Job Description

The Proactive Frailty and Complex Care Team (PROFACCT) is a multidisciplinary service focusing on comprehensive geriatric assessments and complex care reviews for patients in Islington. The service comprises of physiotherapists, pharmacists, nurses, administrators and an ageUK navigator with clinical input from consultant geriatricians and a specialist GP in geriatrics.



The aims of the service include



To deliver person-centred, proactive integrated care to frail older people and patients with complex care needs. To advocate for this vulnerable group and enable equality of access to existing acute and community services To increase their time spent at home with better support and advanced care planning

The successful candidate will also have the opportunity to input into the strategic development of the service and help shape proactive and complex care in Islington.



Main Duties



1. To carry out comprehensive medication reviews for patients in their own homes.



2. To work in collaboration with the other members of team



3. To do proactive phone screening of patients and undertake initial assessments as part of a comprehensive geriatric assessment



4. To work in collaboration with community pharmacies and any other healthcare/social care workers involved in the patient's care



5. To attend a consultant-led MDT meetings to discuss patient caseload



6. To discuss any medication queries with a consultant as needed.



7. To document findings on patient records and make recommendations to the GP



8. To give advice to other team members regarding medications as needed



9. To follow up that recommendations have been actioned as necessary



10. To liaise with hospital pharmacy teams as necessary, for example when seeing patients who have been discharged from hospital



11. To engage in the strategic development of the service



Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.



1. To be responsible for maintaining a personal high standard of clinical practice.



2. To maintain and develop knowledge of evidence-based practice and own competencies through CPD activities (e.g. peer review, in-service training, journal club, external courses), maintaining a portfolio, which reflects personal development in line with GPhC.



3. To use clinical information to help inform clinical decision making, bringing together a range of complex information to formulate diagnoses or care plans.



4. To work within any professional or Trust clinical guidelines, maintain knowledge of current clinical practice and of national and local standards, and to ensure own and colleague's safe and competent practice.



5. To develop treatment goals/care plans, working in partnership with patients, their families or carers and other members of the multi-disciplinary team, and to communicate these effectively.



6. To have a working understanding of the Mental Capacity Act and be confident in assessing a person's capacity to make decisions relating to their medications. (Support will be provided for training if needed).



7. To use verbal and non-verbal communication skills to communicate complex or sensitive information in a way that patients and others can understand, overcoming barriers to communication e.g. cognitive problems, language barriers, and using motivational skills to ensure participation.



8. To maintain accurate clinical records in accordance with Trust and professional standards, and to ensure that staff in the team maintain clinical records to these standards.



9. To provide verbal and written reports as required, for people both internal and external to the organisation.



10. To be responsible for updating and developing patient medication assessment, treatment and monitoring tools when required.



11. To provide clinical advice and to make recommendations on prescribing issues to patients' GPs and hospital clinicians in accordance with local policy and guidelines and the requirements of medicines legislation.



12. To provide relevant education and training to Whittington staff.