Job summary
The post holder will act as a senior clinical decision maker, working within a dynamic multidisciplinary team to assess, diagnose and manage acutely unwell patients in the community, while contributing to service development, education, governance and quality improvement.
The @Home service delivers acute clinical care to patients in their own homes, aiming to prevent hospital admissions and facilitate faster discharges. The service offers a 2 hour Urgent Community Response (UCR), as well as same-day and next-day interventions.
Referrals are received from hospital wards and also colleagues in primary care, ambulance services, NHS 111, and other community-based health and social care providers. The care and interventions are provided by a multidisciplinary team including Doctors, Nurses, Occupational Therapists, Physiotherapists, Nursing Rehab Support Workers, Pharmacists, and Social workers. The team works collaboratively to create individualised care plans, delivering clinical assessments, IV medication administration, and management of acute exacerbation's of chronic illnesses. Remote monitoring is also provided within the service, allowing for early detection of deterioration and ongoing symptom management through the use of technology. The service also supports patients by addressing sudden declines in physical function, falls, or social support needs that may otherwise lead to hospital admission.
Main duties of the job
As work is community centred the post holder must be able to travel throughout Lambeth and Southwark boroughs.
- To assess, diagnose, treat and refer patients seen in their own homes
- Support multidisciplinary clinical decision-making
- To action test results appropriately and make necessary onward referrals
- To manage patients with a multi-disciplinary team approach
- To attend clinical meetings, including handover and multi-disciplinary meetings
Provide clinical support and advice to the multi-disciplinary team
Deal with urgent clinical queries or safeguarding issues
To provide oversite and support to resident medical staff.
All medical staff are expected to take part in clinical governance activity, including quality improvement, clinical audit, clinical guideline and protocol development and clinical risk management. They will be expected to produce evidence of their contribution in these areas and their audit of their own clinical work as part of their annual appraisal.
About us
Guy's and St Thomas' is among the UK's busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopedic, respiratory and cardiovascular services.
The Integrated Local Services directorate provides a range of community and inpatient health services for adults within the communities of Lambeth and Southwark, with some services also provided in Lewisham and more widely across SEL. Our hospital-based inpatient and outpatient services provide care for adults from across the region.
The services provided by the directorate include Neighbourhood Nursing, Regional Specialist Rehabilitation and Reablement (bed and home based), Palliative and End of Life Care, Adults with Learning Disabilities services, Homeless and High Intensity User services, Refugee and Asylum Seeker services, Tobacco Dependence Treatment services, GSTT@Home, Pharmacy, and Site Administration services.
Job description
Job responsibilities
-
Act as a senior clinical decision maker within the Hospital @Home service
-
Assess, diagnose and manage acutely unwell patients in their own homes
-
Develop and review care plans, support safe discharge and prevent hospital admission
-
Provide clinical leadership, supervision and advice to the multidisciplinary team
-
Participate in MDT meetings, handovers and service governance activities
-
Manage investigations, referrals, escalation of care and safeguarding concerns
-
Contribute to quality improvement, audit, education and service development
-
Maintain professional standards including appraisal, revalidation and CPD
-
Work flexibly across community sites, including weekend working as required
*** Please be advised that this vacancy may close early should we receive a sufficient number of applications ***
Job description
Job responsibilities
-
Act as a senior clinical decision maker within the Hospital @Home service
-
Assess, diagnose and manage acutely unwell patients in their own homes
-
Develop and review care plans, support safe discharge and prevent hospital admission
-
Provide clinical leadership, supervision and advice to the multidisciplinary team
-
Participate in MDT meetings, handovers and service governance activities
-
Manage investigations, referrals, escalation of care and safeguarding concerns
-
Contribute to quality improvement, audit, education and service development
-
Maintain professional standards including appraisal, revalidation and CPD
-
Work flexibly across community sites, including weekend working as required
*** Please be advised that this vacancy may close early should we receive a sufficient number of applications ***
Person Specification
Clinical Governance, Management and IT
Essential
- Knowledge of and involvement in Clinical Governance issues including incident reporting
- Proficiency with relevant IT systems, good keyboard skills
Risk and Audit
Essential
- Understand principles of audit and quality improvement and evidence of contribution to effective quality improvement work
Qualifications and Training
Essential
- Full UK GMC Registration and a licence to practice
- On the GMC GP Register
- On Medical National Performers List
Desirable
- Acute and Emergency Care Courses
Clinical Experience
Essential
- CCT as a General Practitioner with post-qualification experience as a GP
- Experience of delivering acute care in the community
- Up-to-date on relevant national guidelines.
Desirable
- Experience of working in an urgent care response or hospital at home service
- Experience of Remote Patient Monitoring
- Experience setting up clinical pathways
Knowledge and Skills
Essential
- Commensurate with a GP with moderate degree of experience
- Able to work independently to manage the whole spectrum of needs of the client need or refer accordingly
- Ability to collaborate and work with multidisciplinary teams to manage acute illness in the community setting
Research, teaching skills and experience
Essential
- Demonstrate an understanding of the application of evidence to practice in working in Hospital at Home services
- Demonstrate an understanding of the application of evidence to practice in working with a Interest in Hospital @Home services/Urgent care response / remote patient monitoring
Desirable
- Defined track record of research, publications/ understanding / knowledge of research ethics
- Experience of teaching and training undergraduates, postgraduates and junior medical staff
Personal Qualities
Essential
- Communication: ability to communicate clearly and intelligently in written and spoken English; ability to build rapport, listen, persuade / negotiate, and ability to defuse heated situations
- Accountability: ability to take responsibility, lead, make decisions and exert appropriate authority
- Interpersonal Skills: Excellent interpersonal and communication skills, ability to see patients as people, empathy, understanding and listening skills.
- Resilience: Able to adapt, respond to changing circumstances and to cope with setbacks or pressure
- Management Understanding of their performance contribution to the success of the service
Person Specification
Clinical Governance, Management and IT
Essential
- Knowledge of and involvement in Clinical Governance issues including incident reporting
- Proficiency with relevant IT systems, good keyboard skills
Risk and Audit
Essential
- Understand principles of audit and quality improvement and evidence of contribution to effective quality improvement work
Qualifications and Training
Essential
- Full UK GMC Registration and a licence to practice
- On the GMC GP Register
- On Medical National Performers List
Desirable
- Acute and Emergency Care Courses
Clinical Experience
Essential
- CCT as a General Practitioner with post-qualification experience as a GP
- Experience of delivering acute care in the community
- Up-to-date on relevant national guidelines.
Desirable
- Experience of working in an urgent care response or hospital at home service
- Experience of Remote Patient Monitoring
- Experience setting up clinical pathways
Knowledge and Skills
Essential
- Commensurate with a GP with moderate degree of experience
- Able to work independently to manage the whole spectrum of needs of the client need or refer accordingly
- Ability to collaborate and work with multidisciplinary teams to manage acute illness in the community setting
Research, teaching skills and experience
Essential
- Demonstrate an understanding of the application of evidence to practice in working in Hospital at Home services
- Demonstrate an understanding of the application of evidence to practice in working with a Interest in Hospital @Home services/Urgent care response / remote patient monitoring
Desirable
- Defined track record of research, publications/ understanding / knowledge of research ethics
- Experience of teaching and training undergraduates, postgraduates and junior medical staff
Personal Qualities
Essential
- Communication: ability to communicate clearly and intelligently in written and spoken English; ability to build rapport, listen, persuade / negotiate, and ability to defuse heated situations
- Accountability: ability to take responsibility, lead, make decisions and exert appropriate authority
- Interpersonal Skills: Excellent interpersonal and communication skills, ability to see patients as people, empathy, understanding and listening skills.
- Resilience: Able to adapt, respond to changing circumstances and to cope with setbacks or pressure
- Management Understanding of their performance contribution to the success of the service
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).
