GP Frailty Lead South Kerrier INT

The Frailty General Practitioner will be responsible for the following (there may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels):

A good attitude and positive action towards ED&I create an

environment where all individuals are able to achieve their full potential.

Creating such an environment is important for three reasons: it improves

operational effectiveness, it is morally the right thing to do, and it is

required by law.

Patients and their families have the right to be treated

fairly and be routinely involved in decisions about their treatment and care.

They can expect to be treated with dignity and respect and will not be

discriminated against on any grounds including age, disability, gender

reassignment, marriage and civil partnership, pregnancy and maternity, race,

religion or belief, sex or sexual orientation. Patients have a responsibility

to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and

career progression. Staff can expect to work in an environment where diversity

is valued, and equality of opportunity is promoted. Staff will not be

discriminated against on any grounds including age, disability, gender

reassignment, marriage and civil partnership, pregnancy and maternity, race,

religion or belief, sex or sexual orientation. Staff have a responsibility to

ensure that you treat our patients and their colleagues with dignity and

respect.

The INT is committed to supporting and promoting

opportunities for staff to maintain their health, well-being and safety. You

have a duty to take reasonable care of health and safety at work for you, your

team and others, and to cooperate with employers to ensure compliance with

health and safety requirements. All personnel are to comply with the Health and

Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act

1995, Fire Precautions (workplace) Regulations 1999 and other statutory

legislation.

This INT is committed to maintaining an outstanding

confidential service. Patients entrust and permit us to collect and retain

sensitive information relating to their health and other matters, pertaining to

their care. They do so in confidence and have a right to expect all staff will

respect their privacy and maintain confidentiality at all times. It is

essential that if, the legal requirements are to be met, and the trust of our

patients is to be retained that all staff protect patient information and

provide a confidential service.

The INT will continually strive to improve work processes

which deliver health care with improved results across all areas of our service

provision. We will promote a culture of continuous improvement, where everyone

counts and staff are permitted to make suggestions and contributions to improve

our service delivery and enhance patient care.

All staff are to recognise the significance of collaborative

working. Teamwork is essential in multidisciplinary environments. Effective

communication is essential, and all staff must ensure they communicate in a

manner which enables the sharing of information in an appropriate manner.

The project will initially concentrate on those frail

patients who have been admitted to hospital and will look at opportunities to

review the patients care and consider how the INT frailty team and support a

timely and safe discharge for the patient, looking at maximise resources within

community so that patients can return to their preferred place of care. It is

anticipated that this initial work stream will be established within 3 months

of the being in post. Alongside this work will be undertaken to review hospital

discharges of frail patients to ensure that the wrap around care and needs of

the patient are met, in order to prevent a re-admission.

One this is an established process with daily MDT and mapped

resource next steps will be to look at proactive care and disease monitoring to

ensure that patients stay well and are able to manage their own health within

our community.

support a diverse and vibrant population of more than 33,000 people across

communities including Helston, Carleen, Coverack, Constantine and the

surrounding rural areas. We are a collaborative, community rooted team bringing

together colleagues from health, social care, the voluntary sector and

independent providers to deliver joined up, person centred care.

Our shared purpose is simple: to help people live well, stay

well, and receive the right support at the right time. By working as one team

across organisational boundaries, we aim to reduce fragmentation, improve

access to care, and strengthen the resilience of our local communities.

A key focus for our INT is enhancing the support available

for people living with frailty. This includes proactive identification of those

who may benefit from early intervention, as well as responsive, coordinated

care, during periods of crisis or following events such as hospital

admissions., We work closely with primary care, community services, social care

teams and voluntary sector partners to ensure that individuals and their

families feel support, informed and empowered.

We are a team that values innovation, collaboration and

compassion. Whether we are redesigning pathways, supporting neighbourhood

initiatives or working directly with individuals in their home, we are

committed to improving outcomes and delivery care that reflects the strengths

and needs of our community.

Qualifications

Essential: - Qualified GP; - Vocational Training Certificate, or equivalent JCPTGP; - General Practitioner Certificate of Completion of Training

Desirable: - MRCGP; - Diploma in Geriatric Medicine a grant toward completing this qualification can be given; - Recognised qualifications for GP registrar training

Clinical Knowledge

Desirable: - Knowledge of the current issues facing primary care and the wider NHS

Personal Qualities

Experience