Consultant Geriatrician

CDDFT has developed an integrated, consultant-led frailty care model that includes the Frailty SDEC Unit, the H@H service, and the Geriatrician of the Day initiative. These services work together to improve outcomes for patients living with frailty, reduce unnecessary hospital admissions, and support care closer to home. The Frailty SDEC is a dedicated acute secondary care service operating from 8am to 8pm. It is led by consultant geriatricians and supported by a multidisciplinary team. Separate from the Acute Medical Unit and ED, the FSDEC provides rapid assessment and management for patients identified as frail, either already admitted or referred from ED by the Frailty Assessment Team. Direct admission is also promoted to avoid ED altogether. The H@H service is a consultant-led virtual ward model that delivers acute hospital-level care in the patients own home. It operates through a step-up and step-down approach

The introduction of a Geriatrician of the Day has further strengthened the frailty care pathway. This role ensures that patients living with frailty are assessed and managed by a specialist from the outset, improving clinical outcomes and streamlining care.

Leading the assessment & management of patients living with frailty, including those with complex needs and frailty syndromes (e.g. falls, immobility, delirium). Making treatment decisions and providing ongoing care for patients, inclusive of those under H@H. Supporting the Frailty SDEC H@H pathway by providing timely, specialist-led input. Acting as the Geriatrician of the Day to ensure rapid CGA and appropriate streaming of patients to the right care setting. Facilitating early discharge planning and step-down care from inpatient wards to home-based services. Participating in clinical governance activities, including maintaining up-to-date protocols, guidelines, and contributing to clinical audits. Revising and developing evidence-based protocols for frailty care and undertaking associated administrative duties Supporting innovation in service delivery aligned with national strategies, including the NHS 10-Year Plan. Maintaining continuing professional development in line with the RCP guidance. Acting as an educational and clinical supervisor for Resident doctors. Supporting the training of resident doctors and multidisciplinary team members across inpatient and outpatients.