2x Consultants in Geriatrics & General Medicine

The Department of Ageing and Health is seeking to recruit 2 x substantive consultants to join our dynamic, enthusiastic and forward-thinking team of highly motivated and dedicated geriatricians. Ageing & Health has a number of innovative and award-winning services across a number of areas including geriatrician liaison (POPS, GOLD, COPS), acute frailty and in the community. The advertised posts will support the delivery of these services, in particular delivery of Perioperative medicine for Older People undergoing Surgery (POPS) in thoracic surgery, front door service for frail older adults on the emergency floor, specialist Older Persons' Unit wards, in General Internal Medicine, as well as in the community.
The post holders will either contribute to an elderly medicine on call rota which includes on site weekend working in our Acute Older Persons Unit in the Emergency floor, or to the Acute General Medicine rota which includes on-site weekend and evening working., The Department of Ageing and Health is a dynamic department right at the centre of Acute Medical, Surgical and Specialist Patient Services at Guy's and St Thomas' NHS Foundation Trust. It has researched and developed many new service delivery models in Geriatric medicine, and as a consequence is an ideal place to work as a geriatrician. The department provides specialist services for older people within the Acute Trust and throughout Lambeth and Southwark supporting community services. In the Acute Trust services include its own inpatient unit at St Thomas' Hospital (Older persons unit (OPU)), participation in General medicine (acute emergency floor and general wards) and input across multiple areas by our liaison teams including POPS (surgery and orthopaedics) and GOLD (oncology). It has its own specialist outpatients based at Guys (OPAU) and a newly established front door Acute-OPU within the emergency floor. Most geriatricians also contribute to work
as Locality Geriatricians within Lambeth and Southwark community services., The Department of Ageing and Health is seeking to recruit 2 x substantive consultants to join our dynamic, enthusiastic and forward-thinking team of highly motivated and dedicated geriatricians. Ageing & Health has a number of innovative and award-winning services across a number of areas including geriatrician liaison (POPS (surgery), GOLD (oncology), COPS (cardiology)), acute frailty and in the community.
The advertised posts will support the delivery of these services, in particular
- delivery of Perioperative medicine for Older People undergoing Surgery (POPS) in thoracic surgery
- In the acute medical pathway (including the front door service on the emergency floor, in the medical outreach service, and on our specialist wards for older people)
- specialist Older Persons' Unit wards & in General Internal Medicine
- clinic work (POPS, CGA, GOLD)
- community multidisciplinary working with our primary care colleagues (including work within rehabilitation units, care homes and with the GSTT@home service)
This is an exciting time to join the department. The acute medical pathway is undergoing radical change to ensure a consultant led service is delivered 7 days a week during extended day hours and 365 days a year. The department of Ageing and Health contributes to this by providing a front door service 7 days a week within our Acute Older Persons Unit (AOPU) which is co-located with the emergency floor. Geriatricians also participate in the acute GIM emergency floor rota and lead firms on general medicine wards and in the older persons' unit.
The multidisciplinary POPS team provide preoperative assessment and optimisation for high risk older patients undergoing elective and emergency surgery, and follow the patient through the surgical admission, coordinating and delivering medical care, rehabilitation and discharge planning. The team is fully embedded at GSTT, with established pathways of care, close collaboration with anaesthetic and surgical departments and has a local, national and international reputation for providing quality care to complex, older surgical patients. The team provides formalised training programmes in perioperative medicine for foundation year doctors (FY1 and 2), specialist registrars and allied health professionals.
The acute trust is merged with therapies, community services and palliative care. Ageing & Health has increasing footprint across the community including the Hospital@Home team, bed-based and community rehabilitation, care homes and multidisciplinary services to support developing integrated neighbourhood teams.
The successful candidate is not expected to have received formal subspecialty training in perioperative medicine for older people or other subspecialty discipline. All posts include working alongside multidisciplinary teams to develop and deliver patient centred services. In all roles, the successful candidates will be expected to be intellectually flexible and able to look beyond existing structures, ways of working and traditional care boundaries in order to produce more effective and innovative service delivery. The post-holder will be expected to take an active role in in the teaching programmes of the department.
The successful candidate will work within the wider Department of Ageing and Health at GSTT, staffed by 26 consultants, with various subspecialty interests. The unit has a strong reputation for innovative service delivery, training in geriatric medicine and research. All consultants in the department are expected to share equally in out-of-hours rotas (either the acute GIM emergency floor rota or the acute frailty rota). The successful candidate may be able to pursue other subspecialty upon local negotiation.
As an organisation, we are committed to developing our services in ways that best suit the needs of our patients. This includes asking certain groups of staff to work more flexibly so that we can offer services to patients in the evenings and at weekends. We regard this flexibility as essential if we are to continue to provide first class patient care in the future. As a result, any offer of employment to a consultant post will be subject to you agreeing to work a new more flexible pattern of working in the future if required and in accordance with the provisions of the new Guy's and St Thomas' NHS Foundation Trust consultant contract.
Guy's and St Thomas' celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study's at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.
Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.
As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.
Flexible working
We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual's personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.
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NHS Medical & Dental: Consultant
Guy's and St Thomas' is among the UK's busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
Guy's is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary's Hospital in Sidcup. St Thomas' has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children's Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.
In February 2021 the Royal Brompton and Harefield joined Guy's and St Thomas' NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King's Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King's College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of 'good'. Our adult community services achieved a rating of 'outstanding'.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS., Guy's and St. Thomas' NHS Foundation Trust is made up of four of London's best-known teaching hospitals and employs over 13,650 staff and has over 2 million patient contacts a year. Our annual turnover is now £1.3 billion., The Trust includes St Thomas' Hospital, Guy's Hospital, Evelina London Children's Hospital, Royal Brompton and Harefield Hospitals and both adult and children's community services in Lambeth and Southwark.
We provide a full range of hospital services for our local communities in Lambeth, Southwark and Lewisham, as well as specialist services for patients from further afield, including cancer, cardiothoracic, women's and children's services, kidney care and orthopaedics. We have one of the largest critical care units in the UK and one of the busiest A&E departments in London. See www.guysandstthomas.nhs.uk for further details.
Our reputation for safe, high quality care is among the best in the UK and we strive to put patients at the heart of everything we do. 'Barbara's Story' - a unique and moving staff training film to improve our care for patients with dementia - has been widely recognised as an example of best practice.