Job summary
This
is a Bank Hospice Doctor post based in an in-patient hospice.
The
post holder will be responsible for the day-to-day medical care of in-patients
at Barnsley Hospice as part of the specialist multi-professional ward team. The
post holder will be expected to provide safe, effective care to patients in the
inpatient unit through robust assessment, planning, implementation and
evaluation of care. They will receive handover regarding plans of care from
weekday doctors when starting a weekend. There is a Consultant in Palliative
Medicine who is second on-call who can be contacted for support and advice.
The
post holder will provide non-resident first on-call duties to the in-patient
ward supported by a second on-call consultant. This first on-call rota is provided by hospice
specialty doctors, bank hospice doctors, and a GP VTS doctor. A second on call rota is provided by the Consultants
in collaboration with those in Rotherham and Doncaster.
This post is employed by Barnsley Hospice, an
independent charitable organisation. The terms and conditions of the post will
be in accordance with, but not subject to, the conditions you would expect in
the NHS.
Main duties of the job
Bank Hospice Doctor -Barnsley Hospice Inpatient Unit
As a Bank Hospice Doctor you will be asked to participate in weekend
rota (non-resident), and opportunities for ad hoc weekday sessional work and
cover on bank holidays.
Weekend working comprises
2 days and 3 nights working from 5pm on Friday evening to 9am on Monday
morning. Some weekend doctors work split weekends and this is arranged subject
to discussion with individual doctors.
Weekend
days and bank holidays require up to 8 hours on-site during the day time each
day and then off-site first on-call, ending at 9am the following morning. A
first on-call doctor may need to return to the hospice during the evening or
overnight when a patient needs face to face review. The post-holder will review
hospice inpatients and will be available to give palliative care phone advice
to other professionals in Barnsley community and hospital, as well as
palliative care patients and families via the Pallcall advice line. A
consultant will be available for phone advice and support at all times.
The post reports to the Hospice
Consultants.
A full weekend is paid 7
sessions. 1 weekend day and night, or 1 bank holiday day and night are paid 3
sessions.
The sessional rates are
set with reference to the NHS Specialty doctor pay scale and for bank hospice
doctors varies between £98.08 - £125.96 per session. The starting rate will be
set dependent on previous experience.
About us
Barnsley Metropolitan District is home to around 230,000 people with many former mining communities. The Specialist Palliative Care Service across the district has recently grown.
The Hospice has ten in-patient beds and a Therapy and Support Unit (out patients and day care).In 2016-2017 there were around 220 admissions to the IPU. Other services provided are Lymphoedema, Counselling and Bereavement Support, Complementary Therapy and Carer Support.
The Hospice employs three Consultants in Palliative Medicine, who provide district wide support, working closely with GPs, community nurses, doctors and other consultants in primary, community and acute care settings. Other medical staffing includes specialty doctors, a GP VTS doctor and an F1 doctor.
South West Yorkshire Partnership NHS Foundation Trust (SWYFT)
SWYFT provides a community specialist palliative care team consisting of Clinical Nurse Specialists, Specialist Dietician, Physiotherapist, Occupational Therapist and Social Worker. The service is delivered to patients in their own homes, including care home and nursing homes delivered seven days a week 9.00am- 5.00pm.
Barnsley End of Life Care Team is employed by SWYFT and work across the district to develop the workforce and systems to improve the quality of generalist palliative care.
The Hospice has an SLA with SWYFT to provide Responsible Officer services to the Hospice, reviewing medical appraisals and making recommendation to the GMC with regard to revalidation.
Job description
Job responsibilities
Hours
of work / Job plan
Participation in a 1 in 7 weekend rota (non-
resident), and opportunities for ad hoc weekday sessional work and cover on
bank holidays.
Weekend working comprises 2 days and 3 nights
working from 5pm on Friday evening to 9am on Monday morning. Some weekend
doctors work split weekends and this is arranged subject to discussion with
individual doctors.
Weekend days
and bank holidays require up to 8 hours on-site during the day time each day
and then off-site first on-call, ending at 9am the following morning. A first
on-call doctor may need to return to the hospice during the evening or
overnight when a patient needs face to face review. The post-holder will
review hospice inpatients and will be available to give palliative care phone
advice to other professionals in Barnsley community and hospital, as well as
palliative care patients and families via the Pallcall advice line. A
consultant will be available for phone advice and support at all times.
Key duties & responsibilities
Direct
Clinical Care of Patients
To provide clinical care and medical
input to the multidisciplinary team for patients under the care of the
Barnsley Hospice, under the supervision of the named Consultant
To
see such patients in any Hospice setting ie in-patient, day centre or
out-patient (need to review outpatients or day centre patients would be
unusual and would only occur on cover for weekday work, not at weekends or
bank holidays)
Day
to day medical care of in-patients
Managing
admission of new patients to the hospice and arrangements for discharge. Routine
admissions and discharges do not take place on weekend or bank holiday days.
Emergency admissions or discharges are sometimes done on weekend or bank
holiday days, when it is warranted and when staffing resources allow. There
is guidance for decision-making regarding this and decisions are undertaken
by the multidisciplinary team.
To receive and deliver full and
effective handover between doctors on the team and within the
multi-professional team.
To discuss with relatives and/or
carers of patients and provide support where appropriate, necessary and
possible.
To keep accurate records of clinical
work using the electronic patient record
To develop and maintain effective
working relationships with other members of the multidisciplinary hospice
team.
To comply with all Hospice clinical
policies and procedures.
Liaison
between Teams
To liaise with the community and
hospital palliative care support teams and other community services to
facilitate the smooth admission and discharge of patients under their care.
To liaise with other practitioners
in the hospital and community to ensure the best outcomes for palliative care
patients, this includes providing specialist palliative care information and
advice to healthcare colleagues in primary care, community services, and
secondary care.
To provide advice in response to
Pallcall queries, and document advice given. Calls can be discussed with or
redirected to the consultant on-call if needed.
Supporting
professional activities
Supporting professional activities
To
keep up to date and undergo regular appraisal
To
complete mandatory training requirements for hospice doctors
To
participate in systems to support patient safety in the hospice
To
take advantage of CPD opportunities to maintain and develop learning in
specialist palliative care
This list is not exhaustive, and the
responsibilities may be reviewed and adapted in discussion with the post
holder. It is expected that the post
holder will work flexibly alongside colleagues to ensure the highest quality
of service to patients and those close to them.
Other Responsibilities:
1.
Undertake
any other duties, commensurate with the role as required by the Hospice
management
2.
Act
as an ambassador of the Hospice, maintaining honesty, integrity and
trustworthiness at all times.
3.
Maintain
strict confidentiality at all times.
4.
Ensure
that they are aware of and apply health and safety and fire precautions.
5.
Ensure
that clinical risk management and safeguarding procedures and relevant good
practice guidelines are followed at all times.
6.
Ensure
data protection is maintained at all times.
7.
Be
flexible in terms of working hours in order to meet service needs.
8.
Support
the hospice as required, across the range of his/her duties as appropriate
within the grading of this post.
Job description
Job responsibilities
Hours
of work / Job plan
Participation in a 1 in 7 weekend rota (non-
resident), and opportunities for ad hoc weekday sessional work and cover on
bank holidays.
Weekend working comprises 2 days and 3 nights
working from 5pm on Friday evening to 9am on Monday morning. Some weekend
doctors work split weekends and this is arranged subject to discussion with
individual doctors.
Weekend days
and bank holidays require up to 8 hours on-site during the day time each day
and then off-site first on-call, ending at 9am the following morning. A first
on-call doctor may need to return to the hospice during the evening or
overnight when a patient needs face to face review. The post-holder will
review hospice inpatients and will be available to give palliative care phone
advice to other professionals in Barnsley community and hospital, as well as
palliative care patients and families via the Pallcall advice line. A
consultant will be available for phone advice and support at all times.
Key duties & responsibilities
Direct
Clinical Care of Patients
To provide clinical care and medical
input to the multidisciplinary team for patients under the care of the
Barnsley Hospice, under the supervision of the named Consultant
To
see such patients in any Hospice setting ie in-patient, day centre or
out-patient (need to review outpatients or day centre patients would be
unusual and would only occur on cover for weekday work, not at weekends or
bank holidays)
Day
to day medical care of in-patients
Managing
admission of new patients to the hospice and arrangements for discharge. Routine
admissions and discharges do not take place on weekend or bank holiday days.
Emergency admissions or discharges are sometimes done on weekend or bank
holiday days, when it is warranted and when staffing resources allow. There
is guidance for decision-making regarding this and decisions are undertaken
by the multidisciplinary team.
To receive and deliver full and
effective handover between doctors on the team and within the
multi-professional team.
To discuss with relatives and/or
carers of patients and provide support where appropriate, necessary and
possible.
To keep accurate records of clinical
work using the electronic patient record
To develop and maintain effective
working relationships with other members of the multidisciplinary hospice
team.
To comply with all Hospice clinical
policies and procedures.
Liaison
between Teams
To liaise with the community and
hospital palliative care support teams and other community services to
facilitate the smooth admission and discharge of patients under their care.
To liaise with other practitioners
in the hospital and community to ensure the best outcomes for palliative care
patients, this includes providing specialist palliative care information and
advice to healthcare colleagues in primary care, community services, and
secondary care.
To provide advice in response to
Pallcall queries, and document advice given. Calls can be discussed with or
redirected to the consultant on-call if needed.
Supporting
professional activities
Supporting professional activities
To
keep up to date and undergo regular appraisal
To
complete mandatory training requirements for hospice doctors
To
participate in systems to support patient safety in the hospice
To
take advantage of CPD opportunities to maintain and develop learning in
specialist palliative care
This list is not exhaustive, and the
responsibilities may be reviewed and adapted in discussion with the post
holder. It is expected that the post
holder will work flexibly alongside colleagues to ensure the highest quality
of service to patients and those close to them.
Other Responsibilities:
1.
Undertake
any other duties, commensurate with the role as required by the Hospice
management
2.
Act
as an ambassador of the Hospice, maintaining honesty, integrity and
trustworthiness at all times.
3.
Maintain
strict confidentiality at all times.
4.
Ensure
that they are aware of and apply health and safety and fire precautions.
5.
Ensure
that clinical risk management and safeguarding procedures and relevant good
practice guidelines are followed at all times.
6.
Ensure
data protection is maintained at all times.
7.
Be
flexible in terms of working hours in order to meet service needs.
8.
Support
the hospice as required, across the range of his/her duties as appropriate
within the grading of this post.
Person Specification
Qualifications
Essential
- Full GMC registration with a licence to practice
Desirable
- MRCP, MRCGP or equivalent
Experience
Essential
- Experience of working with patients with advanced, progressive disease and those in the last days of life
Desirable
- Experience of pain management, Oncology, Psychiatry
Knowledge and Skills
Essential
- Demonstrates breadth of experience and knowledge in clinical practice
- Understands the importance of audit and research to the continuing development of clinical practice
- Familiar with the principles underpinning clinical governance
- Evidence of excellence in verbal and written communication skills
- Computer literate
Desirable
- Involvement in Clinical Governance activities including audit / service evaluation
- Evidence of advanced communication skills training
Teaching Skills
Essential
- Experience and interest in undergraduate and post-graduate teaching
Desirable
- Evidence of teaching skills training eg. Training the Trainers
Personal attributes
Essential
- Works well as part of a multidisciplinary team
- Professional manner
- Able to organise time effectively and prioritise effectively
- Able to display empathy and sensitivity
- Able to recognise own limitations and seek help when needed
- Resilience and ability to operate under pressure
Person Specification
Qualifications
Essential
- Full GMC registration with a licence to practice
Desirable
- MRCP, MRCGP or equivalent
Experience
Essential
- Experience of working with patients with advanced, progressive disease and those in the last days of life
Desirable
- Experience of pain management, Oncology, Psychiatry
Knowledge and Skills
Essential
- Demonstrates breadth of experience and knowledge in clinical practice
- Understands the importance of audit and research to the continuing development of clinical practice
- Familiar with the principles underpinning clinical governance
- Evidence of excellence in verbal and written communication skills
- Computer literate
Desirable
- Involvement in Clinical Governance activities including audit / service evaluation
- Evidence of advanced communication skills training
Teaching Skills
Essential
- Experience and interest in undergraduate and post-graduate teaching
Desirable
- Evidence of teaching skills training eg. Training the Trainers
Personal attributes
Essential
- Works well as part of a multidisciplinary team
- Professional manner
- Able to organise time effectively and prioritise effectively
- Able to display empathy and sensitivity
- Able to recognise own limitations and seek help when needed
- Resilience and ability to operate under pressure
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
