Locum Consultant in Geriatric Medicine and General Internal Medicine

Job overview

The successful candidate will rotate between an acute inpatient ward (max 13 beds) and the Front Door Frailty Team based in ED, delivering CGA in collaboration with the wider MDT, with a view to avoid unnecessary admissions and re presentation to hospital in frail older adults.

You must hold full registration with the General Medical Council and be on the Specialist Register for Geriatric and General Medicine or within 6 months of obtaining CCT.

Main duties of the job

·Day to day clinical care of inpatients on base ward

·Lead daily board rounds and twice weekly MDMs on base ward

·Daily review of new and sick patients on base ward

·Attend family meetings on base ward

·Complete administrative work relevant to your clinical commitment

·Participation in unselected general medical on call rota

·Participation in departmental teaching, clinical governance and service development

·Prospective cover for colleagues during periods of absence and flexibility to work across all OPS clinical areas as needed

·Provide advice to colleagues related to OPS

·Supervise the Front Door Frailty Team based in ED, screen the ED bedboard for appropriate patients, and provide a senior review to all patients seen by the team

·Participation in undergraduate and postgraduate training

Fulfill requirements for regular appraisal and revalidation

Working for our organisation

Barts Health is one of the largest NHS trusts in the country, and one of Britain’s leading healthcare providers.

Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.

We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.

Detailed job description and main responsibilities

10 PAs are based on 7.5 PA DCC programmed activities a week. 1.5–2.5 of this should be assigned to dictating letters, attending multidisciplinary team meetings, seeing relatives, reviewing results and attending case presentations. Includes time for lunch and travel.

1.5 SPA is Core SPA. This includes medical audit, CPD and appraisal. Additional SPA is allocated for teaching, supervision of trainees, clinical governance, and service development, taking SPA to a total of 2.5.

There is an expectation of continued professional development (CPD) and a commitment to revalidation.

You will be provided with secretarial support and an adequately equipped office with IT facilities.

There is an on call frequency of 1:18 weekdays and 1:12 weekends for General Internal Medicine (0.85 PA). The offsite on call commences at 8pm, when the onsite daytime consultant AAU shift finishes. It finishes at 9am the following morning. There is a commitment to a post take ward round from 8am. This is 2 hours on a weekday morning covering <75yo only and 4.5 hours on a weekend day covering all admissions. There is an expectation that the consultant will be on site during weekend days for at least 9 hours to allow for the morning post take and then an afternoon/ evening mid take round. The weekend consultant staffing consists of two General Internal Medicine consultants, a Cardiology consultant, and a Gastroenterology consultant for urgent Endoscopy cases. There will be consideration of time off in lieu for weekend working.

Person specification

Qualifications

Essential criteria

• A higher specialist training scheme in General Internal Medicine and Geriatric Medicine
• Wide experience in General Internal Medicine and Geriatric Medicine
• MRCP UK

Desirable criteria

• Higher Degree i.e MSc, PhD or equivalent

Knowledge

Essential criteria

• A broad range of knowledge in other relevant disciplines
• Excellent knowledge in Geriatric medicine and acute medicine

Desirable criteria

• Maintenance of a CPD diary or portfolio

Skills

Essential criteria

• Good Communication Skills
• Record of Teaching at under and post graduate levels
• Record of Completed audit projects
• An understanding of Clinical Governance
• To have the ability and willingness to teach at all levels
• Team player
• Patient focused
• Adaptable to change
• Problem Solver

Desirable criteria

• Evidence of multidisciplinary teaching
• Record of attendance at training for trainer courses

Experience

Essential criteria

• Experience in performing clinical audit
• Ability to critically assess published research and incorporate it into clinical practice where appropriate

Desirable criteria

• NHS complaint handling
• Publication record in field of GIM, or Geriatrics
• Critical incident reporting
• Training in and experience of appraisal
• Risk management Training