About this role
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.
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.
Job description Job responsibilities 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.
Person Specification
Qualifications& Higher qualifications Essential
Fully registered with GMC MRCP (or equivalent) On specialist register or within 6 months of Geriatric/General Medicine CCT at the time of interview Certificate of Eligibility for Specialist Registration (CESR)
Desirable
Other higher degree or diploma (e.g. MD, PhD)
Clinical Skills and Relevant Experience Essential
Ability topractice independentlyin Geriatric and General Medicine. Ability to offer expert clinical opinion on a range geriatric medicine related problems. Ability to work as part of a multidisciplinary team. Excellent clinical skills
Leadership and professionalism Essential
Ability to take responsibility, lead, make decisions and respond appropriately to service need Evidence of cross craft working and interdisciplinary working which goes beyond usual team working
Desirable
Familiar with current structure of the health service and conversant with recent initiatives and changes
Management skills Essential
Awareness of the overall business environment in which the hospital operates Understanding of the importance of good clinical coding Knowledge ofrelevantregulatory frameworks e.g. EWTD Understanding the principles of quality improvement.
Desirable
Managementof team or programme or project. Experience of using quality improvement methodology and managing change.
Teaching & training Essential
Experience of undergraduate and post- graduate teaching
Desirable
Experience of educational supervision, teaching skills course/ qualification
Clinical Governance Essential
Evidence of contribution to effective audit and clinical risk management
Desirable
Experience of educational supervision, teaching skills course/ qualification
Research Essential
Understanding of principles and application of clinical research
Desirable
Relevant research experience. Publication of peer reviewed papers
Personal attributes Essential
An awareness of own strengths and weaknesses coupled with an ability to deploy them effectively. Professional attitude towards work, good record of attendance
Personal attributes Essential
An awareness of own strengths and weaknesses coupled with an ability to deploy them effectively Professional attitude towards work, good record of attendance
Patient focused skills Essential
Empathy, understanding, listening skills, patience, social skills appropriate to different types of client
Interpersonal skills Essential
Good interpersonal skills coupled with an ability to co- operate, persuade and negotiate within a senior clinical and management team
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Homerton Healthcare NHS Foundation Trust
Address Homerton Healthcare NHS Trust
Homerton Row
London
E9 6SR
United Kingdom
Employer's website https://www.homerton.nhs.uk/ (Opens in a new tab)