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Consultant in Elderly Medicine and Frailty (Acute and Community)

Employer
Mid Yorkshire Teaching Hospitals NHS Trust
Location
Wakefield
Salary
£93,666 to £126,281 a year
Closing date
16 Mar 2024

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Job Details

This post is offered on a full time (10 PA) basis although less than full time applications will be considered and the department has a mixture of full and part time consultants in order to ensure a supportive environment for all. All our consultants work cross site but the successful applicant will work within the organization predominantly either at Pinderfields or Dewsbury and District Hospital. The department last year saw 9,403 admissions, saw 654 new patients in clinics and carried out 844 follow up appointments.

The Elderly Medicine Department within the Trust consists of 19 substantive Consultants. The Department is supported by 1 x Associate Specialist, 5 x Specialist Registrars, 2 x Core Medical Trainees, 6 x VTS Trainees, 1 x FY2 and 5 x FY1.

Main duties of the job

Clinical responsibilities will include:

Ward rounds and attendance at dedicated MDT meetings

Provision of specialist opinion

Participation in outpatient or virtual clinics or home visits

Participation in teaching and training

Regular audit, data collection and quality improvement work to ensure ongoing improvements in the care of frail older people occurs

Maintain overview of all ward patients

Actively participating and facilitating discharges on the ward

Support and supervise junior doctors on the ward

Liaise with Same Day Emergency Care ANPs if necessary

Contribute in the electronic and verbal handover of patients

The role will include the support of the developments within Elderly and Acute Care in terms of frailty in particular the virtual ward and community geriatrician work which is vital to the success of our hospital avoidance programmes.

About us

We provide care and support to over a million people in Wakefield and Kirklees in their homes, community settings and across our three hospital sites at Pontefract, Dewsbury and Pinderfields (Wakefield).

Always striving for excellence, we are at the forefront of innovation and research, and we invest in teaching and the development of our workforce.

We live by our values of caring, improving, being respectful and maintaining high standards. We listen and learn because we aim to make Mid Yorkshire the best place to work and receive care.

We value diversity and welcome talent and enthusiasm irrespective of age, disability, neurodivergence, sex, gender identity and gender expression, race or ethnicity, religion or belief, sexual orientation, or other personal circumstances including providing unpaid carers support to someone with a health and care need. As ethnic minority groups, members of the LGBTQ+ community, and people with a disability/neurodivergence are currently under-represented across the organisation, we encourage applications from members of these groups. We have policies and procedures to ensure all applicants are treated fairly and consistently.

We are proud of our staff networks - who offer valuable guidance and feedback from those with lived experience.

We have a clear vision and you could be part of this! If you share our values and you want to make a difference to the lives of our patients and their families and carers, we would love to hear from you.

Job description
Job responsibilities

This post is offered on a full time (10 PA) basis although less than full time applications will be considered and the department has a mixture of full and part time consultants in order to ensure a supportive environment for all. All our consultants work cross site but the successful applicant will work within the organization predominantly either at Pinderfields or Dewsbury and District Hospital. The department last year saw 9,403 admissions, saw 654 new patients in clinics and carried out 844 follow up appointments.

The Elderly Medicine Department within the Trust consists of 19 substantive Consultants. The Department is supported by 1 x Associate Specialist, 5 x Specialist Registrars, 2 x Core Medical Trainees, 6 x VTS Trainees, 1 x FY2 and 5 x FY1.

Clinical responsibilities will include:

Ward rounds and attendance at dedicated MDT meetings

Provision of specialist opinion

Participation in outpatient or virtual clinics or home visits

Participation in teaching and training

Regular audit, data collection and quality improvement work to ensure ongoing improvements in the care of frail older people occurs

Maintain overview of all ward patients

Actively participating and facilitating discharges on the ward

Support and supervise junior doctors on the ward

Liaise with Same Day Emergency Care ANPs if necessary

Contribute in the electronic and verbal handover of patients

The role will include the support of the developments within Elderly and Acute Care in terms of frailty in particular the virtual ward and community geriatrician work which is vital to the success of our hospital avoidance programmes.

This post includes on-call responsibilities as part of a dedicated Elderly Care on-call rota. Working arrangements currently consist of the following:

Scheduled evening duties 5pm 8pm Monday to Friday currently 2:18 seeing older patients (> 80yrs or > 65yrs from Care Homes or patients with frailty) admitted via the Acute Care of the Elderly Unit varies from one or two patients to five/six patients

On-call weekends currently 3:18 (1:6) 8-hour resident on call seeing approximately 20-25 patients with the support of the registrar.

Overnight On-call duties are currently undertaken on a 1:18 currently, assessed as 1.5 PA

Supporting Professional Activities in accordance with the Trust Framework, with at least a minimum of 1.5 SPAs included in the core 10PA timetable. Additional SPA or DCC time may be commissioned in line with the skills of the successful candidate and changing requirements of the service.

o Examples may include formal teaching responsibilities or departmental leadership roles

Person Specification
Values and Behaviours
Essential

  • Practices within the professional values and behaviours expected of all doctors as set out in GMC Good Medical Practice and the Generic Professional Capabilities Framework including current licence to practice from the GMC
  • Demonstrates the underpinning subject-specific competences i.e. knowledge, skills and behaviours relevant to the role setting and scope
  • Clinically evaluates and manages a patient, formulating a prioritised differential diagnosis, initiating an appropriate management plan, and reviewing and adjusting this depending on the outcomes of treatment
  • Manages the difficulties of dealing with patients with complexity and uncertainty in the care of patients employing expertise and clinical decision-making skills of a senior and independent/ autonomous practitioner.
  • Critically reflects on own competence, understands own limits, and seeks help when required
  • Communicates effectively and is able to share decision-making with patients, relatives and carers treats patients as individuals, promoting a
  • person-centred approach to their care, including self-management.
  • Respects patients dignity , ensures confidentiality and appropriate communication where potentially difficult or where barriers exist e.g. using interpreter and making adjustments for patients with communication difficulties
  • Demonstrates key generic clinical skills around the areas of concern ensuring humane interventions, prescribing medicine safely and using medical devices safely.
  • Adheres to professional requirements, participating in annual appraisal, job planning and reviews of performance and progression.
  • Awareness of legal responsibilities relevant to the role, such as around mental capacity and deprivation of liberty data protection, equality and diversity.
  • Applies basic principles of public health including population health, promoting health and wellbeing, nutrition, exercise, vaccination and illness prevention.

Desirable

  • Has personal insight into own strengths and weaknesses.
  • Evidence of multidisciplinary team working
  • Understanding and personal fit with Trust Values and Behaviours
  • Demonstrates awareness of the current UK Healthcare system and the need to develop services in line with current policy

Patient Safety and Quality Improvement
Essential

  • Takes prompt action where there is an issue with safety or quality of patient care, raises and escalates concerns, through clinical governance systems, where necessary.
  • Applies basic human factors principles and practice at individual, team, organisation and system levels.
  • Collaborates with multidisciplinary and inter-professional teams to manage risk and issues across organisations and settings, with respect for and recognition of the roles of other health professionals.
  • Advocates for, and contributes to, organisational learning.
  • Seeks feedback and involvement from individuals, families, carers, communities and colleagues in
  • safety and quality service improvement reviews.
  • Leads new practice and service redesign in response to feedback, evaluation and need, promoting best practice.
  • Evaluates and audits own and others clinical practice ad acts on the findings.
  • Reflects on personal behaviour and practice, responding to learning opportunities.
  • Implements quality improvement methods and repeats quality improvement cycles to refine practice designing projects and evaluating their impact.
  • Critically appraises and synthesises the outcomes of audit, inquiries, critical incidents, or complaints and implements appropriate changes.
  • Engages with relevant stakeholders to develop and implement robust governance systems and systematic documentation processes.
  • Disclosure + Barring Service (DBS) clearance

Desirable

  • Has personal insight into own strengths and weaknesses.
  • Evidence of multidisciplinary team working
  • Understanding and personal fit with Trust Values and Behaviours
  • Demonstrates awareness of the current UK Healthcare system and the need to develop services in line with current policy

Leadership and Team Working
Essential

  • Awareness of their leadership as a clinician and demonstrates appropriate leadership behaviour managing situations that are unfamiliar, complex or unpredictable and seeking to build collaboration with, and confidence in, others.
  • Demonstrates understanding of a range of leadership principles, approaches and techniques so can adapt leadership behaviours to improve engagement and outcomes appreciates own leadership style and its impact on others.
  • Develops effective relationship across teams and contributes to work and success of these teams- promotes and participates in both multidisciplinary and inter-professional team working.
  • Critically reflects on decision-making processes and explains those decisions to others in an honest and transparent way.
  • Critically appraises performance of self, colleagues or peers and systems to enhance performance and support development.
  • Demonstrates ability to challenge others, escalating concerns when necessary.
  • Develops practice in response to changing population health need, engaging in horizon scanning for future developments.

Desirable

  • Computer literate
  • Specific educational interests and evidence of educational ideas or project work.

Qualifications
Essential

  • Medical Degree from recognised medical school
  • MRCP or equivalent
  • Entry on the GMC specialist register via CCT/CESR/ECR

Desirable

  • Prizes or Awards Achieved
  • Audit or Case Presentations at a local, regional and national level
  • Higher degree or qualifications such as a Masters

Safeguarding and Vulnerable Groups
Essential

  • Recognises and takes responsibility for safeguarding children, young people and adults, using appropriate systems for identifying, sharing information, recording and raising concerns, obtaining advice and taking action.
  • Applies appropriate equality and diversity legislation, including disability discrimination requirements, in the context of patient care.

GMC Registration
Essential

  • Please state Full GMC number

Any attachments will be accessible after you click to apply.

C9377-24-0040

 

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