Applications are invited for the above full time posts for this 660 bedded acute hospital serving a local population of approximately 400,000. The appointment will be made in accordance with the terms and conditions of service for the 2003 consultant contract (England).

We are entering an exciting period of development within Elderly Medicine at the Luton and Dunstable Hospital. The Department of Elderly Medicine (DME) at Luton & Dunstable Hospital is supported by 8 WTE Consultants and their junior teams. The organisation is fully committed to improving the quality of care delivered to its frail and older population and is looking for dynamic individuals who are flexible about ways of working and keen to work as part of a multi-professional team to deliver high quality care for older people. We would welcome applications from candidates who are motivated to lead further developments and initiatives and able to work closely with colleagues in primary care networks, community and... social services. Significant investment has occurred in DME over the last 4 years that reflects the valued contribution of the DME service to the management of frail, complex and vulnerable patients.

Main duties of the job

The Key tasks for the role of Specialty Doctor in Elderly Medicine are
• Attend ward & board rounds both with the Consultants and with the Specialty Training Doctors / Foundation Year 2 doctors. The Specialty Doctor may be responsible for unaccompanied ward rounds
• To review where necessary patients in frailty SDEC & the emergency department
• Work under the supervision of and be responsible to his/her respective consultant, or the on call consultant and, ultimately the Clinical Director for Medicine for the Elderly
• The time-table will be reviewed by the Clinical Director as part of the annual appraisal process.
• Regular contribution to departmental meetings, Journal club and Medical Grand rounds of the hospital.
• To work flexibly to cover/ support when colleagues are absent to ensure safe patient care.
• Undertake, exceptionally, to perform additional duties in occasional emergency and unforeseen circumstances.
• In case of difficulties of any kind, the Specialty Doctor will seek the advice of the appropriate consultant. The Specialty Doctor is not expected to participate in any work beyond their level of expertise.
• The appointee will undertake, exceptionally, to be available for such irregular commitments, outside normally rostered duties as are essential for patient care.
• Communicate with patients, their relatives and carers, members of the multidisciplinary team, other specialties, GPs and the wider community services.
About us

Our Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton. Travel between hospital sites may be required.

We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.

Please note that vacancies may close prior to the advertised closing date when sufficient number of applications have been received. Please ensure that you make your application as soon as possible.

Job Description

Job responsibilities

The appointee will join the Elderly Medicine department in the delivery of clinical excellence within the practice of Elderly Medicine.

There are 5 base DME wards at Luton and Dunstable University Hospital: including a Frailty unit and additionally an Ortho-geriatric ward, with a total of 134 inpatients. At the Bedford Site we have 3 wards with a total of 100 patients and an Ortho-geriatric unit. Archer Unit is nearby to the Bedford Site and provides a rehab service to 20 inpatients.

The Trust has been developing its DME strategy and is working across Bedfordshire with social care partners, Primary care networks, community and mental health service providers. Our aim is to improve patient care across the acute interface and deliver better patient outcomes as part of the Bedfordshire Care Alliance.

We have Nurse Specialists in Dementia, Falls and Frailty and as well as Acute Frailty in reach service to the Emergency Department at Luton and Dunstable University Hospital, we provide specialist OPD in Falls, Syncope and Parkinsons supported by specialist nurses.

The Luton and Dunstable University Hospital (L& D) has always been renowned for its friendly atmosphere and good working relationships. The Hospital has an excellent track record of financial and senior executive stability.

The Trust has University Hospital status which provides an academic environment to the hospital. In addition to postgraduate training, we welcome medical students from the UCL Medical School throughout the year and by arrangement with the medical school provide a programme of clinical placements to support their education. We have an excellent reputation for junior staff training. Within the Centre of Multi-Professional Educational & Training (COMET) is the Medical Education Department, the library including an IT suite, and the Training & Development Department. The main aim of the Medical Education Department is to promote postgraduate and continuing medical education and training for all doctors and dentists. The Hospital actively promotes career development and progression for all staff.

The Hospital has excellent access to the surrounding areas with easy access to central London and the rural Chilterns. The rural areas include many attractive villages and towns within easy reach of the Hospital including St Albans and Harpenden. Excellent schools are found nearby. There is also very good access to the Midlands and North by road using the M1 or A1, or by rail to one of the Lutons three stations. A direct link using the new Busway takes passengers from Luton Trainstation just 7 minutes to reach a stop that is within a short walking distance of the hospital. London Luton Airport is within fifteen minutes of the hospital.

Applicants must be fully registered with the UK General Medical Council, and have a minimum of 2 years clinical experience in Elderly Medicine.

Candidates unable for personal reasons to work full-time are also invited to apply.

The appointment will be subject to full Occupational Health Clearance and Enhanced Disclosure and Barring Service check for the successful candidates prior to commencement.

Please refer to the Job Description for full details of the post.

Person Specification

Application Completion

Essential
• ALL sections of application form FULLY completed
Specialty specific skills related to the post

Essential
• Full MRCP Ability to assess and manage all acute elderly emergencies.
Commitment to clinical governance / improving quality of patient care

Essential
• Clinical governance: Capacity to be alert to dangers or problems. Demonstrates awareness of good decision making. Aware of own limitations. Track record of engaging in clinical governance: reporting errors, learning from errors. Audit: evidence of active participation in audit. Teaching: evidence of interest and experience in teaching where required in the job.
Desirable
• Research Skills: Demonstrates understanding of the principles of research, evidence of relevant academic and research achievements. Teaching: evidence of experience in teaching where required in the job.
Qualifications

Essential
• MBBS or equivalent medical qualification
Eligibility

Essential
• Eligible for full registration with the GMC at the time of appointment.
• Evidence of achievement of Foundation competencies by time of appointment in line with GMC standards in Good Medical Practice
• Evidence of achievement of ST1/CT1 competences in a relevant specialty at time of application and likelihood of achieving ST2/CT2 competences in a relevant specialty by the start date of the post. To be eligible to work at this grade the appointee will have a minimum of 2 years clinical experience in this specialty.
• Eligibility to work in the UK.
Fitness to Practice

Essential
• Applicant's knowledge is up to date and fit to practise safely
Language Skills

Essential
• All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues, which could be demonstrated by one of the following: oApplicants have undertaken undergraduate medical training in English oApplicants have scores in the academic International English Language Testing System (IELTS) or equivalent equal to those required for recruitment to MMC specialty training programmes.
• If applicants believe that they have adequate communication skills but do not fit into one of the examples they need to provide evidence
Health

Essential
• Meets professional health requirements (in line with GMC standards in Good Medical Practice)
Clinical Skills

Essential
• Acute care safe: up-to-date ALS. Hospital at night team working / experience. Out of hours experience relevant to the job. Relevant specialty clinical knowledge: capacity to apply sound clinical knowledge relevant to the job, specialty knowledge exam. Clinical judgement: experience in making clinical decisions and managing risk. Knows when to seek help, able to prioritise clinical need. Practical skills: shows aptitude for practical skills, required for the job. Proven ability to work effectively in different clinical settings required in the job.
Desirable
• ALS instructors certificate
Communication skills

Essential
• Effective communication skills: demonstrates clarity in written/spoken communication and capacity to adapt language as appropriate to the situation. Empathy and sensitivity: capacity to listen and take in others' perspectives. Works in partnership with patients: always considers patients preferences when discussing treatment options. Always considers the full impact of clinical decisions on the patients, Practice shared decision making. Directs and supports patients to access the information they need to support decision making.
Desirable
• 360 feedback Patient survey feedback and reflections.
Commitment to on-going professional development

Essential
• Learning and personal development: demonstrates interest in the specialty required for the job. Demonstrates a commitment to maintaining professional skills and knowledge relevant to the job. Demonstrates a willingness to fully engage in appraisal. Self-awareness and ability to accept and learn from feedback.
Desirable
• Extracurricular activities / ach Any attachments will be accessible after you click to apply.

418-M-DME-192-D
Luton UK

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