Job summary
Guy's and St Thomas' NHS Foundation Trust
Directorate of Acute and General Medicine
2 x Substantive Consultant in Geriatrics and General Medicine
2 WTE posts
***Job Description is pending Royal College approval***
Full-Time - 40 hours per week + on-call rota supplement
Proposed start date: December 2024 (negotiable)
Guy's and St. Thomas' NHS Foundation Trust is made up of four of London's best-known teaching hospitals and employs over 13,650 staff and has over 2 million patient contacts a year. Our annual turnover is now £1.3 billion.
The Department of Ageing and Health is seeking to recruit 2 x substantive consultants to join our dynamic, enthusiastic and forward-thinking team of highly motivated and dedicated geriatricians. Ageing & Health has a number of innovative and award-winning services across a number of areas including geriatrician liaison (POPS, GOLD, COPS), acute frailty and in the community. The advertised posts will support the delivery of these services, in particular delivery of Perioperative medicine for Older People undergoing Surgery (POPS) in thoracic surgery, front door service for frail older adults on the emergency floor, specialist Older Persons' Unit wards, in General Internal Medicine, as well as in the community.
The post holders will either contribute to an elderly medicine on call rota which includes on site weekend working in our Acute Older Persons Unit in the Emergency floor, or to the Acute General Medicine rota which includes on-site weekend and evening working.
Main duties of the job
The Department of Ageing and Health is a dynamic department right at the centre of Acute Medical, Surgical and Specialist Patient Services at Guy's and St Thomas' NHS Foundation Trust. It has researched and developed many new service delivery models in Geriatric medicine, and as a consequence is an ideal place to work as a geriatrician. The department provides specialist services for older people within the Acute Trust and throughout Lambeth and Southwark supporting community services. In the Acute Trust services include its own inpatient unit at St Thomas' Hospital (Older persons unit (OPU)), participation in General medicine (acute emergency floor and general wards) and input across multiple areas by our liaison teams including POPS (surgery and orthopaedics) and GOLD (oncology). It has its own specialist outpatients based at Guys (OPAU) and a newly established front door Acute-OPU within the emergency floor. Most geriatricians also contribute to work as Locality Geriatricians within Lambeth and Southwark community services.
About us
The Trust includes St Thomas' Hospital, Guy's Hospital, Evelina London Children's Hospital, Royal Brompton and Harefield Hospitals and both adult and children's community services in Lambeth and Southwark.
We provide a full range of hospital services for our local communities in Lambeth, Southwark and Lewisham, as well as specialist services for patients from further afield, including cancer, cardiothoracic, women's and children's services, kidney care and orthopaedics. We have one of the largest critical care units in the UK and one of the busiest A&E departments in London. See www.guysandstthomas.nhs.uk for further details.
Our reputation for safe, high quality care is among the best in the UK and we strive to put patients at the heart of everything we do. 'Barbara's Story' - a unique and moving staff training film to improve our care for patients with dementia - has been widely recognised as an example of best practice.
Job description
Job responsibilities
The Department of Ageing and Health is seeking to recruit 2 x substantive consultants to join our dynamic, enthusiastic and forward-thinking team of highly motivated and dedicated geriatricians. Ageing & Health has a number of innovative and award-winning services across a number of areas including geriatrician liaison (POPS (surgery), GOLD (oncology), COPS (cardiology)), acute frailty and in the community.
The advertised posts will support the delivery of these services, in particular
- delivery of Perioperative medicine for Older People undergoing Surgery (POPS) in thoracic surgery
- In the acute medical pathway (including the front door service on the emergency floor, in the medical outreach service, and on our specialist wards for older people)
- specialist Older Persons Unit wards & in General Internal Medicine
- clinic work (POPS, CGA, GOLD)
- community multidisciplinary working with our primary care colleagues (including work within rehabilitation units, care homes and with the GSTT@home service)
This is an exciting time to join the department. The acute medical pathway is undergoing radical change to ensure a consultant led service is delivered 7 days a week during extended day hours and 365 days a year. The department of Ageing and Health contributes to this by providing a front door service 7 days a week within our Acute Older Persons Unit (AOPU) which is co-located with the emergency floor. Geriatricians also participate in the acute GIM emergency floor rota and lead firms on general medicine wards and in the older persons unit.
The multidisciplinary POPS team provide preoperative assessment and optimisation for high risk older patients undergoing elective and emergency surgery, and follow the patient through the surgical admission, coordinating and delivering medical care, rehabilitation and discharge planning. The team is fully embedded at GSTT, with established pathways of care, close collaboration with anaesthetic and surgical departments and has a local, national and international reputation for providing quality care to complex, older surgical patients. The team provides formalised training programmes in perioperative medicine for foundation year doctors (FY1 and 2), specialist registrars and allied health professionals.
The acute trust is merged with therapies, community services and palliative care. Ageing & Health has increasing footprint across the community including the Hospital@Home team, bed-based and community rehabilitation, care homes and multidisciplinary services to support developing integrated neighbourhood teams.
The successful candidate is not expected to have received formal subspecialty training in perioperative medicine for older people or other subspecialty discipline. All posts include working alongside multidisciplinary teams to develop and deliver patient centred services. In all roles, the successful candidates will be expected to be intellectually flexible and able to look beyond existing structures, ways of working and traditional care boundaries in order to produce more effective and innovative service delivery. The post-holder will be expected to take an active role in in the teaching programmes of the department.
The successful candidate will work within the wider Department of Ageing and Health at GSTT, staffed by 26 consultants, with various subspecialty interests. The unit has a strong reputation for innovative service delivery, training in geriatric medicine and research. All consultants in the department are expected to share equally in out-of-hours rotas (either the acute GIM emergency floor rota or the acute frailty rota). The successful candidate may be able to pursue other subspecialty upon local negotiation.
As an organisation, we are committed to developing our services in ways that best suit the needs of our patients. This includes asking certain groups of staff to work more flexibly so that we can offer services to patients in the evenings and at weekends. We regard this flexibility as essential if we are to continue to provide first class patient care in the future. As a result, any offer of employment to a consultant post will be subject to you agreeing to work a new more flexible pattern of working in the future if required and in accordance with the provisions of the new Guys and St Thomas NHS Foundation Trust consultant contract.
Job description
Job responsibilities
The Department of Ageing and Health is seeking to recruit 2 x substantive consultants to join our dynamic, enthusiastic and forward-thinking team of highly motivated and dedicated geriatricians. Ageing & Health has a number of innovative and award-winning services across a number of areas including geriatrician liaison (POPS (surgery), GOLD (oncology), COPS (cardiology)), acute frailty and in the community.
The advertised posts will support the delivery of these services, in particular
- delivery of Perioperative medicine for Older People undergoing Surgery (POPS) in thoracic surgery
- In the acute medical pathway (including the front door service on the emergency floor, in the medical outreach service, and on our specialist wards for older people)
- specialist Older Persons Unit wards & in General Internal Medicine
- clinic work (POPS, CGA, GOLD)
- community multidisciplinary working with our primary care colleagues (including work within rehabilitation units, care homes and with the GSTT@home service)
This is an exciting time to join the department. The acute medical pathway is undergoing radical change to ensure a consultant led service is delivered 7 days a week during extended day hours and 365 days a year. The department of Ageing and Health contributes to this by providing a front door service 7 days a week within our Acute Older Persons Unit (AOPU) which is co-located with the emergency floor. Geriatricians also participate in the acute GIM emergency floor rota and lead firms on general medicine wards and in the older persons unit.
The multidisciplinary POPS team provide preoperative assessment and optimisation for high risk older patients undergoing elective and emergency surgery, and follow the patient through the surgical admission, coordinating and delivering medical care, rehabilitation and discharge planning. The team is fully embedded at GSTT, with established pathways of care, close collaboration with anaesthetic and surgical departments and has a local, national and international reputation for providing quality care to complex, older surgical patients. The team provides formalised training programmes in perioperative medicine for foundation year doctors (FY1 and 2), specialist registrars and allied health professionals.
The acute trust is merged with therapies, community services and palliative care. Ageing & Health has increasing footprint across the community including the Hospital@Home team, bed-based and community rehabilitation, care homes and multidisciplinary services to support developing integrated neighbourhood teams.
The successful candidate is not expected to have received formal subspecialty training in perioperative medicine for older people or other subspecialty discipline. All posts include working alongside multidisciplinary teams to develop and deliver patient centred services. In all roles, the successful candidates will be expected to be intellectually flexible and able to look beyond existing structures, ways of working and traditional care boundaries in order to produce more effective and innovative service delivery. The post-holder will be expected to take an active role in in the teaching programmes of the department.
The successful candidate will work within the wider Department of Ageing and Health at GSTT, staffed by 26 consultants, with various subspecialty interests. The unit has a strong reputation for innovative service delivery, training in geriatric medicine and research. All consultants in the department are expected to share equally in out-of-hours rotas (either the acute GIM emergency floor rota or the acute frailty rota). The successful candidate may be able to pursue other subspecialty upon local negotiation.
As an organisation, we are committed to developing our services in ways that best suit the needs of our patients. This includes asking certain groups of staff to work more flexibly so that we can offer services to patients in the evenings and at weekends. We regard this flexibility as essential if we are to continue to provide first class patient care in the future. As a result, any offer of employment to a consultant post will be subject to you agreeing to work a new more flexible pattern of working in the future if required and in accordance with the provisions of the new Guys and St Thomas NHS Foundation Trust consultant contract.
Person Specification
Professional Qualifications
Essential
- Full GMC Registration with entry on the Specialist Register, or within 6 months of CCST.
- Experience of working in the NHS.
Desirable
- Experience as an NHS consultant (locum/acting up or substantive).
Clinical Experience
Essential
- Comprehensive clinical experience in General Medicine & Geriatric Medicine.
Desirable
- Experience of working in perioperative services (including Orthogeriatrics)
Knowledge and Skills
Essential
- Ability to work as an effective member of a multidisciplinary team.
Teaching
Essential
- Experience of undergraduate teaching and post graduate training.
Desirable
Management
Essential
- Evidence of understanding of the role of clinical management.
Desirable
- Management training or qualification.
- Evidence of leadership in the development of clinical services
Other
Essential
- Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council.
- Evidence of contribution to effective clinical audit and clinical risk management.
- Understanding of Quality Improvement Programmes.
Desirable
- Experience in clinical guideline development.
- Appraisal training.
- Evidence of contributing to quality improvements programmes for older adults
Research
Essential
- Understanding of the principles and applications of clinical research.
Desirable
- Evidence of original research and/or an MD or PhD.
Leadership/ Management Skills
Essential
- Communication- Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/negotiate
- Accountability- Ability to take responsibility, lead, make decisions and exert appropriate authority.
- Interpersonal Skills- Empathy, understanding, listening skills, patience and ability to work co-operatively with others.
- Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
- Ability to work as part of a team
- Staff Management- Experience of performance management, developing and motivating staff.
- Finance- Knowledge of finance and budgets.
Desirable
- Experience in clinical guideline development.
Person Specification
Professional Qualifications
Essential
- Full GMC Registration with entry on the Specialist Register, or within 6 months of CCST.
- Experience of working in the NHS.
Desirable
- Experience as an NHS consultant (locum/acting up or substantive).
Clinical Experience
Essential
- Comprehensive clinical experience in General Medicine & Geriatric Medicine.
Desirable
- Experience of working in perioperative services (including Orthogeriatrics)
Knowledge and Skills
Essential
- Ability to work as an effective member of a multidisciplinary team.
Teaching
Essential
- Experience of undergraduate teaching and post graduate training.
Desirable
Management
Essential
- Evidence of understanding of the role of clinical management.
Desirable
- Management training or qualification.
- Evidence of leadership in the development of clinical services
Other
Essential
- Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council.
- Evidence of contribution to effective clinical audit and clinical risk management.
- Understanding of Quality Improvement Programmes.
Desirable
- Experience in clinical guideline development.
- Appraisal training.
- Evidence of contributing to quality improvements programmes for older adults
Research
Essential
- Understanding of the principles and applications of clinical research.
Desirable
- Evidence of original research and/or an MD or PhD.
Leadership/ Management Skills
Essential
- Communication- Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/negotiate
- Accountability- Ability to take responsibility, lead, make decisions and exert appropriate authority.
- Interpersonal Skills- Empathy, understanding, listening skills, patience and ability to work co-operatively with others.
- Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
- Ability to work as part of a team
- Staff Management- Experience of performance management, developing and motivating staff.
- Finance- Knowledge of finance and budgets.
Desirable
- Experience in clinical guideline development.
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
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).
