Job summary
Trust Resident Doctor
The Trust is advertising for Trust Junior Doctorsto work onour in-patient wards.
The post offers the applicant an exciting opportunity to gain experience in Care of the Elderly.
The Department of Medicine for Older People has a friendly and informal atmosphere where the junior doctors feel well supported and achieve their educational targets. We aspire tohigh standardsof medical and nursingcare, androutinely assess aspects of this with regular clinical auditing. Mentoring will be provided by the Trust's mentor scheme for any new consultants.
Regular involvement in clinical governance including morbidity and mortality meetings and management meetings, service development,auditand teaching will be expected.There is also an active educational programme, and all members of the care of Older People's team will be encouraged to attend and contribute.
Main duties of the job
Take a good social history. Document whether they live in a house, flat or in a residential/nursing home. Also document their pre-admission level of function i.e.activities of daily living (washing, dressing, feeding, shopping, cooking) as well as reliance on walking aids and support services. This information helps with setting rehabilitation goals.
As most elderly patients have multiple medicalproblemsit will be helpful to draw up a problem list highlighting active medical problems and any past medical history. If the patient has been transferred from anotherwardit is helpful to summarize investigations and results and to list investigations that are pending.
Talking to relatives can give us valuable information about a patient's social set up and about problems that have been an issue at home / barriers to discharge. It is best to gain this information early on. Many of our patients have cognitive impairment and may not be able to give a reliable history. Conversely, they may not be able to pass information onto their relatives/NOK and so liaising with relatives keeps them in the loop.We aim to update families twice a week.Bear in mind issues of confidentiality.
About us
London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.
Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.
We run major acute services at:
- Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
- St Mark's Hospital: an internationally renowned specialist centre for bowel disease
- Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
- Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.
We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.
Job description
Job responsibilities
Acute Frailty Service
There is an established Acute Frailty Service whichcomprisesa Multidisciplinary Team based in ED, CDU and Acute Care Unit giving rapid and responsive Comprehensive Geriatric Assessment to older patients with frailty at the front door. This service creates individualised plans for patients with the aim to avoid admission if possible or reduce the length of stay if admission isrequired. There is opportunity to be involved with the Acute Frailty Service which involves leading the Frailty MDT (currently 2 Frailty Practitioners, one frailty nurse, one frailty OT, a frailty pharmacist and an SHO) to assessappropriate patientspresenting ED and CDU and EACU.
OPRAC
The Older Persons Rapid Assessment Clinic (OPRAC) is a well-established service providing Comprehensive Geriatric Assessment in an outpatient setting. We have a mix of virtual and face to face appointments.
OPRAC is now combined with Ealing Acute Care Unit so that older patients with frailty, who have historically been excluded from ambulatory pathways can have access to same day emergency care (SDEC) avoiding unnecessary and potentially harmful admissions. There is an opportunity for the post holder to create a rapid access clinic of their own interest e.g. heart failure clinic.
Sub-specialty interests
The Trusts priority is to develop interface work such asOrthogeriatricsand Surgical liaison in parallel to the traditional ward based CGA on the elderly care wards. Development of any special interests is encouraged and will be actively supported e.g., Dementia, Continence, Falls, Movement Disorders, Surgical liaison includingOrthogeriatrics, Cardiology liaison and Community including potential involvement in the Ealing Frailty Virtual Ward. Time within the job plan to explore and develop services related to these can be negotiated.
To view the main responsibility, please see the attached Job Description and Person Specification
Job description
Job responsibilities
Acute Frailty Service
There is an established Acute Frailty Service whichcomprisesa Multidisciplinary Team based in ED, CDU and Acute Care Unit giving rapid and responsive Comprehensive Geriatric Assessment to older patients with frailty at the front door. This service creates individualised plans for patients with the aim to avoid admission if possible or reduce the length of stay if admission isrequired. There is opportunity to be involved with the Acute Frailty Service which involves leading the Frailty MDT (currently 2 Frailty Practitioners, one frailty nurse, one frailty OT, a frailty pharmacist and an SHO) to assessappropriate patientspresenting ED and CDU and EACU.
OPRAC
The Older Persons Rapid Assessment Clinic (OPRAC) is a well-established service providing Comprehensive Geriatric Assessment in an outpatient setting. We have a mix of virtual and face to face appointments.
OPRAC is now combined with Ealing Acute Care Unit so that older patients with frailty, who have historically been excluded from ambulatory pathways can have access to same day emergency care (SDEC) avoiding unnecessary and potentially harmful admissions. There is an opportunity for the post holder to create a rapid access clinic of their own interest e.g. heart failure clinic.
Sub-specialty interests
The Trusts priority is to develop interface work such asOrthogeriatricsand Surgical liaison in parallel to the traditional ward based CGA on the elderly care wards. Development of any special interests is encouraged and will be actively supported e.g., Dementia, Continence, Falls, Movement Disorders, Surgical liaison includingOrthogeriatrics, Cardiology liaison and Community including potential involvement in the Ealing Frailty Virtual Ward. Time within the job plan to explore and develop services related to these can be negotiated.
To view the main responsibility, please see the attached Job Description and Person Specification
Person Specification
TBC
Essential
- MBBS or equivalent
- MRCP part 1
- IT Skills and computer literacy
- Minimum of 2 years of broad based training in general medicine
Desirable
- Experience in geriatric medicine at SHO level
- Experience at SHO level in the UK
TBC
Essential
- Ability to organise and prioritise workload effectively
- Ability to lead a team of resident doctors and work within a multi-disciplinary healthcare team
- Able to speak and write English to the appropriate standard necessary to fulfil the job requirements
- Energy and enthusiasm and the ability to work under pressure
Desirable
- Experience of teaching and training undergraduates, postgraduates and junior medical staff
- Evidence of service audit, design or change management.
- Training in research methodology or experience of research
- Publications in peer review journals
- Presentations to learned societies.
Person Specification
TBC
Essential
- MBBS or equivalent
- MRCP part 1
- IT Skills and computer literacy
- Minimum of 2 years of broad based training in general medicine
Desirable
- Experience in geriatric medicine at SHO level
- Experience at SHO level in the UK
TBC
Essential
- Ability to organise and prioritise workload effectively
- Ability to lead a team of resident doctors and work within a multi-disciplinary healthcare team
- Able to speak and write English to the appropriate standard necessary to fulfil the job requirements
- Energy and enthusiasm and the ability to work under pressure
Desirable
- Experience of teaching and training undergraduates, postgraduates and junior medical staff
- Evidence of service audit, design or change management.
- Training in research methodology or experience of research
- Publications in peer review journals
- Presentations to learned societies.
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.
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).
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.
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).
