Locum Frailty Consultant - Surrey Downs Health and Care - Surrey

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Job Description

Job Title: Consultant

 

Grade: Consultant

Contract: Locum

Department: Frailty

Reports To:

Accountable To:

Site: Trust wide

Programmed Activities: 10 PAs plus on-call

 

Our Partnership

 

Surrey Downs Health and Care (SDHC) is an innovative formal partnership consisting of the acute trust, Epsom and St. Helier University Hospitals (ESTH), the community workforce provider, Central Surrey Health (CSH), the local GP federation covering the Surrey Downs area of 31 practices, GP Health Partners (GPHP), Surrey Medical Network and Dorking Healthcare and the co-terminus Local Authority, Surrey County Council (Surrey County Council).

 

Our vision is to create new ways of working across organisational boundaries and transform people’s experiences of care by being a leading provider of integrated health and social care services. We aim to provide a whole system approach to care delivery – with care wrapped around the person not the organisation. Our services are provided by staff from across health and social care, working together as a single team and includes doctors, nurses, therapists, health care assistants, social workers, and re-ablement assistants.

 

The partnership is contractually responsible for the delivery of adult community services across Surrey Downs and has developed a range of integrated services supporting local residents to receive joined up care across community and acute care settings. 

 

Our Integrated Frailty Services

@home service

The SDHC @home service provides joined up coordinated care to people aged 65 and over who have been admitted to hospital or who are at serious risk of admission.  The service, consisting of consultant geriatricians, GPs, community nurses, therapists, pharmacists, social care practitioners and reablement,  work as one team across two tiers of care offering specialist multi-disciplinary (MDT) input to support users in their place of residence wherever possible. The service has three key functions.

Enhanced @home 

  • The Enhanced @home function provides rapid specialist assessment in a person’s home within 2 hours of referral and offers short-term intervention to mitigate the risk of a hospital admission. The team provide service users with “enhanced,” high intensity multidisciplinary packages of care to support them to remain at home as an alternative to hospital admission. 

Front Door

  • The Front Door team offers a specialist community facing frailty function in the emergency department (ED), providing rapid assessment and specialist care planning to patients arriving at Epsom General Hospital. The team proactively identify patients that can be better supported in the community and facilitate discharge with the provision of enhanced packages of care. If a patient requires admission the team initiate discharge planning from ED, developing an integrated health and care plan which will be acted on by both acute and community teams to ensure a single joined up approach to care delivery throughout the person’s care pathway.

@Home First

  • Where admission is unavoidable the @Home First function provide hospital in-reach with MDT discharge planning (community assessment, reablement, and package of care) to facilitate an early discharge from hospital and support service users to return to their own home as quickly as possible.

Alex Frailty Unit

  • Alex Frailty Unit is a community-facing frailty unit based within Epsom General Hospital. The unit supports frail patients who have complex needs and/or rehabilitation needs and offers enhanced MDT support in order to support the patients’ transition of care back to their place of residence as soon as possible. The unit is consultant led and supported by junior doctors, nurses, social care practitioners and has enhanced therapy support as well as community in-reach from Community Matrons and GPs. Therapy support is provided through the @home service who assist in facilitating early discharge from the ward and provide on-going support in the patient’s home.

 

 

 

 

 

  1. Post description

We are recruiting a consultant with generalist background and experience in managing patients with Frailty to join our exciting and rapidly expanding Frailty Team delivering integrated holistic care spanning both acute and community settings. The post holder’s primary duty will be to manage Alex Frailty Unit – a community-facing frailty unit based within Epsom General Hospital - with support from an enhanced MDT, including junior doctors, nurses, matrons, therapists and social care staff. The post holder will drive forward developments improving the quality of care delivered to patients with a focus on maximising peoples’ independence and supporting their return to their usual place of residence wherever possible. Additionally, there are opportunities to be involved in £1million Frailty Transformation Programme currently rolling out across Epsom General Hospital and the place of Surrey Downs.  You will receive peer support from the Frailty Consultants working across Epsom General Hospital and Surrey Downs Health and Care and be fully supported by an integrated management team helping you to drive forward change.

 

  1. Base

This post will largely be based at Epsom General Hospital as part of SDHC but will also stretch to support wider community frailty services. The post holder will be able to be part of the exciting development of the community frailty unit as part of a wider MDT.

 

  1. The post

Locum Consultant as part of the Frailty Team

 

  1.  Main responsibilities and duties

 

  • To show dynamism, enthusiasm and flexibility in participating in the supporting and shaping of community and interface frailty services as part of SDHC.
  • To help provide a first class clinical service to all patients.
  • To provide high quality leadership and support to medical staff, allied health care professionals, management and support staff on Alex Frailty Unit.
  • To lead and support the multi-disciplinary team with complex discharge planning.
  • To support and sustain teaching and research where possible in relevant clinical areas.
  • To work within the framework of applicable Trust policies, procedures, and clinical governance framework.
  • To work within contractual requirements, and in support of, applicable Trust clinical development frameworks, business plans, and development strategies.

 

  1. Clinical
  • To share in the organisation and provision of high quality clinical care for patients with Frailty within the Trust.
  • To assess and review patients within the setting of Alex Frailty Unit, the Acute Medical Unit, CDU, ED and in the community when required.
  • To facilitate the early discharge of patients if clinically appropriate, by using where necessary, community teams.
  • To actively participate and be engaged in daily multidisciplinary team meetings
  • To provide senior support and input into clinical decisions taken by junior medical staff.
  • To ensure the provision of accurate and timely communication between Alex Frailty Unit, the Acute Medical Unit, other units within the Trust (including critical care), and in primary or intermediate care settings.
  • To work to provide smooth, timely and appropriate transfer of patients to appropriate settings within the Trust and local community
  • To participate in the development and implementation of care pathways for older patients presenting with frailty to the acute hospital
  • If desired, an opportunity to participate in the out of hours medical on-call rota, such on-call including assuming clinical responsibility for the care of all medical patients within the Trust (including those outside of Alex Frailty Unit).

 

  1. Principle duties of the post

The principal duty of this post is to provide a comprehensive clinical service to patients.

  • To at all times, comply with the GMC’s guidance on ‘Good Medical Practice’ as amended or substituted from time to time.
  • To ensure that patient confidentiality is maintained at all times.
  • To undertake duties as defined within the attached job plan in so far as practicable and in agreement with your Clinical Director.
  • To be responsible and managerially accountable for the reasonable and effective use of Trust resources that you use and influence, and professionally accountable to the Clinical Director.
  • On commencement to ensure personal attendance at the Trust’s corporate Induction (or arranged Consultant Induction).
  • To participate in the Trust’s Statutory & Mandatory training programme.
  • To be responsible for the Clinical Management of in-patients and out-patients under your care.

 

  1. Teaching and training
  • To share responsibility with other Consultants for the recruitment, appointment and supervision of junior medical staff in accordance with Trust policies.
  • To devote time on a regular basis for teaching and training of junior medical staff, contributing as appropriate to post-graduate and continuing medical education.
  • To devote time, through agreement on a regular basis for teaching and training of medical students as part of agreed teaching arrangements with the Foundation School.

 

  1. Management and governance
  • To be responsible for the management, appraisal and discipline of junior doctors who are attached to you, after taking appropriate advice, where appropriate.
  • To maintain personal and professional development. The post holder will be expected to register with their respective Royal College for the purpose of CME/CPD and to fulfil the requirements of that registration.
  • To provide advice, as required to the Executive and Trust board, General Practitioners and other interested parties, on the provision of planning of clinical services locally, regionally and nationally in keeping with confidentiality agreements relating to Trust business.
  • To co-operate in the present framework agreement of management arrangements.
  • To fully participate in Clinical Governance arrangements across the Trust including participation in clinical audit, research (where appropriate), pursuing an agreed agenda with colleagues and the Trust Board and fully co-operating in implementing the results in order to achieve best practice.
  • To participate, on at least an annual basis in consultant appraisal and job planning reviews.
  • To comply with Trust policies and procedures where appropriate.
  • To ensure that all intellectual property rights of the Trust are observed.
  • To respond and take responsibility for complaints, clinical incidences and mortality and morbidity reviews and undertake audit as part of governance
  • Mentoring will be available for newly appointed consultants and new consultant forums are in place

 

  1. Job plan

A provisional timetable has been included below. This is subject to slight change to meet the needs of the department.

 

Monday

Tuesday

Wednesday

Thursday

Friday

09.00-13.00

Alex Frailty Unit BR/WR - 1PA

Alex Frailty Unit BR/WR - 1PA

Alex Frailty Unit MDT - 1PA

Alex Frailty Unit BR/WR - 1PA

Alex Frailty Unit BR/WR - 1PA

13.00-17.00

Support Front Door team - 1PA

SPA – 1PA

Support Front Door team - 1PA

Support Front Door team - 1PA

Support Front Door team - 1PA

 

            Plus 1 PA for GIM on-call if desired

 

Clinical Governance

Medical Practice

All members of the Trust’s medical staff are expected to practice within the GMC Guidelines, in particular those contained within the publications Good Medical Practice and Maintaining Good Medical Practice.

All of the above provide an outline of the duties of doctors who are registered with the GMC and in particular emphasise the responsibility of every doctor to ensure standards of good clinical care, share good practice, keep up-to-date with clinical skills, work in teams and maintain good relationships with colleagues in all disciplines. The Trust is committed to the support of these principles and provides funds for education and development of all grades of staff.

Professional/Clinical Development

The Trust places great emphasis on the continuing development of all employees. Extensive training opportunities are available both internally and externally.

The Medical Director’s office will provide a focus for ensuring the process of delivery of care is research/knowledge based, continuously evaluated and proven to be effective.

Clinical Audit

There is a wide ranging Clinical Audit Programme across many specialities within the Trust, supported by specialist staff.

Clinical involvement in Clinical Audit is of paramount importance. Clinicians are expected to participate actively in audit and generally to follow agreed protocols to enable the provision of high quality care.

Appraisal/Revalidation

The appointee will be required to fully co-operate and participate with the Trust’s appraisal scheme, which identifies personal and professional development needs; agreeing plans for them to be met, while reviewing the doctor’s work and performance and considering the doctor’s contribution to the quality and improvement of service delivery.

The post holder is expected to comply fully with the revalidation process introduced by the General Medical Council in December 2012.

Health & Safety

All medical and dental staff employed by the Trust is expected to comply with Trust Policy and management instruction with regard to Health and Safety and to Fire Prevention and, in particular to anything that endangers themselves or others.

Healthcare Associated Infection

Healthcare workers have an overriding duty of care to patients and are expected to comply fully with best practice standards. You have a responsibility to comply with Trust policies for personal and patient safety and for prevention of healthcare associated infection (HCAI); this includes a requirement for rigorous and consistent compliance with Trust policies for hand hygiene including the ‘naked below the elbow’ approach, use of personal protective equipment and safe disposal of sharps. Knowledge, skills and behaviour in the workplace should reflect this; at annual appraisal you will be asked about the application of practical measures known to be effective in reducing HCAI.

The Trust has the responsibility of ensuring that adequate resources are available for you to discharge your responsibilities.

Safeguarding

The Trust has in place both a Safeguarding Children Policy and a Safeguarding Adults Policy in line with national legislation.

The Safeguarding Policies place a duty upon every employee who has contact with children, families and adults in their everyday work to safeguard and promote their welfare. In the event that you have concerns about possible harm to any child or adult you should contact your line manager immediately. Out of hours contact should be made with the on-call manager through switchboard.

The Trust has nominated Safeguarding Leads who act as contact points for support and advice if concerns are raised about a child or adult’s welfare. These individuals can be reached through switchboard during office hours by asking for the Named Professionals for Safeguarding Children or Adults respectively.

Equality & Diversity

All staff employed within the Trust must co-operate with all policies and procedures designed to ensure equality of employment. Colleagues, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.

Learning & Development Facilities

Training Opportunities

The post holder will have ample opportunity and encouragement to train in all aspects of General Medicine. The department fully supports mentoring of newly appointed consultants. Newly appointed consultants will be treated equitably with existing consultants with job planning and career development.

Research

There will be ample opportunities and encouragement from the department for any appropriate research.

Teaching

The Trust has a good reputation for undergraduate and postgraduate education.  

We teach a 5-year programme and Graduate Entry Programme (GEP) medical students from St George's Hospital Medical School. Approximately 40% of St George's medical students are taught in the Trust.  We also teach students from the Imperial Medical School and the American University of the Caribbean.  There is a thriving and well-equipped Postgraduate Medical Centre (PGMC) including library at both sites.

There is an academic weekly lecture programme in the PGMC, a weekly Grand Round and a journal club. There is a separate academic weekly lecture programme for GPs

Terms & Conditions of Service

The appointment will be subject to the Terms and Conditions of Service for Hospital Medical and Dental Staff. The main terms and conditions of employment will be the Terms & Conditions for Consultants (England) 2003 – Version 9 (March 2013) and the General Whitley Council Conditions of Service.

The staff side of the Joint Local Negotiating Committee is a formal sub-committee of the Trusts Senior Medical Staff Committee, approved as the established negotiating machinery of its Senior Medical Staff, in development of local agreements.

A copy of the terms and conditions of service, and any other local agreements are available for inspection on the Trust Intranet and in the Medical Staffing Department of Epsom & St. Helier University Hospitals NHS Trust.

Remuneration

The salary scale for this post is as agreed under national agreements.

Annual Leave

Leave entitlement are contained in the general terms and conditions and available from Medical Staffing.

Cover for annual and study leave is agreed between colleagues within the department, under normal circumstances at least six weeks’ notice is required. Further details are available from the trust’s Annual Leave policy which can be found on the trust’s intranet, Victor. Consideration to time off in lieu will be given if extra hours are worked.

Professional & Study Leave

The allowance for consultants is leave with pay and expenses within a maximum of thirty days (including off-duty days falling within the period of leave) in any period of three years.

Leave should be agreed in accordance with Trust policy.

Additional Requirements

All posts are subject to Satisfactory References, Full GMC registration with Specialist Registration or within six months of obtaining CCT, Occupational Health clearance (including Hepatitis B & C) and Police clearance through the Disclosure and Barring Service (DBS) [formerly CRB], as required under section 122 of the Police Act 1997. 

If you do not receive clearance for any of the above, your offer will be withdrawn.

The post holder will normally be required to reside within ten miles, or within thirty minutes travelling time to the Trust. Any variation should be formally documented and agreed with the Medical Director and Medical Workforce.

Travel & Subsistence

Reasonable travel expenses may be claimed for travel to interview.


 

PERSON SPECIFICATION

Job title: Consultant in Frailty Medicine

 

Essential

Desirable

Method of Assessment

 

Qualifications and Training

· Hold a medical qualification or qualification registered with the GMC

· Entry onto the Specialist Register for GMC or be within six months of obtaining CCT

· Appropriate higher medical qualification i.e. MRCP/MRCS or equivalent

· MD or equivalent higher degree or evidence of relevant research

Application

 

 

Clinical Experience

· High standard of clinical skill and expertise in the specialty

· Able to contribute to the full range of skills required for the on call rota for the specialty

 

Application / Interview

 

Management & Administrative Experience

· Audit/Research

· Has attended a recognised management training event or will have such training on completion of CCT

· Supervision of post graduate trainees

· Personal time management skills

· Clinical Governance

· Ability to organise in- patient and out-patient waiting lists

· Familiarity within issues of service organisation and development

Application /

Interview

 

Teaching Experience

· Experience of teaching undergraduate and postgraduate trainees

· Ability to teach clinical skills

· Experience of teaching basic clinical skills to undergraduates/post graduates

· Experience of supervising junior doctors

· Experience of teaching Lay groups and other staff groups

· Ability to supervise postgraduate research

Application /

Interview

 

Research Experience

· Ability to contribute to change management

· Ability to apply research findings to clinical problems

· Ability to critically review research

· Publications in peer review journals

Application / Interview

Personal Attributes

· Ability to work in a multi-disciplinary team

· Ability to work in partnership to deliver a patient centred service

· Demonstrate an understanding and willingness to embrace user involvement

· Good interpersonal skills

· Enquiring, critical approach to work

· Ability to communicate with patients and relatives

· Commitment to continuing professional development

· Willingness to undertake additional professional responsibilities to local, regional or national levels

· Willingness to work with consultant colleagues and management to maintain and develop a comprehensive service

· Able to make own arrangements for travel between working sites

 

Application / Interview

The salary scale for this post is as agreed under national agreements. The salary scale is currently between £75,249 and £101,451 per annum

Bank Partners is an employment agency/employment business (as defined by the Conduct of Employment Agencies and Employment Businesses Regulations 2003) and is acting on behalf of its client in relation to this vacancy.

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