Summary
Are you a GP with a special interest in helping community patients living with frailty, looking for a school‑friendly contract? If so, a rare and exciting opportunity has arisen to join us in our INT Team working with colleagues from community services including a 2‑hour Urgent Community Response (UCR) service, to create a Multidisciplinary Team Service to manage frailty in our community and support patients. We are accepting applications from GPs with an interest in frailty and complex patient management to support patients to remain at home avoiding hospital admission or facilitating earlier discharge from hospital, where clinically appropriate. The model has a strong focus on integration, with partnership working alongside Cornwall Council, RCHT, UHP and CPFT and other local charitable and voluntary sector providers.
This role will be working Monday to Friday weekly, with school‑friendly hours of 9:30 to 2pm daily. We are open to discuss variation of these hours.
Main duties of the job
The post holder will provide evidence‑based, comprehensive, person‑centred and individualised medical care for older people, including completion of a Comprehensive Geriatric Assessment where clinically indicated, and working as part of a multidisciplinary team, as part of holistic community patient clinical pathway management. The role is demanding and challenging – requiring the specialist frailty knowledge required to support the medical management of complex and challenging presentations of older frail people – and will be extremely varied and rewarding. The post holder will also be able to contribute to service development, local clinical protocols and pathway development and implementation for older people living with frailty, engage in research opportunities, audit and quality improvement initiatives, and clinical staff competency development.
About Us
As a newly formed Integrated Neighbourhood Team covering the 3 Harbours and Bosvena geographical footprint in mid‑Cornwall, we are looking to enhance our team to support frail patients to achieve better outcomes. Our supporting GP practices are Bosvena Health (Bodmin), Lostwithiel Medical Practice, Middleway Surgery and Fowey River Practice and the population covered is 43,500 patients.
Our newly formed frailty team including care‑coordination, pharmacy technician, nurse consultant, occupation therapist and frailty nurse, working closely with our Community Provider and VCSE colleagues, are working closely to support this work. This post will build on a team working in an MDT approach which will include liaising with our in‑house Geriatrician and other related consultants to maximise care and efficiency for our patients.
Qualifications
GPs with an interest in frailty and complex patient management, wishing to work in a school‑friendly contract and to support patients to remain at home or to facilitate earlier discharge from hospital, are invited to apply.
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