Clinical Practitioner Perioperative Medicine for Older People Surgery

University Hospitals Dorset NHS Foundation Trust; Bournemouth; On-site; GBP 42,000 - 54,000; Full time

Job summary

The University Hospitals Dorset NHS Foundation Trust is recruiting for a six-month fixed-term clinician to join the Perioperative Care of Older People team within the Surgical Directorate. In this role you will assess frailty, delirium and risk, plan preoperative care and discharge with surgeons, anaesthetists and geriatricians, under senior supervision.

You will develop individualised management plans, educate colleagues, and contribute to audits and service development, maintaining a defined

Qualifications

• Degree-level qualification is required.
• Level 6 or equivalent ECP experience.
• Current registration with relevant professional body.

Responsibilities

• Undertake comprehensive clinical and frailty assessments of older surgical patients and identify opportunities for optimisation and risk reduction.
• Contribute to preoperative assessment, shared decision-making and perioperative planning for patients with complex medical and geriatric needs.
• Provide senior clinical input into frailty, delirium, falls, polypharmacy and functional decline.
• Develop and implement individualised management and discharge plans with the wider multidisciplinary team.
• Provide continuity of specialist POPS input through the surgical admission where appropriate.
• Support education, supervision and professional development of nursing, medical and allied health colleagues.
• Contribute to POPS audit, quality improvement, service development and evidence-based practice.
• Manage a defined patient caseload autonomously within scope, with senior supervision, and maintain associated records.
• Act as a source of expertise for older surgical patients, their carers and families.
• Contribute to patient and carer education for individuals and groups, including surgical older persons education programmes.
• Identify future requirements to sustain reduced length of stay using quantitative and qualitative data.
• Advise on and prescribe for older frail surgical patients where in scope and holding the relevant qualification, under national guidelines and Trust policy.

Skills

Clinical assessment

Frailty management

Delirium knowledge

Risk assessment

Leadership

Communication

Autonomous working

Education

Degree-level qualification

Level 6 ECP experience

Registration with professional body

Job description

This six-month fixed-term post sits in the Perioperative Care of Older People team within the Surgical Directorate at University Hospitals Dorset NHS Foundation Trust. The clinician assesses older surgical patients for frailty, delirium and risk, then plans their preoperative care and discharge alongside surgeons, anaesthetists and geriatricians. The work is autonomous within own scope, with a defined caseload and senior supervision, and includes education of colleagues and some non-medical prescribing where qualified. Applicants need degree-level study and senior experience across surgical and older people's services.

What the job involves

• Undertake comprehensive clinical and frailty assessments of older surgical patients and identify opportunities for optimisation and risk reduction
• Contribute to preoperative assessment, shared decision-making and perioperative planning for patients with complex medical and geriatric needs
• Provide senior clinical input into frailty, delirium, falls, polypharmacy and functional decline
• Develop and implement individualised management and discharge plans with the wider multidisciplinary team
• Provide continuity of specialist POPS input through the surgical admission where appropriate
• Support education, supervision and professional development of nursing, medical and allied health colleagues
• Contribute to POPS audit, quality improvement, service development and evidence-based practice
• Manage a defined patient caseload autonomously within scope, with senior supervision, and maintain associated records
• Act as a source of expertise for older surgical patients, their carers and families
• Contribute to patient and carer education for individuals and groups, including surgical older persons education programmes
• Identify future requirements to sustain reduced length of stay using quantitative and qualitative data
• Advise on and prescribe for older frail surgical patients where in scope and holding the relevant qualification, under national guidelines and Trust policy

What’s required

Qualifications

• Degree-level qualification
• Level 6 or equivalent extended clinical practice (ECP) experience

Registration & licences

• Current registration with relevant professional body

Experience

• Demonstrable experience managing a discrete aspect of a patient's care at a developed level, with knowledge in perioperative or surgical care and Comprehensive Geriatric Assessment
• Experience working in partnership with all levels of staff, planning and co-ordinating specialised care
• Broad senior-level experience across surgical, medical and older people's services

Skills & knowledge

• Excellent clinical assessment and decision-making skills
• Excellent leadership skills
• Excellent communication skills
• Excellent organisational skills
• Collaborative and innovative approach
• Proven ability to work autonomously

Nice to have

• Level 7 post-registration or postgraduate qualification
• Attendance at QI Lite or equivalent quality improvement course