The post(s) will be ward-based on Dart Ward at Totnes Community Hospital. Dart Ward is an 16 bedded ward (18 beds in escalation) that aids in the rehabilitation and ongoing medical care of patients before they are suitable for discharge. The majority of these patients are frail and have multiple co-morbidities.
Since April 2022 the Healthcare for Older People (HOP) team have taken over the responsibility for these beds and are developing a new model for care in the community.
The posts would be to provide a 52 week per year level of cover for these beds supported by and accountable to a HOP consultant who provides a weekly ward round and is available by phone daily. The workload will be shared by two people working 0.8 WTE, making it ideal for those wishing to work LTFT.
There would be no on-call commitment within these roles, however there is the expectation that there will be some bank holiday working to ensure the ward is not without medical support for longer than 3 days. Working 0.8 WTE there will be one day off per week; likely a Tuesday, Wednesday or Thursday as there is a focus on ensuring robust ward cover on Mondays and Fridays.
Whilst this role is based at Totnes Hospital there may be the requirement in extremis to work at Newton Abbot Community Hospital. This would be agreed first through the Clinical Service Leads for HOP.
- Providing a clerking service for patients that are newly admitted to the ward and commence a comprehensive geriatric assessment. Patients could come from Torbay, Exeter or Plymouth.
- Review patients that are having active medical care, and those that have been highlighted by the nursing team.
- Liaise between nurses, patients, relatives, and senior medical staff.
- Participate in the daily MDT meetings for inpatients.
- Completion of discharge summaries
- Supervise medical students where appropriate
- Co-operate with members of the personnel department when monitoring hours of work and other personnel issues
- Comply with all local policies including dress code, annual and study leave
Totnes Community Hospital has 18 medical inpatient beds in a modern purpose-built unit. Traditionally the unit has been run by the local GP practices but we are now looking to implement an exciting new model of care supported by the Healthcare of Older People Team.
The HOP Team currently have 8.9 WTE Consultants. We also have a Nurse Consultant in Frailty and a range of Physicians Associate, Advanced Clinical Practice and Specialist Nurse roles. We work very closely with our colleagues in stroke and in addition to Totnes Hospital we support 3 acute wards, a Frailty Virtual Ward with aspirations to provide Frailty SDEC, as well as delivering and Orthogeriatrics service and host the Parkinson’s Disease service which we jointly run with the Neurology team. There may be opportunities for this post to gain experience in other areas of the service.
Roughly eighty percent of the patients are step down transfers from acute hospitals for further rehabilitation, ongoing medical treatment or complex discharge planning whilst the remainder are direct admissions from home, usually for intravenous therapies (antibiotics, fluids and transfusions) or for end of life care. Admission criteria are available on a separate document.
Nursing staff in all Community Hospitals are trained to a uniform very high level and are skilled in intravenous cannulation, initiation of IV antibiotics and phlebotomy.
For further details / informal visits contact: Name: Dr Jonny Hacon Job title: Clinical Lead Email address: Telephone number: