These are substantive appointments for colleagues to work alongside the seventeen existing geriatricians based at Musgrove Park Hospital, Somerset NHS Foundation Trust. Whatever your subspecialty interest, we would like to hear from you - with good evidence for new developments in all aspects of geriatric medicine, it's likely that we can develop a role that plays to your strengths as well as meeting your needs.
Main duties of the job
To organise, manage and be responsible for the diagnosis and treatment of patients in Musgrove Park Hospital in conjunction with Dr James Gagg, Associate Medical Director (Medicine). Except in emergencies, or where otherwise agreed with your manager, you are responsible for fulfilling the duties and responsibilities and undertaking the Programmed Activities set out in your Job Plan, as reviewed from time to time. You will be required to participate in an on-call rota to provide emergency cover and to provide enhanced medical / geriatric medicine support to the hospital. When not on an on-call rota, we may in exceptional circumstances ask you to return to site for emergencies if we are able to contact you. You are not, however, required to be available for such eventualities. Where emergency recalls of this kind become frequent, we will review the need to introduce an on-call rota. You are responsible for the associated duties set out in the Terms and Conditions of Service. About us
As an organisation, Somerset NHS Foundation Trust offers employees a wide range of benefits including flexible working, NHS pension scheme, generous annual leave allowance and a commitment to career development. You will be eligible for our Blue Light Card and a wide range of NHS exclusive shopping & leisure discounts. We are proud of our skilled, diverse workforce and as an inclusive employer we welcome applications from all backgrounds. Working in Somerset enables you to enjoy the idyllic countryside, areas of outstanding beauty and stunning coastlines whilst still only being a stone's throw away from bustling city centres like Bristol, Bath and Exeter and only two hours away from London. There are excellent educational facilities in the area and, when compared to other regions, house prices are reasonable. Somerset offers the countryside and the cosmopolitan - there is truly something for everyone! Job responsibilities
We welcome highly skilled motivated geriatricians to join our existing friendly team of geriatricians. You will deliver full range of specialist diagnosis, treatment and care to patients requiring geriatric (and, for those with GIM accreditation, acute) medical services, both as in- and outpatients, as outlined in the proposed programme The Care of Older People (COOP) services provided by Musgrove Park Hospital are organised from excellent facilities within the acute Trust and cover the following key strands of work: Acute frailty
services delivered via our front door frailty team (Older Persons Advice and Liaison practitioners in ED, and the Acute Frailty Unit), together with the Acute Medical Unit, Same Day Emergency Care, and four further geriatric medicine wards. The 19-bed unit AFU aims for a max 72-hour length of stay and provides comprehensive geriatric assessment for selected patients admitted mainly directly from ED using a cohesive MDT that includes our OPAL (older persons advice and liaison) practitioners based in ED, a dedicated social worker and the JETT -Joint Emergency Therapy Team. All COOP wards have dedicated therapy, discharge liaison and social worker support. The hospital has two further wards currently badged as general medicine, but we are aware that most patients on these wards are in fact frail older people who need specialist geriatric MDT care, and our expansion plan will see one or more of these wards brought into the COOP fold, alongside improvement in subspecialties in line with the interests of successful applicants. Movement disorders
and Parkinsons disease team Orthogeriatric, osteoporosis and fracture liaison services A dedicated Delirium and Dementia team working across wards and with CMHT Surgical liaison
team (one consultant, 2 nurse practitioners) seeing emergency pre- and post-operative patients for optimisation and treatment decisions. A new service is offering review for selected high-risk elective patients. Oncogeriatric
service providing comprehensive geriatric assessment to selected older people with cancer Heart Failure liaison , providing one heart failure clinic per week and contributing to the heart failure MDT alongside cardiology teams. Our colleague with an interest in heart failure retires in December so wed particularly welcome any applicant with cardiology interest. Frailty Hospital at Home Outpatient services including Rapid Access Clinics and subspecialty clinics Audit, Research
- the hospital benefits from an active research department and our department contributes to several trials, with colleagues holding PI roles. If you have an academic background, please talk to us about adding a research element to your job plan. Quality Improvement
we have a highly supportive improvement team, with whom the department has worked on major projects such as front door frailty and our dementia and delirium projects. Gold QI training is encouraged. Please see job description for full details. Person Specification
QUALIFICATIONS & ATTAINMENTS
MRCP (UK) or equivalent Registered as a specialist in geriatric medicine with the GMC or will be eligible for inclusion as a specialist within 6 months of interview. CLINICAL EXPERIENCE
Sub-specialty interest complimentary to needs of the department. CLINICAL SKILLS
Understanding of clinical risk management Competent to work without direct supervision where appropriate. Clear, logical thinking showing an analytical/scientific approach. Ability to mentor staff both medical and nursing Experience of clinical risk management KNOWLEDGE
Appropriate level of clinical knowledge Shows knowledge of evidence-informed practice Shows awareness of own limitations Demonstrate breadth of awareness of issues ORGANISATION & PLANNING
Ability to prioritise clinical need. Ability to organise oneself and own work. Evidence of participation in audit Willingness to take a lead in developing/managing a clinical area Understanding of NHS, clinical governance & resource constraints; mgmt/financial awareness exp of committee work Information technology skills TEACHING SKILLS
Evidence of teaching Well experienced in postgraduate, particularly multidisciplinary, teaching and training Enthusiasm for teaching Exposure to different groups/teaching methods Higher qualification in medical education ACADEMIC/ RESEARCH
Willingness to practice evidence-based medicine. Willingness to contribute to department teaching and training needs. Research experience, presentations, publications, prizes and honours Experience in development and implementation of guidelines CAREER PROGRESSION
Progression of career consistent with personal circumstances. PERSONAL SKILLS
Ability to communicate with clarity and intelligibility in written and spoken English. Ability to build rapport, listen, persuade, negotiate. Ability to take responsibility, show leadership, make decisions, exert appropriate authority. Ability to see patients as people, empathise, work co-operatively with others. Evidence of being a successful team player, positive, collaborative and helpful to colleagues. Able to use a non-judgemental approach to patients and colleagues regardless of their sexuality, ethnicity, disability, religious beliefs or financial status. Able to be able to change and adapt their work practices to respond to rapidly changing circumstances, be flexible Able to demonstrate resilience, operate under pressure, cope with setbacks, be self-aware. Demonstrates qualities and attributes that align with the needs and dynamics of the existing team. Able to be well prepared, shows self-discipline/ commitment, is punctual and meets deadlines. Able to display honesty, integrity, aware of ethical dilemmas, respects confidentiality PHYSICAL REQUIREMENTS
Meets professional health requirements 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 for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. £99,532 to £131,964 a yearPer Annum, Pro Rota
#J-18808-Ljbffr
To organise, manage and be responsible for the diagnosis and treatment of patients in Musgrove Park Hospital in conjunction with Dr James Gagg, Associate Medical Director (Medicine). Except in emergencies, or where otherwise agreed with your manager, you are responsible for fulfilling the duties and responsibilities and undertaking the Programmed Activities set out in your Job Plan, as reviewed from time to time. You will be required to participate in an on-call rota to provide emergency cover and to provide enhanced medical / geriatric medicine support to the hospital. When not on an on-call rota, we may in exceptional circumstances ask you to return to site for emergencies if we are able to contact you. You are not, however, required to be available for such eventualities. Where emergency recalls of this kind become frequent, we will review the need to introduce an on-call rota. You are responsible for the associated duties set out in the Terms and Conditions of Service. About us
As an organisation, Somerset NHS Foundation Trust offers employees a wide range of benefits including flexible working, NHS pension scheme, generous annual leave allowance and a commitment to career development. You will be eligible for our Blue Light Card and a wide range of NHS exclusive shopping & leisure discounts. We are proud of our skilled, diverse workforce and as an inclusive employer we welcome applications from all backgrounds. Working in Somerset enables you to enjoy the idyllic countryside, areas of outstanding beauty and stunning coastlines whilst still only being a stone's throw away from bustling city centres like Bristol, Bath and Exeter and only two hours away from London. There are excellent educational facilities in the area and, when compared to other regions, house prices are reasonable. Somerset offers the countryside and the cosmopolitan - there is truly something for everyone! Job responsibilities
We welcome highly skilled motivated geriatricians to join our existing friendly team of geriatricians. You will deliver full range of specialist diagnosis, treatment and care to patients requiring geriatric (and, for those with GIM accreditation, acute) medical services, both as in- and outpatients, as outlined in the proposed programme The Care of Older People (COOP) services provided by Musgrove Park Hospital are organised from excellent facilities within the acute Trust and cover the following key strands of work: Acute frailty
services delivered via our front door frailty team (Older Persons Advice and Liaison practitioners in ED, and the Acute Frailty Unit), together with the Acute Medical Unit, Same Day Emergency Care, and four further geriatric medicine wards. The 19-bed unit AFU aims for a max 72-hour length of stay and provides comprehensive geriatric assessment for selected patients admitted mainly directly from ED using a cohesive MDT that includes our OPAL (older persons advice and liaison) practitioners based in ED, a dedicated social worker and the JETT -Joint Emergency Therapy Team. All COOP wards have dedicated therapy, discharge liaison and social worker support. The hospital has two further wards currently badged as general medicine, but we are aware that most patients on these wards are in fact frail older people who need specialist geriatric MDT care, and our expansion plan will see one or more of these wards brought into the COOP fold, alongside improvement in subspecialties in line with the interests of successful applicants. Movement disorders
and Parkinsons disease team Orthogeriatric, osteoporosis and fracture liaison services A dedicated Delirium and Dementia team working across wards and with CMHT Surgical liaison
team (one consultant, 2 nurse practitioners) seeing emergency pre- and post-operative patients for optimisation and treatment decisions. A new service is offering review for selected high-risk elective patients. Oncogeriatric
service providing comprehensive geriatric assessment to selected older people with cancer Heart Failure liaison , providing one heart failure clinic per week and contributing to the heart failure MDT alongside cardiology teams. Our colleague with an interest in heart failure retires in December so wed particularly welcome any applicant with cardiology interest. Frailty Hospital at Home Outpatient services including Rapid Access Clinics and subspecialty clinics Audit, Research
- the hospital benefits from an active research department and our department contributes to several trials, with colleagues holding PI roles. If you have an academic background, please talk to us about adding a research element to your job plan. Quality Improvement
we have a highly supportive improvement team, with whom the department has worked on major projects such as front door frailty and our dementia and delirium projects. Gold QI training is encouraged. Please see job description for full details. Person Specification
QUALIFICATIONS & ATTAINMENTS
MRCP (UK) or equivalent Registered as a specialist in geriatric medicine with the GMC or will be eligible for inclusion as a specialist within 6 months of interview. CLINICAL EXPERIENCE
Sub-specialty interest complimentary to needs of the department. CLINICAL SKILLS
Understanding of clinical risk management Competent to work without direct supervision where appropriate. Clear, logical thinking showing an analytical/scientific approach. Ability to mentor staff both medical and nursing Experience of clinical risk management KNOWLEDGE
Appropriate level of clinical knowledge Shows knowledge of evidence-informed practice Shows awareness of own limitations Demonstrate breadth of awareness of issues ORGANISATION & PLANNING
Ability to prioritise clinical need. Ability to organise oneself and own work. Evidence of participation in audit Willingness to take a lead in developing/managing a clinical area Understanding of NHS, clinical governance & resource constraints; mgmt/financial awareness exp of committee work Information technology skills TEACHING SKILLS
Evidence of teaching Well experienced in postgraduate, particularly multidisciplinary, teaching and training Enthusiasm for teaching Exposure to different groups/teaching methods Higher qualification in medical education ACADEMIC/ RESEARCH
Willingness to practice evidence-based medicine. Willingness to contribute to department teaching and training needs. Research experience, presentations, publications, prizes and honours Experience in development and implementation of guidelines CAREER PROGRESSION
Progression of career consistent with personal circumstances. PERSONAL SKILLS
Ability to communicate with clarity and intelligibility in written and spoken English. Ability to build rapport, listen, persuade, negotiate. Ability to take responsibility, show leadership, make decisions, exert appropriate authority. Ability to see patients as people, empathise, work co-operatively with others. Evidence of being a successful team player, positive, collaborative and helpful to colleagues. Able to use a non-judgemental approach to patients and colleagues regardless of their sexuality, ethnicity, disability, religious beliefs or financial status. Able to be able to change and adapt their work practices to respond to rapidly changing circumstances, be flexible Able to demonstrate resilience, operate under pressure, cope with setbacks, be self-aware. Demonstrates qualities and attributes that align with the needs and dynamics of the existing team. Able to be well prepared, shows self-discipline/ commitment, is punctual and meets deadlines. Able to display honesty, integrity, aware of ethical dilemmas, respects confidentiality PHYSICAL REQUIREMENTS
Meets professional health requirements 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 for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. £99,532 to £131,964 a yearPer Annum, Pro Rota
#J-18808-Ljbffr
