Job summary
12 month fixed term
Harrogate and District NHS Foundation Trust (HDFT) is pleased to announce an exciting job opportunity within the new frailty 'Hospital at Home' service.
The team are looking for a specialty doctor or GP who is enthusiastic about providing excellent, holistic care for older people living with frailty. The post holder will be based at Harrogate District Hospital, but will primarily be working within our new and developing frailty virtual ward (Hospital at Home) service.
We have recently been part of the national Acute Frailty Network programme and this is an exciting time to join the HDFT frailty team as we continue to strengthen and develop our services, with the aim of providing exceptional care for our local population living with frailty. The successful applicant will be encouraged to actively contribute to service development within the department.
This is a full time position but applicants looking for less than full time employment are encouraged to apply.
Main duties of the job
Since January 2023 HDFT has been providing a 'Hospital at Home' service for older people living with frailty. We are able to accept patients on to the caseload 'stepped down' from an acute ward or the emergency department or 'stepped up' directly from the community. At present, 'step up' referrals are taken from the ARCH team or Urgent Care Response (UCR) team.
Care at home is provided by the consultant of the day, a specialist frailty ACP and other members of the ARCH team. Which team member(s) undertake each visit is determined by complexity and need. The post-holder is expected to work closely with and provide supervision to the ACP workforce. The post holder is expected to make home visits and must therefore be a car driver with their own transport.
The successful candidate will be expected to manage patients with a range of common acute frailty syndromes and make a holistic assessment of patients on the case load using the principles of comprehensive geriatric assessment. The ability to communicate effectively within the team and when liaising with other specialties is essential. A daily MDT meeting is held to discuss all patients on the caseload.
About us
Harrogate District Hospital (part of HDFT) is a high performing hospital based in North Yorkshire close to Leeds and York. North Yorkshire has an ageing population with 24% of the population in 2018 being over the age of 65. Over the last 10 years we have seen a 23% increase in people aged 65 and over despite a lower than average overall population increase. Providing excellent care for our older patients with frailty is a real priority for HDFT. As a provider of both acute and community services, in conjunction with our partners, we are in a fantastic position to strengthen our frailty pathways from the front door of the hospital to our patients' homes.
We are a small, family friendly organisation with strong leadership and a team based approach to delivering high quality, safe care. We welcome applicants from a range of backgrounds including Medicine, Emergency Medicine and General Practice who can demonstrate skill and experience of caring for older patients living with frailty. If you are unsure if you have the appropriate level of experience and training, we welcome informal discussions prior to or following application.
The picturesque spa town of Harrogate is surrounded by the beautiful countryside of the Yorkshire Dales, with excellent facilities in the area for sports and outdoor activities. The area also offers a choice of outstanding local schools.
Job description
Job responsibilities
Responsibility with the current Elderly Care Physicians, for the provision of a service with prospective cross cover.
Clinical responsibility with consultant support for elderly patients with frailty on the Virtual Frailty Ward and the Acute Frailty ward including a daily MDT. Responsibility for supporting the community virtual ward and ARCHES team. This work is in partnership with Dr Watt, Dr Ralston and Dr Fishlock, Dr Norman and Dr Atkinson and includes prospective cover.
To be involved in the development and governance of the Virtual Frailty Ward and Acute Frailty Services
To regularly devote time for the training and supervision of junior medical staff and/or ACP trainees, and contributing as appropriate to undergraduate, postgraduate and continuing medical education.
To manage personal workload in such a way as to ensure that capacity is maximised and quality of care is optimised.
Provide clinical leadership and supervision to the nursing and support staff within the team.
Provision of advice to Trust Managers, local General Practitioners and other interested parties, on the provision, planning and development of medical services.
Explore service modernisation opportunities such as preventative care and development of community led initiatives/support to primary care.
To participate in the recruitment of junior medical staff and staff of other disciplines as appropriate. To assist the Human Resources Department to follow the local and national employment policies and procedures.
To participate in audit with the support of the Trust Clinical Governance department
Job description
Job responsibilities
Responsibility with the current Elderly Care Physicians, for the provision of a service with prospective cross cover.
Clinical responsibility with consultant support for elderly patients with frailty on the Virtual Frailty Ward and the Acute Frailty ward including a daily MDT. Responsibility for supporting the community virtual ward and ARCHES team. This work is in partnership with Dr Watt, Dr Ralston and Dr Fishlock, Dr Norman and Dr Atkinson and includes prospective cover.
To be involved in the development and governance of the Virtual Frailty Ward and Acute Frailty Services
To regularly devote time for the training and supervision of junior medical staff and/or ACP trainees, and contributing as appropriate to undergraduate, postgraduate and continuing medical education.
To manage personal workload in such a way as to ensure that capacity is maximised and quality of care is optimised.
Provide clinical leadership and supervision to the nursing and support staff within the team.
Provision of advice to Trust Managers, local General Practitioners and other interested parties, on the provision, planning and development of medical services.
Explore service modernisation opportunities such as preventative care and development of community led initiatives/support to primary care.
To participate in the recruitment of junior medical staff and staff of other disciplines as appropriate. To assist the Human Resources Department to follow the local and national employment policies and procedures.
To participate in audit with the support of the Trust Clinical Governance department
Person Specification
Qualifications
Essential
- Fully registered with the GMC with a licence to practice.
- MRCP / MRCEM / MRCGP, (or equivalent qualification).
- Evidence of achievement of Foundation competencies by time of appointment in line with GMC standards in Good Medical Practice
- 4 years postgraduate training or equivalent in a specialty training programme or as fixed term specialty training post, or equivalent experience
Desirable
- Diploma in geriatric medicine
Experience
Essential
- Evidence of experience of working in a multidisciplinary team and effective team working skills.
- Experience of working in elderly care.
- Evidence of the ability to work clinically without direct consultant supervision.
Desirable
- Evidence of basic service change/development.
Teaching and training
Essential
- Training for Educational or Clinical Supervisor completed
Person Specification
Qualifications
Essential
- Fully registered with the GMC with a licence to practice.
- MRCP / MRCEM / MRCGP, (or equivalent qualification).
- Evidence of achievement of Foundation competencies by time of appointment in line with GMC standards in Good Medical Practice
- 4 years postgraduate training or equivalent in a specialty training programme or as fixed term specialty training post, or equivalent experience
Desirable
- Diploma in geriatric medicine
Experience
Essential
- Evidence of experience of working in a multidisciplinary team and effective team working skills.
- Experience of working in elderly care.
- Evidence of the ability to work clinically without direct consultant supervision.
Desirable
- Evidence of basic service change/development.
Teaching and training
Essential
- Training for Educational or Clinical Supervisor completed
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).
