Consultant in Elderly Care Medicine
You are invited to apply for the first of 3 planned new consultant posts to be advertised over the next few months to join the department of elderly care at Royal Hampshire County Hospital, Winchester. The team comprises a main body of 7 consultants, with orthogeriatric liason provided by an additional consultant. Further clinic sessions are provided by another 2 consultants and 1 GP.
Following the successful establishment of our acute frailty unit, the post advertised begins the recruitment for the next phase in our long-term frailty project. We plan to establish a frailty team consisting of a consultant, junior doctor, specialist nurse and occupational therapist based in the emergency department for 50 hours per week. This brings specialist geriatric care as close to the front door as possible. An additional aim is to enhance the current rapid access clinic service to facilitate same day or next day assessment so it can provide a genuine alternative to admission for frail older patients.
The department provides inpatient care for around 70 patients on 2 acute wards and an acute frailty unit. The latter is embedded within the medical admissions ward and accommodates all frail medical admissions to the hospital. There are also 22 inpatients at the Andover site with predominant rehabilitation needs. We run 5 to 8 rapid access clinics per week at the Winchester site providing one stop assessments, with no outpatient referral waiting more than 2 weeks and some are seen within 24 hours. There are also weekly specialist falls and Parkinson’s clinics. Further, there are up to 3 rapid access clinics weekly at the Andover site. We have strong community links with locality clinics in Eastleigh and Chandler’s Ford, home visits when required and regular attendance at GP whiteboard meetings in surrounding Winchester and Andover localities.
It is envisaged that the new post will predominantly rotate between the emergency department frailty team, acute frailty unit and acute elderly care wards, with input into the rapid access clinics at all stages, though a preference for one part of the pathway could be accommodated. A willingness to take part in the GIM on call rota is preferable. We are realistic about the issues affecting the geriatric workforce nationally and are open to negotiation with suitable candidates.