Consultant Geriatric Medicine (Hospital at Home)

Royal Surrey NHS Foundation Trust

The closing date is 15 May 2024

Job summary

The Royal Surrey NHS Foundation Trust is looking to fully integrate acute and community services to create one seamless pathway for older adults living with frailty and complexity. Working with the Chief of Service and already established Clinical Director for Frailty Services, we are looking to appoint a Consultant Geriatrician to work in our evolving Hospital at Home service.

This is a substantive post predominantly based in Hospital at Home service, but with the potential to rotate through our other integrated crisis services including Same Day Emergency Care and the Acute Frailty Team.

This post attracts a relocation package of up to £8,000, T&Cs apply.

Main duties of the job

Provide senior clinical oversight at Consultant level for Urgent Community Response and Hospital at Home.

Work clinically in the integrated crisis pathway including potential rotation through acute frailty services, our dedicated Same Day Emergency Care facility, Urgent Community Response and Hospital at Home.

Contributing to the "Geriatrician of the Day" rota, co-ordinating referrals from GPs, Ambulance crews and Community Teams.

Day to day clinical leadership delivery of the integrated crisis pathway providing senior clinical leadership to the joined up pathway.

Attend multidisciplinary meetings and board rounds with the UCR/H@H service.

If required, attendance at key system wide meetings relating to the crisis pathway, for example the Integrated Frailty Delivery Group.

Contribute and lead on transformational pieces of work leading teams through change as the pathways evolve.

Participate in and champion the workforce and innovation programme including contributing to the Frailty Academy.

Completion of Comprehensive Geriatric Assessment alongside Specialty Doctors

About us

Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing program along with a commitment to developing and advancing your career. Our diverse and welcoming Royal Surrey family will ensure you that you feel valued from your initial interview through your entire tenure.

We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in homes across Guildford and Waverley.

We have received an overall Good rating from the CQC with Medical care (including older peoples care), End of Life Care and Maternity services being deemed Outstanding by the CQC.

Royal Surrey has a strong reputation and history to build on. We are proud of our achievements and we are investing in our colleagues through our commitment to supporting professional development as well as investing more than £45 million in our physical environment and new equipment in the next few years. There has never been a better time to join us.

Although it isn't the Trusts normal practice, adverts may close early, so you are encouraged to submit an application as soon as possible.

A video about the Royal Surrey - https://www.youtube.com/watch?v=5HsiGn9joTQ

Date posted

17 April 2024

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£93,666 to £126,281 a year per annum plus London Weighting

Contract

Permanent

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

384-LP-EMF15003A

Job locations

Royal Surrey NHS Foundation Trust

Egerton Road

Guildford

GU2 7XX


Job description

Job responsibilities

This is a 10 PA post for a Consultant Geriatrician based in the Urgent Community Response and Hospital at Home service at the Royal Surrey NHS Foundation Trust.

It is an exciting time to join this team, as we work to implement our Ageing Well and Frailty Strategy across the Guilford and Waverley healthcare system. Our Acute Frailty Service is among the best in the country and the strategy has supported us in developing a Frailty Same Day Emergency Care facility, direct conveyance to this unit by working in partnership with local Ambulance services, a Geriatrician of the Day model providing acute clinical triage and a Hospital at Home service. Opportunities exist to rotate through all of these pathways and prospective cover is within budget. The MICH hub was developed during the pandemic and looks to support neighbourhood teams with standardised CGA assessment. We are looking to work with system partners to risk stratify older people living with frailty, to proactively offer CGA to them and to integrate with locality based MDTs.

All of our new posts contribute to our Frailty Academy which has been running since 2021 and has embedded frailty training across the organisation and local system, including the development of the a trainee ACP programme and an internal CESR programme. We recently won a bid to expand the academy and to help develop a strategic workforce plan fit to meet the needs of an ageing population.

Please see full job description attached.

Job description

Job responsibilities

This is a 10 PA post for a Consultant Geriatrician based in the Urgent Community Response and Hospital at Home service at the Royal Surrey NHS Foundation Trust.

It is an exciting time to join this team, as we work to implement our Ageing Well and Frailty Strategy across the Guilford and Waverley healthcare system. Our Acute Frailty Service is among the best in the country and the strategy has supported us in developing a Frailty Same Day Emergency Care facility, direct conveyance to this unit by working in partnership with local Ambulance services, a Geriatrician of the Day model providing acute clinical triage and a Hospital at Home service. Opportunities exist to rotate through all of these pathways and prospective cover is within budget. The MICH hub was developed during the pandemic and looks to support neighbourhood teams with standardised CGA assessment. We are looking to work with system partners to risk stratify older people living with frailty, to proactively offer CGA to them and to integrate with locality based MDTs.

All of our new posts contribute to our Frailty Academy which has been running since 2021 and has embedded frailty training across the organisation and local system, including the development of the a trainee ACP programme and an internal CESR programme. We recently won a bid to expand the academy and to help develop a strategic workforce plan fit to meet the needs of an ageing population.

Please see full job description attached.

Person Specification

Qualifications

Essential

  • Full registration and a license to practice with the GMC
  • Entry on the GMC Specialist Register for Geriatric Medicine (or relevant specialty) via: oCCT (CCT date must be within 6 months of the interview date) oPortfolio Pathway (previously CESR)
  • MBBS or equivalent
  • MRCP or equivalent

Experience

Essential

  • Wide experience of managing patients with Frailty
  • General Internal Medicine
  • Significant evidence of experience in clinical leadership
  • Relevant experience of management of medical emergencies
  • CPD - Evidence of post qualifying and continuing professional development clinical knowledge and skills

Skills and Capabilities

Essential

  • Management, Leadership and Initiative skills
Person Specification

Qualifications

Essential

  • Full registration and a license to practice with the GMC
  • Entry on the GMC Specialist Register for Geriatric Medicine (or relevant specialty) via: oCCT (CCT date must be within 6 months of the interview date) oPortfolio Pathway (previously CESR)
  • MBBS or equivalent
  • MRCP or equivalent

Experience

Essential

  • Wide experience of managing patients with Frailty
  • General Internal Medicine
  • Significant evidence of experience in clinical leadership
  • Relevant experience of management of medical emergencies
  • CPD - Evidence of post qualifying and continuing professional development clinical knowledge and skills

Skills and Capabilities

Essential

  • Management, Leadership and Initiative skills

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.

Certificate of Sponsorship

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

Certificate of Sponsorship

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).

Employer details

Employer name

Royal Surrey NHS Foundation Trust

Address

Royal Surrey NHS Foundation Trust

Egerton Road

Guildford

GU2 7XX


Employer's website

https://www.royalsurrey.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Royal Surrey NHS Foundation Trust

Address

Royal Surrey NHS Foundation Trust

Egerton Road

Guildford

GU2 7XX


Employer's website

https://www.royalsurrey.nhs.uk/ (Opens in a new tab)


For questions about the job, contact:

Chief of Service

Dr James Adams

jamesadams@nhs.net

Date posted

17 April 2024

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£93,666 to £126,281 a year per annum plus London Weighting

Contract

Permanent

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

384-LP-EMF15003A

Job locations

Royal Surrey NHS Foundation Trust

Egerton Road

Guildford

GU2 7XX


Supporting documents

Privacy notice

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