Job summary
This is an exciting opportunity to join our relatively new multidisciplinary Frailty Assessment Unit.
This is a 1 year fixed term post at 18.53 hrs per week.
The service provides an alternative pathway for older adults with frailty who present to hospital in an emergency. Co-located with our Emergency Department, the unit accepts direct referrals from the community, the London Ambulance Service, and our Emergency Department.
The post holder will independently assess, investigate, diagnose, treat, and manage older adults with a Clinical Frailty Scale of 4+ presenting with a frailty crisis, or 5+ with a frailty crisis or an alternative suitable condition. You will work closely with the team to reduce unnecessary hospital admissions and the length of stay for patients who require admission. The post holder will be responsible for delivering the highest quality of patient-centred care.
The post holder will be an integral part of developing this new role and service. The position would be well-suited to a dynamic individual who has experience in change management with excellent communication and people skills. Working autonomously to provide a high level of expertise and exercise advanced clinical reasoning, judgement, discretion, and decision making whilst undertaking the skills of identification, assessment, examination, and interpretation of investigations to provide a diagnosis and formulate timely treatment, management plans, and safe discharge of patients.
Main duties of the job
- To be professionally and legally responsible and accountable for all aspects of own work including the management of patients in your care and to ensure a high standard of clinical care for patients under your management including those of other staff, by providing expert care for a complex patient caseload.
- To receive referrals from and make referrals to consultants and other healthcare professionals, review the patient and act, accordingly, thereby reducing length of waiting time for patients requiring intervention.
- According to current legislation to undertake independent prescribing and appropriate use of the administration of medicine using Patient Group Directions (PGD's).
- Plan, deliver and evaluate interventions and/or treatments when there are complex issues and/or serious illnesses.
- Ensure that patient experience is at the core of service delivery through implementation and continued monitoring of CQC standards and FFT's.
- Undertake assessment in accordance with evidence-based practice, legislation policies and procedures, e.g., taking a patient history, physical examinations, obtaining X-Rays and requesting diagnostic investigations within scope of practice.
About us
The Hillingdon Hospitals NHS Foundation Trust is the only acute hospital in the London Borough of Hillingdon and offers a wide range of services including accident and emergency, inpatient care, day surgery, outpatient clinics and maternity services. The Trust's services at Mount Vernon Hospital include routine day surgery, delivered at a modern treatment centre, a minor injuries unit and outpatient clinics.
The safety and well-being of our patients and of our staff is paramount and we are making urgent improvements to address this - particularly in infection prevention and control. We are making progress and going forward by working in partnership with local GPs, charities,community services, academic partners, our local authority, neighbouring hospitals and the wider North West London Integrated care system, and ensuring that we listen and work in partnership with our local population. We are absolutely focused on ensuring that our hospitals provide high quality, safe and compassionate care, while drive forward the building of the new Hillingdon Hospital.
We have over 3,500 members of staff that are proud to care for nearly half a million people, with a vision to be an outstanding provider of healthcare through leading health and academic partnerships, transforming services, to provide the best care where needed.
Job description
Job responsibilities
Please refer to the attached Job Description and Person Specification for a full list of role requirements and main responsibilities.
Job description
Job responsibilities
Please refer to the attached Job Description and Person Specification for a full list of role requirements and main responsibilities.
Person Specification
Education and Qualifications
Essential
- Professional registration with NMC / HCPC / GPC
- Master's Level Qualification in Advanced Practice
- Prescribing Qualification or meet criteria to undertake within 6 months of appointment
- Evidence of relevant, recent study continuing education
Desirable
- Management and Leadership qualification
- IR(ME)R Training
- ALS / APLS
- Recognised teaching qualification or mentorship (ENB 998 or equivalent)
Experience
Essential
- Extensive demonstrable experience in Frailty
- Awareness of local and national health policy
- Experience of implementing evidence based practise
- Experience of participation in clinical audit
Desirable
- Information technology skills
- Experience of leading clinical governance
- Experience of research activity
- Experience of Service Improvement / Quality Improvement / Practice Development
- Experience of developing evidence-based protocols and clinical guidelines
- Basic knowledge of financial management
Skills, Knowledge, and Abilities
Essential
- Excellent clinical and practical skills as an autonomous practitioner
- Extended skills practical skills beyond that normally expected of a Registered Professional
- Advanced diagnostic skills and ability to request and independently interpret a plethora of diagnostic tests
- Utilise advanced knowledge and judgment to effectively prescribe medications
- Evidence of management ability and leadership qualities
- Ability to organise own time and that of others to ensure the skill mix is adequate and to re-organise as workload demands to ensure the smooth, safe running of the unit
- Evidence of ability to work autonomously within a variety of clinical situations
- Ability to recognise and analyse complex situations and take appropriate action
- Ability to communicate effectively both written and verbally
- Ability to communicate with all members of the MDT at any level
- Ability to communicate with patient in an empathetic manner regarding their treatment and procedures including high risk procedures
Personal Qualities
Essential
- Ability to communicate with staff at all levels
- Ability to communicate with multi-disciplinary team and external agencies
- High level of personal motivation
- Ability to challenge peers and other members of the multi-disciplinary teams practice to the benefit of patients and carer.
- Flexibility of work pattern - willing to work unsocial hours (evenings & weekends) as required
Person Specification
Education and Qualifications
Essential
- Professional registration with NMC / HCPC / GPC
- Master's Level Qualification in Advanced Practice
- Prescribing Qualification or meet criteria to undertake within 6 months of appointment
- Evidence of relevant, recent study continuing education
Desirable
- Management and Leadership qualification
- IR(ME)R Training
- ALS / APLS
- Recognised teaching qualification or mentorship (ENB 998 or equivalent)
Experience
Essential
- Extensive demonstrable experience in Frailty
- Awareness of local and national health policy
- Experience of implementing evidence based practise
- Experience of participation in clinical audit
Desirable
- Information technology skills
- Experience of leading clinical governance
- Experience of research activity
- Experience of Service Improvement / Quality Improvement / Practice Development
- Experience of developing evidence-based protocols and clinical guidelines
- Basic knowledge of financial management
Skills, Knowledge, and Abilities
Essential
- Excellent clinical and practical skills as an autonomous practitioner
- Extended skills practical skills beyond that normally expected of a Registered Professional
- Advanced diagnostic skills and ability to request and independently interpret a plethora of diagnostic tests
- Utilise advanced knowledge and judgment to effectively prescribe medications
- Evidence of management ability and leadership qualities
- Ability to organise own time and that of others to ensure the skill mix is adequate and to re-organise as workload demands to ensure the smooth, safe running of the unit
- Evidence of ability to work autonomously within a variety of clinical situations
- Ability to recognise and analyse complex situations and take appropriate action
- Ability to communicate effectively both written and verbally
- Ability to communicate with all members of the MDT at any level
- Ability to communicate with patient in an empathetic manner regarding their treatment and procedures including high risk procedures
Personal Qualities
Essential
- Ability to communicate with staff at all levels
- Ability to communicate with multi-disciplinary team and external agencies
- High level of personal motivation
- Ability to challenge peers and other members of the multi-disciplinary teams practice to the benefit of patients and carer.
- Flexibility of work pattern - willing to work unsocial hours (evenings & weekends) as required
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).
