JOB TITLE: Clinical Fellow in Geriatric Medicine - Inpatient Unit Jobtrain Reference: 182326 Closing Date: 5 April 2024 Interview Date: TBC
JOB TITLE: Clinical Fellow in Geriatric Medicine - Inpatient Unit Jobtrain Reference: 182326 Closing Date: 5 April 2024 Interview Date: TBC
JOB TITLE: Clinical Fellow in Geriatric Medicine - Inpatient Unit Jobtrain Reference: 182326 Closing Date: 5 April 2024 Interview Date: TBC
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Contents
Section
This post requires the post holder to have a PVG Scheme membership/record. If
the successful applicant is not a current PVG member for the required regulatory
group i.e. child and/or adult, then an application will need to be made to Disclosure
Scotland and deemed satisfactory before the successful post holder can
commence work.
Please visit our Careers website for further information on what NHS Lothian has to offer
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Section 1: Person Specification
Experience/Knowledge
Some previous experience in
Acute and General Medicine or
Medicine of the Elderly
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Circumstances of Job May be required to work at any
of NHS Edinburgh and the
Lothian’s sites
Please note that East Lothian
Community Hospital is based 37
miles from Edinburgh City
Centre. Hospital accommodation
is unfortunately not available.
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Section 2: Introduction to Appointment
Post Summary:
This post arises from a current vacancy and provides the applicant with the opportunity to
work with a lovely team providing person-centred inpatient care to older people from East
Lothian, based in East Lothian Community Hospital. This post would particularly suit
someone interested in pursuing a career in Medicine, Medicine of the Elderly or General
Practice.
The successful candidate will join the current multidisciplinary Medicine of the Elderly Team
who support the inpatient acute assessment, rehabilitation and Health Board Complex
Clinical Care (HBCCC) wards. The new post holder will provide medical input to the
orthogeriatric rehabilitation ward at East Lothian Community Hospital, supporting the existing
senior medical staff and providing medical support. This ward, (Ward 5) provides Pan-
Lothian rehabilitation to patients in the early post-op period after orthopaedic trauma.
Patients are transferred from the acute site from Day 3 onwards and so you may be
managing some post-op complications such as pneumonia, wound infections and anaemia.
The successful candidate will also provide cross-cover of other general MOE areas. There
is a very strong ethos of multidisciplinary team working within the hospital so it is important
that any candidate for this role has a collaborative approach to medical practice and ideally
experience of working within a MDT with physiotherapy, occupational therapy, nursing
colleagues and other Allied Health Professionals.
There will be the opportunity to take part in teaching, quality improvement work and service
development.
Relevant experience in care of the elderly and/or general medicine is desirable. The post will
involve some weekend commitments in Medicine of the Elderly at the Royal Infirmary of
Edinburgh. You may also be asked to cover some evening shifts at ELCH. Evening shifts
are supported by a Nurse Practitioner with advice available by telephone from the MOE
Consultant.
The post-holder will be on a standard 10 Programmed Activity contract (see detailed outline
job plan in section 6).
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East Lothian Medical Team
Dr Jenny Harrison Clinical Lead for Older People’s Services in East Lothian, MoE,
General Medicine, Hospital@Home
Dr Andrew McIntosh MoE, Orthogeriatric rehabilitation, Stroke Rehabilitation
Dr Neil Hunter MoE, Stroke, General Medicine
Dr Rachel Hawksworth Specialty Doctor MoE, HBCCC
Dr Kirsten Buchannan Specialty Doctor MoE, HBCCC
Dr Louise Fraser Specialty Doctor MoE, HBCCC
Dr Kate McCormick Specialty Doctor, MoE
Dr Stella Pezzilli Specialty Doctor, MoE
Dr Darren Yeats Locum Consultant, MoE
Dr Tim Morse Acute medicine, Hospital@Home
Dr Heather Thomas GP with Hospital@Home (special interest in diabetes)
The Medicine of the Elderly (MOE) Service within Lothian University Hospitals Division (LUHD)
provides high quality care and a comprehensive scope of services for the elderly population in Lothian
across three main hospital sites; Royal Infirmary of Edinburgh (RIE), Western General Hospital
(WGH) and St John’s Hospital (SJH). These comprise of; acute inpatient assessment, acute stroke
services, general rehabilitation and specialist rehabilitation (stroke and orthopaedic), liaison work to
other departments and a range of outpatient services including day hospital, geriatric clinics and
specialist Parkinson services. Additional inpatient and outpatient MOE services are also provided to
Lothian patients by Edinburgh, East and Midlothian Health and Social Care Partnerships.
Additionally, there are a number of Health Board Complex Continuing Care Units (HBCCC) for
patient’s whose long-term needs cannot be met outwith a hospital setting.
MOE provides a comprehensive service to older people within Lothian, concentrating on those who
have complex needs and require specialist input. There is a clear nationally driven goal to provide
safe, high quality care to the ageing population enabling older people to remain at home for as long
as possible and limiting hospital stays to acute phases of illness. The goal of the MOE service in
Lothian is to support patients to maximise their functional potential or recover to an optimal level of
health with the view of maintaining an independent life at home or alternatively in a suitable home in
the community. This is achieved by way of multidisciplinary team working: Medical staff working
alongside nursing staff, allied health professionals and Health and Social care colleagues to provide
comprehensive geriatric assessment (CGA) There is no specific age limit on the patients seen,
though the majority seen are in the age range 80 plus.
Within East Lothian there is a strong ethos of community working and trying to manage patients within
East Lothian where possible. The East Lothian Community Hospital, 37 miles from Edinburgh city
centre, provides ongoing MOE rehabilitation for East Lothian Residents following acute admission to
the Edinburgh acute hospitals. This includes stroke and orthogeriatric rehabilitation. In addition, there
is a ward for Health Board Complex Clinical Care (ward 1). ELCH is also home to a Psychiatry of
Older Age unit which provides care for both assessment and ongoing patients. There is a small
community hospital, Belhaven Hospital, in Dunbar.
The East Lothian Hospital@Home provides hospital level care to frail or complex patients in their own
homes as an alternative to admission to the acute sector. They work closely with various community
teams including the Care Home Team, the Prevention of Admission Therapy Team, Hospital2Home
(providing care and promoting recovery after a hospital stay), District Nursing and many more.
You will have the opportunity to attend ELCH unit teaching and remotely attend MoE weekly teaching
at the Royal Infirmary of Edinburgh via Microsoft Teams.
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Section 4: Main Duties and Responsibilities
The final job plan will be subject to discussion and agreement between the successful post
holder, and the current staff.
The post will involve the care of inpatients in the orthpaedic rehabilitation ward on the ELCH
site including review of new admissions and ward-based problems, supporting junior staff
and contributing to MDTMs.
We have 4th year medical students on site 2 days a week and you will be expected to
contribute to their teaching.
This post will involve some out of hours work where weekends are currently undertaken at
the Royal Infirmary of Edinburgh.
Please note this is an Exposure Prone post and satisfactory pre-employment health
screening is essential
Location:
• It is anticipated the principal base of work will be ELCH.
• As part of your role, you may be required to work at any of NHS Lothian’s sites
Governance:
• Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are
implemented
• Ensure clinical guidelines and protocols are adhered to by doctors in training and updated on
a regular basis
• Keep fully informed about best practice in the specialty areas and ensure implications for
practice changes are discussed with the Clinical Director
• Role model good practice for infection control to all members of the multidisciplinary team
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• Adhere to NHS Lothian and departmental guidelines on leave including reporting absence
• Adhere to NHS Lothian values
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Section 5: NHS Lothian – Indicative Job Plan
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Junior MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
Doc
Ward 3 rapid Ward 3 rapid Ward 3 rapid Ward 3 rapid Ward 3 rapid
rundown 9:00 rundown 9:00 rundown 9:00 rundown 9:00 rundown 9:00
IMT
Dr.McIntosh ward Dr Pezzilli new Dr. McIntosh
Ward 3
round patient reviews ward round
PM Dr. Hunter PM Dr. Hunter
ward round PM Clinic with ward round
(timing Jenny Harrison (timing
Medical student
variable) OPD1 variable)
teaching
Ward 3 rapid Ward 3 rapid Ward 3 rapid Ward 3 rapid Ward 3 rapid
rundown 9:00 rundown 9:00 rundown 9:00 rundown 9:00 rundown 9:00
FY2
(check if cover
Junior ward Dr. McIntosh Dr Pezzilli new Ward 3
Ward 3 needed for
reviews ward ward round patient reviews Reviews AM
other wards)
6 AM
Dr. McIntosh
PM Join Dr.
PM Ward jobs in Medical student PM FY2 ward round
Hunter ward
ward 3 teaching teaching
round/ jobs Help cover
Ward 3 junior PM Dr. Hunter person off pre-
reviews ward round weekend
Ward 4 rapid 9am rapid Ward 4 reviews 9.30 Ward 4 11am Ward 4
rundown 9:30 rundown with Dr Pezzilli MDT reviews with
GPST 2
Dr Buchanan
9:30 Ward round
Ward 4
Dr
and float Review any Medical student
Harrison/Pezzilli
unwell or new teaching Help cover
Ward 4
patients person off pre-
Help other wards weekend
as needed
Rapid MDT ward 5 Rapid rundown Rapid Rapid
rundown ward 9:00-10 ward 5 9:00 rundown ward rundown ward
Clinical
5 9:00 5 9:00 5 9:00
Fellow AM WR Dr Ward 5
AM Ward Hawksworth reviews/jobs WR Dr Yeats 9:30 WR Dr
Ward 5
Round Dr 9-11 Hawksworth
(Ortho PM Reviews Dr Help with
Yeats
rehab) Yeats medical student Ward 5
PM Ward teaching/ jobs reviews/jobs
round Dr on other wards
Help on other
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Hawksworth if needed wards
Notes:
Teaching:
2-3pm Monday afternoon ELCH unit teaching
1:15-2pm (termtime) video link to MOE RIE teaching
It is anticipated that the successful candidate will contribute to teaching and training and
clinical managerial work at ELCH, the exact duties and breakdown subject to negotiation
prior to taking up post.
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Section 6: Contact Information
Informal enquiries and visits are welcome and should initially be made to:
Dr Jenny Harrison
Clinical Lead for Older People’s Services, East Lothian Community Hospital
[email protected]
01620 442815
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Section 6: Working for NHS Lothian
Location
Edinburgh and the Lothians are on the eastern side of Scotland’s central belt in the heart of
the country. Four main areas make up Edinburgh and the Lothians – Edinburgh, East
Lothian, Mid Lothian and West Lothian.
Edinburgh and the Lothians are a place of exceptional beauty and contrast, from
Edinburgh’s historic skyline to the scenic countryside and coastline that surround it.
Edinburgh is famous for its castle, military tattoo, fringe and international festival.
Edinburgh and the Lothians are home to top-ranking state and private schools and world
class universities and colleges. Edinburgh offers a rich diversity of parks and gardens to
spend time relaxing with friends and family. Whether you want to buy or rent Lothian also
offers a diversity of accommodation ranging from city centre based flats, waterfront living,
Victorian or Georgian villas to more rural farm houses or coastal homes.
Local and wider transport networks are excellent. Glasgow is less than 50 minutes away by
train. The Scottish Highlands are accessible in a few hours offering opportunities for skiing
and walking. National and international transport links make it easy to keep in touch with
friends and family via Edinburgh Airport which offers a variety of international flight
opportunities.
If you are thinking about joining us from overseas further information can be found at
www.talentscotland.com. For a comprehensive list of services to help moving to the City of
Edinburgh, please visit the City of Edinburgh Council Website at: www.edinburgh.gov.uk.
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What we can offer you
Working with NHS Lothian offers a variety of opportunities and benefits:
• Access to the NHS pension scheme
• Assistance relocating to Edinburgh
• NHS Lothian is an equal opportunities employer and promotes work-life balance and
family-friendly policies
• A beautiful setting to live and work and to take time out after a busy day or week
• Access to a transport network offering easy travel links to the rest of the UK and
Europe, as well as international options
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Our vision, values and strategic aims
We strive to provide high quality, safe, effective and person centred healthcare, continually
improving clinical outcomes for patients who use our services and for our population as a
whole.
To achieve this, we are committed to ever-closer integrated working with patients and our
other partners in healthcare and to embedding a culture of continuous improvement to
ensure that:
• Our staff can contribute fully to achieving the best possible health and healthcare,
based on evidence and best practice
• Everything we do maximises efficiency and delivers value for patients and the public
We have identified six strategic aims to ensure we can deliver safe, effective and person-
centred health and social care:
1. Prioritise prevention, reduce inequalities and promote longer healthier lives for all
2. Put in place robust systems to deliver the best model of integrated care for our
population – across primary, secondary and social care
3. Ensure that care is evidence-based, incorporates best practice and fosters
innovation, and achieves seamless and sustainable care pathways for patients
4. Design our healthcare systems to reliably and efficiently deliver the right care at the
right time in the most appropriate setting
5. Involve patients and carers as equal partners, enabling individuals to manage their
own health and wellbeing and that of their families
6. Use the resources we have – skilled people, technology, buildings and equipment –
efficiently and effectively.
The specific areas of focus and actions needed to achieve each of these aims are detailed in
“Our Health, our Future: NHS Lothian Strategic Clinical Framework 2014 – 2024,”
consultation document which you will find at:
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Our Health, Our Care, Our Future
NHS Lothian works to help people live healthier, longer lives – no matter who they are or
where in the region they live. Much progress has been made, but significant challenges and
opportunities lie ahead. NHS Lothian draft strategic plan - Our Health, Our Care, Our Future
– sets out what we propose to do over the coming decade to address these challenges and
continue to provide a high quality, sustainable healthcare system for the people of Lothian.
Over the coming months we will discuss the need for change and the proposals set out in
the plan with staff, patients, communities and other stakeholders. A summary of the plan can
be found at
https://org.nhslothian.scot/Strategies/OurHealthOurCareOurFuture/Pages/default.aspx
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NHS Lothian – Our Values into Action:
Quality
• We will demonstrate a commitment to doing our best
• We will encourage and explore ideas for improvement and innovation
• We will seek out opportunities to enhance our skills and expertise
• We will work together to achieve high quality services
• We will use our knowledge and enthusiasm to implement positive change and overcome
challenges.
Teamwork
• We will understand and value each other’s role and contribution
• We will be fair, thoughtful, welcoming and kind to colleagues
• We will offer support, advice and encouragement to others
• We will maximise each other’s potential and contribution through shared learning and
development
• We will recognise, share and celebrate our successes, big and small.
Throughout the recruitment process candidates will need to demonstrate they meet all of
Our Values.
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Section 7: Terms and Conditions of Employment
TYPE OF
6 Months Fixed Term – Starting early August 2024
CONTRACT
SUPERANNUATION New entrants to NHS Lothian who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme. Should you choose to "opt out"
arrangements can be made to do this via: www.sppa.gov.uk
TOBACCO POLICY NHS Lothian operates a No Smoking Policy in all premises and
grounds.
CONFIRMATION OF NHS Lothian has a legal obligation to ensure that it’s employees,
ELIGIBILITY TO both EEA and non EEA nationals, are legally entitled to work in
WORK IN THE UK the United Kingdom. Before any person can commence
employment within NHS Lothian they will need to provide
documentation to prove that they are eligible to work in the UK.
Non EEA nationals will be required to show evidence that either
Entry Clearance or Leave to Remain in the UK has been granted
for the work which they are applying to do. Where an individual is
subject to immigration control under no circumstances will they be
allowed to commence until right to work in the UK has been
verified.
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REHABILITATION The rehabilitation of Offenders act 1974 allows people who have
OF OFFENDERS been convicted of certain criminal offences to regard their
ACT 1974 convictions as “spent” after the lapse of a period of years.
However, due to the nature of work for which you are applying this
post is exempt from the provisions of Section 4 of the
Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation
of Offenders Act 1974 (Exceptions Orders 1975 and 1986).
Therefore, applicants are required to disclose information about
convictions which for other purposes are “spent” under the
provision of the act in the event of employment, failure to disclose
such convictions could result in dismissal or disciplinary action by
NHS Lothian. Any information given will be completely
confidential.
PRINCIPAL BASE You may be required to work at any of NHS Lothian sites as part
OF WORK of your role.
SOCIAL MEDIA You are required to adhere to NHS Lothian’s Social Media Policy,
POLICY which highlights the importance of confidentiality, professionalism
and acceptable behaviours when using social media. It sets out
the organisation’s expectations to safeguard staff in their use of
social media.
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Section 8: General Information for Candidates
For the purposes of this privacy notice, 'staff' includes applicants, employees, workers
(including agency, casual and contracted staff), volunteers, trainees and those carrying out
work experience.
Counter Fraud
NHS Lothian is under a duty to protect the public funds it administers, and to this end will
use the information you have provided on your application form for the prevention and
detection of fraud. It will also share this information with other bodies responsible for auditing
or administering public funds for these purposes. More detail on this responsibility is on NHS
Lothian intranet (Counter-Fraud and Theft page) and further information is available via Audit
Scotland.
References
All jobs are only offered following receipt of three satisfactory written references. At least one
reference must be from your current/most recent employer or your course tutor if you are
currently a student. If you have not been employed or have been out of employment for a
considerable period of time, you may give the name of someone who knows you well
enough to confirm information given and to comment on your ability to do the job.
Disclosure Scotland
Where a Disclosure or Protection of Vulnerable Groups Check is deemed necessary for a
post, the successful candidate will be required to undergo an appropriate check. Further
details on the Recruitment of Ex-Offenders are available from the recruitment centre.
Work Visa
If you require a Work Visa, please seek further guidance on current immigration rules, which
can be found on the UK Government Home Office website.
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Overseas Registration and Qualifications
NHS Lothian will check you have the necessary professional registration and qualifications
for this role. You will need to provide an official translation of qualifications notarized by a
solicitor of your overseas qualifications to be checked by the recruiting panel. Please ensure
that this is available before applying for the post.
The objectives of its policy are that no person or employee receives less favourable
treatment on the grounds of gender identity, gender expression, disability, marital status,
age, race (including colour, nationality, ethnic or national origin), religion or belief, sexuality,
responsibility for dependants, socio-economic status, political party or trade union
membership or activity, HIV/AIDS status or is disadvantaged by conditions or requirements
which cannot be shown to be justifiable.
Our Equal Opportunities in Employment policy can be viewed on our careers website:
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NHS Scotland Application Process
• The purpose of an application form is to help evidence that the applicant has all the
requirements applicable to carry out the job applied for.
• It is essential to read both the job description and the person specification to gain a
full understanding of what the job entails and the minimum criteria required.
• Please note for equal opportunity purposes NHS Lothian do not accept CV’s as a
form of application.
• Your personal information will not be sent with the application for shortlisting. The
application form will be identified by the candidate number only to ensure that no
applicant will be unfairly discriminated against.
• Please complete all sections of the application form. Those sections that are not
relevant please indicate ‘not applicable’, do not leave blank.
• Please visit https://apply.jobs.scot.nhs.uk for further details on how to apply.
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