1 year HEEM Integrated Emergency Geriatric
Medicine Vanguard Fellowship
Introduction
Integrated care is patient centred, coordinated and tailored to patient need .NHS
England 5 YFV articulates a future of new models of patient care which are no
longer supply driven and are more efficient, provide better value financially and a
better patient experience especially for those 15 % of NHS service users - older
patients with multiple co morbidities including mental health problems who place the
greatest demand on current outdated NHS service models of care.
In order to move towards a whole system working in terms of developing new
integrated care models, medical trainees will have to be better equipped to work
across current traditional services in acute ,primary ,community and mental health
services .This shift in training will allow an increase in shared medical decision
making ,better inter professional and cross speciality working and learning and a
shift towards greater involvement of secondary care clinicians alongside primary
care teams.
University of Leicester NHS Trusts Emergency Department has recently been
named a Vanguard Site by NHS England.
HEEM has developed a 1 year Innovative fellowship in partnership with the
University Hospitals of Leicester NHS Trust. .The successful applicant will be
afforded opportunities to work across other NHS Vanguard models of care in the
East Midlands.
This fellowship is aimed at a HEEM NTN holder in Geriatric Medicine with a keen
interest in service development and management in the area of delirium, dementia
and frailty management across traditional care boundaries.
Description of Integrated Fellowship post
- 1 year 1.0 wte Fellowship post with possibility of a further additional 1 year
extension depending on trainee achievements and funding available in
2016/17.The trainee will continue to participate in OOH working in UHL to ensure
that acute service delivery is not destabilised by the creation of this new
opportunity in the immediate term.
- The Fellowship is ideally suited for an NTN holder at ST 4 or above in Geriatric
Medicine.
- The Fellow will continue to be employed by UHL for the duration of the fellowship
- The Fellow will be OOPE for the duration of the Fellowship post that sits out with
their GMC approved higher speciality training programme. This will require an
adjustment to the trainees CCT date.
- The Personal Development Plan (PDP) for the Fellowship will be developed to
reflect both the individual trainee developmental and partner organisation service
needs but will include.
- A minimum of 0.4 wte experiential learning whilst delivering direct patient care.
This will be outside the trainees GMC approved training programme and will
include a full time OOH banding supplement. This aspect of the fellowship will
have to be agreed between the trainee, TPD, and UHL as employer, but would
probably be as part of the Acute and Emergency Frailty Units at UHL, as this
would fit best with the clinical aspirations of the project. The Associate PG Dean
responsible for HEEM Fellowship development will sign off the clinical job plan
before the start of the Fellowship.
- 0.6 wte working on development of pathways for the recognition, investigation,
management and admission avoidance in the increasing number of older patients
presenting to ED with delirium and / or dementia. This will link in with current work
being done on in-patient management of delirium (‘the delirium care bundle’)
across the trust, but also the planned future development of a dedicated ward for
the inpatient care of such medical patients at Leicester Royal Infirmary. This
project will be supervised by Dr Sarah Stoneley, Consultant Geriatrician /
Dementia Lead at UHL. The applicant will also be expected to visit centres of
excellence and be provided with experiential learning opportunities witin the East
Midlands linked to NHS England e.g. Dr Richard Prettyman and Prof Rowan
Harwood.
- The fellow will be expected to complete a 60 credits of a higher qualification in
Leadership and Management awarded by the University of Swansea in the course
of the 12 month fellowship This will be over and above the PYA requirements of
their Geriatric Medicine curriculum for CCT.
- The Fellow will have agreed SMART objectives for the Fellowship .These
objectives will be signed off within 2 weeks of the start of the Fellowship by all
partners in the Fellowship and will form the basis of the Fellows learning
agreement with HEEM and will inform the report submitted for review at ARCP.