1. GENERAL INFORMATION

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1 1. GENERAL INFORMATION Job Title: Location: Responsible To: Responsible For: Locality Based GP Champions for Frailty (PMCF) (Fixed Term for 12 Terms) The post holder may be required to work at any establishment at any time throughout the duration of their contract, normally within the location of the STW Federation Membership practices, or as set out under the terms of their contract Medical Director Nil 2. JOB SUMMARY To be at the forefront of the development of an innovative locality based network of Frailty GPs to support the delivery of integrated coordinated care for older people living with frailty. This approach aims to maximise the quality experience of care for this population thus help to achieve the best possibility quality of life for older people, whatever their individual stage of frailty or place or phase of care. It is anticipated that this role will be delivered in a flexible way, including, when appropriate, the use of a range of assistive technologies alongside more traditional methods of service delivery. You will provide clinical expertise to support the delivery of safe, high quality care to older people with frailty complex needs. The central component of this role requires a commitment of 17.5 hours over 2 days per week (0.46 FTE). Of this, 12 hours per week is in service delivery providing clinical care to older people living with frailty 5.5 hours per week is dedicated to the supporting professional education training programme in frailty integrated care 3. KEY TASKS AND RESPONSIBILITIES 1. To support deliver of: A proactive approach to the early identification of frailty in primary care A proactive approach to supporting self-care in people living with frailty Active involvement in the management of frailty as a long-term condition in primary care. Understing specifically responding to the particular needs of older people with frailty with coexistent mental health problems, including dementia Understing specifically responding the particular needs of older people with frailty who are in residential care homes Timely, responsive holistic care to support people in their preferred place of living throughout their frailty trajectories, using a multi-professional interagency approach. An ability to underst overcome the challenges of negotiating traditional boundaries in the delivery of care for older people living with frailty.

2 An inclusive comprehensive urgent care response for people with frailty complex needs, regardless of their place of care or their point in their frailty trajectory. This response includes the delivery of care to people in their own homes, care to people temporarily or permanently in 24 hour care settings, working in partnership with colleagues in transitional care settings such as emergency portals ambulance services. The recognition understing of when an individual s frailty trajectory is approaching the terminal phase, the delivery of a seamless transition into the care of appropriate services to support them in their preferred place of care at the end of their life. Professional Training Development 2. To be committed to undertaking the training education programme provided to support professional development which is an integral part of the Frailty GP role. 3. To undertake the newly MMedSci course in Frailty Integrated Care at Keele University, developed specifically to support this role. This course of study is a key component within this job role, with funding provided for both annual course fees study time. Completing year one of the course would achieve certificate level, year two diploma level year three masters level. 4. To engage with seek appropriate professional support, advice guidance from a named geriatrician or GP with special interest in geriatric medicine, who will act as mentor educational supervisor. Audit, Evaluation Service Development 5. To take an active role in the audit evaluation of the quality effectiveness of services for older people with frailty, to use these findings to inform further service development improvement work. 6. Whenever possible, to engage at a wider professional level, for example with the British Geriatrics Society in order to better underst the regional national context of clinical policy strategic aspects of local service delivery. Teaching Training 7. To support multidisciplinary team colleagues from multi-professional cross-organisational backgrounds to identify achieve relevant aims objectives for inclusion in their own individual professional development plans. 4. PROBATIONARY PERIOD This post is subject to the requirements of a six month probationary period for new staff only. 5. STANDARDS OF BUSINESS CONDUCT The post holder will be required to comply with Shropdoc Policies Procedures, at all times, deal honestly with Shropdoc, with colleagues all those who have dealings with Shropdoc including patients, relatives suppliers. All Shropdoc staff may be involved directly or indirectly with people who are receiving a health service. Therefore, Shropdoc is exempt from the Rehabilitation of Offenders Act (1974) this post may be subject to a Criminal Records Bureau disclosure.

3 6. PROFESSIONAL REGISTRATION i. If you are employed in an area of work which requires membership of a professional body in order to practice (e.g. Nursing & Midwifery Council for Nurses), it is a condition precedent of your employment to maintain membership of such a professional body. It is also your responsibility to comply with the relevant body s code of practice. Your manager will be able to advise you on which, if any, professional body of which you must be a member. ii. iii. iv. You are required to advise Shropdoc if your professional body in any way limits or changes the terms of your registration. Failure to remain registered or to comply with the relevant code of practice may result in temporary downgrading, suspension from duty /or disciplinary action which may result in the termination of your employment. If you are required to have registration with a particular professional body or to have specific qualifications you must notify your manager on appointment of such fact provide him or her with documentary evidence of them before your employment commences or, at the latest, on your first day of employment. Furthermore, throughout your employment with Shropdoc, you are required on dem by your manager to provide him or her with documentary evidence of your registration with any particular professional body or in respect of any required qualifications. 7. CONFIDENTIALITY INFORMATION GOVERNANCE All staff may have access to confidential information about patients, staff or any Shropdoc or Health Service business. On no account must such information be divulged to anyone who is not authorised to receive it. Confidentiality of information must be preserved at all times whether at or away from work. Any breach of such confidentiality is considered a serious disciplinary offence, which is liable to dismissal /or prosecution under statutory legislation (Data Protection Act) Shropdoc s Disciplinary Procedure. All staff must act within legislation, policies procedures relating to information governance. 8. DATA PROTECTION AND THE DATA PROTECTION ACT 1998 If you have contact with computerised data systems you are required to obtain, process /or use information held on a computer or word processor in a fair lawful way. To hold data only for the specific registered purpose not to use or disclose it in any way incompatible with such purpose. To disclose data only to authorised persons or organisations as instructed. All staff who contribute to patients health records are expected to be familiar with, adhere to, Shropdoc s Records Management Procedure. Staff should be aware that patients records throughout Shropdoc will be subject to regular audit. 9. HEALTH AND SAFETY All staff must act within legislation, policies procedures relating to Health Safety All staff must attend statutory/matory training as instructed All staff must be familiar with Shropdoc s Health Safety Policy, including a thorough understing of personal responsibilities for maintaining own the health safety of others.

4 10. RISK MANAGEMENT All Shropdoc employees are accountable, through the terms conditions of their employment, professional regulations, clinical governance statutory health safety regulations, are responsible for reporting incidents, being aware of the risk management strategy emergency procedures attendance at training as required. The post holder will ensure compliance with Shropdoc s risk management policies procedures. These describe Shropdoc s commitment to risk management, the recognition that our aim is to protect patients, staff visitors from harm stress that all staff have a responsibility to minimise risk. 11. INFECTION CONTROL All staff are required to be familiar with Shropdocs infection control policies procedures national guidance in relation to infection control. All staff whose normal duties are directly or indirectly concerned with patient care must ensure that they complete matory infection control training are compliant with all measures known to be effective in reducing Healthcare Associated Infections. 12. SAFEGUARDING Shropdoc is committed to ensuring the safeguarding of vulnerable adults children in our care. All employees are required to be familiar with their responsibilities to raise any concerns as appropriate. An overview of Safeguarding is covered during induction staff will be required to attend additional training regarding safeguarding relevant to their position role. 13. EQUALITY, DIVERSITY AND HUMAN RIGHTS The post holder will treat all colleagues, service users members of the public with respect dignity regardless of their gender, age, race, religious beliefs, religion, nationality, ethnic origin, social background, sexual orientation, marital status, disability, criminal background Trade Union status. Shropdoc has a policy on Equality Diversity it is the responsibility of all staff to ensure that it is implemented contribute to its success. 14. HARASSMENT AND BULLYING Shropdoc condemns all forms of harassment bullying is actively seeking to promote a workplace where employees are treated with dignity, respect without bias. All staff are requested to report any form of harassment bullying to their line manager or to the Personnel Manager or any other Manager within Shropdoc.

5 15. QUALITY It is the responsibility of all staff to adhere to company procedures as defined in the Quality Manual, ensuring high quality in patient care at all times. Shropdoc conducts its patient care related services: 16. TRAINING - Through a commitment to good patient care to the quality of its clinical practices - By ensuring that all patient care related services are conducted according to established protocols specified requirements; - By requiring all personnel to be familiar with trained in the quality policy, the quality management system related documentation, practices administration - Through commitment to provide patients, Member GPs associated LHBs PCTs at all times with a service that confirms to Shropdocs quality management system which itself complies with BS EN ISO All staff must attend statutory /matory training as instructed. 17. NO SMOKING POLICY There is a smoke free policy in operation in Shropdoc. In accordance with this policy smoking is discouraged is not permitted anywhere within the buildings or within 15 metres of Shropdoc main buildings. 18. REVIEW OF THIS JOB DESCRIPTION The above duties responsibilities are intended to represent current priorities are not meant to be an exhaustive list. The post holder may from time to time be asked to undertake other reasonable duties responsibilities. The Job Description will be reviewed at least annually in conjunction with the post holder. Any changes will be made in discussion with the post holder according to service needs. 19. JOB DESCRIPTION AGREEMENT Post Holders Name:. Post Holders Signature:. Date:.. Line Managers Name:. Line Managers Signature: Date:...

6 Context of role ADDENDUM TO JOB DESCRIPTION LOCALITY BASED GP CHAMPIONS FOR FRAILTY (PMCF) The Prime Ministers Challenge Fund (PMCF) offers a unique exciting opportunity to initiate a step change in the approach to the delivery of care for older people living with frailty across the localities involved. The PMCF objectives of improving access to both routine responsive care, alongside the underpinning theme of workforce development across primary care, are highly relevant in the delivery of services for older people living with frailty complex needs. This population group are particularly likely to realise substantial benefits from a holistic integrated approach to care delivery. The new Frailty GPs will not only be involved in the active delivery of clinical care to older people living with frailty in their localities, but also support the coordination, integration development of care for people at all stages of frailty all phases places of care. The post holders will actively contribute across all four domains of the British Geriatrics Society Fit for Frailty framework, namely: identification of frailty management of frailty management of services for people with frailty development commissioning of services for people with frailty The key educational component of these roles, through participation in the MMedSci course in Frailty Integrated Care at Keele University which is being specifically developed to support these posts, also offers an exceptional individual professional development opportunity for the successful applicants. Leadership service development roles responsibilities It is expected that individual GPs will bring differing profiles of previous leadership service development experience to these roles. Whatever their existing level of knowledge experience in this area, the Frailty GPs will be expected to further develop these skills through the leadership service development elements of the linked academic programme, to apply them in the course of this role. Key relationships interdependencies Older people living with frailty within the locality The families formal informal carers of older people living with frailty in the locality Locality GP colleagues & Primary Care Teams, including care coordinators Community teams workers across other health, social care voluntary sector organisations including for example district nurses, community matrons, community therapists, intermediate care reablement teams, specialist nurses, Age UK personnel, palliative care teams, mental health teams Care home clinical staff management teams Frailty GPs across other localities within the PMCF PMCF Locality Champions

7 PMCF Frailty Lead Key colleagues at transitions of care, e.g. in ambulance service emergency department Consultants in Geriatric Medicine Other providers of secondary specialist care services accessed by older people with frailty Course lead for MMedSci in Frailty Integrated Care at Keele University Designated education supervisor Designated clinical mentor Options for flexible working This core commitment can be combined with other employment opportunities within the PMCF associated provider services to create increased part time or full-time options. For example, it could be combined with 12 hours per week working in the Acute Visiting Service (total 29.5 hours per week, 0.78 FTE). It could also be combined with the AVS 8 hours working for Shropdoc out of hours services to create a full-time job plan (37.5 hours, 1 FTE). Furthermore, the core commitment or the flexible increased part-time option could be combined with other existing professional commitments, such as 1) Existing Partnership commitment in General Practice 2) Existing salaried commitments in General Practice 3) Other existing commitments in primary care, intermediate care or out of hours services These options for part-time flexible working are designed to recognise the complex professional commitments of many GPs. Whilst full-time job plans are available for GPs who are looking for full-time employment, the flexible part-time job plans are deigned to open up new opportunities for locally established GP partners or portfolio GPs looking for an exciting opportunity for further develop their careers, or even experienced GPs in the latter part of their careers looking for an interesting fulfilling alternative to GP partnership. Theses posts could also potentially offer part-time secondment opportunities for local salaried GPs looking for further career development. This approach is therefore expected improve clinical care by encouraging promoting the involvement of innovative clinicians by maximising the potential opportunities for recruitment, retention career development across the local primary care workforce..

8 Person Specification Locality Based GP Champions for Frailty (PMCF) (Supporting our Policy on Equal Opportunities in Employment) Shropshire Doctors Co-Operative has declared its commitment to equality of opportunity in employment set stards which enhance individual rights protected at law. These are set out in the written Policy document which is freely available to applicants for employment to existing staff. The under mentioned are the job-related requirements for this post Requirement Essential Desirable Evidenced by Education qualifications Full GMC Registration Performers List MRCGP Application Form Completed Appraisal within last 12 months. Experience Experience of caring for older people in General Practice Ability to work independently in the delivery of care to older people with frailty living in the community. Track record of effective clinical audit Additional experience relevant to the care of older people with frailty e.g. intermediate care, day hospital, palliative care, medical care for nursing home residents. Application Form Evidence of previous involvement in service evaluation or research projects Evidence of previous involvement in service development initiatives Skills/Abilities Ability to underst apply the multidimensional concept of frailty in primary care Willingness to support the development delivery of an innovative integrated approach to the care of older people with frailty. Previous clinical leadership role or experience, particularly in the field of older people s care Application Form Ability to work effectively provide leadership in a multi-disciplinary team Ability to work effectively provide leadership across traditional organisational professional boundaries

9 Knowledge Knowledge experience of the management of common geriatric syndromes Knowledge experience of carrying out Comprehensive Geriatric Assessment Application Other attributes Ability to demonstrate leadership skills within a multidisciplinary team Ability to work well in a team, to motivate other team members to help facilitate appropriate changes in clinical practice Excellent written verbal communication skills Evidence of commitment to clinical innovation Evidence to support personal ability commitment to undertake a substantial programme of post-graduate study Application Enthusiastic, flexible innovative approach to clinical practice Commitment to continuing professional development clinical governance Other general requirements Ability to attend work on a regular basis meet the requirements of the role with any reasonable adjustments which have been notified arrangements made under the Equality Act Application Willingness to commit to undertake the course of academic study (MMedSci Frailty Integrated Care at Keele University) which is an integral part of this role Willingness to commit a minimum of 2 days per week to this role Ability to meet the transport needs of the post

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