Clinical Lead, Trauma and Orthopaedics

Royal Berkshire Hospital are pleased to announce that following our CQC inspection we have been rated 'Good' with inspectors reporting that we have made significant improvements. The Trust's overall rating has also improved to 'good'. This is a great opportunity to join our clinical or non-clinical teams to create a positive and motivating environment within our trust. Come and join our team in this exciting time of change as we pride ourselves, our staff and our services on excellence.

At the Royal Berkshire NHS Foundation Trust we put our patients at the heart of every element of health and care that we provide. The Trust works together as a community to deliver its vision which is "Working together to provide outstanding care for our community."

We are Compassionate in our thoughts, words and actions

We are Aspirational and have a true desire to be dynamic and to innovate

We are Resourceful and responsible in the way we work and live

We are Excellent in our development, fairness and sharing best practice

Amazing things happen at the Royal Berkshire NHS Foundation Trust; delivered by amazing people so why don't you come and join us. We offer a range of learning and development for all employees may you be clinical or non-clinical.

Job overview

This is a full time, ward-based position, without on-call or weekend commitment for a Trust Middle-grade Doctor in Orthogeriatrics to work within the Trauma and Orthopaedic service at the Royal Berkshire NHS Foundation Trust.

This doctor will work under the supervision of the Orthogeriatric and Orthopaedic Consultants to provide specialist medical input to all silver trauma and fragility fractures, as well as those geriatric patients undergoing elective surgery.

The T&O department at the RBH is a busy service, the trauma service operates 365 days a year and manages all aspects of musculoskeletal trauma. Whilst this does include around 480-500 fragility proximal femoral fractures each year, these are nursed separately on our dedicated, medical led, fractured neck of femur ward. Instead, with an ever-aging population, the service is seeing an increasing proportion of polycomorbid and medically complex silver trauma patients admitted to our 30-bed, 2 theatre, trauma unit with a range of fragility fractures. It is this cohort of patients for which the successful applicant will primarily be responsible for.

The successful applicant will be based on the trauma ward and will provide oversight of the preoperative assessment and postoperative medical care for all fragility fracture patients over the age of 65. This role will be supported by 3 other ward-based trainees (Two F1s and an F2) and a dedicated specialist therapy team to help patients achieve their functional independence., The ethos of the trauma unit is holistic, patient centred care focussing on comprehensive assessment, appropriate timely surgical intervention, and early return to function achieved through multi-disciplinary team working. The successful candidate will be involved in both the acute medical care and the discharge planning process of all of the patients on the unit. The post holder will share clinical responsibilities with the ward team to:

• Optimise patients pre-operatively including liaising with the surgical, anaesthetic, and medical teams.


• Perform post-operative reviews to identify, manage, and escalate/refer medical complications where appropriate.


• Attend daily MDT board rounds and clinical ward rounds with a focus on ensuring continuity of care and patient flow.


• Work alongside the therapists to support patients in achieving their rehabilitation goals.


• Organise 'best interest meetings' with families of patients with cognitive impairment to decide on discharge destinations.


• Consider ongoing management of osteoporosis with consultant support.


• Identify patients medical fit for discharge.


• Support more junior members of the team on the ward in all aspects of medical perioperative care.


The Trust is proactive in the development of quality improvement work, and it is anticipated that the successful candidate would take an active role in projects within the service., All applicants must be able to speak fluent English to an appropriate standard which will be assessed at Interview. This is in order to comply with Part 7 of the Immigration Act 2016.

IMPORTANT:

1. Please ensure you check the email account (including junk/spam boxes) from which you apply regularly as we will use this to contact you regarding your application.

2. Due to the high volumes of applications we receive for certain posts, we reserve the right to close any adverts before the published closing date once we have received a sufficient number of applications.

3. All vacancies followed by INTERNAL APPLICANTS ONLY have been classified as an internal role and only internal candidates will be considered.

4. All staff identified as AT-RISK who meets the requirements of the post will be prioritised accordingly. Priority will initially be given to Royal Berkshire NHS Foundation Trust employees.

5. All applicants who have a disability and meet the minimum criteria for the post can opt for a guaranteed interview.


• Full registration with the GMC/eligible for registration


Desirable criteria


• Advanced Life Support certificate


• MRCP (UK) or equivalent, Experience in General and Care of Elderly Medicine


• Evidence of achievement of Core-medical training (CMT) competencies or able to demonstrate achievement of the necessary equivalent competencies


Desirable criteria


• Minimum 6months NHS experience at middle-grade level Care of Elderly or orthogeriatric experience., Evidence of experience in acute medical specialties, with experience of managing patients on unselected medical take


Desirable criteria


• Specific management of geriatric syndromes including Dementia and fragility fractures, Ability to work within clinical governance guidelines.


• Undertake audits and present data as required.


• Good IT skills, use of patient and hospital database.


Desirable criteria


• Completion of Quality Improvement Project, Ability to communicate with clarity and intelligently in written and spoken English.


• Willingness to take responsibility, and exert appropriate authority.


• Excellent Interpersonal Skills, and able to work within MDT


• Accountability; ability to take responsibility, lead, make decisions and exert appropriate authority.


• Interpersonal Skills; ability to see patients as people, ability to empathize and work co-operatively with others., You must have appropriate UK professional registration.
  
  The Royal Berkshire Hospital achieved Foundation Trust status on 1^st June 2006. It was the first Foundation Trust in the South Central Strategic Health Authority. The Trust has a successful track record of delivering high quality acute medical and surgical services for 500,000 patients across West Berkshire, an area extending from Newbury in the west to Henley-on-Thames in the east, and including Wokingham and parts of Hampshire to the south and parts of Oxfordshire to the north. The Trust is one of the largest general hospital Trusts in the country and is Reading's biggest employer.


The hospital provides all those services normally associated with a very large District General Hospital. The hospital provides services on a single site for all the major specialities including Accident and Emergency, Trauma and Orthopaedics, Intensive Care, Gynaecology and Obstetrics, Genitourinary Medicine, Ophthalmology, ENT, Maxillo-Facial surgery, paediatrics (including a NICU), general medicine (including all major medical specialities including CCU, Renal Unit, ITU and gastroenterology), radiotherapy and oncology, and all the general surgical specialities.

This post will sit across Planned Care (Trauma and Orthopaedics) and Networked Care (Geriatrics).