The Royal Surrey NHS Foundation Trust is looking to fully integrate acute and community services to create one seamless pathway for older adults living with frailty and complexity. Working with the Chief of Service and already established Clinical Director for Frailty Services, we are looking to appoint a Consultant Geriatrician to work in our evolving Hospital at Home service.
This is a substantive post predominantly based in Hospital at Home service, but with the potential to rotate through our other integrated crisis services including Same Day Emergency Care and the Acute Frailty Team.
Main duties of the job
Provide senior clinical oversight at Consultant level for Urgent Community Response and Hospital at Home.
Work clinically in the integrated crisis pathway including potential rotation through acute frailty services, our dedicated Same Day Emergency Care facility, Urgent Community Response and Hospital at Home.
Contributing to the Geriatrician of the Day rota, co-ordinating referrals from GPs, Ambulance crews and Community Teams.
Day to day clinical leadership delivery of the integrated crisis pathway providing senior clinical leadership to the joined up pathway.
Attend multidisciplinary meetings and board rounds with the UCR/H@H service.
If required, attendance at key system wide meetings relating to the crisis pathway, for example the Integrated Frailty Delivery Group.
Contribute and lead on transformational pieces of work leading teams through change as the pathways evolve.
Participate in and champion the workforce and innovation programme including contributing to the Frailty Academy.
Completion of Comprehensive Geriatric Assessment alongside Specialty Doctors
About us
Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing program along with a commitment to developing and advancing your career. Our diverse and welcoming Royal Surrey family will ensure you that you feel valued from your initial interview through your entire tenure.
We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in homes across Guildford and Waverley.
We have received an overall Good rating from the CQC with Medical care (including older peoples care), End of Life Care and Maternity services being deemed Outstanding by the CQC.
Royal Surrey has a strong reputation and history to build on. We are proud of our achievements and we are investing in our colleagues through our commitment to supporting professional development as well as investing more than £45 million in our physical environment and new equipment in the next few years. There has never been a better time to join us.
Although it isn't the Trusts normal practice, adverts may close early, so you are encouraged to submit an application as soon as possible.
A video about the Royal Surrey - https://www.youtube.com/watch?v=5HsiGn9joTQ
Job description
Job responsibilities
This is a 10 PA post for a Consultant Geriatrician based in the Urgent Community Response and Hospital at Home service at the Royal Surrey NHS Foundation Trust.
It is an exciting time to join this team, as we work to implement our Ageing Well and Frailty Strategy across the Guilford and Waverley healthcare system. Our Acute Frailty Service is among the best in the country and the strategy has supported us in developing a Frailty Same Day Emergency Care facility, direct conveyance to this unit by working in partnership with local Ambulance services, a Geriatrician of the Day model providing acute clinical triage and a Hospital at Home service. Opportunities exist to rotate through all of these pathways and prospective cover is within budget. The MICH hub was developed during the pandemic and looks to support neighbourhood teams with standardised CGA assessment. We are looking to work with system partners to risk stratify older people living with frailty, to proactively offer CGA to them and to integrate with locality based MDTs.
All of our new posts contribute to our Frailty Academy which has been running since 2021 and has embedded frailty training across the organisation and local system, including the development of the a trainee ACP programme and an internal CESR programme. We recently won a bid to expand the academy and to help develop a strategic workforce plan fit to meet the needs of an ageing population.
Please see full job description attached.
Person Specification
Qualifications
Essential
* Full registration and a license to practice with the GMC
* Entry on the GMC Specialist Register for Geriatric Medicine (or relevant specialty) via: oCCT (CCT date must be within 6 months of the interview date) oPortfolio Pathway (previously CESR)
* MBBS or equivalent
* MRCP or equivalent
Experience
Essential
* Wide experience of managing patients with Frailty
* General Internal Medicine
* Significant evidence of experience in clinical leadership
* Relevant experience of management of medical emergencies
* CPD - Evidence of post qualifying and continuing professional development clinical knowledge and skills
Skills and Capabilities
Essential
* Management, Leadership and Initiative skills
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