Job summary
Applications are invited for the above post of
Consultant Orthogeriatrician/Surgical Liaison based at Barnsley Hospital. This
is an exciting time to join the existing and well-respected Department of
Orthogeriatrics who are seeking to appoint a
Consultant Orthogeriatrician/Surgical Liaison.
This is a new post within Orthogeriatrics
and an exciting time expanding the service into Surgical Liaison giving the
opportunity for the successful candidate to help shape and develop this
service. The aim is to meet the criteria stated in The National Emergency Laparotomy
Audit (NELA). This post will also aid the further
development of services to older people and complementing our Acute Frailty
and Re-enablement Services.
We are looking for an enthusiastic individual who will
bring their skills, knowledge and drive to our existing teams in the
continued development of the department.
Main duties of the job
The post is a 10 PA post with opportunities to
become involved and participate in either specialist interests and/or
non-clinical activities such as Qi (Quality Improvement). The Consultant Orthogeriatrician is
supported by a team of Advanced Nurse Practitioners (ANPs).
Barnsley Hospital NHS
Foundation Trust is a Good CQC-rated Hospital with a vision to moving
to Outstanding and joining only 7 other hospitals in the country with this
rating. Were an ambitious
organisation that champions our people, equipping them with new skills to
continually improve services for patients.
In addition to the
Orthogeriatrics department that has an established reputation and benchmarks
well in National audit programmes is a dedicated Acute Stroke Unit providing
in and outpatient stroke services; a dedicated landing to provide acute
inpatient beds for Elderly Medicine. There is also a recently established
acute Frailty unit with bedded and chaired areas where we provide early MDT
supported by a very experienced geriatrician, 4 Frailty ANPs, 1 SHO and 1
Specialty Doctor working closely with urgent therapy team to provide same day
therapy input and also same day access to community services to support same
day discharge.
The wider Geriatric
Department has physicians with special interest in falls, Parkinsons
disease, frailty and syncope, continence, and research (with links to the
University of Sheffield).
About us
Please note that the Trust reserves the right to close a
position early.
Barnsley Hospital NHS Foundation Trust is a high performing
Trust achieving a Good rating in our most recent Care Quality Commission
(CQC) assessment and achieving significant progress in the delivery of our
strategic objectives. We are proud of the commitment of our staff to ensuring a
strong and sustainable future for this organisation which is highly valued by
our local communities.
There has never been a better time to join Barnsley Hospital. It
is moving at pace and a we can do this attitude is evident right through the
organisation, where staff are engaged for change and committed to being part of
the journey to sustainability and growth.
Barnsley Hospital NHS Foundation Trust is committed to promoting
equality of opportunity and fair treatment to all applicants regardless of race,
nationality, ethnic origin, gender, marital status, mental or physical
disability, religion or belief, sexual orientation, age or offending history.
The cost of the DBS (criminal records check)
for Band 6 and above roles only will be met by the successful candidate(s)
through salary deduction.
Certificates of Sponsorship
For
individuals who may require sponsorship under the skilled worker or health
& care visa route please use the link below to check your eligibility Check
if you need a UK visa - GOV.UK (www.gov.uk), band
2 and 3 roles are no longer eligible for sponsorship.
Job description
Job responsibilities
An exciting opportunity has arisen to join and expand further our dynamic and well respected Orthogeriatric team, and, to participate in service transformation through the introduction of a new post Consultant Orthogeriatrician/Surgical Liaison. Orthogeriatrics provide an outstanding geriatric service mainly within Wards 33 and 34 Trauma & Orthopaedics.
The current Orthogeriatric service at BHNFT consists of a Consultant led daily ward-round reviewing all new patients and overseeing their care jointly with the orthopaedic teams through the peri-operative period and into rehabilitation as necessary. The Consultant Orthogeriatrician is supported by a team of Advanced Nurse Practitioners (ANPs).
Scope
This new post will support the implementation of a geriatric surgical liaison model which will include:
- Peri-operative medical-surgical ward rounds:
- Daily ward rounds will be conducted on selected patients by the Consultant Orthogeriatrician/Surgical Liaison accompanied by members of the surgical team. Patients requiring review will be identified by medical, surgical, nursing and therapy staff on an open-access non-age-based policy. Indicators for medical review may include advanced age, severity of acute illness, post-operative complications, failure to recover rapidly or discharge delays. The aim is to meet the criteria stated in The National Emergency Laparotomy Audit (NELA).
- Post-operative discharge planning meetings:
- Multidisciplinary team working, planning difficult discharges and co-ordinating team. Attendees will include a Consultant Geriatrician, members of the surgical team (ranging from FY1 to SpR), ward sister, occupational therapist, physiotherapist and discharge coordinator. The meeting will identify barriers to discharge and will delegate responsibility to team members to resolve any issues. Projected discharge dates for all surgical patients will be established alongside enhanced recovery principles.
- Inpatient subacute care and rehabilitation:
- Selected patients whose recovery is complicated by medical complications or increased rehabilitation needs will have access to geriatrician-led surgical rehabilitation. This will facilitate transfer of subacute patients out of the acute surgical bed base.
Although parent surgical teams retain responsibility for surgical aspects of care and emergency out-of-hours cover, support will be provided by the Consultant Orthogeriatrician/Surgical Liaison with appropriate discharge planning. Surgical teams will review where needed on an as-required basis.
Anticipated Benefits
- Ability to achieve the standards of care set out in the Blue Book (2007) and NICE (2016) Guidance: the Management of Hip Fracture in Adults
- Ability to achieve 5 of the 7 Best Practice Tariff (BPT) standards and optimise income for the service
- Ability to support the introduction of a surgical liaison service to reduce inpatient length of stay and improve the 30-day mortality rate
- Ability to improve patient experience and outcomes hospital
- Adherence to NELA and BPT for surgical patients
The department also has an outpatient area (Assessment and Rehabilitation Unit) with a long tradition of providing multidisciplinary care for patients with falls and bone health related issues. In addition to this the ARU also runs tilt table clinics, syncope clinics, continence clinic, general medicine and geriatrics. We are keen to continue to develop our outpatient care and the successful candidate is welcomed to participate in outpatient care redesign and delivery to suit the specialist interest of the appointee.
The successful candidate is also expected to play a role in service development projects and audits in the department and trust wide with a focus on improving care for older people at Barnsley.
There is also the exciting opportunity for the successful candidate to become involved in our new QI Hub (Quality Improvement) with a focus on improving quality and services within the department and trust wide. Opportunity also exists for candidates to pursue other specialist interests relevant to the role and/or wider organisation.
There is also access to a falls prevention team, dementia nurse specialist, delirium lead and there will be a scope for cooperation with the successful candidate to contribute to further improving those services. It also worth mentioning that we are four years into the National Dementia Strategy and the successful candidate can build on the work already achieved by the strategic working group.
Traditionally the department is committed to carry length of stay rounds on medical and surgical patients once weekly to support colleagues in other clinical area in managing LOS patients with the successful candidate expected to contribute to this work stream.
Within the overall Orthogeriatric and Care of the Elderly departments there is an excellent tradition in medical education and organising and delivering PACES exam. Dr A Eltrafi, PhD is a previous college Tutor and a winner of multiple teaching awards. He can offer you support in your teaching career.
Additionally, as the Department has strong academic links the successful candidate will be supported to develop their research skills and develop a research interest. Honorary Clinical Senior Lecturer status at the University of Sheffield will be requested for the successful candidate. There is a strong commitment to education and training both in the Trust as a whole, and the post holder will be expected to contribute to this and to the educational supervision of up to two junior doctors with CME built in to the timetable of this post.
Office accommodation and secretarial support will also be provided.
TIMETABLE
Departmental lead and Trust management are very keen to build job profile that responds to trust objectives as well as individual interests. We will happily discuss any area of interests for the candidate and try to accommodate in their job plans if possible. We encourage interested candidate to get in touch with Consultant Orthogeriatrician Dr Simon D Lee and/or Deputy Associate Director of Operations Mark Railton for further discussions/details. Whilst working full time is preferable, applicants who wish to work part time are welcomed to apply and the job plan will be adjusted accordingly.
A provisional timetable is outlined below which may be modified after discussion with the successful candidate. This job description will form the basis of the appointees formal job plan and as such will be subject to annual review and job planning
The candidate is expected to provide cover to Orthopaedics and Surgical Ward areas namely ward 33 and 31/32 respectively.
ON CALL
This post does include a GIM on call commitment, approximately 1:4 weeks (midweek) and 1:8 weeks (weekends) with a mandatory rest day for weekend working (on the Monday immediately post on call weekend). Seven days a week working is currently being reviewed by the Trust and if agreed, we expect the successful candidate to take a part if required, where Consultant numbers and job plans allow. However exceptions will be considered based on candidate circumstances.
Job description
Job responsibilities
An exciting opportunity has arisen to join and expand further our dynamic and well respected Orthogeriatric team, and, to participate in service transformation through the introduction of a new post Consultant Orthogeriatrician/Surgical Liaison. Orthogeriatrics provide an outstanding geriatric service mainly within Wards 33 and 34 Trauma & Orthopaedics.
The current Orthogeriatric service at BHNFT consists of a Consultant led daily ward-round reviewing all new patients and overseeing their care jointly with the orthopaedic teams through the peri-operative period and into rehabilitation as necessary. The Consultant Orthogeriatrician is supported by a team of Advanced Nurse Practitioners (ANPs).
Scope
This new post will support the implementation of a geriatric surgical liaison model which will include:
- Peri-operative medical-surgical ward rounds:
- Daily ward rounds will be conducted on selected patients by the Consultant Orthogeriatrician/Surgical Liaison accompanied by members of the surgical team. Patients requiring review will be identified by medical, surgical, nursing and therapy staff on an open-access non-age-based policy. Indicators for medical review may include advanced age, severity of acute illness, post-operative complications, failure to recover rapidly or discharge delays. The aim is to meet the criteria stated in The National Emergency Laparotomy Audit (NELA).
- Post-operative discharge planning meetings:
- Multidisciplinary team working, planning difficult discharges and co-ordinating team. Attendees will include a Consultant Geriatrician, members of the surgical team (ranging from FY1 to SpR), ward sister, occupational therapist, physiotherapist and discharge coordinator. The meeting will identify barriers to discharge and will delegate responsibility to team members to resolve any issues. Projected discharge dates for all surgical patients will be established alongside enhanced recovery principles.
- Inpatient subacute care and rehabilitation:
- Selected patients whose recovery is complicated by medical complications or increased rehabilitation needs will have access to geriatrician-led surgical rehabilitation. This will facilitate transfer of subacute patients out of the acute surgical bed base.
Although parent surgical teams retain responsibility for surgical aspects of care and emergency out-of-hours cover, support will be provided by the Consultant Orthogeriatrician/Surgical Liaison with appropriate discharge planning. Surgical teams will review where needed on an as-required basis.
Anticipated Benefits
- Ability to achieve the standards of care set out in the Blue Book (2007) and NICE (2016) Guidance: the Management of Hip Fracture in Adults
- Ability to achieve 5 of the 7 Best Practice Tariff (BPT) standards and optimise income for the service
- Ability to support the introduction of a surgical liaison service to reduce inpatient length of stay and improve the 30-day mortality rate
- Ability to improve patient experience and outcomes hospital
- Adherence to NELA and BPT for surgical patients
The department also has an outpatient area (Assessment and Rehabilitation Unit) with a long tradition of providing multidisciplinary care for patients with falls and bone health related issues. In addition to this the ARU also runs tilt table clinics, syncope clinics, continence clinic, general medicine and geriatrics. We are keen to continue to develop our outpatient care and the successful candidate is welcomed to participate in outpatient care redesign and delivery to suit the specialist interest of the appointee.
The successful candidate is also expected to play a role in service development projects and audits in the department and trust wide with a focus on improving care for older people at Barnsley.
There is also the exciting opportunity for the successful candidate to become involved in our new QI Hub (Quality Improvement) with a focus on improving quality and services within the department and trust wide. Opportunity also exists for candidates to pursue other specialist interests relevant to the role and/or wider organisation.
There is also access to a falls prevention team, dementia nurse specialist, delirium lead and there will be a scope for cooperation with the successful candidate to contribute to further improving those services. It also worth mentioning that we are four years into the National Dementia Strategy and the successful candidate can build on the work already achieved by the strategic working group.
Traditionally the department is committed to carry length of stay rounds on medical and surgical patients once weekly to support colleagues in other clinical area in managing LOS patients with the successful candidate expected to contribute to this work stream.
Within the overall Orthogeriatric and Care of the Elderly departments there is an excellent tradition in medical education and organising and delivering PACES exam. Dr A Eltrafi, PhD is a previous college Tutor and a winner of multiple teaching awards. He can offer you support in your teaching career.
Additionally, as the Department has strong academic links the successful candidate will be supported to develop their research skills and develop a research interest. Honorary Clinical Senior Lecturer status at the University of Sheffield will be requested for the successful candidate. There is a strong commitment to education and training both in the Trust as a whole, and the post holder will be expected to contribute to this and to the educational supervision of up to two junior doctors with CME built in to the timetable of this post.
Office accommodation and secretarial support will also be provided.
TIMETABLE
Departmental lead and Trust management are very keen to build job profile that responds to trust objectives as well as individual interests. We will happily discuss any area of interests for the candidate and try to accommodate in their job plans if possible. We encourage interested candidate to get in touch with Consultant Orthogeriatrician Dr Simon D Lee and/or Deputy Associate Director of Operations Mark Railton for further discussions/details. Whilst working full time is preferable, applicants who wish to work part time are welcomed to apply and the job plan will be adjusted accordingly.
A provisional timetable is outlined below which may be modified after discussion with the successful candidate. This job description will form the basis of the appointees formal job plan and as such will be subject to annual review and job planning
The candidate is expected to provide cover to Orthopaedics and Surgical Ward areas namely ward 33 and 31/32 respectively.
ON CALL
This post does include a GIM on call commitment, approximately 1:4 weeks (midweek) and 1:8 weeks (weekends) with a mandatory rest day for weekend working (on the Monday immediately post on call weekend). Seven days a week working is currently being reviewed by the Trust and if agreed, we expect the successful candidate to take a part if required, where Consultant numbers and job plans allow. However exceptions will be considered based on candidate circumstances.
Person Specification
Qualifications
Essential
- MRCP or equivalent
- Full GMC registration, and on the specialist register OR
- Full GMC registration and within 6 months of specialist registration due to completion of training or within 6 months of specialist registration due to application via CESR with the submission completed at time of application for post
Skills and Attributes
Essential
- Willingness and ability to fulfill the key elements of the job description
- Possession of the clinical skills required to perform the job including both elderly care and general internal medicine
- Ability to cope with the demands of a DGH based Consultant
- Ability to lead and develop the service
- Ability to develop effective working relationships on an individual, multi-professional and team basis with all levels of staff
- Ability to communicate effectively, written and orally
- Ability to empathise and demonstrate probity
- Ability and evidence of working as part of a multi-disciplinary team
- Ability to be flexible to meet service demands
- Understanding of clinical governance and the individual responsibilities it implies
Experience
Essential
- Experience in the management of a broad GIM caseload
- Experience in the management of a Geriatric/Elderly Care Medicine caseload
Desirable
- Experience in a specialist interest that will complement those of other staff
Person Specification
Qualifications
Essential
- MRCP or equivalent
- Full GMC registration, and on the specialist register OR
- Full GMC registration and within 6 months of specialist registration due to completion of training or within 6 months of specialist registration due to application via CESR with the submission completed at time of application for post
Skills and Attributes
Essential
- Willingness and ability to fulfill the key elements of the job description
- Possession of the clinical skills required to perform the job including both elderly care and general internal medicine
- Ability to cope with the demands of a DGH based Consultant
- Ability to lead and develop the service
- Ability to develop effective working relationships on an individual, multi-professional and team basis with all levels of staff
- Ability to communicate effectively, written and orally
- Ability to empathise and demonstrate probity
- Ability and evidence of working as part of a multi-disciplinary team
- Ability to be flexible to meet service demands
- Understanding of clinical governance and the individual responsibilities it implies
Experience
Essential
- Experience in the management of a broad GIM caseload
- Experience in the management of a Geriatric/Elderly Care Medicine caseload
Desirable
- Experience in a specialist interest that will complement those of other staff
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
