198680 Consultant in Medicine of the Elderly and Stroke Services

NHS Lothian

Consultant in Medicine of the Elderly and Stroke Services

Permanent

NHS Lothian is committed to encouraging equality and diversity among our workforce and eliminating unlawful discrimination. The aim is for our workforce to be truly representative and for each employee to feel respected and able to give their best.

To this end, NHS Lothian welcomes applications from all sections of society.

We will fully support disabled candidates, and candidates with long-term conditions or who are neurodivergent by making reasonable adjustments to our recruitment policy and practices.

Consultant only if applicable:

Applicants must have full GMC Registration, a license to practise and eligible for inclusion in the GMC Specialist Register. Those trained in the UK should have evidence of higher specialist training leading to CCT or be within 6 months of confirmed entry from the date of interview. Portfolio Pathway (formerly known as CESR - Certificate of Eligibility for Specialist Registration) route doctors are only eligible to apply for a substantive consultant post once it has been awarded. Non-UK applicants must demonstrate equivalent training.  

Applications are welcome for the above Permanent/Fixed Term, full time (40 hours per week) post based in Royal Infirmary of Edinburgh.

You will join a group of consultants who provide input into the front door MoE frailty service based at RIE working with junior medical staff and the MoE nurse liaison service. This service is responsible for the identification, management and ongoing care of the frail elderly who are referred by medical team complemented by electronic screening of all patients aged >=65 for frailty. This will include working with the multidisciplinary team to facilitate early, safe and appropriate discharge with referral to community services, outpatient and hospital at home settings as needed. This is currently a dedicated role aligned to the AMU one in nine weeks Monday through Thursday. Friday input is provided by the weekend on call team.  

You will provide input into the RIE acute MoE wards specifically to diagnose, investigate and supervise specialised management for frail elderly patients under your care. This will be two ward rounds per week and a MDT. In partnership with the multidisciplinary team you will identify when the patients ongoing needs can be met at home or in community based setting and no longer requires the specialised care of the RIE. Patients are then case managed to transfer or discharge.

You will have input into the wider Midlothian MoE service by contributing to the rehabilitation and complex discharge needs of patients stepped down from acute sites This would comprise of 2 ward rounds and an MDT at MCH on a weekly basis. You may also contribute to a weekly clinic for patients referred by local Midlothian GPs and support the Hospital at Home team and wider community services. Realistic care and anticipatory care planning is high priority.

You will also provide at least one in eight weekend scheduled MoE commitment to deliver acute assessment to the frail elderly in RIE AMU and cover for the MoE wards as well as availability for advice to the local community hospitals and the Hospital at Home service.

Location

The principal base of work will be at RIE with substantial work done at MCH.

As part of your role, you may be required to work at any of NHS Edinburgh and the Lothians sites.

Provide High Quality Care to patients

Maintain GMC specialist registration and hold a licence to practice

Develop and maintain the competencies required to carry out the duties of the post

Ensure patients are involved in decisions about their care and respond to their views.

Research, Teaching and Training

Where possible to collaborate with academic and clinical colleagues to enhance NHS Edinburgh and the Lothians research portfolio, at all times meeting the full requirements of Research Governance. 

To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director.

To act as educational supervisor and appraiser as delegated by the clinical Director to ensure external accreditation of training posts with an appropriate allocation of time for these roles. 

To act as mentor to Nurse Practitioners as delegated by the Clinical Director.

Medical Staff Management

To work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal.

To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments.

To participate in the recruitment of junior medical staff as and when required.

To participate in team objective setting as part of the annual job planning process.

Governance

Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented

Ensure clinical guidelines and protocols are adhered to by doctors in training and updated on a regular basis

Keep fully informed about best practice in the specialty areas and ensure implications for practice changes are discussed with the Clinical Director

Role model good practice for infection control to all members of the multidisciplinary team. 

Strategy and Business Planning

To participate in the directorate clinical objective setting process.

Leadership and Team Working

To demonstrate excellent leadership skills with regard to individual performance, clinical teams and NHS Edinburgh and the Lothians and when participating in national or local initiatives.

To work collaboratively with all members of the team

To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.

Adhere to NHS Edinburgh and the Lothians and departmental guidelines on leave including reporting absence. 

Adhere to NHS Edinburgh and the Lothian values. 

More detailed departmental and specialty information can be found in the job description available via email address / link below.

For an informal discussion please contact:

Dr Amanda Barugh

Clinical Director

Royal Infirmary of Edinburgh

51 Little France Crescent

Edinburgh

EH16 4SA

Telephone: (secretary)

E mail: Amanda.barugh@nhslothian.scot.nhs.uk

If viewing from an external site, please visit https://apply.jobs.scot.nhs.uk for a job pack detailing the minimum requirements for this post and details of how to apply. 

We cannot accept CVs as a form of application and only a completed online application form will be accepted.  Personal information will not be sent with the application for short listing. The application form will be identified by the candidate number only to ensure that all applicants are treated equally. 

***PLEASE NOTE: We cannot accept late applications so please ensure your application is submitted early***

Interview Date: 7^th November 2024