Job summary
Job Purpose
Central London Community Healthcare NHS Trust (CLCH) delivers the Stroke and General community in-patient rehabilitation service for Barnet as well as offering some step-down and non-weight-bearing beds across the wards.
The units provide a comprehensive community-based step-down facility that supports patients' rehabilitation and recovery in a community setting, with an active therapy programme.
Ongoing assessments for those patients who are medically optimised but who require further assessments (typically Continuing Healthcare (CHC) assessments) outside of the acute setting in relation to their health and social needs and future living arrangements are also undertaken where necessary.
All run a 24/7 service with nurses always present and doctors/therapists available in core hours.
Main duties of the job
The aim of the post are to:
To manage the medical care of patients referred to the ward for rehabilitation. The doctor will be the only medic resident on the ward - There are Consultant reviews twice weekly (Ward round and MDT) and Consultant advice is available by phone.
Manage any medical deterioration on the ward as appropriate and with the advice of the ward Consultant. (Consultant is based off-site). Patients are required to be deemed medically optimised to be transferred for rehabilitation, but due to frailty and comorbidities may require medical input during their rehabilitation admission. Treatment options depend on the severity of issue and include both management on the ward and transfer of care to acute hospital ward/hospice.
To proactively work to prevent unnecessary admission/readmission to an acute hospital - including daily review of patients on the ward.
To facilitate appropriate discharge from the Unit to the optimal location for the patient wherever possible including their own homes.
To support patients, carers and families.
About us
Central London Community Healthcare (CLCH) is one of the largest community healthcare organisations in London and Hertfordshire, providing our services to diverse communities/boroughs in 11 London Boroughs - Barnet, Brent, Ealing, Hammersmith & Fulham, Harrow, Hounslow, Kensington and Chelsea, Merton, Richmond, Wandsworth, Westminster - and Hertfordshire.
Just as we care about our patients' wellbeing, we care about yours!
We can offer you:
- A comprehensive induction into the community service followed by a local induction to introduce you to the role
- Single occupancy accommodation in Central London - (we can help you find accommodation in London, support you with your deposit)
- Support with gaining your driving license *T&C's apply
- Car lease scheme *T&C's apply
- Flexible working options
- Annual travel card loan
- Training, support and development in your career
To have a full look at our benefits and what it's like working for us please go here: https://www.clch.nhs.uk/job/pay-and-benefits
At CLCH we appreciate and are proud of the diversity in the communities we serve and the workforce we employ. Applications are open and welcome to anyone, regardless of your age, sexual orientation, ethnicity, religion, and disability. We are proud to say that we follow the workforce race equality standard and 28% of our senior staff (8A and above) are from a BAME background. CLCH also has active BAME and LGBTQI networks.
Job description
Job responsibilities
Main Duties and Responsibilities
The Speciality Doctor will work within a multi-disciplinary team of healthcare professionals including nursing staff, pharmacists, allied health professionals and medical staff. You will undertake a range of essential routine tasks under the supervision and delegated authority of the relevant senior doctor in charge of the clinical area in which you are employed.
To manage the medical care of patients referred to the ward for rehabilitation. The doctor will be the only doctor resident on the ward there are Consultant reviews twice weekly (Ward round and MDT) and Consultant advice is available by phone.
Clerk in new patients. On admission patients should be reviewed full medical history should be taken, the patient should be examined, full notes entered to SystmOne and/or paper notes, VTE assessment undertaken as per protocols, and medications prescribed.
During core hours, daily review of ward patients including attendance at ward sweep/handover.
During out of hours, patients identified by the ward matron or other nursing/therapy staff as needing a review, and/or patients with new symptoms or signs, should be reviewed, including a relevant comprehensive history and physical examination.
Manage any medical deterioration on the ward as appropriate. Patients are required to be deemed medically optimised to be transferred for rehabilitation, but due to frailty and comorbidities may require medical input during their rehabilitation admission. Treatment options depend on severity of issue and include both management on the ward and transfer of care to acute hospital ward/hospice.
Assessment of unwell patients escalated to doctor by nursing/therapy staff.
Advising nursing/therapy staff regarding medical management of unwell patients.
Job description
Job responsibilities
Main Duties and Responsibilities
The Speciality Doctor will work within a multi-disciplinary team of healthcare professionals including nursing staff, pharmacists, allied health professionals and medical staff. You will undertake a range of essential routine tasks under the supervision and delegated authority of the relevant senior doctor in charge of the clinical area in which you are employed.
To manage the medical care of patients referred to the ward for rehabilitation. The doctor will be the only doctor resident on the ward there are Consultant reviews twice weekly (Ward round and MDT) and Consultant advice is available by phone.
Clerk in new patients. On admission patients should be reviewed full medical history should be taken, the patient should be examined, full notes entered to SystmOne and/or paper notes, VTE assessment undertaken as per protocols, and medications prescribed.
During core hours, daily review of ward patients including attendance at ward sweep/handover.
During out of hours, patients identified by the ward matron or other nursing/therapy staff as needing a review, and/or patients with new symptoms or signs, should be reviewed, including a relevant comprehensive history and physical examination.
Manage any medical deterioration on the ward as appropriate. Patients are required to be deemed medically optimised to be transferred for rehabilitation, but due to frailty and comorbidities may require medical input during their rehabilitation admission. Treatment options depend on severity of issue and include both management on the ward and transfer of care to acute hospital ward/hospice.
Assessment of unwell patients escalated to doctor by nursing/therapy staff.
Advising nursing/therapy staff regarding medical management of unwell patients.
Person Specification
Education/Qualification
Essential
- GMC registered with a licence to practise.
- Completed Foundation Training (FY1 and FY2)
- Two years post-Foundation Training experience
- Up to date Resuscitation and Safeguarding Training.
Desirable
- Speciality Doctor with training in relevant area e.g., Elderly Care Medicine, Rehabilitation Medicine.
- MRCP, DGM or equivalent
Experience
Essential
- At least two years experience working as a Doctor in a rehabilitation setting
- Experience of working in the NHS
Desirable
- Experience working with patients with frailty
- Previous experience working in a 'community hospital', rehabilitation service or frailty service would be an asset
Skills and Knowledge
Essential
- Knowledge of GMC 'Duties of a Doctor'
Desirable
- Experience of using SystmOne and ICE
Person Specification
Education/Qualification
Essential
- GMC registered with a licence to practise.
- Completed Foundation Training (FY1 and FY2)
- Two years post-Foundation Training experience
- Up to date Resuscitation and Safeguarding Training.
Desirable
- Speciality Doctor with training in relevant area e.g., Elderly Care Medicine, Rehabilitation Medicine.
- MRCP, DGM or equivalent
Experience
Essential
- At least two years experience working as a Doctor in a rehabilitation setting
- Experience of working in the NHS
Desirable
- Experience working with patients with frailty
- Previous experience working in a 'community hospital', rehabilitation service or frailty service would be an asset
Skills and Knowledge
Essential
- Knowledge of GMC 'Duties of a Doctor'
Desirable
- Experience of using SystmOne and ICE
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).
Employer details
Employer name
Central London Community Health Trust
Address
Holywell Unit, Langley House,
698 St Albans Road, Watford
Hertfordshire
WD25 9FG
Employer's website
https://clch.nhs.uk/ (Opens in a new tab)
