About this role
Job summary
CDDFT has developed an integrated, consultant-led frailty care model that includes the Frailty SDEC Unit, the H@H service, and the Geriatrician of the Day initiative. These services work together to improve outcomes for patients living with frailty, reduce unnecessary hospital admissions, and support care closer to home.
The Frailty SDEC is a dedicated acute secondary care service operating from 8am to 8pm. It is led by consultant geriatricians and supported by a multidisciplinary team. Separate from the Acute Medical Unit and ED, the FSDEC provides rapid assessment and management for patients identified as frail, either already admitted or referred from ED by the Frailty Assessment Team. Direct admission is also promoted to avoid ED altogether.
The H@H service is a consultant-led virtual ward model that delivers acute hospital-level care in the patients own home. It operates through a step-up and step-down approach
The introduction of a Geriatrician of the Day has further strengthened the frailty care pathway. This role ensures that patients living with frailty are assessed and managed by a specialist from the outset, improving clinical outcomes and streamlining care.
Main duties of the job
Leading the assessment & management of patients living with frailty, including those with complex needs and frailty syndromes (e.g. falls, immobility, delirium).
Making treatment decisions and providing ongoing care for patients, inclusive of those under H@H.
Supporting the Frailty SDEC H@H pathway by providing timely, specialist-led input.
Acting as the Geriatrician of the Day to ensure rapid CGA and appropriate streaming of patients to the right care setting.
Facilitating early discharge planning and step-down care from inpatient wards to home-based services.
Participating in clinical governance activities, including maintaining up-to-date protocols, guidelines, and contributing to clinical audits.
Revising and developing evidence-based protocols for frailty care and undertaking associated administrative duties Supporting innovation in service delivery aligned with national strategies, including the NHS 10-Year Plan.
Maintaining continuing professional development in line with the RCP guidance.
Acting as an educational and clinical supervisor for Resident doctors.
Supporting the training of resident doctors and multidisciplinary team members across inpatient and outpatients.
About us
If you are being interviewed you must accept an interview slot in the system to continue, even if you have arranged with the manager.
You must be able to produce ALL certificates stated essential in the person specification or you will not be able to complete pre-employment checks.
We provide hospital services from two acute sites - Darlington Memorial Hospital and University Hospital of North Durham. We have a centre for planned care in Bishop Auckland and provide care from community hospitals in Chester-le-Street, Shotley Bridge, Barnard Castle, Sedgefield and Weardale as well as over 80 other community based settings and providing care in patients' homes.
We particularly welcome applications from disabled and Black, Asian and Minority Ethnic (BAME) candidates as BAME and disabled people are currently under-represented.
Full Job Descriptions can be found in the adverts supporting documents.
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Job description Job responsibilities
The post holder will be committed to the delivery and ongoing development of Elderly Care and Acute Frailty services. Clinical duties will be undertaken in collaboration with consultant colleagues and other professional staff that make up the wider MDT to maintain and enhance the service, while supporting the development of specialist skills in line with individual and service needs.
The service is transitioning to a 7-day model on a rostered basis in 1:7 on call rota
The Elderly Care team provide a comprehensive range of services across 3 sites including:
Acute Frailty
Hospital at Home
Inpatient specialist care
Movement Disorders
Ortho-Geriatric support
Surgical liaison.
This is delivered alongside established outpatient clinic commitments.
The post holder will be expected to participate on the Frailty SDEC service, working within a fully integrated MDT, with CGA being central to delivering holistic and patient centred care. The service operates with an ethos of discharge is the rule and admission is an exception, supported by a well-established, consultant-led Hospital at Home service model that enables delivery of acute care within the patients home environment. The team is also committed to a geriatrician of the day rota providing direct clinical advice to a range of professionals to support decision making and ensure patients are managed in the most appropriate setting.
The successful candidate will be expected to lead a board and ward round, managing patients with complex needs and extensive comorbidities and facilitating safe and timely discharges through the effective use of available services. Close collaboration with Orthopaedic and Surgical colleagues ensures timely geriatric input for patients undergoing treatment outside of Elderly Care services.
The department also provides clinics in general geriatrics and Movement Disorders. The post holder will be expected to triage referrals relating to frailty syndromes, dementia, falls and other general geriatric assessments and/or work closely with specialist Movement Disorder CNS to manage a caseloads.
Person Specification
Statutory Registration Essential
Full registration with GMC and inclusion on specialist register (or pending in next 6 months)
Special Skills & Knowledge Essential
Evidence of continuous development in the specialist field of practice.
Qualifications Essential
Leading the assessment & management of patients living with frailty, including those with complex needs and frailty syndromes (e.g. falls, immobility, delirium). Making treatment decisions and providing ongoing care for patients, inclusive of those under H@H. Supporting the Frailty SDEC H@H pathway by providing timely, specialist-led input. Acting as the Geriatrician of the Day to ensure rapid CGA and appropriate streaming of patients to the right care setting. Facilitating early discharge planning and step-down care from inpatient wards to home-based services. Participating in clinical governance activities, including maintaining up-to-date protocols, guidelines, and contributing to clinical audits. Revising and developing evidence-based protocols for frailty care and undertaking associated administrative duties Supporting innovation in service delivery aligned with national strategies, including the NHS 10-Year Plan. Maintaining continuing professional development in line with the RCP guidance. Acting as an educational and clinical supervisor for junior doctors. Supporting the training of junior doctors and multidisciplinary team members across inpatient and outpatients.
Desirable
Research degree, Masters degree or Teaching Qualification. Certificate of Medical Education or other formal training programme. Training in sub-specialty complementary to that of the existing Consultants.
Experience Essential
Good clinical skills including the management of acutely unwell medical patients and up to date knowledge in geriatric medicine. Experience in working within a multi- disciplinary team with good communication skills. Ability to liaise well with colleagues in other specialties. Experience of supervising training and teaching trainees. Able to provide evidence of career planning through appraisal process. Evidence of being up to date with professional development.
Desirable
Experience of close liaison with community services. Experience of service development. Evidence of research experience and clinical effectiveness work.
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 County Durham & Darlington NHS Foundation Trust
Address University Hospital Of North Durham
North Road
DURHAM
DH1 5TW
United Kingdom
Employer's website https://www.cddft.nhs.uk/ (Opens in a new tab)