Torbay and South Devon NHS Foundation Trust
Job summary
As part of the wider Healthcare of Older People (HOP) team, the post-holder will be based in The Harbour service at Newton Abbot Hospital, providing senior clinical decision-making and clinical leadership to enable people living with frailty to receive timely assessment, treatment and care closer to home. The role incorporates frailty coordination and telephone triage, Harbour @ Home (frailty virtual ward), same day emergency care (SDEC) with direct access to community hospital beds at Newton Abbot Hospital.This post includes contributing to evening and weekend rotas.
Main duties of the job
o Be part of the frailty coordination function, providing clinical telephone triage to referrers including SWASFT, Primary Care, community teams, acute hospital wards, the Emergency Department and Acute Medical Unit (AMU), identifying the most appropriate way to meet the patient’s acute needs.o Hold clinical responsibility and accountability for agreed patients while they are under the care of The Harbouro Provide senior clinical decision-making and leadership to the multidisciplinary Harbour team and deputise for the GP Lead in their absence.o Work across acute care, The Harbour and existing community services, particularly Urgent Community Response (UCR), accessing same-day interventions where appropriate.o Work with intermediate care, Primary Care and the wider community multidisciplinary team.o Deliver high-quality specialist assessment and intervention for older people living with frailty, using the principles of Comprehensive Geriatric Assessment (CGA).o Use point-of-care testing, digital monitoring and other appropriate clinical support to facilitate care deliveryo Where appropriate, contribute to the training and supervision of other Harbour clinicians including trainee and qualified advanced clinical practitioners and resident doctorso Contribute to service development, quality improvement, data evaluation and teaching.
Person Specification
Qualifications
Essential
- Full registration and a Licence to Practice with the GMC
- MRCGP or equivalent
- On the GP Performer’s List or on/transferring to TSDFT responsible officer/appraisal pathway
- Up to date with appraisal and revalidation requirements
Desirable
- MD or PhD
- Additional qualification relating to frailty and acute care, e.g. Diploma in Geriatric Medicine, MRCP or MSc
- Membership of the British Geriatrics Society
Knowledge
Essential
- Wide experience managing complex older patients with co morbidities and frailty syndromes, including anticipatory care planning in frailty and dementia care
- Familiarity with frailty identification and management
- Knowledge and understanding of Comprehensive Geriatric Assessment and frailty syndromes
- Experienced in managing and holding clinical risk in community settings
Desirable
- Clinical experience in end of life care/ care home medicine/ Acute medicine
Closing Date: 5 October 2026
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