Job overview
We're building a new Hub at Newton Abbot Hospital to deliver integrated acute care closer to home for people living with frailty. The service will grow capacity and build on existing links between the Urgent Community Response team, Frailty Virtual Ward and HOP department, and add a new Same Day Emergency Care (SDEC)/ambulatory pathway. You'll provide senior clinical decision-making at the community–acute interface—triaging referrals, streaming patients to the right part of the service, and supporting the wider MDT to assess and manage patients in community settings as a safe and effective alternative to inpatient care.
Day to day, you'll provide and enable "hospital-level" interventions at home or in ambulatory settings (e.g. arranging timely diagnostics, IV fluids/antibiotics/treatments, therapy reviews, medicines optimisation and deprescribing, advance care planning), use point-of-care testing/digital monitoring to support timely decisions where appropriate, and provide the medical aspects of the Comprehensive Geriatric Assessment (CGA. You'll work within and through a strong MDT—UCR, Intermediate Care, Primary Care, ward teams and HOP colleagues—respecting and enabling collective MDT decision-making to deliver patient-centred care. You'll model professional standards in documentation, governance and supervision, and contribute to service development, QI and teaching.
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* Hold clinical risk in community settings: provide senior decision-making to patients living with frailty and complex care needs at home, in intermediate care beds or within the virtual ward; balance escalation vs admission, and making and documenting clear management plans.
* Lead clinical triage and streaming: deliver telephone clinical triage for referrers (e.g. Primary Care, community teams, SWASFT) and stream patients to the right part of the service (Virtual Ward, SDEC, community teams).
* Enable "hospital-level" care at home: arrange/oversee appropriate community interventions (e.g., monitoring, IV fluids/antibiotics, therapy reviews) and use point-of-care testing/digital monitoring to support timely decisions.
* Deliver CGA-led care: undertake specialist assessment and interventions following the principles of comprehensive geriatric assessment, including medicines review and deprescribing.
* Respect and strengthen MDT decisions: work with Urgent Care Response, Intermediate Care, Primary Care and ward MDTs; contribute to anticipatory care planning and ensure up-to-date TEPs representing patient wishes.
* Model professional standards: maintain accurate contemporaneous records; adhere to Trust policies and GMC standards; champion governance, audit and service improvement.
* Provide leadership and teaching: act as senior clinical voice for the Hub (deputising for Lead GP as required), supervise ACPs/trainees, and contribute to QI and service development.
Working for our organisation
You'll join a friendly, supportive team spanning our Virtual Ward, Urgent Community Response, hospital clinicians and the Newton Abbot ward team including Trust GPs, ACPs/trainee ACPs, therapists, nurses, consultants and a consultant nurse.
We value kindness, respect and listening. We share learning, and celebrate successes and welcome ideas that improve the patient experience. You'll be trusted to take ownership—and in return you'll see the impact of your work every day.
Why Work With Us
Detailed job description and main responsibilities
Full Vacancy details can be found on the attached Job Description/Person Specification. Please refer to your suitability to the post in your supporting information from the role requirements or person specification.
You will be joining the organisation at an exciting time. As the first fully integrated care organisation in England, we are working to improve the way we deliver safe, high-quality health and social care. We have a positive and vibrant working atmosphere, we are proud of our investment in our staff both in terms of developing potential career skills and valuing people.
If you provide support to a family member or friend with health or care needs, we aim to be a Carer-friendly employer. We have a 'Staff Carers' policy which includes flexible working where possible and a Carer's Passport scheme that links you into support and discounts.
IMPORTANT INFORMATION
* We reserve the right to close vacancies early if we receive a high volume of applications. Therefore, we encourage you to apply promptly.
* Please read the job description carefully and tailor your application to reflect the requirements of the role.
* Applicants who identify in their application form they are a part of the Armed Forces community will be guaranteed an interview, provided they meet the minimum essential criteria outlined in the job description and person specification for the role. Step into Health guidance can be found on our NHS Employers website.
* Correspondence will be sent via Trac, text, and email. Please ensure you check your email and Trac account regularly.
* Applicants with no previous NHS experience will ordinarily be appointed to the minimum of the band.
* If you have not received an invitation to interview within 28 days of the closing date, please assume that your application has been unsuccessful on this occasion.
* It is your responsibility to ensure the timely receipt of appropriate references.
The Trust is committed to preventing discrimination, valuing diversity and achieving equality of opportunity. No person (staff, patient or public) will receive less favourable treatment on the grounds of the nine protected characteristics as governed by the Equality Act 2010. If you require support you can obtain this from our Equality Business Forum which has representatives from all protected groups.