Job summary
We are seeking an enthusiastic physician to join our team of 16 Acute Physicians to participate in the on-going development and evolution of our Acute Medicine Unit (AMU) and to play a key role in the management of emergency ambulatory and in-patient medical admissions.
This post has been developed in order to be able to deliver a sustainable model of acute care. The London Quality Standards recognise the importance of a dedicated Acute Physician team leading acute care. This post present an excellent opportunity for a clinician, with experience and considerable understanding of all aspects of acute medicine with or without a specialist interest, to join a team dynamic team of physicians committed to the delivery of the highest standard of patient care. This individual will be expected to contribute to the ongoing development of the clinical interface with both Primary Care and the Emergency Department at St George's.
Main duties of the job
Scope of the Department:
The Acute Medicine Unit (AMU) at St George's Hospital was established in 2000. Since then the unit has undergone several reconfigurations in order to modernise our ambulatory unit. The AMU comprises:
The 51 bedded AMU, which includes a 15 bedded Acute Dependency Unit (ADU) with 5 dedicated Level 2 beds, which benefits from daily Consultant led ward rounds and intensive care consultant involvement.
The Medical SDEC Unit also known as the Ambulatory Assessment Area (AAA) consists of 10 chairs, 6 trolleys and 4 clinic rooms. One of the trollies in a side room. We benefit from a dedicated ultrasound service on a daily basis within the unit and also rapid access (same day/next day) CT scanning slots. The unit is supported by a team of experienced advanced nurse practitioners/nurse practitioners, nurses and co-ordinator. The AAA team are working to develop further our Same Day Emergency Care (SDEC) pathways.
Amyand is a 28 bedded short stay ward for patients with a predicted length of stay of less than 5 days, which is run as part of the Acute Medicine Unit.
About us
The Acute Medicine Care Group has continually evolved in recent years in order to meet the demand for acute care. This has increased consultant input within the initial 24-48 hours following admission. This post is pivotal to the assessment and management of acutely unwell adult patients. We are also striving to continually improve geriatric and frailty services which most recently has seen integration across the acute and community based teams
The current job plan has been designed to provide a sustainable post in Acute Medicine with or without a complementary specialty. The job plan is designed on an annualised basis which allows some flexibility. There will be an expected commitment to all aspects of the service including; the acute medicine on call rota, physician of the week and Amyand ward rotas, weekend working and the medical SDEC (Same Day Emergency Care).
The appointee is expected to participate in undergraduate, postgraduate and multi-disciplinary education programmes and to play a full part in Clinical Governance.
Job description
Job responsibilities
The Acute Medicine rota will be based on a 14 WTE model, all of whom are dedicated acute physicians. We operate an Acute Physicians of the day model. The post-night consultant period begins with non-resident on-call, followed by a post-night ward round commencing at 08:00, and then an MDT triage meeting and an afternoon ward round. The on-call Physician starts at 08.30 and is then responsible for admissions until 21:00hrs. All referrals from primary care and SDEC are received by the on-call consultant and are triaged to ambulatory care or admission avoidance clinics, which run daily. Referrals from the Emergency Department are taken by the on call SpR, with support from the consultant where required. We currently operate a process model for patients from the Emergency Department in order to maximise productivity and in order to avoid admission where possible. Our ambulatory care team consists of nurse practitioners, nurse co-ordinator, triage nurse, bay nurses alongside the on call team.
On day two of a patients stay, we attempt to preserve continuity with the on call consultant from the previous day being responsible for the ongoing care of the patients admitted in the prior 24 hours.
Job description
Job responsibilities
The Acute Medicine rota will be based on a 14 WTE model, all of whom are dedicated acute physicians. We operate an Acute Physicians of the day model. The post-night consultant period begins with non-resident on-call, followed by a post-night ward round commencing at 08:00, and then an MDT triage meeting and an afternoon ward round. The on-call Physician starts at 08.30 and is then responsible for admissions until 21:00hrs. All referrals from primary care and SDEC are received by the on-call consultant and are triaged to ambulatory care or admission avoidance clinics, which run daily. Referrals from the Emergency Department are taken by the on call SpR, with support from the consultant where required. We currently operate a process model for patients from the Emergency Department in order to maximise productivity and in order to avoid admission where possible. Our ambulatory care team consists of nurse practitioners, nurse co-ordinator, triage nurse, bay nurses alongside the on call team.
On day two of a patients stay, we attempt to preserve continuity with the on call consultant from the previous day being responsible for the ongoing care of the patients admitted in the prior 24 hours.
Person Specification
Qualification
Essential
- MRCP or Equivalent
- Full registration with GMC
- Entered on the Specialist Register for General/Acute Medicine +/- complimentary medical speciality
Desirable
Experience
Essential
- Higher specialist training with CCT in General/Acute Medicine +/- another medical speciality
- Advanced Life Support Certificate
- Demonstrable experience in Clinical Governance activities
Desirable
- Demonstrable experience in teaching
- Demonstrable experience in research with an appropriate publication record
Knowledge
Essential
- Ability to take on independent clinical responsibility whilst working as part of a multi-disciplinary team
- Ability to organise and manage staff and resources effectively
- Ability to communicate effectively with GPs and other professionals in hospital and community
Desirable
- Ability to engage busy clinicians in the ongoing development of the acute medical service
Person Specification
Qualification
Essential
- MRCP or Equivalent
- Full registration with GMC
- Entered on the Specialist Register for General/Acute Medicine +/- complimentary medical speciality
Desirable
Experience
Essential
- Higher specialist training with CCT in General/Acute Medicine +/- another medical speciality
- Advanced Life Support Certificate
- Demonstrable experience in Clinical Governance activities
Desirable
- Demonstrable experience in teaching
- Demonstrable experience in research with an appropriate publication record
Knowledge
Essential
- Ability to take on independent clinical responsibility whilst working as part of a multi-disciplinary team
- Ability to organise and manage staff and resources effectively
- Ability to communicate effectively with GPs and other professionals in hospital and community
Desirable
- Ability to engage busy clinicians in the ongoing development of the acute medical service
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
