Doctors - Consultant Physicians in Elderly Care Medicine

  • Department Elderly Care Medicine
  • Salary £88,364 - £119,133 per annum
  • Closing Date 22/03/2023
  • Location The Royal Shrewsbury Hospital
  • Grade Consultant
  • Job ref 223-MC2116C
  • Pension NHS Pension
  • Holidays Generous Holiday Allowance
  • NHS discount Eligible for NHS Discounts
  • Contract Permanent
  • Hours 10 PAs

The Department

The Elderly Care medicine team is a multi-disciplinary team of committed clinicians, specialist nurses and allied health professionals who work collaboratively to deliver high-quality care to our patients on both sites. The current workforce is broken down below.

Expand and Develop Elderly Care Medicine

Elderly care has 2 ward bases: 20 beds at Shrewsbury (Ward 28) and at Telford there is a 38 bedded Unit split between 2 consultants (Ward 10). The post-holders will be primarily based at the Telford site, to work with the existing consultant team delivering high quality care to older inpatients, however the expectation to cross cover at Shrewsbury to help deliver the service will be required if needed. The post holders will also look after medical outliers on Ward 4  (6 per day) and see ward referrals from other specialities (average 1-2 per day). There are close links to primary care and support from the discharge liaison teams to expediate patient discharge home or to other community facilities. There is an in-house mental health team (based on the RAID model) who support the units in caring for patients with delirium and dementia. The department is supported by junior doctors including Specialist Registrars, Internal Medicine Trainees, Foundation Doctors as well as Physicians Associates and ACP trainees. The post-holders will be expected to take on clinical supervision of a trainee once they are established in post.

The post-holders will have a weekly clinic in the speciality of their choice, but ideally in an area that requires development. The clinic depends on the ratio of new patients to follow ups. On average a new patient review is a 30-40 minute time slot, with 20 minutes for each follow up in a session with time to dictate correspondence (average patients seen 7-8)

Support Acute Frailty Services

There is a large ageing population in Shropshire and Telford and Wrekin which attend both acute hospital sites. The Trust and CCG are working together to address patients’ needs and develop a responsive service for older frail patients. The post-holder will be expected to be part of current services which deliver Comprehensive Geriatric Assessment in the Emergency Department and Acute Medical Unit. They will be expected to work closely with the teams in the ED and AMU to improve care for frail older patients. The post-holder will work with a team of therapists, ACPs, and the current training doctors in Elderly Care. They will be supported by therapies to deliver rapid assessment, treatment and as much as possible discharge to community services.

Developing the Virtual Ward

The Acute trust is working local partners to develop a virtual ward base in patient’s homes and care homes. Currently the Acute Frailty team has close links with community services and this will now be a formalised link for the consultant body to provide regular multidisciplinary meetings for selected patient groups

General Medical/On-Call Rota Duties

The general medical take is run through the Medical Admissions Units (AMU) at both hospitals and delivered with a split-weekday take by Acute Physicians and Speciality Physicians on the on-call rota. The present on-call is 1/16 with prospective cover. The Trust admits approximately 25,000 acute medical presentations distributed between both Hospitals. The Acute Physician teams are responsible for admissions, the AMU and Ambulatory Care between 9 am and 5 pm (Monday to Friday). On-call Physicians (Acute and/or Speciality) maintain an on-site presence until at least 8pm with on-call thereafter and extended on-site working at weekends (with subsequent compensatory rest period allotted). Gastroenterologists and Cardiologists operate separate speciality out of hour rotas. Nephrology provides a 24-hour telephone advice service.

The Trust operates a Speciality Ward System and patients requiring continuing care are allocated to wards from the AMU depending on their presentation. The general medicine out-of-hours work currently attracts an on-call availability supplement of 3% and 1.5 PA’s Direct Clinical Care (DCC) in the job plan. The number of patients admitted in 24 hours varies, but on average a post take ward round will be between 8 and 15 patients who need reviewing, if still in the Emergency Department or on outlying surgical wards. Patients on speciality medical wards and AMU are reviewed by the ward team that day. Hence morning commitments such as clinic are cancelled to allow for the Post take ward round.

The well-being of our staff is of the upmost importance to us.  If you are offered a role at our Trust, and fall into the increased and higher risk categories as set out by Public Health England (PHE) and NHSI/E, your line manager will complete an risk assessment with you.  This will be completed in conjunction with the latest guidance from Public Health England in relation to Covid-19.

By submitting your application to Trac, you are giving your consent for parts of your application data to be transferred to the NHS Electronic Staff Record (ESR) and other secure, internal NHS Workforce systems. This is to support and manage your recruitment and employment within your employing organisation. 

If successful, by completing the NHS Jobs application form you authorise the Trust to obtain any previous NHS service details including all electronically held sickness information, via the Inter Authority Transfer process on the national ESR.

If the role requires a qualification/professional registration, you will need to provide proof during the recruitment process. By submitting your application you are giving the Trust permission to check the qualification certificates provided back to the source provider. Please note that a sample of all applicant’s qualifications will be checked with the educational institution or provider.

In the event of a high response to this advertisement, this post will be closed. Early applications are advised.
Unfortunately we do not accept CVs or keep them on file. If you are unable to apply online please contact the person named in the advertisement for the post you are interested in.
We are committed to offering an interview to all applicants with a disability who meet the minimum criteria for the above position and will support reasonable adjustments wherever possible.  In addition, whilst all applicants will be judged on merit alone, we particularly welcome applications from candidates who are male, from black and minority ethnic backgrounds or who have a disability, as these are currently under-represented in our workforce.
We are committed to equal opportunities in employment. The policies and practices of the Trust aim to promote an environment that is free from all forms of unlawful or unfair discrimination and values the diversity of all people. At the heart of our policy, we seek to treat people fairly, flexibly and with dignity and respect.

Thank you for your interest in The Shrewsbury and Telford Hospital NHS Trust, we look forward to receiving your application for employment.

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