Consultant Physician in Geriatrics and General MedicineNHS

Job summary

The comprehensive range of geriatric services currently provided by HUH is as recommended by the National Service Framework for Older People and the British Geriatrics Society. Multidisciplinary team working is strong, with senior physiotherapists, occupational therapists, and social workers dedicated to elderly services. There is close liaison and collaboration with all departments, and formal links with orthopaedics, old age psychiatry, neurology, and community teams.

Over recent years, the Trust has undertaken an extensive programme of work to improve and better integrate its elderly care provision. Please see the job description for further details.

Main duties of the job

o To work collaboratively and pro-actively with all appropriate clinical colleagues within the Trust in developing and implementing an acceptable service model reflective of best practice

o To forge effective relationships with clinical colleagues outside the Trust to improve the coherence and integration of patient pathways

o To share responsibility with colleagues for providing evidence-based standards of care for all inpatients and outpatients

o To have continuing responsibility for the care of patients in his/her charge, including all administrative duties associated with patient care

o To liaise effectively and on a timely basis with General Practitioners and all other external agencies

o To lead and co-ordinate the dedicated multi-disciplinary team appointed to support the service models to achieve effective rehabilitation and effective discharge management

o To deliver comprehensive ward rounds and weekly multi-disciplinary meetings to co- ordinate the delivery of high-quality patient care

o To deliver multi-disciplinary outpatient clinics to provide specialist support

o To participate fully in the management of the Care of the Elderly Department and liaise closely with the Clinical Lead, Service Manager and Divisional Operations Director

o To participate in corporate and singular responsibility for the management of junior medical staff.

Job description

Workload in clinical duties Outpatients: profiles of between 2-3 new patients, and 3-5 follow-up patients Inpatients: approximately 14 inpatients per ward round General Internal Medicine on-call 1:15 General Medicine 1:15 cover The post holder will be expected to participate in the general medicine rota initially 1:15. Existing consultants undertaking General medicine duty contribute 2 PAs / week. Acute medicine is provided by 15 General physicians. On the take day, the consultant of the day provides leadership on the acute care unit from 8am-8pm, with all other commitments cancelled There is a ward-based admission system, with longer-stay admissions being transferred from the Acute Care Unit to the appropriate speciality ward. Day 2 review is required, with Consultants arranging appropriate restructure of activities e.g Clinic/Endoscopy sessions until 10:30am on Day 2. Teaching and training The post holder will be expected to participate in teaching and training of postgraduate doctors, which is likely to include acting as an Educational and/or Clinical Supervisor to between one and two individuals, providing them with regular appraisal and support. If the postholder is educational supervisor for more than 1 trainee, SPA time will be allocated as above. It is in the mutual interest of the Trust and Barts and The London, Queen Marys School of Medicine and Dentistry to support quality medical education funded via the SIFT contract. The Trust requires consultant staff to support undergraduate teaching activities. Research and Development The Trust is keen to support high quality R&D and innovation. Current R&D funding arrangements in the NHS require that all R&D is recorded and coordinated by the Trusts R&D office. Before starting projects, appropriate steps should be taken to ensure that projects meet prevailing standards of research governance. The R&D office will also advise staff about intellectual property. Audit and Administration The post holder will be expected to contribute and participate in the departments on-going clinical audit programme and will carry out all administrative duties associated with the care of their patients. Study leave / Continuing Professional Development Continuing Professional Development is an integral part of the consultant post. The appointee will be expected to undertake continuing professional development in line with guidelines and requirement produced by the Royal College and to develop specialist skills as required for this post. Study leave may be requested in accordance with the Trusts policy for continuing medical education. The postholder will be encouraged to ensure that their full entitlement to CPD/study leave is taken. There is financial support available from the Trust.

About us

Homerton Healthcare NHS Foundation Trust (HH) is an acute hospital located in the east London Borough of Hackney. The current Chairman is Sir John Gieve (Mary Elford will take over from 31st March 2025), and the Chief Executive is Ms Basirat Sadiq.

Homerton became one of the first ten NHS Foundation trusts in the country in April 2004. This allows the Trust to secure certain freedoms to facilitate innovation in the way services are developed and provided. As well as our Trust Board, we also have a Council of Governors comprised of governors representing the local community.

In 2011 the Trust integrated with City & Hackney Community Health Services thereby providing it with an opportunity to develop new service models and pathways that cross traditional organisational boundaries.

Employing over 3000 people, the hospital has approximately 500 beds and manages a 50-bed nursing home, Mary Seacole Nursing Home, in Shoreditch, East London. In 2022, the Trust saw over 300,000 people in outpatient clinics, and over 126,000 people were treated in the Accident and Emergency department. The Trust also had contact with over 280,00 patients and clients within the community, often in their own homes.

The Trust has a turnover in the region of £220 million, performs consistently well against national performance targets, and has an ambitious objective to increase its income to £300 million over the next few years.