The Job Description for this post is based on full-time post but can be adjusted accordingly for part-time Doctors. There is no on call responsibility attached to this post. The duties of the postholder will include: Attending all Consultant rounds and daily handover meetings To communicate and work collaboratively with colleagues to maintain / improve patient care. To explain the diagnosis and management plan to the patient and their families Comprehensive geriatric assessment (CGA) of all new patients in Meadowview Arranging the day-to-day care of 36 inpatients together with the other ward doctor and managing acute and chronic pathologies under Consultant supervision To be responsible for maintaining a high standard of medical case-notes, ordering, and interpreting investigations (informing the Consultant of abnormal results) and making referrals to other specialties.

To ensure that discharge summaries are completed promptly and accurately. The post rotates to the Bexley Rapid Response Team and Frailty Virtual Ward where the doctor is expected to visit patients in their home or Care Home to carry out a CGA and make a diagnosis and management plan under Consultant supervision. Patient to be monitored until discharged with a formal summary to the GP. There are no on call responsibilities.

To undertake CPD activities, CBD and Mandatory training provided by the Trust. To participate in audits, QI projects and teaching To have a yearly appraisal conducted by the Lead Consultant Requests for annual and study leave will need to be submitted and approved by the Lead Consultant at least six weeks beforehand. The description of the post cannot be exhausted and the postholder may be requested to undertake, exceptionally, to perform additional duties in occasional emergency and unforeseen circumstances following discussions with the Lead Consultant The postholder will comply with the Trusts agreed policies and procedures to practice in line with the Royal College of Physicians Best Clinical Practice Guidelines and the General Medical Councils Good Medical Practice Guidelines. Workload and Responsibilities The role and main duties include to undertake comprehensive medical and mental health assessment (CGA) of all newly admitted intermediate care patients (approx.

400 patients per year). The new 36 bedded Unit is anticipated to admit around 600 patients a year. CGA required to detect pathologies undetected in secondary care which may require immediate medical treatment or limit rehabilitation potential. Without a medical CGA, more patients would deteriorate on MVU and require transfer back to secondary care.

As part of the team, you will be responsible for the day-to-day medical care of the 36 beds on the amalgamated Bexley and Greenwich Units. These are frail patients prone to acute medical deterioration such as infections, falls, and unstable diabetes. The presence of a medical doctor allows early diagnosis and treatment on MVU especially as we now have the capability to give IV antibiotics. Recently due to the increased pressures on the acute hospitals, patients being transferred are increasingly more complex with unresolved medical and acute mental health problems requiring more medical interventions from the junior doctors.

You will be an integral part of the MVU MDT providing medical support to the ward staff and medical care and information to the patients and their relatives as they commonly do not know or fully understand all their medical diagnoses or prognosis. Induction You will receive an induction to introduce you to the Trust generally and you will also receive local induction into the individual workplace and be informed of the requirements of your post. A Medical Staffing Officer is also assigned to your area of work for Bexley and will be able to support you during your time with us. Clinical Supervision The post holder will be given clinical supervision by the nominated Local Consultant.

Contracted Hours You will be required to work Monday to Friday, 40 hours per week. The post will be covered by the terms and conditions of service for Hospital Medical and Dental staff (England and Wales) as amended from time to time. Contracts have been agreed with the BMA local negotiators, but individuals may wish to discuss this further before acceptance of an offer of appointment.