[ref. d37378100] Locum Consultant in Geriatric/Stroke/Rehabilitation Medicine
Job overview
Locum Consultant in Geriatric Medicine / Stroke Medicine and Rehabilitation Medicine
St Pancras Rehabilitation Unit & Camden Community Services
4PAs-6 PAs, 6-12 Months Fixed-Term
Central and North West London NHS Foundation Trust (CNWL), is seeking to appoint a Locum Consultant Geriatrician or Locum Consultant in Rehabilitation Medicine to provide and lead on inpatient care at St Pancras Rehabilitation Unit (SPRU).
SPRU provides inpatient rehabilitation to residents of North London, specialising in frailty management and neurological and stroke rehabilitation. New inpatient pathways have also been developed for both spinal cord injury, trauma rehabilitation and amputee rehabilitation.Appointees are likely to have a varied case load of patients. Team working is essential and the post holder should have experience of working within a large multidisciplinary team to deliver rehabilitation and care.
An interest in quality improvement is welcome, and we have robust links into national improvement collaboratives (System Wide Frailty Network, Pre-Hospital Frailty Network, North London Stroke network, UK Rehabilitation Outcomes Collaborative).
The post-holder will work closely with an enthusiastic, academically focused and progressive team that includes geriatricians, neurologists and rehabilitation physicians. The post holder will be actively involved in trainees supervision and training, in addition to providing support and training for the wider multidisciplinary team.
Main duties of the job
You will provide inpatient multi-pathology (general) rehabilitation care at St Pancras Hospital. You will provide medical leadership and consultant level support to the wards. For this work you will be supported by Specialist Registrars and ST1/FY2 Grade Doctors.
You will have continuing responsibility for the care of patients in your charge and for ensuring safe and evidence-based practice across the unit. At present the out of hours care for patients on the unit is provided contractually by GPs. There is no on-call commitment. Time off in lieu would be given if out of hours service is required.
Direct patient care includes attending the Multi-Disciplinary Team meetings and the ward rounds for the ward (20 patients) which you are allocated clinical responsibility. You will also be required to oversee and be involved with assessment and review of care, discharge planning and validating discharge summaries, supporting the management of delayed transfers of care, and meeting with families.
You will be required to provide advice and support to the junior medical staff and other ward staff on patient care and management.
We have an excellent local reputation for stroke and neurological rehabilitation and are continuously developing our general rehabilitation services. We are looking at developing pathways, processes, appropriate skill mix of staff and establishment to deliver safe, effective rehabilitation in a new sustainable model.
Working for our organisation
Central and North West London NHS Foundation Trust is one of the largest specialist Mental Health Trusts in England, providing a wide range of mental health and physical health services. You will work in an organisation that is in the top 100 employers in the UK and prides itself on the diversity of its staff and the care it delivers.It supports flexible and remote working (where appropriate) and actively supports the well-being of its staff.
Our organisation that is passionate about equality, diversity and inclusion; one that prides itself in developing the leadership capabilities of its employees, looking after their health and wellbeing, creating safe spaces for staff to speak up and providing opportunities to mentor and be mentored.
We offer flexible working too, which can fit around family and caring responsibilities, or training and development.
If you are interested in becoming a member of our Foundation Trust please visit our website.
www.cnwl.nhs.uk
Detailed job description and main responsibilities
Inpatient Rehabilitation
You will provide inpatient rehabilitation care at St Pancras Hospital. You will provide medical leadership and consultant level support to the multi-pathology and post-COVID rehab wards. For this work you will be supported by Specialist Registrars and ST1/FY2 Grade Doctors.
You will have continuing responsibility for the care of patients in your charge and for ensuring safe and evidence-based practice across the unit. At present the out of hours care for patients on the unit is provided contractually by GPs. There is no on-call commitment. Time off in lieu would be given if out of hours service is required.
Direct patient care includes attending the Multi-Disciplinary Team meetings and the ward rounds for the ward (17 patients) which you are allocated clinical responsibility. You will also be required to oversee and be involved with assessment and review of care, discharge planning and validating discharge summaries, supporting the management of delayed transfers of care, and meeting with families.
You will be required to provide advice and support to the junior medical staff and other ward staff on patient care and management. As part of the direct clinical care, the post holder will provide support and consultant cover in times of leave and absences.
We have an excellent local reputation for stroke and neurological rehabilitation and are continuously developing our general rehabilitation services. We are looking at developing pathways, processes, appropriate skill mix of staff and establishment to deliver safe, effective rehabilitation in a new sustainable model.
Supporting interface services with acute trusts, Time will be allocated to develop closer working with local acute and emergency services.
Silver Triage – Pre-hospital Frailty - additional, Silver Triage involves a pre-conveyance clinical discussion between LAS paramedics and a consultant geriatrician accessed via consultant connect to support decision-making around admission and exploring safer alternatives (e.g. virtual ward).
Supporting Professional Activities and Governance, This covers Continuing Professional Development (CPD) activities, teaching, quality improvement, job planning, appraisal and local clinical governance activities.
Educational Supervision, You will contribute to organizing and delivering multi-professional teaching locally.
Person specification
Clinical Experience and Ability
Essential criteria- MRCP or equivalent qualifications
- CCT in Geriatric Medicine or be eligible within 6 months of the date of interview
- Full GMC registration and License to Practise
- For the post containing research elements, a PhD or MD will be essential
- Excellent clinical skills in general internal medicine, geriatric medicine and rehabilitation
- Proven ability to work well within a multidisciplinary team
- Proven ability to lead clinical care across professional and organisational boundaries
- Experience of working within the community
- Experience of developing disease management programmes/pathways
General/ Personal
Essential criteria- The highest ethical and professional standards
- Excellent communication skills both verbal and written – able to bring people along with you
- Commitment to developing community and rehabilitation services for older people and people with complex needs
- Enthusiasm for work within a changing and challenging environment
- Ability to lead a multidisciplinary team
- Ability to work under pressure
- Ability to work as part of a team
- A creative and imaginative approach to service quality improvement
- Understanding of the role of multidisciplinary teams and other agencies such as social services, leisure and housing services etc
- A good level of IT Skills and computer literacy
Clinical Governance
Essential criteria- An understanding of the principles and practical implications of clinical governance systems and CQC and litigation authority standards
- An understanding of and proven abilities in QI, clinical audit and clinical risk management
- An understanding of the importance of continuous professional development and life-long learning and commitment thereto
- An understanding of and a proven ability to apply research findings to individual patients or populations of patients
- A commitment to develop multiprofessional/multiagency guidelines, care pathways and audit
- Experience of developing or contributing to multiprofessional / multiagency clinical guidelines or care pathways
Teaching
Essential criteria- Ability and commitment to teach in a clinical setting
- Ability and commitment to teaching various clinical disciplines
- Experience in giving lectures
- Experience in planning teaching programmes
- Trained as a Clinical Supervisor
Patients
Essential criteria- Ability to respond sensitively to the individual needs of adults with complex needs
- Ability to respond sensitively to needs of carers, relatives and friends of patients
- Ability to work with sensitivity within a multicultural community
- Ability to work constructively with patients’ advocates or user led groups
- Experience working with user led groups
Management
Essential criteria- Ability to motivate, inspire and support multi professional teams and be able to work effectively within such teams
- Ability to act as a consistent reference point in a team and to take a leadership role
- Understanding of the NHS and current and proposed national organisational changes
- Ability to translate national and local policy into service development
- Proven experience of management in a clinical area
CNWL (Central and North West London NHS Foundation Trust) has almost 8,000 staff providing integrated healthcare to a third of London's population, Milton Keynes and areas beyond. We involve service users, carers, the public, staff and partner organisations in the way that we are run.
Our catchment area spans diverse communities, with over 100 first languages spoken. It contains areas of great affluence as well as areas of much deprivation. We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference.We’re proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME and people with disabilities to promote good relations and understanding between our staff.
We are recognised locally, nationally and internationally for providing high quality, innovative healthcare. We aim to employ only the best people, and our experts are frequently called upon to contribute to national health strategy and policy, and many models of our care have been adapted for use in other countries.
We offer a generous relocation package (subject to eligibility assessment) and flexible working options, including bank assignments for most roles. For more information on these and other benefits of working for us, see our Benefits, Reward and Wellbeing page
Become part of our team. We care for you as much as you care for others.
CNWL NHS Foundation Trust are committed to safeguarding all children and vulnerable adults and expect all staff and volunteers to share this commitment. We follow safe recruitment practices to protect children and vulnerable adults.
Due to the high response levels we receive for some vacancies, we may expire any of them prior to the advertised closing date and advise you to submit your application as soon as possible.
Our Agenda for Change employment contracts are subject to a contractual 13 week probationary period.
If you are offered a job, information will be transferred into the national NHS Electronic Staff Records system.