Job summary
- Main area
- General Medicine/Older Peoples Care
- Grade
- NHS Medical & Dental: Core Trainee (CT1/2)
- Contract
- Fixed term: 12 months
- Hours
- Part time - 30 hours per week
- Job ref
- 388-6207281-CW
- Employer
- Torbay and South Devon NHS Foundation Trust
- Employer type
- NHS
- Site
- Totnes Community Hospital
- Town
- Totnes
- Salary
- £43,923 pa pro rata
- Salary period
- Yearly
- Closing
- 10/05/2024 23:59
Employer heading
Locally Employed Doctor - Totnes Hospital
NHS Medical & Dental: Core Trainee (CT1/2)
Job overview
The post(s) will be ward-based on Dart Ward at Totnes Community Hospital. Dart Ward is an 18 bedded ward that aids in the rehabilitation and ongoing medical care of patients before they are suitable for discharge. The majority of these patients are frail and have multiple co-morbidities.
We would be willing to consider funding to anyone that wished to gain further post graduate qualifications, and having a LTFT clinical role would give the applicant some time to be able to concentrate on this additional learning. Please contact us to discuss this in more detail.
This role will give an opportunity to become more independent in the care of frail older people, Comprehensive Geriatric Assessment (CGA), and allow more autonomous decision making.
There would be no on-call commitment within these roles, however there is the expectation that there will be some bank holiday working to ensure the ward is not without medical support for longer than 3 days. Working 0.8 WTE there will be one day off per week; likely a Tuesday, Wednesday or Thursday as there is a focus on ensuring robust ward cover on Mondays and Fridays.
This post would suit anyone interested in Geriatric, general or community based medicine including those wishing to pursue their GP training.
Main duties of the job
- Providing a clerking service for patients that are newly admitted to the ward and commence a comprehensive geriatric assessment. Patients could come from Torbay, Exeter or Plymouth.
- Review patients that are having active medical care, and those that have been highlighted by the nursing team.
- Liaise between nurses, patients, relatives, and senior medical staff.
- Participate in the daily MDT meetings for inpatients.
- Completion of discharge summaries
- Supervise medical students where appropriate
- Co-operate with members of the personnel department when monitoring hours of work and other personnel issues
- Comply with all local policies including dress code, annual and study leave
Working for our organisation
Totnes Community Hospital has 18 medical inpatient beds in a modern purpose-built unit. Traditionally the unit has been run by the local GP practices but we are now looking to implement an exciting new model of care supported by the Healthcare of Older People Team.
The HOP Team currently have 9.9 WTE Consultants (including 1 vacancy) plus a Speciality GP and a Specialty Doctor. We also have a Nurse Consultant in Frailty and a range of Physicians Associate, Advanced Clinical Practice and Specialist Nurse roles. We work very closely with our colleagues in stroke and in addition to Totnes Hospital we support 3 acute wards, a Frailty SDEC, Frailty Virtual Ward as well as delivering and Orthogeriatrics service and host the Parkinson’s Disease service which we jointly run with the Neurology team. There may be opportunities for this post to gain experience in other areas of the service.
Detailed job description and main responsibilities
The working day will start from 8.30 and finish at approximately 4pm. You would start by identifying the nurse in charge and ask who they feel needs a review- if any. The new patients have usually been identified in the doctor’s book and they should be reviewed first unless there is anyone unwell. The observations are recorded on an electronic system that you will have access to and can aid your prioritisation.
There is currently a courier service twice a day (9.15 and 3pm) that will take blood samples back for analysis at Torbay hospital, and you may be asked to take blood that the nurses have been unable to do. It is anticipated that Totnes will get a point of care testing facility in the near future to speed up decision making with test results.
The MDT commences at 11.45 and it is here that anticipated discharges be discussed. You will need to do discharge summaries and TTA much further in advance of discharge as it takes longer to get the drugs to a community hospital.
Year 3 medical students have been attending the ward for the falls pathway and dementia/delirium pathway so there will be an opportunity to provide small group teaching for them.
You will be part of the Healthcare of Older People department and we run a weekly teaching session on a Friday lunchtime that can offer training in geriatric care and a forum for you to provide a teaching session.
Your day to day decision making will be support by a middle grade and there will be a weekly consultant led ward round.
Person specification
Qualifications
Essential criteria
- Has achieved MBChB or equivalent medical qualification.
- Satisfactory completion of Foundation training or equivalent.
- ALS training or equivalent.
- Registration with the GMC at time of starting the post.
Desirable criteria
- Experience of Foundation training.
- 12 months continuous experience within the NHS.
Knowledge
Essential criteria
- Competence in basic clinical procedures.
- Able to prioritise clinical need, time and workload.
- Understands the principles of patient confidentiality and data protection.
- Understand the importance of working effectively in teams.
Desirable criteria
- Knowledge of UK health systems, practices and values; awareness of current issues in the NHS.
- Understands the importance and impact of information systems in health care.
- Ability to practise evidence-based medicine
- Evidence of continuous professional development.
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Dr Jonny Hacon
- Job title
- Clinical Lead
- Email address
- [email protected]
- Telephone number
- 01803 656982
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