Elderly Care Consultant - Medicine

Walsall Healthcare NHS Trust are seeking to appoint an Elderly Care Consultant in Geriatric Medicine to support the acute elderly services. The posts will be working for 10 Programmed Activities (PA) per week with an additional PA available (subject to negotiation).

The post holder will join a team of Elderly Care consultants to provide high quality patient care and support surgical patients who are undergoing emergency laparotomy. They will have the opportunity to lead the development of POP services and improve the quality of care for patients presenting with emergency laparotomy surgery.

The post holder will participate in a 1 in 18 on-call consultant rota for General Medicine during weekdays and weekends (1 PA per week will be remunerated). The weekend commitment includes morning and evening ward rounds in conjunction with an AMU Consultant covering all patients admitted to the Acute Medical Unit (AMU). There will be a requirement for 1 in 4 Saturday ward cover from 09:00 - 13:00. There is a requirement to review surgical patients on demand (0.75 PA) for this 1 in 4 Saturdays. In addition, there is a negotiable option of 1 in 6 weekend ward cover on Ward 29 09:00 - 15:00. (short stay ward) to cover do ward round on Saturday and Sunday.

Main duties of the job

The main duties are of the role will include the following:

• To have a responsibility to provide a high-quality clinical care to patients in Elderly Care and General Internal Medicine services and to continuously update practice based on evidence-based medicine and audit.
• To provide advice to colleagues in other specialities on elderly patients with problems (surgery).
• To support teaching and training of nurses, junior medical staff, medical students and to contribute to postgraduate medical education in general.
• To undertake educational/clinical supervisor duties for junior doctors
• To support and encourage audit and research
• To actively participate in CPD and personal development plans.
• To lead on the POP service

The post holder will be supported by an appropriately skilled medical secretariat.

About us

There are 271 beds in Integrated Medicine provided at Walsall Manor Hospital including a 5 bedded Coronary Care Unit, a 46 bedded Acute Medical Unit for all emergency medical admissions and 13 critical care beds. There are purpose-built Endoscopy and coronary angiography units providing inpatient and outpatient diagnostic and therapeutic services. Outpatient Service facilities are available within the Department of Acute Medicine and are provided from both the main Outpatients Department together with specialist services within Clinical Measurement and Day Hospital, provided from a newly built Diagnostic Treatment Centre.

Walsall Healthcare is an integrated organisation aiming to meet patient needs by delivering services at the place of the patient's choice and with the provision of acute admission facilities. One aspect of this post will be to lead the Frailty and FES service both in hospital and the community. Patients will currently be based on AMU/UECC moving to the Frailty Unit once it is fully established. This new post has been established to support A&E/Medical Admissions and the Frail Elderly Pathway to assess the frail elderly patient presenting to the Manor Hospital. The Elderly Care department have a robust programme for mentoring new consultant appointments and support study leave for CPD requirements.

Job responsibilities

A job plan and work schedule will set out agreed arrangements for how work is organised, where it is located, what in general terms the work comprises and when it is to be performed. The job plans are the same when undertaking duties, however the job plan may vary dependent of service needs. Job Plans will be discussed with the Clinical Director on appointment.

Direct clinical care (DCC) (work relating directly to assessment, prevention, diagnosis or treatment of illness) Includes outpatient and inpatient activities, multi-disciplinary meetings about and administration directly related to the above. Supporting professional activities (SPA) (that underpin direct clinical care) include participation in training, medical education, continuous professional development, formal teaching, audit, MDT clinical management and local clinical governance activities.

The working week for a full-time Elderly Care consultant is comprised of 10 PAs, each of which has a nominal timetable value of 4 hours. A consultant will spend 7.5 PAs on Direct Clinical Care with 2.5 PAs on supporting Professional Activities and clinical and educational roles for juniors.

Person Specification

Qualifications

• Basic Medical Degree
• Full MRCP or equivalent
• Entry on the GMC Specialist Register for Geriatric and General Internal Medicine via:- oCCT (Proposed CCT date must be within 6 months of interview) oEuropean Community Rights or oCESR

Experience

• Evidence of Higher Specialist Training in Elderly Care Medicine (or be within 6 months of confirmed entry from date of interview)
• Wide experience in Elderly care Medicine equivalent to that required for a UK CCT
• Ability to offer expert clinical advice on range of problems
• Ability to take full and independent responsibility for the clinical care of patients

Management and Administrative Experience

• Good organisational and management skills Ability to manage and lead within the Elderly Care Team
• Ability to organise and prioritise workload effectively
• Ability to plan strategically and to exercise sound judgements when faced with conflicting pressures
• Experience of supervising junior medical staff including SpR/StR level
• Ability to teach clinical and operative skills
• Evidence of management and administration experience
• Demonstration of leadership skills

Clinical Effectiveness

• Ability to apply research outcomes to clinical problems
• Ability to use the evidence base and clinical audit to support decision-making
• Evidence of research experience and published work

Professional and Multi-disciplinary Team Working

• Ability to work collaboratively with colleagues and within a multi-disciplinary team
• Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses and other agencies

Other Requirements

• An understanding of the current NHS environment, particularly in relation to reforms, initiatives and issues

Personal Circumstances

• Appropriate Immigration Status
• Residence within 30 minutes of Manor Hospital
• Full GMC Registration and Licensable
• Good leadership and interpersonal skills
• Enthusiasm and ability to work under pressure
• Caring attitude to patients
• Willingness to undertake additional professional responsibilities at local, regional or national level

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.