Consultant in Geriatrics (Acute and Community)

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Consultant in Geriatrics (Acute and Community)

NHS Medical & Dental: Consultant

Main area Geriatric Medicine Grade NHS Medical & Dental: Consultant Contract Permanent Hours Full time - 10 sessions per week (Option for on-call rota (evening/ weekends). No overnight requirements.) Job ref 197-AA8773

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Job overview

The Trust is looking to recruit a Consultant in Geriatric Medicine, based at both the Queen Elizabeth Hospital (QEH) in Woolwich and in the Greenwich Community Frailty team based at Memorial Hospital, Shooters Hill, Woolwich. The postholder will join a team of 10 consultants in QEH and be part of the community frailty team delivered by Oxleas Foundation Trust.

The post has been created to develop and consolidate new ways of working, enabling flow from acute settings to community teams. This is an opportunity for a Consultant Geriatrician to develop a broad range of experience, working across both the acute Frailty service delivered by Lewisham and Greenwich Trust and the community frailty service which is currently expanding to form part of the four integrated neighbourhood teams in Greenwich.

The post is full time (10 PAs) and based at Queen Elizabeth Hospital, Woolwich and Memorial Hospital, Shooters Hill.

A formal job plan will be agreed between the post holder and their Clinical or Divisional Director for Lewisham and Greenwich Trust and the Clinical Director or Service Director of Oxleas NHS Foundation Trust within three months of their commencement date. The role is equally split between the two Trusts.

Main duties of the job

• To support the development on-going development of a comprehensive geriatric medicine service and development of Frailty within the Greenwich integrated neighbourhood teams
• Support and develop the interface frailty services for ED and relevant clinicalareas
• Develop the Geriatrician role within the four integrated neighbourhood teams in Greenwich, specifically supporting the MDT needs of the moderately and severely frail population.
• Support, lead and develop integrated care workingwith ICB’s and communitypartners
• Be an advocate for the care of older people within the organization.
• Lead, support and mentor junior medical staff withinthe department and ensure training requirements aremet.
• Undertake work within a relevant area ofinterest

Working for our organisation

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

• Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
• Widening access (anchor institution) and employability
• Improving the experience of staff with disability
• Improving the EDI literacy and confidence of trust staff through training and development
• Making equalities mainstream

Detailed job description and main responsibilities

Clinical Responsibilities

• To support and further develop the initiatives within the Department of Geriatric Medicine (as described above), and the consolidation of current inpatient clinical services for older people.

General Responsibilities

• To provide high quality health care for older patients referred for diagnosis and treatment,
• To respond to inpatient and outpatient referrals from other specialties
• To participate in educational and audit meetings
• To meet CPD and revalidation requirements
• To provide cover for Consultant colleagues during periods of leave
• To support the Hospital’s Clinical Governance Strategy
• To contribute to all other aspects of the Directorate and trust affairs

Medicine for the Elderly

• To provide a consultant-led service in the specialty
• To lead daily board rounds and ward rounds on relevant wards
• To lead on the new initiatives for the care of older people
• To contribute to research in Medicine for the Elderly in an area of special interest
• To contribute to meeting the 18 week outpatient target
• To contribute to meeting the 4 hour waiting time target in the Emergency Department
• To contribute to otherquality indicators where relevant
• To contribute to community services (Bat ’phone and Frailty Clinic)

Medical Education & Teaching

• To supervise and teach Medical Students.
• To participate in formal teaching of the Medicine in Old Age Syllabus to Year 4 medical students, and acute medicine to Year 3 students.
• To supervise and manage trainee medical staff (in conjunction with other Consultants on the firm and in the Department) and ensure training requirements are met
• To provide post-graduate training in Medicine for the Elderly for all grades of Medical Staff and for non-medical clinical staff.
• To contribute to regular training and teaching sessions for General Practitioners and to foster increased knowledge and skills within the local Medical Community
• To be a Clinical supervisor and Education supervisor to a number of trainees.

Clinical Audit/ Clinical Governance/ Research

• To participate in clinical audit and implement audit findings as appropriate.
• To support NIHR funded research.

Continuing Professional Development

• Participate in continuing professional development at local and national level
• Implement audit and research findings as appropriate in clinical practice
• Prepare and participate in an annual appraisal in accordance with Trust policy
• A willingness to undertake additional professional responsibilities at local, regional or national levels

Policy, Planning and Management

• Support the Trust to deliver quality patient care
• Contribute to the development of clinical and organisational protocols and guidelines
• Assist in the development of the Annual Service Plan for the Directorate and Division and participate in the strategic planning of the service
• Comply with all Trust policies.To lead or participate in the development of improved workflow through the Radiology Department, ensuring better patient experience and increased efficiency. This is a specimen plan reflecting proposed activities. Flexibility in these sessions is necessary depending on the changing demands on the service.

Qualifications

• MBBS or equivalent MRCP or equivalent
• Full registration with the GMC and hold a licence to practise and be on the GMC Specialist
• Register for Geriatric Medicine or within six months of obtaining CCT at the time of interview
• Broad based general training
• MD/PhD or other higher degree

Training

• Broad based training and wide experience of acute & general medicine
• Broad-based training in Geriatric Medicine
• A special interest within Geriatric Medicine complementing those currently in the directorate.
• An interest in managing frailty in acute care and the community would be particularly welcome

Clinical Experience

• Understanding of the principles of clinical governance and clinical risk.
• Understanding and experience of audit.
• Previous broader experience of clinical governance, clinical risk management and associated areas

Clinical Audit

• Wide experience of, and strong commitment to, undergraduate and postgraduate teaching (UHL is a main campus site of the Kings College London School of Medicine).
• Evidence of ability to organise training / teaching events
• Interest in, or previous experience of, clinical or service development research including successful delivery of research objectives

Teaching Experience

• Understanding of the implications of the NHS Plan and other national guidance and policy relevant to the provision of geriatric medicine.
• Understanding of NHS organisation and management
• A commitment to participate in the management of the Directorate of Medicine.
• Formal management course with previous management experience especially of change management.
• Understanding of, or previous experience of, working closely with older people’s services

Management and Administrative Experience

• Knowledge of research methodology & Clinical trials

Other Attributes

• Good communication and interpersonal skills
• Ability to lead a multidisciplinary team
• Flexibility to respond to the varying needs of a busy department

As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women’s staff networks to bring staff together and celebrate diversity across our whole workforce.

Please note: Information provided during recruitment and pre‑employment checks must be accurate. Misrepresentation may be investigated as fraud and could lead to withdrawal from the process, professional sanctions, or criminal action.

Please note: that sponsorship under the Skilled Worker route is subject to Trust allocation and UK Visas and Immigration (UKVI) approval.

Use of AI in recruitment: We may use artificial intelligence (AI) tools to support the initial review of applications against the essential criteria for this role. Where AI is used, it will support rather than replace human decision‑making, and applications will remain subject to appropriate human review.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

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