Job responsibilities
The role entails but is not limited to:
Clinical
The post holder will participate in the planning, development and delivery of palliative medical care to patients by:
Providing continuity of medical care to our community team and being responsible with the medical team for the day-to-day management of patients.
Undertake same-day or urgent home-based assessments of patients referred to the Rapid Response Team.
Provide senior clinical decision-making for patients with complex frailty, multimorbidity, or advanced disease.
Determine appropriate ceilings of care and document treatment escalation plans (including DNACPR/ReSPECT documentation where applicable).
Liaise directly with acute hospital teams to prevent avoidable admissions or facilitate early supported discharge.
Act as senior escalation point for Advanced Clinical Practitioners (ACPs), community nurses, and allied health professionals within the Rapid Response Team.
Participate in daily triage meetings to prioritise urgent referrals.
Performing a full holistic assessment of new patients and providing on-going medical review for existing inpatients.
Prescribing appropriately in line with hospice and the West Midlands Palliative Care Physicians Guidelines for Symptom Control, maintaining accurate and legible drug charts. Completing the requisitions for pharmaceutical and other supplies when necessary.
Keeping comprehensive notes using the SystmOne electronic patient record.
Participating in the consultant ward rounds and appropriate ward multi-disciplinary team meetings when appropriate.
Liaising, as needed, with other health and social care providers to ensure optimal patient care during and after discharge from Hospice services.
Completing medical certificates of cause of death, medical examiner referrals and coroner referrals in an accurate and timely manner when appropriate.
High-quality and timely completion of administrative duties including discharge letters, Fast Track applications for funding and TTOs.
Participating in the Hospice weekend medical rota.
Clinical Governance
The post holder will be professionally responsible for helping to ensure robust organisational clinical governance, through active participation in activities such as:
- Clinical audit.
- Reviewing and making recommendations on the implementation of national guidelines e.g. NICE.
- Keeping up to date with medical developments, new drugs, treatments and medications, relating to palliative care and sharing learning.
Teaching and research
Be involved in supervising and teaching medical students and other health and social care professionals on placement, in collaboration with the rest of the multi-disciplinary team.
Contribute to the internal teaching programme for members of the multi-disciplinary team and, if appropriate, externally as part of the Hospices commitment to educating other clinical teams about end-of-life care.
There is the opportunity to develop relevant research interests.
Managerial and Leadership
Take on leadership and management activity, to be determined according to skills and professional development needs.
To contribute to the review, design and development of new clinical services across the clinical directorate.
General
Undertake Continuous Professional Development. St Giles Hospice will encourage and support this.
Travel between the 2 St Giles Hospice sites if required. Travelling expenses will be paid by St Giles Hospice.
Be aware of his/her responsibilities towards health and safety and to adhere to the fire regulations.
Understand and uphold the Hospice Policies and Procedures as applicable.
Undergo annual medical appraisal and engage fully with Medical Revalidation
A formal job plan will be agreed during induction and at intervals thereafter, according to service need.
The successful candidate will, on initial appointment and thereafter, be required to inform the Hospice of any regular commitments in respect of private professional services or fee-paying services. There will be a similar requirement in respect of additional NHS responsibilities or other external duties.
The post holder must be fully registered with the General Medical Council. It is essential to maintain appropriate membership of a recognised medical defence organisation. Employees at the Hospice do not benefit from NHS indemnity.
Key relationships:
Director of Clinical Services
Associate medical director
Senior Leadership Team
Medical team
Clinical Leads
All key internal stakeholders
All Inpatient Unit staff
Hospice Community teams
Just so you know:
We may review applications before the application review date, however, if you apply after the application review date, your application may not be considered. We will accept applications until we have successfully filled the role, this may be earlier than the closing date.
If you have not heard within 14 days of the application close date, then please consider that your application has been unsuccessful at this time.
As part of your application your data will be managed in line with St Giles Hospice Privacy Policy and kept for 6 months. If you would like to see this in full, please visit https://www.stgileshospice.com/privacy-policy/
