagement and leadership skills: Evidence of involvement in management commensurate with experience Demonstrates an understanding of NHS management and resources Evidence of effective multi-disciplinary team working and leadership, supported by multi-source feedback or other workplace-based assessments Evidence of effective leadership in and outside medicine. IT skills: Demonstrates information technology skills. Other: Evidence of achievement outside medicine Evidence of altruistic behaviour, eg voluntary work Evidence of organisational skills - not necessarily in medicine, eg grant or bursary applications, organisation of a university club, sports section, etc. dditional related qualifications, eg intercalated degree, BSc, BA, BMedSci or equivalent
OTHER FACTORS
Essential
  • Research and audit skills: Demonstrates understanding of research, including awareness of ethical issues Demonstrates understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives Demonstrates knowledge of evidence-informed practice Probity - Professional Integrity Demonstrates probity (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality) Capacity to take responsibility for own actions. Health Applicants must meet professional health requirements (in line with GMC / Good Medical Practice).
Desirable
  • Research and audit skills: Evidence of relevant academic and research achievements, eg degrees, prizes, awards, distinctions, publications, presentations, other achievements Evidence of involvement in an audit project, a quality improvement project, formal research project or other activity which: Focuses on patient safety and clinical improvement Demonstrates an interest in and commitment to the specialty beyond the mandatory curriculum Teaching: Evidence of interest in, and experience of, teaching Evidence of feedback for teaching. AManagement and leadership skills: Evidence of involvement in management commensurate with experience Demonstrates an understanding of NHS management and resources Evidence of effective multi-disciplinary team working and leadership, supported by multi-source feedback or other workplace-based assessments Evidence of effective leadership in and outside medicine. IT skills: Demonstrates information technology skills. Other: Evidence of achievement outside medicine Evidence of altruistic behaviour, eg voluntary work Evidence of organisational skills - not necessarily in medicine, eg grant or bursary applications, organisation of a university club, sports section, etc. dditional related qualifications, eg intercalated degree, BSc, BA, BMedSci or equivalent
DISPOSITION / ATTITUDE / MOTIVATION
Essential
  • Empathy and sensitivity: Capacity to take in others' perspectives and treat others with understanding sees patients as people Demonstrates respect for all.
Desirable
  • AManagement and leadership skills: Evidence of involvement in management commensurate with experience Demonstrates an understanding of NHS management and resources Evidence of effective multi-disciplinary team working and leadership, supported by multi-source feedback or other workplace-based assessments Evidence of effective leadership in and outside medicine. IT skills: Demonstrates information technology skills. Other: Evidence of achievement outside medicine Evidence of altruistic behaviour, eg voluntary work Evidence of organisational skills - not necessarily in medicine, eg grant or bursary applications, organisation of a university club, sports section, etc. dditional related qualifications, eg intercalated degree, BSc, BA, BMedSci or equivalent


Employer details
Employer name

University Hospitals Plymouth NHS Trust
Address

University Hospital Plymouth

Derriford Road

Plymouth

PL6 8DH


Any attachments will be accessible after you click to apply.

216-ML-ORT5828547

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