NhsJobs London

Inpatient Orthogeriatrics

The current orthogeriatrics service sees on average 160-180 patients presenting with a fractured neck of femur per year. The post holder will attend the daily trauma meeting to discuss new or complex cases. They will attend the daily board round on the orthopaedics ward before undertaking a daily ward round of the orthogeriatrics patients supported by the orthopaedic juniors. This is usually the NOF and periprosthetic fracture cohort. They will support with clinical supervision of the orthopaedic foundation year 1 doctors. On average the post holder would see 10 orthogeriatric patients per ward round.

They will also support a more thorough weekly MDT with the wider MDT to review more complex cases and to plan more complex discharges.

The post holder would be expected to support the recording or data required for the National Hip Fracture database working alongside our specialist nursing team. We currently perform well against national targets with the only area of ongoing work being the time taken to reach a specialist ward. From January all pelvic fractures will be recorded on the national database and the post holder will work with the wider COOP team to ensure this is delivered.

We are also seeing an increase in non-ambulatory fracture's in the elderly and are looking to provide increased support for this cohort of patients in line with the GIRFT Non-Ambulatory Fragility Fracture (NAFF) Pathway. This will be an area of increased need in coming years. Currently patients are spread between Orthopaedics and general medicine but there would be a view to create pathways of care to better support and manage these patients with improved cross speciality working. This will be work that we would hope to support in the future and with further business case planning.

TOIL cover

To allow for the departmental contribution to the acute medical take the post holder will deliver 1 PA of back fill to cover the inpatient general geriatrics wards. This will be delivered flexibly depending on need across the week.

GIM on-call

The successful candidate will contribute to the general medical on-call rota. This is currently a 1:22 rota. Post take ward rounds are run alongside the support of our acute medical colleagues. Weekend working is renumerated by TOIL.

Outpatient:

The post holder will be responsible for delivering a weekly outpatient post NOF follow up clinic. This will be a mainly telephone based clinic. To supplement the clinic they will also see a couple of new falls referrals face to face. In addition, the consultant will be asked to conduct tilt table tests on a once a month basis to support comprehensive syncope and balance disorder assessment, ensuring high-quality, patient-centred care within the service.

The post holder will support an alternate week community-delivered falls clinic for local patients in Haringey, providing holistic, multidisciplinary care within the community falls pathway. This service is delivered by a wider MDT comprising the Consultant, a Band 5 Physiotherapist, a Band 6 Occupational Therapist and a Community Matron, and accepts referrals from community services including the LAS, GPs, community matrons and rapid response teams. The service provides community-based reviews, occasional home visits, and supporting patients with equipment needs. The team also makes use of local community strength and balance programmes to enhance patient outcomes, ensuring a more seamless, accessible and effective service for patients at risk of falls.

The post holder will lead a dedicated osteoporosis clinic focused in assessing the suitability of patients for intravenous bisphosphonate therapy, particularly those presenting with neck of femur fractures (#NOFs) and non-accidental fragility fractures (NAFFs). This service will operate in parallel with, and complementary to, the more specialist osteoporosis clinics provided by Rheumatology colleagues, ensuring seamless escalation for complex cases. The clinic will be supported by a geriatric specialist pharmacist who will undertake routine medication reviews and assist with treatment optimisation. Together, this integrated approach will deliver a comprehensive, wrap-around service that enhances fracture prevention, streamlines patient pathways, and improves long-term bone health outcomes for older adults. This will be a once a month clinic.

The post holder will also support with the clinic triage of all referrals made to the department for outpatient review.

Falls Lead:

In this post we would also ask the successful candidate to take to the role of the Falls lead within the trust. They would work closely with the Falls prevention lead in delivery of the falls service aimed at identifying patients at risk of falling and preventing falls and fractures. They would work together on the falls prevention strategies and its implementation and evaluation.

Please see the attached job description for further information and an example job plan.

Job description

Inpatient Orthogeriatrics

The current orthogeriatrics service sees on average 160-180 patients presenting with a fractured neck of femur per year. The post holder will attend the daily trauma meeting to discuss new or complex cases. They will attend the daily board round on the orthopaedics ward before undertaking a daily ward round of the orthogeriatrics patients supported by the orthopaedic juniors. This is usually the NOF and periprosthetic fracture cohort. They will support with clinical supervision of the orthopaedic foundation year 1 doctors. On average the post holder would see 10 orthogeriatric patients per ward round.

They will also support a more thorough weekly MDT with the wider MDT to review more complex cases and to plan more complex discharges.

The post holder would be expected to support the recording or data required for the National Hip Fracture database working alongside our specialist nursing team. We currently perform well against national targets with the only area of ongoing work being the time taken to reach a specialist ward. From January all pelvic fractures will be recorded on the national database and the post holder will work with the wider COOP team to ensure this is delivered.

We are also seeing an increase in non-ambulatory fracture's in the elderly and are looking to provide increased support for this cohort of patients in line with the GIRFT Non-Ambulatory Fragility Fracture (NAFF) Pathway. This will be an area of increased need in coming years. Currently patients are spread between Orthopaedics and general medicine but there would be a view to create pathways of care to better support and manage these patients with improved cross speciality working. This will be work that we would hope to support in the future and with further business case planning.

TOIL cover

To allow for the departmental contribution to the acute medical take the post holder will deliver 1 PA of back fill to cover the inpatient general geriatrics wards. This will be delivered flexibly depending on need across the week.

GIM on-call

The successful candidate will contribute to the general medical on-call rota. This is currently a 1:22 rota. Post take ward rounds are run alongside the support of our acute medical colleagues. Weekend working is renumerated by TOIL.

Outpatient:

The post holder will be responsible for delivering a weekly outpatient post NOF follow up clinic. This will be a mainly telephone based clinic. To supplement the clinic they will also see a couple of new falls referrals face to face. In addition, the consultant will be asked to conduct tilt table tests on a once a month basis to support comprehensive syncope and balance disorder assessment, ensuring high-quality, patient-centred care within the service.

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What is the salary for this pharmacist role in London?

The advertised salary for this pharmacist role at Whittington Hospital NHS Trust is £113565.00 to £150569.00 p.a.. Typical pharmacist pay in London varies by experience, sector (NHS versus community), and employer; see the PharmSee UK pharmacy salary guide for benchmarks.

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