Locum Consultant in Medicine for Older People
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Locum Consultant in Medicine for Older People
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The post holder will hold a post of Fixed Term consultant in Geriatric Medicine at London North West University Healthcare NHS Trust.
Our collective goal is to provide excellent care for our frail older patient in hospital and back home. We aim to treat acute illness appropriately, to enhance quality of life, to reduce disability, recognise when life is nearing its end, and to provide individualised person-centred care in the right setting at the right time.
The appointee will be responsible to the Divisional Director of Medicine for London North West University Healthcare NHS Trust and report to the Department of Medicine for Older People Clinical Lead.
As the post holder develops their role, there will be an expectation that different aspects of supporting professional activity may demand a greater proportion of the working job plan be dedicated to this. This issue will be addressed through regular appraisal and job planning.
The department is strongly supportive of any candidate for this post who would wish to pursue portfolio pathway training with a view to gaining a Certificate of Eligibility for Specialist Registration (CESR).
To provide in-patient care for patients on the Medicine for Older People wards at Ealing hospital.
To work in the frailty unit, focusing on comprehensive geriatric assessment for older people presenting to the Emergency Department with frailty syndromes not requiring admission.
To contribute to outpatient care in clinics. These include movement disorder and general rapid access clinics for people with frailty syndromes.
GIM on call as detailed above.
To work with the rest of the clinical and managerial team to support clinical governance, including contribution to morbidity and mortality meetings, quality improvements projects and clinical audit.
To take an active part in undergraduate and postgraduate teaching, training and supervision.
To contribute to service development where relevant.
The job will include liaising with and teaching nursing staff, health care assistants, therapists and other members of the multidisciplinary team.
London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.
Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.
We Run Major Acute Services At
Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the countrys top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
St Marks Hospital: an internationally renowned specialist centre for bowel disease
Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.
We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.
Acute Frailty Service
There is an established Acute Frailty Service which comprises a Multidisciplinary Team based in ED, CDU and Ealing Acute Care Unit 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 and EACU.
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. There is an opportunity for the post holder to create a rapid access clinic of their own interest e.g. heart failure clinic.
Sub-speciality interests
Development of any special interests is encouraged and will be actively supported e.g. Continence, Falls, Movement Disorders, Surgical liaison including Orthogeriatrics, and Community including potential involvement in the Ealing Frailty Virtual Ward. Time within the job plan to explore and develop services related to these can be negotiated.
On call commitments
General medical on call commitment is approximately two days per month and 8 weekend days per year. A typical medical take is 30-40 patients per 24 hours. This attracts a 1% on call supplement and time off in lieu during the week. The consultant is on call from home overnight.
Administrative support
The appointee will be given appropriate shared office accommodation with the provision of personal computer equipment (with PAS, email and internet access), telephone and secretarial support.
Medical staff of LNWH Department of Medicine for Older People at Ealing Hospital
Consultants (name, specialist interest(s), WTE)
Dr Kate Senger (Acute frailty, community geriatrics, palliative care)
Dr Darshi Palliyage (orthogeriatrics)
Dr Szabi Bertok (movement disorders)
Dr Trishpal Dhaliwal (medical education)
Dr Annie Pervaiz (acute frailty, 0.4WTE)
Dr Anna Down (GP with special interest in acute frailty, 0.6WTE)
SAS, trust and junior doctors (grade, WTE)
SAS doctor 0.5 WTE
Trust doctors 6.0 WTE
Doctors in training posts (F1 to registrar) 12.0 WTE
Duties of the post
To provide in-patient care for patients on the Medicine for Older People wards at Ealing hospital.
To work in the frailty unit, focusing on comprehensive geriatric assessment for older people presenting to the Emergency Department with frailty syndromes not requiring admission.
To contribute to outpatient care in clinics. These include movement disorder and general rapid access clinics for people with frailty syndromes.
GIM on call as detailed above.
To work with the rest of the clinical and managerial team to support clinical governance, including contribution to morbidity and mortality meetings, quality improvements projects and clinical audit.
To take an active part in undergraduate and postgraduate teaching, training and supervision.
To contribute to service development where relevant.
The job will include liaising with and teaching nursing staff, health care assistants, therapists and other members of the multidisciplinary team.
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