Job summary
Ongoing development of perioperative geriatric medicine and trauma services is a strategic objective for the Trust. The post-holder will contribute actively to a modern model of shared medical and surgical care for all older patients admitted with major traumatic injuries. This will involve day-to-day medical care for older patients admitted with head, spinal, thoracic, pelvic, and long bone injuries.
Outpatient clinic opportunities will also exist to support development of skills in enhanced medical pre-assessment of older patients requiring elective colorectal, vascular, complex orthopaedic and urological surgery.
The post would suit trainees in Geriatric or Acute General Medicine seeking to broaden their perioperative medicine experience. Alternatively, applications would be welcomed from candidates able to perform at senior clinical fellow grade who are in possession of full MRCP(UK) or equivalent international qualification.
The post holder will be supervised in every aspect of their role by substantive consultants (listed below) working in Perioperative Geriatric Medicine. The post holder will not routinely participate in unselected medical admissions during their fellowship, unless specific training needs are required (subject to agreement).
Main duties of the job
The post-holder's timetable will be subject to agreement at induction and job planning. Appointees will be rotationally based on 25a (Major Trauma), 25b (Femoral Fracture) or 6b (Neurosurgery). Each area will be supervised by substantive geriatric trauma consultants.
The following example timetable gives an indication of possible clinical, QI and research activity on a weekly basis:
Monday
Tuesday
Wednesday
Thursday
Friday
08.00 - 09.15
Trauma meeting and ward reviews
Trauma meeting and ward reviews
Trauma meeting and ward reviews
Trauma meeting and ward reviews
Trauma meeting and ward reviews
09.15- 09.45
Board round
Board round
Board round
Board round
Board round
09.45 - 12.00
Trauma ward round
Trauma ward round
Trauma ward round
Trauma ward round
Trauma ward round
12.00 -16.00
Perioperative medicine clinic
Perioperative medicine referrals
QI/research
Admin and ward check in
Perioperative medicine referrals
About us
North Bristol NHS Trust is one of the largest NHS organisations in the Southwest of England. It is a progressive and ambitious teaching and research organisation, and a specialist regional centre for major trauma, neurosciences, plastics and burns, orthopaedics, urology and renal services.
Our trust Board is committed to creating a strong, vibrant organisation that is at the forefront of healthcare delivery in the West of England. Our acute services moved into the brand new, £430 million state of the art Brunel Building in May 2014 enabling us to work together to create the environment for exceptional healthcare. This 800+ bed hospital at the Southmead site offers some patients single rooms with ensuite facilities, greatly improving privacy and dignity and helping to control the spread of infections but most importantly of all, enabling each patient to be treated as a person. At the heart of what we do is a caring and compassionate workforce.
Job description
Job responsibilities
The post holders Supervising Consultant will be Dr Andrea Joughin, or other substantive consultant working in perioperative geriatric medicine.
Learning Objectives
Demographics and political landscape relevant to the older trauma and surgical patient
National reports and policy drivers relevant to the older trauma and surgical patient
Models and pathways of care for older trauma and surgical patients
Risk assessment of perioperative morbidity and mortality (including use of tools) and investigations e.g. Cardiopulmonary exercise testing))
Modification of risk including the use of organ specific national and international guidelines (e.g. European Society Cardiology)
Use of inter-disciplinary and cross-speciality interventions to improve postoperative outcome (e.g. therapy delivered prehabilitation)
Clinical assessment with appropriate use of investigations and tools to preoperatively risk assess for perioperative morbidity and mortality.
Communication of risk with health professionals and patients/relatives
Timely medical optimisation of comorbidity and geriatric syndromes
Appropriate allocation of postoperative resources (e.g. use of level 2 and 3 care)
Decision making regards rehabilitation, and timely and effective discharge pertinent to the surgical patient.
Liaison with patients, anaesthetists and surgeons to ensure shared decision making.
Application of ethical and biomedical approaches to ensure appropriate ceilings for escalation of care.
Clinical experience
The post would suit trainees in Geriatric or Acute/General Medicine seeking to broaden their perioperative medicine experience. Alternatively, applications would be welcomed from candidates able to perform at senior clinical fellow-grade who are in possession of full MRCP(UK), or equivalent qualifications. International applications will be welcomed from individuals able to fulfil the role.
The appointee(s) will:
Support a shared model of trauma care for older patients admitted with pelvic, long bone, spinal, thoracic, abdominal or head trauma.
Provide proactive comprehensive geriatric assessment of older people sustaining trauma, and/or undergoing surgery.
Job description
Job responsibilities
The post holders Supervising Consultant will be Dr Andrea Joughin, or other substantive consultant working in perioperative geriatric medicine.
Learning Objectives
Demographics and political landscape relevant to the older trauma and surgical patient
National reports and policy drivers relevant to the older trauma and surgical patient
Models and pathways of care for older trauma and surgical patients
Risk assessment of perioperative morbidity and mortality (including use of tools) and investigations e.g. Cardiopulmonary exercise testing))
Modification of risk including the use of organ specific national and international guidelines (e.g. European Society Cardiology)
Use of inter-disciplinary and cross-speciality interventions to improve postoperative outcome (e.g. therapy delivered prehabilitation)
Clinical assessment with appropriate use of investigations and tools to preoperatively risk assess for perioperative morbidity and mortality.
Communication of risk with health professionals and patients/relatives
Timely medical optimisation of comorbidity and geriatric syndromes
Appropriate allocation of postoperative resources (e.g. use of level 2 and 3 care)
Decision making regards rehabilitation, and timely and effective discharge pertinent to the surgical patient.
Liaison with patients, anaesthetists and surgeons to ensure shared decision making.
Application of ethical and biomedical approaches to ensure appropriate ceilings for escalation of care.
Clinical experience
The post would suit trainees in Geriatric or Acute/General Medicine seeking to broaden their perioperative medicine experience. Alternatively, applications would be welcomed from candidates able to perform at senior clinical fellow-grade who are in possession of full MRCP(UK), or equivalent qualifications. International applications will be welcomed from individuals able to fulfil the role.
The appointee(s) will:
Support a shared model of trauma care for older patients admitted with pelvic, long bone, spinal, thoracic, abdominal or head trauma.
Provide proactive comprehensive geriatric assessment of older people sustaining trauma, and/or undergoing surgery.
Person Specification
Qualifications and Training
Essential
- On GMC's register with a Licence to Practice or eligible to apply for GMC registration and a Licence to Practice
- Full MRCP
- Completion of Core Medical Training (or equivalent)
Clinical Experience
Essential
- Experience and competencies in Geriatric Medicine
- At least 12 months experience working at ST3+ level within the NHS
Audit and Service Improvement
Essential
- Understanding of principles of clinical audit
Desirable
- Service improvement experience
Leadership and management
Essential
- Able to take responsibility, show leadership, make decisions, exert appropriate authority
Teaching and training
Desirable
- Experience of teaching and training undergraduates/postgraduates and junior medical staff
Person Specification
Qualifications and Training
Essential
- On GMC's register with a Licence to Practice or eligible to apply for GMC registration and a Licence to Practice
- Full MRCP
- Completion of Core Medical Training (or equivalent)
Clinical Experience
Essential
- Experience and competencies in Geriatric Medicine
- At least 12 months experience working at ST3+ level within the NHS
Audit and Service Improvement
Essential
- Understanding of principles of clinical audit
Desirable
- Service improvement experience
Leadership and management
Essential
- Able to take responsibility, show leadership, make decisions, exert appropriate authority
Teaching and training
Desirable
- Experience of teaching and training undergraduates/postgraduates and junior medical staff
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).
