Clinical Practitioner Perioperative Medicine for Older People SurgeryNHS

Job summary

We are seeking a dynamic and experienced Band 7 Clinical Practitioner to join our Perioperative Care of Older People (POPS) multidisciplinary team. This is an exciting opportunity for a motivated professional passionate about improving outcomes and experiences for older people undergoing surgery and contributing to the development of a specialist, innovative and patient-centred service.

As an integral member of the POPS team, you will provide specialist clinical assessment and expertise across the surgical pathway, working closely with surgeons, anaesthetists, geriatricians, therapists, nursing teams and discharge coordinators. Assessing complex patients, identify risks, contribute to optimisation and develop individualised management plans within your scope of practice.

Providing expert input for patients experiencing frailty, multimorbidity, cognitive impairment, delirium, functional decline and complex discharge needs, supporting safe and effective perioperative care.

The successful candidate will have broad senior-level experience across surgical, medical and older people's services, with proven ability to work autonomously. Excellent clinical assessment, decision-making, leadership, communication and organisational skills are essential, alongside a collaborative and innovative approach.

This role offers an excellent opportunity to making a meaningful contribution to high-quality perioperative care for older people.

Base site: UHD Royal Bournemouth Hospital

Main duties of the job

Key responsibilities

Undertake comprehensive clinical and frailty assessments of older surgical patients and identify opportunities for optimisation and risk reduction.

Contribute to preoperative assessment, shared decision-making and perioperative planning for patients with complex medical and geriatric needs.

Provide senior clinical input into the assessment and management of frailty, delirium, falls, polypharmacy and functional decline.

Develop and implement individualised management and discharge plans in partnership with the wider MDT.

Provide continuity of specialist POPS input throughout the surgical admission where appropriate.

Support education, supervision and professional development of nursing, medical and AHP colleagues.

Contribute to POPS audit, quality improvement, service development and the implementation of evidence-based practice.

Work autonomously within professional competence, with access to senior clinical supervision from the POPS advanced practitioner and/or consultant geriatrician.

Job description

To work as a clinically independent and autonomous practitioner within own scope of practice, to participate and manage a

defined patient caseload.

To work with the multidisciplinary team for Surgery

To act as a source of expertise and knowledge for older patients within the SurgicalDirectorate, their carers and their families within UHD, within the remit of a developed clinical practitioner for older people undergoing surgery.

To provide expert clinical older persons surgical patient care, assess patients, plan, implement and evaluate comprehensive programmes of care, providing highly specialist advice andmaintaining associated records, utilising older persons developed clinical knowledge and skills specifically tosupport older patients within the surgical directorate. Utilising skills as high level of decisionmaking, expert problem solving abilities, physical examination and health assessment,diagnostic testing, pharmacology and disease processes.

To facilitate the development of advanced clinical skills and knowledge for ownCPD and for other member so the Surgical Team and to meet other specific education anddevelopment needs, to meet service needs.

To identify future requirements to ensure sustainability of reduced length of stay at UHD usingquantitative and qualitative data.

To participate and contribute to all aspects of patient/carer education for both individuals andgroups, including managing surgical older persons education programmes.

Uses developed levels of precision, dexterity, coordination and sensory skills for the provision ofassessment, implementation, management and evaluation of patient care involved in theactivities for practice.

Utilises communication, knowledge, experience, training, analytical, planning, organisationaland physical skills in the assessment, implementation and evaluation of all aspects of patientcare.

If in scope of practice and holds relevant qualification, advises on and or prescribes for older frail patients with surgical conditions, to contribute to safe and effective patient care by incorporating the use of Non-Medical prescribing competencies in relation to the national guidelines, evidence based practice and local Trust policies.

About us

UHD are investing, developing and transforming Trust services in line with the New Hospital Programme. As part of this, some services may move site this year or next, either temporarily or permanently. Recruiting Managers will be happy to answer any service-specific questions at interview.

If a role or service relocates as part of a planned move, excess mileage will not be reimbursed. Travel from home to the new work base will be classed as a normal commute. Any other changes will be managed under Trust or national terms and conditions.

UHD has active networks including Women's, BAME, Pride, EU, Pro Ability, and Armed Forces. We support Disability Confident and Armed Forces Covenant interview schemes.

AI tools may be used, but applications must honestly reflect your own skills and experience. Integrity is key to our recruitment process.

For UHD employees, this fixed-term post will be offered as a secondment in line with the Trust's Secondment Policy. Please speak with your line manager before applying.