Detailed job description
and main responsibilities
The appointee will clinically support more junior doctors rotating to the department. There is also an active educational programme, and all members of the Department of Older People’s team will be encouraged to attend and contribute.
As part of the recovery process following COVID we have remodelled the Ealing bed base. The acute floor now comprises of 2 wards on level 5 taking the majority of the unselected medical take. AMU is a 30-bedded acute inpatient ward based on 5 South and we have established a 23 bedded Older Persons Short Stay Unit based on 5 North. Here older patients with complex health needs are identified through frailty criteria and can be admitted directly under a team specialising in the management of older persons. 6 North is a 34 bedded unit for patients whose hospital stay may be longer and more medically complex.
Acute Frailty Service
There is an established Acute Frailty Service which comprises a Multidisciplinary Team based in ED and CDU 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 is required. 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 assess appropriate patients presenting ED and CDU.
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. The post holder will be welcome to contribute to reviewing patients in OPRAC and gaining clinic experience.
To view the main responsibility, please see the attached Job Description and Person Specification
Person specification
Qualifications
Essential criteria
1. MRCP
2. On GMC registered Medical Practitioner
Desirable criteria
3. MD, PhD or equivalent
Knowledge and teaching
Essential criteria
4. IT Skills and computer literacy
5. Broad based training in geriatric medicine and its subspecialties
6. Broad based general professional training in general medicine
Desirable criteria
7. NHS experience within the last 3 years
Teaching, Audits and Research
Essential criteria
8. Experience of teaching and training undergraduates, postgraduates and junior medical staff
9. Knowledge of research methodology
Desirable criteria
10. Evidence of ongoing interest and achievement in research
11. Evidence of service audit, design or change management.
Personal Skills
Essential criteria
12. Are able to speak and write English to the appropriate standard
13. Energy and enthusiasm and the ability to work under pressure
14. Commitment to deliver a high-quality service with patient welfare at forefront of practice.
15. Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses and other staff and agencies.