Job summary
This is a new post within
Orthogeriatrics, the service is expanding into Surgical
Liaison giving opportunity for the successful candidate to shape and
develop this service. The aim is to meet the criteria stated in The NELA. The post will aid the further development of services to older
people, complementing our Acute Frailty and Re-enablement Services.
We are looking for an individual to bring their skills, knowledge and drive to our existing teams.
The post is a 10 PA post with opportunity to participate in specialist interests or
non-clinical activities such as QI..
The department has an established reputation and benchmarks
well in National audit programmes; a dedicated Acute Stroke Unit; a dedicated landing to provide acute
inpatient beds for Elderly Medicine. There is a recently established acute
Frailty unit where we provide early MDT, 4 Frailty ANPs, 1 SHO and 1 SAS working with urgent therapy team to provide same day therapy input
and same day access to community services to support same day discharge.
The wider Geriatric Department
has physicians with special interests.
You will receive mentoring
and support for this role. Undergraduate and postgraduate teaching will be
expected, the College Tutor is a member of the CSU and the Trust has a good
record in getting candidates through PACES.
Applicants must be on the GMC Specialist Register or
within 6 months of attaining Specialist Registration at the time of
interview.
Main duties of the job
The Trust are very keen to build a job profile that responds to
trust objectives as well as individual interests. Areas of interest can be discussed and we can try to accommodate if possible.
A
provisional timetable is outlined below which may be modified after
discussion with the successful candidate. This job description will form the
basis of the appointees formal job plan and as such will be subject to annual
review and job planning.
The
candidate is expected to provide cover to Orthopaedics and Surgical Ward
areas namely ward 33 and 31/32 respectively.
This
post does include a GIM on call commitment, approximately 1:4 weeks (midweek)
and 1:8 weeks (weekends) with a mandatory rest day for weekend working (on
the Monday immediately post on call weekend). Seven days a week working is currently being
reviewed by the Trust and if agreed, we expect the successful candidate to
take a part if required, where Consultant numbers and job plans allow. However exceptions will be considered based
on candidate circumstances.
PROPOSED DRAFT TIMETABLE
AM
Monday - Friday: Board Round/Ward Round/MDT
Surgical & Orthopaedics
PM
Monday: CPD
Tuesday: Service Development / Qi (Subject to job plan)
Wednesday: Family Meetings/Clinical Admin
Thursday: Departmental SPA
Friday: Service Development / Qi (Subject to job plan)
About us
Barnsley
Hospital NHS Foundation Trust is a high performing Trust achieving a Good
rating in our most recent Care Quality Commission (CQC) assessment and
achieving significant progress in the delivery of our strategic objectives.
We are proud of the commitment of our staff to ensuring a strong and
sustainable future for this organisation which is highly valued by our local
communities.
There has never
been a better time to join Barnsley Hospital. It is moving at pace and a we
can do this attitude is evident right through the organisation, where staff
are engaged for change and committed to being part of the journey to
sustainability and growth.
As an employee
of Barnsley Hospital, you will find that we are committed to the fair
treatment of our staff, regardless of race, gender, religion, sexual
orientation, age or disability. We actively promote equality of opportunity
for all, welcome applications from a wide range of candidates and select
interviewees based on their skills, qualifications, and experience.
We take equal
opportunities and improving the working lives of our staff really seriously,
this could include flexible working, part-time, job share and remote working
from home. Please talk to us during the interview process to discuss any
flexibility that you may require.
We hope that
you will choose to join us.
Job description
Job responsibilities
An
exciting opportunity has arisen to join and expand further our dynamic and well
respected Orthogeriatric team, and, to participate in service transformation through
the introduction of a new post Consultant
Orthogeriatrician/Surgical Liaison. Orthogeriatrics
provide an outstanding geriatric service mainly within Wards 33 and 34 Trauma
& Orthopaedics.
The current Orthogeriatric service at
BHNFT consists of a Consultant led daily ward-round reviewing all new patients
and overseeing their care jointly with the orthopaedic teams through the peri-operative
period and into rehabilitation as necessary. The Consultant Orthogeriatrician
is supported by a team of Advanced Nurse Practitioners (ANPs).
Scope
This
new post will support the implementation of a geriatric surgical liaison model
which will include:
- Peri-operative medical-surgical ward rounds:
- Daily ward rounds will be conducted on selected
patients by the Consultant Orthogeriatrician/Surgical Liaison accompanied
by members of the surgical team. Patients requiring review will be
identified by medical, surgical, nursing and therapy staff on an
open-access non-age-based policy. Indicators for medical review may
include advanced age, severity of acute illness, post-operative
complications, failure to recover rapidly or discharge delays. The aim is to meet the criteria stated
in The National
Emergency Laparotomy Audit (NELA).
- Post-operative discharge planning meetings:
- Multidisciplinary team working, planning difficult
discharges and co-ordinating team. Attendees will include a Consultant Geriatrician,
members of the surgical team (ranging from FY1 to SpR), ward sister,
occupational therapist, physiotherapist and discharge coordinator. The
meeting will identify barriers to discharge and will delegate
responsibility to team members to resolve any issues. Projected discharge
dates for all surgical patients will be established alongside enhanced
recovery principles.
- Inpatient subacute care and rehabilitation:
- Selected patients whose recovery is complicated by
medical complications or increased rehabilitation needs will have access
to geriatrician-led surgical rehabilitation. This will facilitate
transfer of subacute patients out of the acute surgical bed base.
Although parent surgical teams retain
responsibility for surgical aspects of care and emergency out-of-hours cover, support
will be provided by the Consultant Orthogeriatrician/Surgical Liaison with
appropriate discharge planning. Surgical teams will review where needed on an
as-required basis.
Anticipated Benefits
- Ability
to achieve the standards of care set out in the Blue Book (2007) and
NICE (2016) Guidance: the Management of Hip Fracture in Adults
- Ability to achieve 5 of the 7 Best Practice Tariff
(BPT) standards and optimise income for the service
- Ability
to support the introduction of a surgical liaison service to reduce
inpatient length of stay and improve the 30-day mortality rate
- Ability
to improve patient experience and outcomes hospital
- Adherence
to NELA
and
BPT for surgical patients
The
department also has an outpatient area (Assessment and Rehabilitation Unit)
with a long tradition of providing multidisciplinary care for patients with falls
and bone health related issues. In
addition to this the ARU also runs tilt table clinics, syncope clinics,
continence clinic, general medicine and geriatrics. We are keen to continue to
develop our outpatient care and the successful candidate is welcomed to participate
in outpatient care redesign and delivery to suit the specialist interest of the
appointee.
The
successful candidate is also expected to play a role in service development
projects and audits in the department and trust wide with a focus on improving
care for older people at Barnsley.
There
is also the exciting opportunity for the successful candidate to become
involved in our new QI Hub (Quality Improvement) with a focus on improving quality
and services within the department and trust wide. Opportunity also exists for candidates to
pursue other specialist interests relevant to the role and/or wider
organisation.
There
is also access to a falls prevention team, dementia nurse specialist, delirium
lead and there will be a scope for cooperation with the successful candidate to
contribute to further improving those services. It also worth mentioning that
we are four years into the National Dementia Strategy and the successful
candidate can build on the work already achieved by the strategic working
group.
Traditionally
the department is committed to carry length of stay rounds on medical and
surgical patients once weekly to support colleagues in other clinical area in
managing LOS patients with the successful candidate expected to contribute to
this work stream.
Within
the overall Orthogeriatric and Care of the Elderly departments there is an excellent
tradition in medical education and organising and delivering PACES exam. Dr A Eltrafi,
PhD is a previous college Tutor and a winner of multiple teaching awards. He
can offer you support in your teaching career.
Additionally,
as the Department has strong academic links the successful candidate will be
supported to develop their research skills and develop a research
interest. Honorary Clinical Senior
Lecturer status at the University of Sheffield will be requested for the
successful candidate. There is a strong commitment to education and training both
in the Trust as a whole, and the post holder will be expected to contribute to
this and to the educational supervision
of up to two junior doctors with CME built in to the timetable of this post.
Office accommodation and secretarial
support will also be provided.
TIMETABLE
Departmental
lead and Trust management are very keen to build job profile that responds to
trust objectives as well as individual interests. We will happily discuss any
area of interests for the candidate and try to accommodate in their job plans
if possible. We encourage interested candidate to get in touch with Consultant Orthogeriatrician
Dr Simon D Lee and/or Deputy Associate Director of Operations Mark Railton for
further discussions/details. Whilst working full time is preferable, applicants
who wish to work part time are welcomed to apply and the job plan will be
adjusted accordingly.
A
provisional timetable is outlined below which may be modified after discussion
with the successful candidate. This job description will form the basis of the
appointees formal job plan and as such will be subject to annual review and job
planning
The
candidate is expected to provide cover to Orthopaedics and Surgical Ward areas
namely ward 33 and 31/32 respectively.
ON CALL
This
post does include a GIM on call commitment, approximately 1:4 weeks (midweek)
and 1:8 weeks (weekends) with a mandatory rest day for weekend working (on the
Monday immediately post on call weekend). Seven days a week working is currently being
reviewed by the Trust and if agreed, we expect the successful candidate to take
a part if required, where Consultant numbers and job plans allow. However exceptions will be considered based
on candidate circumstances.
PROPOSED (DRAFT) TIMETABLE
AM
Monday - Friday: Board Round/Ward
Round/MDT Surgical & Orthopaedics
PM
Monday: CPD
Tuesday: Service Development / Qi (Subject to job plan)
Wednesday: Family Meetings/Clinical Admin
Thursday: Departmental SPA
Friday: Service Development / Qi (Subject to
job plan)
STAFFING
IN ORTHOGERIATRICS & THE CARE OF ELDERLY MEDICINE (COTE)
MEDICAL
Consultants
Dr
S D Lee Consultant
Orthogeriatrics
Vacant
Post (this post) Consultant
Orthogeriatrics/Surgical Liaison
Dr
B Madi Care
of Elderly Consultant and Clinical lead
Dr
K Shakespeare Care
of Elderly Consultant, Lead for Frailty
Dr
S Orme Care
of Elderly Consultant
Dr A E Eltrafi Care of Elderly Consultant, Lead for Medical Education
Dr S Haque Care of
Elderly Consultant
Dr
L Alexander Locum
Care of Elderly Consultant
Dr
T Thyn Locum
Care of Elderly Consultant, Delirium Lead
Dr
E McNicholas Care
of Elderly Consultant
Vacant
Post Consultant Stroke Medicine
Vacant
Post Consultant
Stroke Medicine
Training Post
1
X Specialty Doctor
3
X Specialty Registrar ST3+/SpR
2
X Core Trainee Registrar CT1&2
1
X Acute Medicine Registrar (Geriatric Component of training)
1
X VTS GP Registrar
4
X Foundation Year 2
3
X Foundation Year 1
SPECIALIST NURSES
L
Reynolds Continence
L
Shaw Falls and Frailty
T
Fleet Stroke Services
Please contact
either of the following for information through the main hospital telephone
number 01226 730000 or Orthogeriatrics on 01226 432033/432035
Dr Simon D Lee Consultant Orthogeriatrician
Dr James
Griffiths Consultant Emergency Medicine and Clinical Director
Dr Simon
Enright Medical Director Direct Line: 01226 431808
Job description
Job responsibilities
An
exciting opportunity has arisen to join and expand further our dynamic and well
respected Orthogeriatric team, and, to participate in service transformation through
the introduction of a new post Consultant
Orthogeriatrician/Surgical Liaison. Orthogeriatrics
provide an outstanding geriatric service mainly within Wards 33 and 34 Trauma
& Orthopaedics.
The current Orthogeriatric service at
BHNFT consists of a Consultant led daily ward-round reviewing all new patients
and overseeing their care jointly with the orthopaedic teams through the peri-operative
period and into rehabilitation as necessary. The Consultant Orthogeriatrician
is supported by a team of Advanced Nurse Practitioners (ANPs).
Scope
This
new post will support the implementation of a geriatric surgical liaison model
which will include:
- Peri-operative medical-surgical ward rounds:
- Daily ward rounds will be conducted on selected
patients by the Consultant Orthogeriatrician/Surgical Liaison accompanied
by members of the surgical team. Patients requiring review will be
identified by medical, surgical, nursing and therapy staff on an
open-access non-age-based policy. Indicators for medical review may
include advanced age, severity of acute illness, post-operative
complications, failure to recover rapidly or discharge delays. The aim is to meet the criteria stated
in The National
Emergency Laparotomy Audit (NELA).
- Post-operative discharge planning meetings:
- Multidisciplinary team working, planning difficult
discharges and co-ordinating team. Attendees will include a Consultant Geriatrician,
members of the surgical team (ranging from FY1 to SpR), ward sister,
occupational therapist, physiotherapist and discharge coordinator. The
meeting will identify barriers to discharge and will delegate
responsibility to team members to resolve any issues. Projected discharge
dates for all surgical patients will be established alongside enhanced
recovery principles.
- Inpatient subacute care and rehabilitation:
- Selected patients whose recovery is complicated by
medical complications or increased rehabilitation needs will have access
to geriatrician-led surgical rehabilitation. This will facilitate
transfer of subacute patients out of the acute surgical bed base.
Although parent surgical teams retain
responsibility for surgical aspects of care and emergency out-of-hours cover, support
will be provided by the Consultant Orthogeriatrician/Surgical Liaison with
appropriate discharge planning. Surgical teams will review where needed on an
as-required basis.
Anticipated Benefits
- Ability
to achieve the standards of care set out in the Blue Book (2007) and
NICE (2016) Guidance: the Management of Hip Fracture in Adults
- Ability to achieve 5 of the 7 Best Practice Tariff
(BPT) standards and optimise income for the service
- Ability
to support the introduction of a surgical liaison service to reduce
inpatient length of stay and improve the 30-day mortality rate
- Ability
to improve patient experience and outcomes hospital
- Adherence
to NELA
and
BPT for surgical patients
The
department also has an outpatient area (Assessment and Rehabilitation Unit)
with a long tradition of providing multidisciplinary care for patients with falls
and bone health related issues. In
addition to this the ARU also runs tilt table clinics, syncope clinics,
continence clinic, general medicine and geriatrics. We are keen to continue to
develop our outpatient care and the successful candidate is welcomed to participate
in outpatient care redesign and delivery to suit the specialist interest of the
appointee.
The
successful candidate is also expected to play a role in service development
projects and audits in the department and trust wide with a focus on improving
care for older people at Barnsley.
There
is also the exciting opportunity for the successful candidate to become
involved in our new QI Hub (Quality Improvement) with a focus on improving quality
and services within the department and trust wide. Opportunity also exists for candidates to
pursue other specialist interests relevant to the role and/or wider
organisation.
There
is also access to a falls prevention team, dementia nurse specialist, delirium
lead and there will be a scope for cooperation with the successful candidate to
contribute to further improving those services. It also worth mentioning that
we are four years into the National Dementia Strategy and the successful
candidate can build on the work already achieved by the strategic working
group.
Traditionally
the department is committed to carry length of stay rounds on medical and
surgical patients once weekly to support colleagues in other clinical area in
managing LOS patients with the successful candidate expected to contribute to
this work stream.
Within
the overall Orthogeriatric and Care of the Elderly departments there is an excellent
tradition in medical education and organising and delivering PACES exam. Dr A Eltrafi,
PhD is a previous college Tutor and a winner of multiple teaching awards. He
can offer you support in your teaching career.
Additionally,
as the Department has strong academic links the successful candidate will be
supported to develop their research skills and develop a research
interest. Honorary Clinical Senior
Lecturer status at the University of Sheffield will be requested for the
successful candidate. There is a strong commitment to education and training both
in the Trust as a whole, and the post holder will be expected to contribute to
this and to the educational supervision
of up to two junior doctors with CME built in to the timetable of this post.
Office accommodation and secretarial
support will also be provided.
TIMETABLE
Departmental
lead and Trust management are very keen to build job profile that responds to
trust objectives as well as individual interests. We will happily discuss any
area of interests for the candidate and try to accommodate in their job plans
if possible. We encourage interested candidate to get in touch with Consultant Orthogeriatrician
Dr Simon D Lee and/or Deputy Associate Director of Operations Mark Railton for
further discussions/details. Whilst working full time is preferable, applicants
who wish to work part time are welcomed to apply and the job plan will be
adjusted accordingly.
A
provisional timetable is outlined below which may be modified after discussion
with the successful candidate. This job description will form the basis of the
appointees formal job plan and as such will be subject to annual review and job
planning
The
candidate is expected to provide cover to Orthopaedics and Surgical Ward areas
namely ward 33 and 31/32 respectively.
ON CALL
This
post does include a GIM on call commitment, approximately 1:4 weeks (midweek)
and 1:8 weeks (weekends) with a mandatory rest day for weekend working (on the
Monday immediately post on call weekend). Seven days a week working is currently being
reviewed by the Trust and if agreed, we expect the successful candidate to take
a part if required, where Consultant numbers and job plans allow. However exceptions will be considered based
on candidate circumstances.
PROPOSED (DRAFT) TIMETABLE
AM
Monday - Friday: Board Round/Ward
Round/MDT Surgical & Orthopaedics
PM
Monday: CPD
Tuesday: Service Development / Qi (Subject to job plan)
Wednesday: Family Meetings/Clinical Admin
Thursday: Departmental SPA
Friday: Service Development / Qi (Subject to
job plan)
STAFFING
IN ORTHOGERIATRICS & THE CARE OF ELDERLY MEDICINE (COTE)
MEDICAL
Consultants
Dr
S D Lee Consultant
Orthogeriatrics
Vacant
Post (this post) Consultant
Orthogeriatrics/Surgical Liaison
Dr
B Madi Care
of Elderly Consultant and Clinical lead
Dr
K Shakespeare Care
of Elderly Consultant, Lead for Frailty
Dr
S Orme Care
of Elderly Consultant
Dr A E Eltrafi Care of Elderly Consultant, Lead for Medical Education
Dr S Haque Care of
Elderly Consultant
Dr
L Alexander Locum
Care of Elderly Consultant
Dr
T Thyn Locum
Care of Elderly Consultant, Delirium Lead
Dr
E McNicholas Care
of Elderly Consultant
Vacant
Post Consultant Stroke Medicine
Vacant
Post Consultant
Stroke Medicine
Training Post
1
X Specialty Doctor
3
X Specialty Registrar ST3+/SpR
2
X Core Trainee Registrar CT1&2
1
X Acute Medicine Registrar (Geriatric Component of training)
1
X VTS GP Registrar
4
X Foundation Year 2
3
X Foundation Year 1
SPECIALIST NURSES
L
Reynolds Continence
L
Shaw Falls and Frailty
T
Fleet Stroke Services
Please contact
either of the following for information through the main hospital telephone
number 01226 730000 or Orthogeriatrics on 01226 432033/432035
Dr Simon D Lee Consultant Orthogeriatrician
Dr James
Griffiths Consultant Emergency Medicine and Clinical Director
Dr Simon
Enright Medical Director Direct Line: 01226 431808
Person Specification
Qualifications
Essential
- MRCP or equivalent
- Full GMC registration, and on the specialist register OR
- Full GMC registration and within 6 months of specialist registration due to completion of training or within 6 months of specialist registration due to application via CESR with the submission completed at time of application for post
Experience
Essential
- Experience in the management of a broad GIM caseload
- Experience in the management of a Geriatric/Elderly Care Medicine caseload
Desirable
- Experience in a specialist interest that will complement those of other staff
Knowledge and Skills
Essential
- Willingness and ability to fulfill the key elements of the job description
- Possession of the clinical skills required to perform the job including both elderly care and general internal medicine
- Ability to cope with the demands of a DGH based Consultant
- Ability to lead and develop the service
- Ability to develop effective working relationships on an individual, multi-professional and team basis with all levels of staff
- Ability to communicate effectively, written and orally
- Ability to empathise and demonstrate probity
- Ability and evidence of working as part of a multi-disciplinary team
- Ability to be flexible to meet service demands
- Understanding of clinical governance and the individual responsibilities it implies
Audit
Essential
- Knowledge of multidisciplinary clinical audit principles
Desirable
- Evidence of direct involvement in 2 specific medical audits in the last 18 months
Research
Essential
- Ability to critically assess published research and incorporate it into clinical practice where appropriate
Desirable
- Evidence of involvement in a research project
Management
Desirable
- Knowledge of the EWTR, changes in junior doctor training,
- Evidence of formal management training
- Training and/or evidence in areas such as leadership, planning and change management.
Teaching
Essential
- Evidence of effective teaching to medical students and doctors in training and to the multidisciplinary team.
- Ability to present effectively to an audience using a variety of methods.
Person Specification
Qualifications
Essential
- MRCP or equivalent
- Full GMC registration, and on the specialist register OR
- Full GMC registration and within 6 months of specialist registration due to completion of training or within 6 months of specialist registration due to application via CESR with the submission completed at time of application for post
Experience
Essential
- Experience in the management of a broad GIM caseload
- Experience in the management of a Geriatric/Elderly Care Medicine caseload
Desirable
- Experience in a specialist interest that will complement those of other staff
Knowledge and Skills
Essential
- Willingness and ability to fulfill the key elements of the job description
- Possession of the clinical skills required to perform the job including both elderly care and general internal medicine
- Ability to cope with the demands of a DGH based Consultant
- Ability to lead and develop the service
- Ability to develop effective working relationships on an individual, multi-professional and team basis with all levels of staff
- Ability to communicate effectively, written and orally
- Ability to empathise and demonstrate probity
- Ability and evidence of working as part of a multi-disciplinary team
- Ability to be flexible to meet service demands
- Understanding of clinical governance and the individual responsibilities it implies
Audit
Essential
- Knowledge of multidisciplinary clinical audit principles
Desirable
- Evidence of direct involvement in 2 specific medical audits in the last 18 months
Research
Essential
- Ability to critically assess published research and incorporate it into clinical practice where appropriate
Desirable
- Evidence of involvement in a research project
Management
Desirable
- Knowledge of the EWTR, changes in junior doctor training,
- Evidence of formal management training
- Training and/or evidence in areas such as leadership, planning and change management.
Teaching
Essential
- Evidence of effective teaching to medical students and doctors in training and to the multidisciplinary team.
- Ability to present effectively to an audience using a variety of methods.
Additional information
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).
