Download Barts Health NHS Trust

1

Recruitment material
for the post of
Consultant Geriatrician
The Trust and the Department
The Post
Job Plan
Person Specification
REF: 259-MEDC187WXH
2
BARTS HEALTH NHS TRUST
Full Time CONSULTANT GERIATRICIAN
(10 Programmed Activities)
Summary
Barts Health NHS Trust (BH) is looking for 2 full time Consultant Geriatricians, to join a
department of 8 other Consultant Geriatricians based on the Whipps Cross Hospital site.
You must hold full registration with the General Medical Council and be on the Specialist
Registrar or within 6 months of obtaining CCST. Informal discussions are encouraged and
you are invited to contact Dr Rόisίn Purcell, Consultant Geriatrician and Clinical lead or Dr
Simon Green, Consultant Geriatrician and Clinical DIrector on 0208 5356525.
Part 1: The Trust and the Department
Barts Health NHS Trust
Barts Health NHS Trust is one of Britain’s leading healthcare providers and the largest trust
in the NHS. It was created on 1 April 2012 by bringing together three trusts: Barts and The
London NHS Trust, Newham University Hospital NHS Trust and Whipps Cross University
Hospital NHS Trust. The new trust has a turnover of approximately £1.1 billion and
approximately 15,000 employees.
Together our hospitals – Mile End Hospital in Mile End, Newham University Hospital in
Plaistow, St Bartholomew’s (Barts) in the City, The Royal London in Whitechapel and Whipps
Cross in Leytonstone - deliver high quality clinical care to the people of East London and
further afield.
The hospitals offer a full portfolio of services that serve the needs of the local community,
and are home to some of Britain’s leading specialist centres including cancer, cardiac,
trauma and emergency care. Barts Health also has one of the UK’s busiest children’s
hospitals and internationally renowned surgical facilities.
Our vision is to create a world-class health organisation that builds on strong relations with
our partners and the communities we serve – one dedicated to ending the historic health
inequalities in east London. We will build an international reputation for excellence in
patient care, research and education. And as members of UCLPartners, the largest academic
health sciences system in the world, we will ensure that our patients are some of the first in
the country to benefit from the latest drugs and treatments.
3
Older People’s Services (OPS)
This post will be working on the Whipps Cross site. The catchment area covers Waltham
Forest, Eastern Redbridge and the neighbouring part of South West Essex. The department
provides for a broad spectrum of sub-specialist areas including: acute geriatrics,
orthogeriatrics, rehabilitation, surgical liaison, psychiatry liaison, falls clinic, outpatients and
Comprehensive Geriatric Assessment Clinics. Developments in the near future include
expanding the orthopaedic and fracture liaison service, surgical liaison and POPS (Proactive
care of the older person undergoing surgery) services as well as developing frailty and better
falls pathways and further developing work in dementia and delirium management, and lots
more.
The inpatient service comprises of a separate geriatrics on-call with morning and afternoon
post-take ward rounds 7 days a week and ongoing care for patients on the Acute
Assessment Unit (AAU). There are four OPS acute wards – Blackthorn (23 beds), Birch (18
beds), Chestnut (22 beds) and Syringa (26 beds). There is care for outliers only on Acacia
Ward (Infection Control Ward). There is an inpatient rehabilitation ward Victory (19 beds).
There are also evolving services in orthogeriatrics, surgical laison, acute Geriatrics and frailty
(including a 7-bedded Acute Frailty Unit) as well as dementia care. Each acute ward has a
minimum of 2 SHOs on a daily basis, with an FY1 being based on Syringa and Blackthorn and
2 StR 3-7 higher trainees.
The Orthogeriatrics service is Consultant-led with 2 SHO-level junior doctors. Currently we
offer joint care with Orthopaedics of all inpatients with fractured neck of femur (typically
around 20).
The Surgical service is an excellent opportunity for service development. Currently the
patients remain under the care of the Surgical team with the Surgical junior doctors
supplying support to the Geriatrics service.
We have a daily geriatric clinic where patients are seen for comprehensive geriatric
assessments, post discharge follow up and as an admission alternative option (hot clinic).
4
Staff
CONSULTANTS
SPECIAL INTERESTS
Dr Simon Green
Dr Rόisίn Purcell
Dr Olivet Nicholas-Pillai
Dr Jeanne O’Farrell
Dr Luis Mieiro
Clinical Director. Acute Geriatrics
Clincal Lead. Dementia
Surgical Liaison
Rehabilitation
Acute Geriatrics, geriatric research
JUNIOR STAFF
2 StR 3-7 higher trainees
2 CMT 1
6 GPVTS ST1-2
1 FY2
2 FY1
6 Junior Clinical Fellows
SENIOR NURSING – Dedicated Whipps Cross Site
Band 8C Assistant Director of Nursing
Band 8B Senior Nurse x2
Dementia and Delirium team led by 2 site-based Band 7 CNS (in recruitment)
SECRETARIAL
Office space, IT access and secretarial support will be provided, based in the Connaught Day
Clinic
MANAGERIAL
General Manager – Sheena Gormley
Service Manager – Mary Holland
CLINICAL
Dr Heather Noble – Medical Director for Whips Cross Site
5
Part 2: The Post
JOB DESCRIPTION
Barts Health will employ the successful candidate as a full time 10 PA consultant. It is
anticipated that the typical split of duties would be 7.5:2.5 DCC:SPA. The employee will
participate in an evening on call Older Person’s medical rota and a weekend on call rota
(frequency of both 1 in 6).
It is envisaged that this post holder will participate in the effective running of the
department with a commitment to acute geriatric medicine and a role on the wards.
We are seeking candidates with experience and vision in the areas of
1. Falls – with an interest in participating in the falls strategy group and redeveloping
falls pathways in line with best practice, including NICE guidelines. There would be
an expectation that this candidate would work within Orthogeriatrics and develop
this service and that of fracture liaison.
2. Surgical management of older people – As there is a large number of older frail
patients on the surgical and orthopaedic wards, regular input from a geriatrician is
required to support and influence care provision. There is also an important role to
develop within the preassessment area to optimise patients prior to their surgery.
We would be keen to explore development of a POPS service on this site.
Duties other than those clinical duties specified will be arranged in accordance with the
work programme to be agreed with the appointee, the Lead Clinician, the Medical Director
and the Chief Executive, and will allow time for administration, teaching and medical audit.
General Duties
1. The successful candidate is required to have and maintain full registration with a licence
to practice from the General Medical Council. Medical Staff are advised to continue
membership of one of the medical defence organisations
2. Fully participate in the care of Elderly patients, providing evidence based care and
working closely with other professionals to provide comprehensive care both in and out
of the hospital. This includes liaison with general practice with regard to the ongoing
management of patients with chronic conditions.
3. Continuing responsibility for the care of patients in their charge, including all
administrative duties associated with patient care.
4. Leadership, development and organisation of the services in their charge in line with the
Trusts’ business plans. Liaison and communication with the Lead Clinician for Older
People’s Services and the General Manager and Clinical Director Older People’s Services.
5. Development of his/her own interests and sub-specialities within the specialty.
6
6. Corporate and individual responsibility for the professional management of doctors in
training.
7. To have regard at all times to the clinical and quality standards set out within the CAG &
Trust guidelines, to participate in Clinical Governance and fully participate in the care of
Elderly patients, working closely with other professionals to provide comprehensive care
both in and out of the hospital. This includes liaison with general practice with regard to
the ongoing management of patients with chronic conditions.
8. To liaise effectively and on a timely basis with colleagues within the department, other
clinical specialities within the Trust, General Practitioners, community services, and all
healthcare agencies
9. To maintain and promote team and multi-disciplinary work, working closely and regularly
with the consultant medical staff
10.Supervise junior staff and medical students working with them and contribute fully to
their training, appraisal and assessment.
11.To provide cover for annual and study leave colleagues so far as is practicable
12.To use the clinic IT systems effectively
13.To adhere to all procedures and protocols and update them as and when necessary
through a consultative process
14.To ensure the smooth running of the service during the day
Accountability
The appointee will be professionally responsible to Dr Roisin Purcell, Clinical Lead and
accountable to Dr Simon Green, Clinical Director and Dr Heather Noble, Site Medical
Director.
The appointee will undergo a job plan review on an annual basis and will participate in the
Trust’s consultant appraisal scheme. The appointee must maintain a clinical and service
portfolio for the purpose of revalidation and fitness to practice.
Clinical Governance
The post holder will participate in the Trust’s clinical effectiveness activities and will
encourage and foster improvements in the quality and standards of clinical services. The
post-holder will assist with the safeguarding of high standards of care by participating in the
creation of an environment in which excellence in clinical care will flourish.
Continuing Professional Development and Continuing Medical Education
The post holder is expected to take responsibility for their own Continuing Professional
Development and take part in Continuing Medical Education activities, in line with the
7
requirements of the Royal College of Surgeon/Physician guidelines to maintain standards of
performance and in consultation with the Lead Clinician.
The post-holder will be expected to be committed to the concept of lifelong learning and
produce and maintain, as part of the appraisal process, a Personal Development Plan in
agreement with their Lead Clinician/Clinical Director.
There is a requirement to complete the Trust’s mandatory training for example, training on EPR
(electronic patient records), CQUIN targets, Safeguarding of Children and Vulnerable Adults.
Study leave is available as provided for under the Terms and Conditions of Service for
Hospital Medical and Dental staff, subject to the approval of the Clinical Director / General
Manager.
Teaching and Training
The Trust is committed to sustaining and advancing the provision of medical, dental, nursing
and other professional education and to the delivery of high quality postgraduate and
undergraduate training.
The post holder will be expected to participate fully in the postgraduate education of junior
medical staff in the department and in the wider Trust where appropriate. The post holder
will provide clinical supervision to up to 2 trainees and it is envisaged that they will achieve
Educational Supervisor accreditation and supervise up to 2 trainees. There is a requirement
for training to fulfil these roles in accordance with the London Deanery Professional
Development Portfolio
The post-holder will also assist with the teaching of medical students attached to the
department. The department currently receives 6 cohorts of 4 third year students per year,
with each attachment lasting 3 weeks. The post-holder would be expected to supervise one
student per cohort on their ward and lead a bedside teaching session and a seminar-style
teaching session for the whole of each cohort.
Mentoring
The post-holder will have access to the Barts Health new Consultant mentoring programme.
Equal Opportunities
The post holder must at all times carry out responsibilities and duties with due regard to the
Trust’s Equal Opportunities Policy
Health and Safety
The post holder is expected to undertake the appropriate management responsibilities, and
be aware of individual responsibilities in accordance with the Trust’s Health and Safety
policy and report as necessary, any untoward accident, incident or potentially hazardous
environment. The post holder will promote and implement the Health and Safety Policy.
The Trust operates a No Smoking Policy.
8
Salary and Conditions of Service
The post is subject to the Terms and Conditions of Service of Hospital Medical and Dental
Staff (England and Wales), and also to the National Health Service Pension Regulations.
The terms and conditions of appointment for post holders taking up a position on or after 1st
April 2003 will be those under agreement of the new Consultant Contract.
Due to the nature of the work in this post, it is exempt from the provision of section 4 (2) of
the Rehabilitation of Offenders Act 1974, by virtue of the Rehabilitation of Offenders Act
1974 (Exemption Order 1975).
Applicants are therefore not entitled to withhold information about convictions, including
those which, for other purposes are “spent”, under the provisions of the Act, and are
required to disclose convictions including those pending, to the Trust. Failure to disclose
such information may result in dismissal or disciplinary action.
The successful candidate will normally be required to live within 30 minutes travelling time
of the Trust
Other Aspects of the Post / Additional Information
The above is an outline only. It is not exhaustive and may be altered from time to time in
accordance with the needs of the service. The post holder will be required to be cooperative and flexible in accordance with the needs of the service.
The duties of the appointee also include administrative and management duties appropriate
to the post and to contribute to the management processes of the trust as required.
The appointee will have designated shared office space and medical secretarial support,
with access to IT facilities for internet and intranet access.
9
Part 3: Job Plan
An outline weekly timetable is given below. This timetable is subject to review on
appointment
Example Job plan
Timetable of programmed activities for direct clinical care/supporting professional activities
Timing
Monday
Tuesday
Description
Frequency
DCC/SPA
Hours
0900-1100 Daily Consultant ward work
includes Board Round and
meeting relatives
Weekly
DCC
2
1100-1300 Surgical Liaison
Weekly
DCC
2
1300-1400 Departmental CME Meeting
Weekly
SPA
1
0900-1100 Daily Consultant ward work
includes Board Round and
meeting relatives
Weekly
DCC
4
1100-1300 Surgical Liaison
Weekly
DCC
2
1300-1400 Hospital Grand Round
Weekly
SPA
1
1400-1700 SPA
Weekly
SPA
3
Weekly
DCC
4
1300-1400 Departmental Consultants
Meeting
Weekly
SPA
1
1400-1600 Surgical Liaison
Weekly
DCC
2
0900-1300 Daily Consultant ward work
includes Board Round and
ward work cross cover for
Weekly
DCC
4
Wednesday 0900-1300 Daily Consultant ward work
includes Board Round and
ward work cross cover for
colleague leave
Thursday
10
colleague leave
Friday
1300-1700 SPA
Weekly
SPA
4
0900-1000 Radiology Meeting
Weekly
DCC
1
1000-1300 Consultant Ward Round
includes Board Round
Weekly
DCC
3
1300-1700 Acute post-take ward round
Weekly
DCC
4
Saturday
Post take (General geriatric
patients and Fractured
NOF)
One in six
weeks
DCC
2
Sunday
Post take (General geriatric
patients and Fractured
NOF)
One in six
weeks
DCC
2
B: Additional On-call commitment.
One in 6 evenings and overnight from home giving a Level 2/Category B salary supplement of
2%.
11
Part 4: Person Specification
Essential
Qualifications
MRCP or Equivalent
Specialist qualification
Desirable
Evidence of participation in
research (peer reviewed
publications etc.)
Means of
Assessment
Application
Form/CV
Full GMC Registration with
license to practice
Clinical
experience
Knowledge
Entry on the GMC Specialist
register or eligibility for
entry within 6 months of
date of advisory
appointments committee
Higher specialist training in Ability to organise and
Geriatrics and G(I)Medicine deliver a teaching
programme
Broad experience in
Geriatrics and G(I)M
Experience in Surgical
Liaison
Current ALS certificate
Detailed knowledge of
Geriatrics and G(I)M and of
the specialist skills required
for this post
CV
Interview
Knowledge of
multidisciplinary clinical
audit and demonstrable
commitment to improving
quality of care to patients
Skills
Understanding of modern
medical
curricula
and
commitment to life-long
learning
Ability to work as part of a Ability to motivate busy
Interview/CV
multi-disciplinary team
clinicians to engage in
teaching
Experience of supervising
medical staff
Ability to develop research
projects and
supervise
Ability to teach medical trainees in their research
students and junior medical
and nursing staff.
Ability to manage staff and
resources effectively
Ability to communicate
12
effectively with colleagues,
patients, relatives, GPs
nurses and other agencies
Personal
attributes
IT skills
Flexible and co-operative
approach to colleagues
Interview
Good leadership skills
Self-motivated with an
enquiring, critical approach
to work
Enthusiasm and ability to
work under pressure
Caring attitude to patients
Management
and
administrative
experience
Circumstances
Willingness to undertake
additional professional
responsibilities at local,
regional or national level
Attendance on management
or leadership course
CV
Prepared to live within 10
miles or 30 minutes of the
hospital
Further Information
Prospective candidates are encouraged to visit the Trust, which may be arranged by
contacting:
Dr Rόisίn Purcell, Clinical Lead/Consultant Geriatrician
Dr Simon Green, Clinical Director/Consultant Geriatrician
Department of Medicine for Elderly People
Barts Health NHS Trust
Whipps Cross University Hospital
Whipps Cross Road E11 1NR
T: 0208 539 6525
Email: [email protected]
[email protected]