Job summary
The post holder will hold a post of Fixed Termconsultant in Geriatric Medicine at London North West University Healthcare NHS Trust.
Our collective goal is to provide excellent care for our frail older patient in hospital and back home. We aim to treat acute illness appropriately, to enhance quality of life, to reduce disability, recognise when life is nearing its end, and to provide individualised person-centred care in the right setting at the right time.
The appointee will be responsible to the Divisional Director of Medicine for London North West University Healthcare NHS Trust and report to the Department of Medicine for Older People Clinical Lead.
As the post holder develops their role, there will be an expectation that different aspects of supporting professional activity may demand a greater proportion of the working job plan be dedicated to this. This issue will be addressed through regular appraisal and job planning.
The department is strongly supportive of any candidate for this post who would wish to pursue portfolio pathway training with a view to gaining a Certificate of Eligibility for Specialist Registration (CESR).
Main duties of the job
- To provide in-patient care for patients on the Medicine for Older People wards at Ealing hospital.
- To work in the frailty unit, focusing on comprehensive geriatric assessment for older people presenting to the Emergency Department with frailty syndromes not requiring admission.
- To contribute to outpatient care in clinics. These include movement disorder and general rapid access clinics for people with frailty syndromes.
- GIM on call as detailed above.
- To work with the rest of the clinical and managerial team to support clinical governance, including contribution to morbidity and mortality meetings, quality improvements projects and clinical audit.
- To take an active part in undergraduate and postgraduate teaching, training and supervision.
- To contribute to service development where relevant.
- The job will include liaising with and teaching nursing staff, health care assistants, therapists and other members of the multidisciplinary team.
About us
London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.
Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.
We run major acute services at:
- Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
- St Mark's Hospital: an internationally renowned specialist centre for bowel disease
- Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
- Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.
We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.
Job description
Job responsibilities
Acute Frailty Service
There is an established Acute Frailty Service which comprises a Multidisciplinary Team based in ED, CDU and Ealing Acute Care Unit giving rapid and responsive Comprehensive Geriatric Assessment to older patients with frailty at the front door. This service creates individualised plans for patients with the aim to avoid admission if possible or reduce the length of stay if admission is required. There is opportunity to be involved with the Acute Frailty Service which involves leading the Frailty MDT (currently 2 Frailty Practitioners, one frailty nurse, one frailty OT, a frailty pharmacist and an SHO) to assess appropriate patients presenting ED and CDU and EACU.
OPRAC
The Older Persons Rapid Assessment Clinic (OPRAC) is a well-established service providing Comprehensive Geriatric Assessment in an outpatient setting. We have a mix of virtual and face to face appointments.
OPRAC is now combined with Ealing Acute Care Unit so that older patients with frailty, who have historically been excluded from ambulatory pathways can have access to same day emergency care (SDEC) avoiding unnecessary and potentially harmful admissions. There is an opportunity for the post holder to create a rapid access clinic of their own interest e.g. heart failure clinic.
Sub-speciality interests
Development of any special interests is encouraged and will be actively supported e.g. Continence, Falls, Movement Disorders, Surgical liaison including Orthogeriatrics, and Community including potential involvement in the Ealing Frailty Virtual Ward. Time within the job plan to explore and develop services related to these can be negotiated.
On call commitments
General medical on call commitment is approximately two days per month and 8 weekend days per year. A typical medical take is 30-40 patients per 24 hours. This attracts a 1% on call supplement and time off in lieu during the week. The consultant is on call from home overnight.
Administrative support
The appointee will be given appropriate shared office accommodation with the provision of personal computer equipment (with PAS, email and internet access), telephone and secretarial support.
Medical staff of LNWH Department of Medicine for Older People at Ealing Hospital
Consultants (name, specialist interest(s), WTE)
- Dr Kate Senger (Acute frailty, community geriatrics, palliative care)
- Dr Darshi Palliyage (orthogeriatrics)
- Dr Szabi Bertok (movement disorders)
- Dr Trishpal Dhaliwal (medical education)
- Dr Annie Pervaiz (acute frailty, 0.4WTE)
- Dr Anna Down (GP with special interest in acute frailty, 0.6WTE)
SAS, trust and junior doctors (grade, WTE)
- SAS doctor 0.5 WTE
- Trust doctors 6.0 WTE
- Doctors in training posts (F1 to registrar) 12.0 WTE
Duties of the post
- To provide in-patient care for patients on the Medicine for Older People wards at Ealing hospital.
- To work in the frailty unit, focusing on comprehensive geriatric assessment for older people presenting to the Emergency Department with frailty syndromes not requiring admission.
- To contribute to outpatient care in clinics. These include movement disorder and general rapid access clinics for people with frailty syndromes.
- GIM on call as detailed above.
- To work with the rest of the clinical and managerial team to support clinical governance, including contribution to morbidity and mortality meetings, quality improvements projects and clinical audit.
- To take an active part in undergraduate and postgraduate teaching, training and supervision.
- To contribute to service development where relevant.
- The job will include liaising with and teaching nursing staff, health care assistants, therapists and other members of the multidisciplinary team.
Job description
Job responsibilities
Acute Frailty Service
There is an established Acute Frailty Service which comprises a Multidisciplinary Team based in ED, CDU and Ealing Acute Care Unit giving rapid and responsive Comprehensive Geriatric Assessment to older patients with frailty at the front door. This service creates individualised plans for patients with the aim to avoid admission if possible or reduce the length of stay if admission is required. There is opportunity to be involved with the Acute Frailty Service which involves leading the Frailty MDT (currently 2 Frailty Practitioners, one frailty nurse, one frailty OT, a frailty pharmacist and an SHO) to assess appropriate patients presenting ED and CDU and EACU.
OPRAC
The Older Persons Rapid Assessment Clinic (OPRAC) is a well-established service providing Comprehensive Geriatric Assessment in an outpatient setting. We have a mix of virtual and face to face appointments.
OPRAC is now combined with Ealing Acute Care Unit so that older patients with frailty, who have historically been excluded from ambulatory pathways can have access to same day emergency care (SDEC) avoiding unnecessary and potentially harmful admissions. There is an opportunity for the post holder to create a rapid access clinic of their own interest e.g. heart failure clinic.
Sub-speciality interests
Development of any special interests is encouraged and will be actively supported e.g. Continence, Falls, Movement Disorders, Surgical liaison including Orthogeriatrics, and Community including potential involvement in the Ealing Frailty Virtual Ward. Time within the job plan to explore and develop services related to these can be negotiated.
On call commitments
General medical on call commitment is approximately two days per month and 8 weekend days per year. A typical medical take is 30-40 patients per 24 hours. This attracts a 1% on call supplement and time off in lieu during the week. The consultant is on call from home overnight.
Administrative support
The appointee will be given appropriate shared office accommodation with the provision of personal computer equipment (with PAS, email and internet access), telephone and secretarial support.
Medical staff of LNWH Department of Medicine for Older People at Ealing Hospital
Consultants (name, specialist interest(s), WTE)
- Dr Kate Senger (Acute frailty, community geriatrics, palliative care)
- Dr Darshi Palliyage (orthogeriatrics)
- Dr Szabi Bertok (movement disorders)
- Dr Trishpal Dhaliwal (medical education)
- Dr Annie Pervaiz (acute frailty, 0.4WTE)
- Dr Anna Down (GP with special interest in acute frailty, 0.6WTE)
SAS, trust and junior doctors (grade, WTE)
- SAS doctor 0.5 WTE
- Trust doctors 6.0 WTE
- Doctors in training posts (F1 to registrar) 12.0 WTE
Duties of the post
- To provide in-patient care for patients on the Medicine for Older People wards at Ealing hospital.
- To work in the frailty unit, focusing on comprehensive geriatric assessment for older people presenting to the Emergency Department with frailty syndromes not requiring admission.
- To contribute to outpatient care in clinics. These include movement disorder and general rapid access clinics for people with frailty syndromes.
- GIM on call as detailed above.
- To work with the rest of the clinical and managerial team to support clinical governance, including contribution to morbidity and mortality meetings, quality improvements projects and clinical audit.
- To take an active part in undergraduate and postgraduate teaching, training and supervision.
- To contribute to service development where relevant.
- The job will include liaising with and teaching nursing staff, health care assistants, therapists and other members of the multidisciplinary team.
Person Specification
Qualifications
Essential
- MRCP
- Experience in the management of older people
Desirable
Knowledge & Expertise
Essential
- Clinical training and experience equivalent to that required for gaining (UK) CCST in General Medicine and Geriatric Medicine
- Ability to take full and independent responsibility for the care of patients.
- IT skills and computer literacy
Desirable
- NHS experience within the last 3 years
Registration
Essential
- Entry on Specialist Register in Geriatric Medicine and General Medicine via CCT (within 6 montsh of interview), CESR or European Community Rights
Teaching
Essential
- Experience of teaching and training undergraduates, postgraduates and junior medical staff
Desirable
- MD or PhD
- Evidence of ongoing interest and achievement in research
Management & Audit
Essential
- Understanding the principles of clinical governance and its implications
- Leadership skills
- Knowledge of finance/budgets
- Ability to organise and prioritise workload effectively
- Ability to plan strategically and to exercise sound judgements when faced with conflicting pressures
- Ability to motivate and develop the MDT, balancing departmental and personal objectives
Desirable
- Evidence of service audit or change management
Language
Essential
- able to speak and write English to the appropriate stanadard necessary to fulfil the job requirements
Personal Skills
Essential
- Energy and enthusiasm and the ability to work under pressure
- Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses and other staff and agencies
Person Specification
Qualifications
Essential
- MRCP
- Experience in the management of older people
Desirable
Knowledge & Expertise
Essential
- Clinical training and experience equivalent to that required for gaining (UK) CCST in General Medicine and Geriatric Medicine
- Ability to take full and independent responsibility for the care of patients.
- IT skills and computer literacy
Desirable
- NHS experience within the last 3 years
Registration
Essential
- Entry on Specialist Register in Geriatric Medicine and General Medicine via CCT (within 6 montsh of interview), CESR or European Community Rights
Teaching
Essential
- Experience of teaching and training undergraduates, postgraduates and junior medical staff
Desirable
- MD or PhD
- Evidence of ongoing interest and achievement in research
Management & Audit
Essential
- Understanding the principles of clinical governance and its implications
- Leadership skills
- Knowledge of finance/budgets
- Ability to organise and prioritise workload effectively
- Ability to plan strategically and to exercise sound judgements when faced with conflicting pressures
- Ability to motivate and develop the MDT, balancing departmental and personal objectives
Desirable
- Evidence of service audit or change management
Language
Essential
- able to speak and write English to the appropriate stanadard necessary to fulfil the job requirements
Personal Skills
Essential
- Energy and enthusiasm and the ability to work under pressure
- Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses and other staff and agencies
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).
