Job summary
Guy's and St Thomas' NHS Foundation Trust
Department of Ageing and Health
Integrated Care Fellows (ICFs) (FY3 +)
- Clinical Fellows- Older adults ward/ Acute Front door frailty/ hospital@home - 6 posts
- Research and Teaching Fellows (FY3+) - 2 posts
One year posts starting 7th August 2024
- Clinical fellows 6 month posts hospital@home starting 7th August 2024 and 5th February 2025
Main duties of the job
Clinical posts Unique out-of-programme FY3+ training rotations in older adults' medicine and frailty pathways from hospital to the community, rotate through three placements; older persons' unit wards, acute ambulatory-OPU in the emergency floor, GSTT hospital @ Home in the community, and one speciality outpatient clinic per week. Also 6 month posts in hospital@home applying medical skills to acute care in the community combined with technology.
Research and Teaching posts A unique year developing research skills, applying for grants, setting up and recruiting to a range of frailty and cardiac disease research projects, publishing results. Delivering and improving undergraduate medical school modules. No previous research experience required- just enthusiasm and a willingness to learn.
All ICFs participate in quality improvement programmes and teach undergraduates.
There is a monthly ICF training programme and a wealth of departmental and directorate educational meetings.
Some roles participate in an on-call rota, currently no role is required to do night shifts. Where roles match IMT requirements , IMT equivalence will be supported.
The posts provide excellent Geriatric & General Medicine training and opportunities to develop research and teaching skills. Ideal for those seeking to determine whether to follow a career in General Medicine, Acute Medicine, Geriatric Medicine, General Practice or Academic Medicine.
About us
Guys and St Thomas' NHS Foundation Trust
Department of Ageing and Health, Medicine Directorate
CLINICAL FELLOW IN COMMUNITY GERIATRICS & INTEGRATED MEDICINE
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Guy's and St Thomas' NHS Foundation Trust
Department of Ageing and Health
Directorate of Acute and General Medicine
Clinical Fellow in Community Geriatrics & Integrated Medicine
9 posts: 6-12 months (Options include 1 year or 6 months placements
Full-Time - 40 hours per week or part-time on pro-rota hours (% WTE worked)
Proposed start date: August 24 - August 2025
Main place of employment:
This post will be based within the community. The Hospital@Home bases are in Elephant & Castle and Tulse Hill. North Southwark Integrated Neighbourhood Hub is in Bermondsey. Care homes are across Lambeth and Southwark but the post holder will be linked to 1-2 homes. Home visiting in Lambeth and Southwark is expected in this post. Post holders will also have a base at St Thomas' Hospital and will join in with departmental educational activity.
Job description
Job responsibilities
Clinical
There are 2 FTE posts which may be delivered in greater numbers of posts with LTFT trainees. Post holders will have opportunity for placements in GSTT Hospital@Home service, North Southwark Integrated Neighbourhood hub, care home support work as well as other opportunities in community delivered services. There will be opportunity to tailor the post where possible to meet individual post holders interests. Part-time applicants are welcomed, whether this be trainees wishing to mix in & out of programme activities or whether due to LTFT work. We are supportive of working with applicants to bespoke working patterns to individual needs where possible.
- The Hospital@Home service: provides acute care and treatment at home as part of a large multidisciplinary team. This will involve conducting home visits for initial assessments and ongoing care, leading multidisciplinary team meetings, conducting hospital in-reach and engaging with education, governance and quality improvement in this unique setting. Supervision will be via the consultant geriatrician and GP on duty in the service.
- The North Southwark Locality hub will be developing a new innovative frailty support model for community-dwelling older people living with frailty and advanced/multiple comorbidities. This will involve working with GPs, pharmacists, experienced nurses in frailty and dementia and the wider MDT in the hubs. Supervision will be via GPs and consultant geriatricians.
- There are no night shifts in this post and no working beyond 8pm. Some community based weekend work is included in this post
Training of junior staff:
The post holder will take responsibility for the training and direction of junior staff allocated to him/her with their supervising consultant.
Teaching:
The post holder will be expected to contribute as appropriate in the teaching of undergraduate and postgraduate students.
The post holder has access to the full range of training opportunities in the Trust including through the School of Improvement.
Clinical Governance:
All medical and dental staff are expected to take part in clinical governance activity, including clinical audit, clinical guideline and protocol development and clinical risk management. They will be expected to produce evidence of their contribution in these areas and their audit of their own clinical work as part of their appraisal.
European Working Time Directive (EWTD):
All posts and working patterns are under constant review in line with EWTD guidelines
For an informal discussion, please contact Dr Rebekah Schiff 020 7188 2515/9 or rebekah.schiff@gstt.nhs.uk ICF programme lead
Interviews w/c 6th or 13th May 2024. If you have not heard from us you may assume you were not short listed.
.
Job description
Job responsibilities
Clinical
There are 2 FTE posts which may be delivered in greater numbers of posts with LTFT trainees. Post holders will have opportunity for placements in GSTT Hospital@Home service, North Southwark Integrated Neighbourhood hub, care home support work as well as other opportunities in community delivered services. There will be opportunity to tailor the post where possible to meet individual post holders interests. Part-time applicants are welcomed, whether this be trainees wishing to mix in & out of programme activities or whether due to LTFT work. We are supportive of working with applicants to bespoke working patterns to individual needs where possible.
- The Hospital@Home service: provides acute care and treatment at home as part of a large multidisciplinary team. This will involve conducting home visits for initial assessments and ongoing care, leading multidisciplinary team meetings, conducting hospital in-reach and engaging with education, governance and quality improvement in this unique setting. Supervision will be via the consultant geriatrician and GP on duty in the service.
- The North Southwark Locality hub will be developing a new innovative frailty support model for community-dwelling older people living with frailty and advanced/multiple comorbidities. This will involve working with GPs, pharmacists, experienced nurses in frailty and dementia and the wider MDT in the hubs. Supervision will be via GPs and consultant geriatricians.
- There are no night shifts in this post and no working beyond 8pm. Some community based weekend work is included in this post
Training of junior staff:
The post holder will take responsibility for the training and direction of junior staff allocated to him/her with their supervising consultant.
Teaching:
The post holder will be expected to contribute as appropriate in the teaching of undergraduate and postgraduate students.
The post holder has access to the full range of training opportunities in the Trust including through the School of Improvement.
Clinical Governance:
All medical and dental staff are expected to take part in clinical governance activity, including clinical audit, clinical guideline and protocol development and clinical risk management. They will be expected to produce evidence of their contribution in these areas and their audit of their own clinical work as part of their appraisal.
European Working Time Directive (EWTD):
All posts and working patterns are under constant review in line with EWTD guidelines
For an informal discussion, please contact Dr Rebekah Schiff 020 7188 2515/9 or rebekah.schiff@gstt.nhs.uk ICF programme lead
Interviews w/c 6th or 13th May 2024. If you have not heard from us you may assume you were not short listed.
.
Person Specification
Qualifications and Training
Essential
- Full GMC Registration and hold a license to practice
Desirable
- MRCP part 1
- BSc or BSc(i)
Clinical Experience
Essential
- FY2 or above level clinical experience in General Medicine & Geriatric Medicine
Desirable
- Other relevant clinical experience to compliment e.g GP training, previous UK community experience, previous experience in out patient clinics, A and E experience
- At least 4 months experience practising in a general medicine speciality in the NHS
Knowledge and Skills
Essential
- Ability and experience of working as an effective member of a multidisciplinary team Experience in discharge planning
Desirable
Teaching
Essential
- Experience of undergraduate teaching and post graduate teaching
Desirable
- Creation and delivery of under or post graduate teaching modules
- Experience of simulation teaching
- Teaching qualification
Research
Essential
- Understanding of the principles and applications of clinical research e.g through journal clubs, personal journal reading
Desirable
- Participation in research studies
- Evidence of original research
Other
Essential
- Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council
- Evidence of experience with clinical governance structures such as incident reporting
- Evidence of contribution to effective clinical audit with implementation of change
Desirable
- Experience in clinical guideline development
Management:
Essential
- Evidence of understanding of the role of clinical management
Desirable
- Evidence of leadership in the development of clinical services
Person Specification
Qualifications and Training
Essential
- Full GMC Registration and hold a license to practice
Desirable
- MRCP part 1
- BSc or BSc(i)
Clinical Experience
Essential
- FY2 or above level clinical experience in General Medicine & Geriatric Medicine
Desirable
- Other relevant clinical experience to compliment e.g GP training, previous UK community experience, previous experience in out patient clinics, A and E experience
- At least 4 months experience practising in a general medicine speciality in the NHS
Knowledge and Skills
Essential
- Ability and experience of working as an effective member of a multidisciplinary team Experience in discharge planning
Desirable
Teaching
Essential
- Experience of undergraduate teaching and post graduate teaching
Desirable
- Creation and delivery of under or post graduate teaching modules
- Experience of simulation teaching
- Teaching qualification
Research
Essential
- Understanding of the principles and applications of clinical research e.g through journal clubs, personal journal reading
Desirable
- Participation in research studies
- Evidence of original research
Other
Essential
- Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council
- Evidence of experience with clinical governance structures such as incident reporting
- Evidence of contribution to effective clinical audit with implementation of change
Desirable
- Experience in clinical guideline development
Management:
Essential
- Evidence of understanding of the role of clinical management
Desirable
- Evidence of leadership in the development of clinical services
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
