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Consultant in Acute Medicine | St George's University Hospitals NHS Foundation Trust
| Posting date: | 14 February 2025 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £105,504 - £139,882 Per annum |
| Hours: | Full time |
| Closing date: | 16 March 2025 |
| Location: | London, SW17 0QT |
| Company: | st georges nhs trust |
| Job type: | Contract |
| Job reference: | 6958790/200-MC-712696-6958790-AS |
Summary
We are looking for two colleagues to join us as Consultant Geriatricians, working on a substantive basis at St George’s Hospital, Tooting. The posts involve delivering clinical leadership and comprehensive geriatric assessment to inpatients on our wards supported by highly skilled multi-disciplinary teams. One job is slightly more front door facing, taking clinical responsibility for half of the patients on our Acute Senior Health Unit (ASHU) with sessions working in our front door frailty team and the other post taking clinical responsibility for half of the patients on our general geriatric ward (Heberden Ward), with additional sessions in an outpatient setting and an opportunity to develop areas of specialist interest such as community work, surgical liaison or acute frailty for example.
Prospective candidates are encouraged to visit for informal discussion and the planned date for interview is Friday 28thMarch 2025.
Contact details: Dr Rhonda Sturley, Consultant Geriatrician and General Physician, Clinical Lead for the Senior Health Department, 0208 725 3503 orrhonda.sturley@stgeorges.nhs.uk
These posts have been developed in order to be able to deliver a sustainable model of acute care. The London Quality Standards recognise the importance of a dedicated Acute Physician team leading acute care. These posts present an excellent opportunity for a clinician, with experience and considerable understanding of all aspects of acute medicine with or without a specialist interest, to join a team dynamic team of physicians committed to the delivery of the highest standard of patient care. This individual will be expected to contribute to the ongoing development of the clinical interface with both Primary Care and the Emergency Department at St George’s.
There may be an opportunity to pursue an area of specialist interest in the following specialties; Respiratory Medicine, Gastroenterology, Diabetes and Endocrinology and Geriatric Medicine. There may also be an opportunity to pursue interest in other specialties and areas, subject to needs of individual specialties and departments.
The Job Description attached has been approved by the RCP (2290014144)
The Acute Medicine Care Group has continually evolved in recent years in order to meet the demand for acute care. This has increased consultant input within the initial 24-48 hours following admission. These posts are pivotal to the assessment and management of acutely unwell adult patients. We are also striving to continually improve geriatric and frailty services which most recently has seen integration across the acute and community based teams
The current job plan has been designed to provide a sustainable post in Acute Medicine with or without a complementary specialty. The job plan is designed on an annualised basis which allows some flexibility, which is particularly helpful in terms of participating in specialty work. There will be an expected commitment to all aspects of the service including; the acute medicine on call rota, physician of the week and Cavell ward rotas, weekend working and the Ambulatory Assessment Area (AAA).
The appointee is expected to participate in undergraduate, postgraduate and multi-disciplinary education programmes and to play a full part in Clinical Governance.
The Acute Medicine rota will be based on a 14 WTE model, all of whom are dedicated acute physicians. We operate an “Acute Physicians of the day” model. The post-night consultant period begins with non-resident on-call, followed by a post-night ward round commencing at 08:00, and then an MDT triage meeting and an afternoon ward round. The on-call Physician starts at 08.30 and is then responsible for admissions until 21:00hrs. All referrals from primary care and SDEC are received by the on-call consultant and are triaged to ambulatory care or admission avoidance clinics, which run daily. Referrals from the Emergency Department are taken by the on call SpR, with support from the consultant where required. We currently operate a process model for patients from the Emergency Department in order to maximise productivity and in order to avoid admission where possible. Our ambulatory care team consists of nurse practitioners, nurse co-ordinator, triage nurse, bay nurses alongside the on call team.
On day two of a patient’s stay, we attempt to preserve continuity with the on call consultant from the previous day being responsible for the ongoing care of the patients admitted in the prior 24 hours.
This advert closes on Sunday 2 Mar 2025
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