Consultant in Geriatric Medicine
Calderdale and Huddersfield NHS Foundation Trust is nestled in the heart of the stunning Pennine hills; the area which inspired the works of the Bronte sisters. We’re conveniently situated between the vibrant cities of Leeds and Manchester surrounded by a rich and varied heritage with breathtaking scenery, places to see and things to do.
The trust has developed proposals for the next, and very exciting phase in the Trust’s history. If approved they would create- over the next five years- more centralised care at our Trust in two specialist centres. An emergency care centre with a dedicated paediatric unit and a specialist centre for planned care in a brand new hospital alongside our new Acre Mills Outpatient centre, across from the existing Huddersfield Royal Infirmary.
We currently have two replacement posts in Geriatric medicine. Following an invited service review by the Royal College of Physicians and a time out in 2016 with stakeholders from a range of hospital specialties, therapy services, community and primary care, local authority and third sector we have developed an overarching elderly care strategy for our area aiming to provide a seamless service to our older population across the whole range of hospital and community settings. The trust has joined the national acute frailty network in September 2016 and we now have an acute frailty services which is run by 2 geriatricians, a team of acute frailty nurses, acute therapists, in-reaching community nurses and support from social services. Besides acute elderly care inpatients the geriatricians provide a comprehensive orthogeriatric services, outpatient services including general elderly care, specialist clinics for falls and movement disorders, intermediate care in Huddersfield and care home support services in a team with community staff in Calderdale and in Kirklees. There are plans to strengthen surgical liaison. Our services are evolving and joining us at this time will give you the opportunity to lead development of new services across hospital and community settings.
Our inpatient service has recently been reconfigured so that all acute elderly care beds are at Huddersfield Royal Infirmary (HRI). The post holders will care for 13-15 inpatients on one of our four acute elderly care wards. Each ward is shared by two colleagues. Some job plans include responsibility for medical outliers in one location in addition to the consultant’s bed base. The exact number of inpatients depends on the successful candidate’s special interest and agreed role within our team.
Our trust spans two acute hospitals and all Geriatricians participate in daily in-reach to rehabilitation, acute medicine, cardiology, respiratory, stroke medicine and elective surgery at Calderdale Royal Hospital (CRH). This is done in a 1:9 weekly rota and instead of planned outpatient commitments during the in-reach week. Besides this inpatient work the successful candidates have the option to do outpatient work at either HRI or CRH, orthogeriatrics / surgical liaison, front end frailty work or community liaison. Both posts are 10PAs. A job share would be considered. Special interest in surgical liaison / orthogeriatrics, frailty and community liaison are especially welcome but we are happy to accommodate a range of other special interests.
The Geriatric team is run by 8 WTE consultants, a specialty doctor, 4 ST3 (or higher) trainees and 2 ST3 grade trust doctors, 9 CMT/GPST and 7 Foundation Trainees. There are three physician associates. The geriatric medical team manages a substantive bed base of 105 acute elderly care beds. In addition there are 6 frailty beds on the acute medical unit at HRI and 12 general rehab beds at Calderdale Royal Hospital (CRH). When on leave, inpatients are managed by coordinating cross cover. Admission to a specialist geriatric bed is based upon both age and needs of the patients admitted through the acute medical units. The post currently involves participation in the acute medical rota for patients of all ages. A specialist Geriatricians’ rota is under development and likely to be implemented in Summer 2018. Further details are available in section 7.
The trust has implemented an electronic patient record system in May 2017 (EPR by Cerner) – this covers medical documentation, e-prescribing, referrals, appointments and administration. Full training will be provided to the successful candidates.
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