Consultant with Hospital and Home Team (HAHT)
An exciting opportunity has arisen for a consultant for Hospital @ Home and Acute Medicine services at Dartford and Gravesham NHS Trust.
This new role has been created following the integration of Same Day Emergency Care (SDEC) services, Hospital at Home and community partners to provide the local population with an integrated care pathway.
Successful implementation of SDEC in the new "SDEC Village" alongside the Frailty Assessment Unit and H@H ensures that timely care is delivered whilst avoiding unnecessary admission, reducing duplication and ensuring that sickest patients are prioritised.
Main duties of the job
This is a 10PA job (with option of participation in medical on call - 1 in 16). It is envisaged that this post will evolve to attract more consultant colleagues to support HAH and existing SDEC services in the trust.
You will join the lead consultant and on the "hot week rota", providing 5 weeks in six cover for HAHand will be responsible for coordinating the care of the patients on the Hospital At Home pathway. You will work with your team of experienced Nurses, Therapists, Pharmacist and Other allied health professionals to provide step up and step down care. The aim of SDEC HAH is to achieve a reduction of avoidable hospital admissions and to facilitate earlier, safe discharge of patients from the acute services. You will work closely with the Acute Medicine colleagues and colleagues in the Frailty Assessment Unit. There will be flexibility in working pattern with the Acute Medical team.
Job responsibilities
Key Duties and responsibilities of the post will be;
* Provide medical leadership and deliver holistic care to patients admitted under (HAH), working in close collaboration with the wider multi-professional team.
* Independently manage patients with a wide range of acute medical presentations, including initial assessment of surgical patients.
Make early and appropriate clinical decisions for emergency admissions
* Supervise admissions into the HAH service and promote patient flow from the Emergency Department and step-down from wards.
* Lead the Hospital At Home post-take process by reviewing patient lists, identifying appropriate candidates for HAH admission, and coordinating timely transfer of care.
* Participate in and provide consultant leadership for acute medical post-take ward rounds, ensuring timely senior review, clear management planning, and safe patient flow.
* Provide medical support to community teams through advice, domiciliary visits, or outpatient assessments.
Qualifications
* MBBS or equivalent medical qualification.
* Full registration (and with a licence to practise) with the General Medical Council (GMC)
* Applicants that are UK trained, must also be a holder of a Certificate of Completion of Training (CCT)
* Applicants that are non-UK trained, will be required to show evidence of equivalence to the UK CCT
* MRCP or evidence of equivalent qualification
* Experience of working in acute and general medicine at Consultant level for 48 months
* CCT in general, acute or geriatric medicine
* Prior experience in acute, general medicine and frailty
Clinical Skills
* Wide experience in all aspects of acute medicine
* Experience of Multidisciplinary Team working at senior level.
* Ability to take full and independent responsibility for clinical care of patients at consultant level
* Demonstrates ability in managing common acute and chronic conditions, including emergencies
* Experience of providing leadership
* Experience in working in the UK
Personal Skills
* Demonstrates clarity in written / spoken communication & capacity to adapt language as appropriate to the situation
* Experience of service innovation and development Demonstrates an understanding of NHS Management and resources.
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 to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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