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Job summary

Main area
Senior Health
Grade
NHS Medical & Dental: Senior Clinical Fellow
Contract
Fixed term: 12 months
Hours
Full time - 48 hours per week
Job ref
200-MC712704-6135638-AS
Employer
St George's University Hospitals NHS Foundation Trust
Employer type
NHS
Site
St Georges University Hospital
Town
London
Salary
£37,068 - £57,570 Pro rata
Salary period
Yearly
Closing
01/05/2024 23:59

Employer heading

St George's University Hospitals NHS Foundation Trust logo

Geriatric clinical fellow (ST3+) Vascular Surgery

NHS Medical & Dental: Senior Clinical Fellow

St. George’s University Hospitals NHS Foundation Trust is the regional specialist care provider for south west London, Surrey and beyond. The trust provides a high quality, comprehensive range of health services from leading edge tertiary and trauma care to community services.

With national and regional referrals added to our local 3.5m catchment, we serve a population of around 5m.

Co-located with St George’s, University of London and with both organisations now in a formal strategic alliance with King’s Health Partners, the trust delivers with its partners high quality research and education both of which contribute to the healthcare provision of tomorrow.

Acute and tertiary health services are delivered from over 1,000 beds across two sites, by around 8,000 staff.

St. George’s University Hospitals NHS Foundation Trust is a major acute hospital that offers very specialist care for complex injuries and illnesses, including trauma, neurology, cardiac care, renal transplantation, cancer care and stroke. It has a helipad which opened in spring 2014 and the work of its emergency department can currently be seen on Channel 4’s ‘24 Hours in A&E’ programme. The hospital also provides all the usual care you would expect from a local NHS district general hospital.

We also provide services at Queen Mary’s Hospital in Roehampton. These include outpatient rapid diagnostic and treatment facilities, a minor injuries unit, limb fitting services and 70 elderly, intermediate care and rehabilitation beds.

As well as hospital services, we provide a wide variety of specialist, maternity and community services to children, adults, older people and people with learning disabilities. These services are provided from St John’s Therapy Centre, 11 health centres and clinics, schools, nursing homes and people’s own homes. The trust also manages the healthcare service at HMP Wandsworth.


 

Job overview

The postholder will work for the vascular geriatrics consultant delivering comprehensive geriatric assessment to older patients undergoing vascular surgery. The postholder will undertake pre-operative assessments on the ward and in clinic, be involved in shared decision making and optimising patients for surgery and post-operative management on the ward.  The fellow will participate in board rounds, ward rounds – jointly with vascular and independently - and multi-disciplinary team meetings. There is an option of contributing to the on call rota covering acute medicine and ward cover on calls. The postholder will also be part of the senior health referral rota, reviewing patients under other specialties. These are often surgical patients and will provide exposure to other surgical specialties.

 

Main duties of the job

 

  • To demonstrate excellent communication skills, working collaboratively and constructively with the vascular team

 

  • Working closely with the vascular team to provide medical input, frailty assessments and comprehensive geriatric assessments primarily for patients over 65 years but also will need to be comfortable providing care to younger patients

 

  • To provide senior medical support, teaching and mentoring to the vascular team

 

  • To attend board rounds to ensure consistent geriatric presence and adequate handover

 

  • To attend vascular POPS clinic and contribute to vascular MDT meetings

 

  • To deliver teaching both informally in board rounds and on ward rounds and formally in vascular meetings

 

  • To work closely with our multi-disciplinary team to facilitate discharge planning and support them in providing care to complex older patients

 

  • To work closely with the geriatric consultant to embed the peri-operative service and to help with data collection/ QIP/ service development

 

  • To take responsibility for the reviews and advice given and communicating this effectively while overall responsibility for patient care remains under the vascular surgical team

 

  • Be part of the senior health referrals rota, providing senior health input into patients under other medical and surgical specialties

Working for our organisation

 St George’s University Hospitals NHS Foundation Trust is the regional specialist care provider for South-West London, Surrey and beyond. The trust is a major acute hospital that provides a high quality, comprehensive range of health services from leading edge tertiary care including trauma, neurology, cardiac care, renal transplantation, cancer care and stroke to community services. The hospital also provides all the usual care expected from a local NHS district general hospital. Acute and tertiary health services are delivered from over 1,000 beds across two sites, by around 8,000 staff. With national and regional referrals added to our local catchment of 3.5 million, we serve a population of around 5 million. Co-located with the trust is St George’s, University of London, a medical school with 270 students per year. Both the trust and the medical school have a formal strategic alliance with King’s Health Partners. Together, the trust and medical school delivers high quality research and education both of which contribute to the healthcare provision of tomorrow. 

Detailed job description and main responsibilities

This is an exciting opportunity to be involved in embedding and developing a relatively new peri-operative service and would be excellent experience for those trainees who are interested in pursuing a career in surgical liaison. There will be an expectation to be involved in quality improvement activity where they will be supported in presenting and publishing their work. As a university teaching hospital and medical school, there are opportunities to deliver teaching to undergraduates and post-graduate trainees. Teaching and supporting our surgical colleagues, nursing staff and allied healthcare professionals in the medical care of older people will be a core part of the role.  The postholder will be able to attend our amputee rehabilitation ward, theatre and vascular clinics and will gain experience in peri-operative diabetic management as part of the diabetic foot team.

The applicant may have a background in geriatric medicine, acute/general medicine or anaesthetics/ intensive care, provided they have MRCP.  The applicant does not need to have an NTN.

Person specification

Qualifications

Essential criteria
  • MBBS or equivalent
  • MRCP
Desirable criteria
  • BSc
  • MSc/ MA

Experience

Essential criteria
  • Comprehensive clinical experience in geriatrics and acute general internal medicine +/- in peri-operative medicine
Desirable criteria
  • Surgical liaison geriatrics

Knowledge and skills

Essential criteria
  • Good medical knowledge and clinical skills
  • Clear, legible documentation
  • Computer literate
  • ALS Certificate

Personality

Essential criteria
  • Good written and oral communication skills
  • Ability to manage own workload and take initiative
  • Ability to work as part of a multi-disciplinary team
  • Ability to be flexible and to manage reasonable workload that can quickly change
Desirable criteria
  • Demonstrates experience in leadership

Audit and quality improvement

Essential criteria
  • Understands the principles of audit and quality improvement
  • Experience in designing and leading quality improvement
Desirable criteria
  • Evidence of quality improvement work resulting in sustained change

Teaching

Essential criteria
  • Experience in teaching undergraduates, post graduates and allied healthcare professionals
Desirable criteria
  • Development of a formal teaching programme

Research

Essential criteria
  • Understanding of the principles and clinical applications of clinical research
Desirable criteria
  • Evidence of involvement in original research

Management

Essential criteria
  • Excellent organisational skills
  • Experience of supervision of more junior trainees
Desirable criteria
  • Experience in clinical risk management and governance processes

Other Requirements

Essential criteria
  • Full GMC registration and hold a license to practise
Desirable criteria
  • Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council

Employer certification / accreditation badges

Trust IDCapital Nurse, LondonNo smoking policyAge positiveArmed Forces Covenant Gold AwardDisability confident employerStep into health

Applicant requirements

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.

Documents to download

Apply online now

Further details / informal visits contact

Name
Dr Sarah Howie
Job title
Consultant Geriatrician in Senior Health
Email address
[email protected]
Telephone number
020 8672 1255
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