NW Thames Foundation School Individual Placement Description Placement F2 Integrated Care and OPAL team (Older Persons Assessment and Liaison) Charing Cross The department Elderly Medicine is a dynamic department that provides the spectrum of OPAL, acute, rehabilitation, and ambulatory care for frail older people of the local community. Integrated care and OPAL are new services provided in partnership with multidisciplinary and community colleagues by Elderly Medicine. The OPAL services have an excellent reputation for patient centred service delivery and have won one of the Trust “OSCARS” annual prizes. The F2 placement is with the OPAL multidisciplinary team linked to integrated care and liaison psychiatry. This is a new placement to take advantage of the opportunities of this Consultant delivered service and the new award winning Integrated care system in North West London. There are unique and fulfilling opportunities to follow the patient through their care pathway and understand the contribution of the different disciplines and care organizations. This is a new-style community facing post Trust & Site Imperial College Healthcare NHS Trust - Charing Cross Hospital, 5th Floor Acute Medical Unit, Emergency Assessment Unit, OPD within ambulatory care in a consultant led Older Persons Rapid Access Clinic, Old Age Psychiatry attachment in the community over a two week period. The type of work to expect and The post holder will work under the direct learning opportunities supervision of the Consultant. The post provides broad experience of acute medicine, community orientated and integrated care and liaison psychiatry/ Old Age Psychiatry. The OPAL team takes an innovative approach to assessing, streaming and early discharge of frail older people, close liaison with community healthcare teams. The North West London Integrated Care Organization (ICO) brings together all agencies and professional in multidisciplinary groups (MDGs) in primary care to enhance patient management. The Older Persons Rapid Access Clinic is commissioned by the ICO to support admission avoidance. The joint memory and falls clinics are staffed by professionals from hospital and community organizations, providing one stop initial assessment. Old Age Psychiatry in the community (2 week attachment) provides experience of a consultant led multidisciplinary memory clinic and day services for community dwelling older people with dementia and their carers. The F2 will have the opportunity to work alongside multiple professions, teams and agencies as an exciting introduction to the health system of the future. The learning opportunities are wide and the curriculum has been mapped to ensure the trainee can acquire the majority of curriculum competencies: 4 weekly teaching sessions SIM and skills lab training Experienced clinical supervisors Supportive learning environment Presentation skills practice with Consultant and team Access to leadership, patient safety and prescribing safety projects is encouraged Involvement with informal UG firm teaching Opportunities to assess, examine and formulate management plans under direct consultant supervision, guided by standardised assessments. Participation in MDT and community MDGs. Development of key non-clinical competencies including teamwork, time management, discharge planning, communication, ethics, legal framework, outside bodies and interfaces. Opportunity to present at teaching sessions. Clinical Supervisor(s) for the Dr Aglaja Dar, Dr Paul Edison and Dr Stephen placement Orleans-Foli Main duties of the placement Typical working pattern in this placement The F2 will participate in ward rounds, clinics and community MDGs. They will present patients to the Consultant, discuss future management and assist with care co-ordination and communication. Monday 09:00 Joint community dementia clinic (total 3.5 days psychiatry) 11:00 MDT 13:00 Acute Medicine teaching 15:00 OPAL ward work Tuesday 09:00 OPAL consultant ward round or Older Persons Rapid Access Clinic (total c. 6 days community) 11:00 MDT 13:00 FY2 teaching 14:00 OPAL Ward work or monthly Integrated care multi disciplinary group (MDG) for diabetes and frail elderly (total 2 days community) meeting or monthly Integrated Care MDG meeting Wednesday 09:00 OPAL consultant ward round or Rapid Access community clinic or monthly Integrated care Clinical Governance 11:00 MDT 13:00 CXH Grand round 14:00 OPAL ward work Thursday 09:00 OPAL consultant ward round or Rapid Access community clinic 11:00 MDT 12:00 Imaging meeting 14:00 OPAL Ward work Friday 09:00 Joint community falls clinic (total 7 days Community) 11:00 MDT 13:00 Consultant led Medicine teaching 14:00 Opal Ward work Plus 2 week attachment to Community Old Age Psychiatry On call requirements: The Integrated Care & OPAL F2 covers the study leave and sick leave of the other F2s/CTs in Acute Medicine and this conforms to European working hours. Employer information Imperial College Healthcare NHS Trust It is important to note that this description is a typical example of your placement and may be subject to change.