Consultant in Emergency Medicine

Hampshire Hospitals NHS Foundation Trust

Information:

This job is now closed

Job summary

The successful candidate/s will join an existing team of 26 consultants (23 WTE) who are committed to delivering a high standard of emergency care to the local community.

We wish to continue to maintain our high standard of emergency care and add to our already broad base of collective clinical expertise. This includes colleagues with dual accreditation Paediatric Emergency Medicine, Intensive Care Medicine and Pre-Hospital Medicine with strong links to Hampshire and Isle of Wight Air Ambulance Service.

We value diversity within our consultant team, support the development of portfolio careers and encourage colleagues to have sustainable job plans which promote wellbeing and job satisfaction. Colleagues are supported in taking time to pursue specialist interests throughout their career path.

Main duties of the job

The job plan for this post is flexible and will be tailored to accommodate the needs of both the candidate and the department. It is a full-time post that can attract up to 12 programmed activities (PA).

For a 10PA post this would consist of 7.5 DCC and 2.5 SPA. The current work pattern consists of four consultant shifts per week day (early 08:00-17:00, day 10:00 - 18:00, mid 13:00 - 21:00 and late 16:00-00:00) and two shifts per weekend day (08:00 - 16:00 and 13:00 - 22:00). A typical 10PA job would consist of two clinical and one non clinical day per week with one on call. The current weekend on call frequency is 1:6 with DCC provided 13:00-22:00. Responsibilities expected of an ED consultant at HHFT are as follows:

Participate in the day-to-day work of the ED: Assessing and managing patients de novo and supporting junior staff in delivering high quality emergency care. This includes managing the shop floor as the EPIC (Emergency Physician In Charge), team leading in the resuscitation room, performing procedural sedation, supervising junior doctors from FY2s through to higher speciality EM trainees, interacting with inpatient speciality teams and managing the RAT area.

About us

Our vision is to provide outstanding care for every patient. Patient care is at the heart of what we do at our three sites: Basingstoke and North Hampshire Hospital, Royal Hampshire County Hospital in Winchester and Andover War Memorial Hospital. Hampshire Hospitals NHS Foundation Trust provides medical and surgical services to a population of approximately 600,000 people across Hampshire and parts of West Berkshire.

Our cultural ambition is to have a culture that places people at the heart of all we do, where we all belong, and where learning, improvement and excellence thrive.

We provide specialist services to people across the UK and internationally. We are one of only two centres in the UK treating pseudomyxoma peritonei (a rare form of abdominal cancer) and we are leaders in the field of tertiary liver cancer and colorectal cancer.

The trust employs more than 9,000 staff and has a turnover of over £500 million a year. As a Foundation Trust, we are directly accountable to our members through the governors. The Council of Governors represent the interests of their constituencies and influence the future plans of the Foundation Trust.

Date posted

29 November 2023

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£93,666 to £126,281 a year per annum

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

251-MD23135

Job locations

Basingstoke and North Hampshire Hospital

Basingstoke

RG24 9NA


Job description

Job responsibilities

Supporting Professional Activity: Consultants receive a minimum of 1.5 SPA for revalidation purposes and additional SPA up to a maximum of 2.5 PA per week total for any other responsibilities such as educational supervision, being an appraiser or clinical lead roles. Additional PAs for leadership roles within the department are available and many consultant colleagues undertake a range of external duties as part of the job plan.

Leadership opportunities: Each emergency department has a clinical lead and there are multiple other opportunities to take on leadership roles within the department, such as governance lead, trauma lead and teaching lead. There are wider leadership roles available within the trust, including Associate Medical Director roles and committee member roles. Many current ED consultants undertake these roles and involvement in wider trust work is actively encouraged.

Participate in a full on-call rota: The on-call commitment is shared between all the other EM consultants with internal prospective cover. The on-call is site-specific. The current weekend frequency is 1 in 6. As part of your on-call duties, time is specifically allocated for investigating Datixes, answering complaints and reviewing x-ray reports.

Participating in departmental teaching: We run monthly middle grade education afternoons and weekly SHO education sessions in various aspects of emergency care. We previously won the RCEM Learning Environment of the Year Award. We have good working relationships with other specialists and often invite them to share their expertise and experiences and run joint SIM sessions. We have access to simulation facilities on both sites and a number of our consultants are trained in the delivery of simulation training. Development of this skill would be encouraged. We have a strong ultrasound training faculty and clinical educator program.

Attendance at departmental meetings: Our consultants meeting is fortnightly and it is the forum at which we discuss various matters pertaining to management, trainees and patients. These meetings are conducted over Microsoft Teams.

Staff management: As a consultant you will be expected to provide clinical supervision to junior doctors rotating through the department. This involves guiding them through their time in the department, helping them with audit projects and offering career guidance when necessary. There are also opportunities to progress to educational supervision of Foundation year doctors and Higher Specialist Trainees in Emergency Medicine after attending the Health Education Wessex training course. Additional responsibilities associated with this are attendance at ARCP panels and dealing with doctors in difficulty.

Clinical Governance: The department holds monthly clinical governance learning meetings which are open to all staff within the department where serious incidents, Coroners cases and trends in complaints and Datix forms are discussed. We use these as fora to discuss possible changes to our practice which can improve our patient care. The successful candidate will be encouraged to participate in these and to review any incidents arising from their duty shifts with the support of our departmental governance staff. We also run quarterly mortality and morbidity meetings where we review the mortality rate in the last quarter and present cases where care could be improved.

Research: The Emergency Department is research active. We have participated in a number of national and international research studies (HALT-IT, CRASH 3, BEST, RAIDS, ATOMIC 2). Currently we are recruiting into DRAFT, LEX and IDEAL. We support the TERN and PHOTON research networks and encourage multidisciplinary involvement in research. Our team of four research nurses support the recruiting process and following up of patients. Candidates would be required to support research activity in the department and will be expected to complete and maintain currency in GCP training. A candidate with a special interest in research would be welcomed.

Regional Training: As a department we contribute to the Wessex Emergency Medicine Trainee Association (WREMTA) education programme, a responsibility shared with other Trusts in the region. Wessex region has a reputation for delivering exemplary higher specialist training for EM in the UK and consistently achieves excellent results in the FRCEM examination. In addition we are responsible for the organisation of the regional mock FRCEM examination every five years. As a consultant within this department you would be expected to support these programmes, either supervising or delivering educational sessions.

Continuing Professional Development: In the fast-moving speciality that is emergency medicine maintaining up-to-date practice is supported by the availability of study leave to attend various courses and professional leave to instruct on courses. SPA time is not prescriptive and there is a degree of flexibility allowed in how it is arranged.

Other managerial responsibilities: Each consultant individually holds responsibility for attendance on the various Committees in the Trust. You will be expected to take on your share of these responsibilities in order to develop our service and foster links with the other departments.

Job description

Job responsibilities

Supporting Professional Activity: Consultants receive a minimum of 1.5 SPA for revalidation purposes and additional SPA up to a maximum of 2.5 PA per week total for any other responsibilities such as educational supervision, being an appraiser or clinical lead roles. Additional PAs for leadership roles within the department are available and many consultant colleagues undertake a range of external duties as part of the job plan.

Leadership opportunities: Each emergency department has a clinical lead and there are multiple other opportunities to take on leadership roles within the department, such as governance lead, trauma lead and teaching lead. There are wider leadership roles available within the trust, including Associate Medical Director roles and committee member roles. Many current ED consultants undertake these roles and involvement in wider trust work is actively encouraged.

Participate in a full on-call rota: The on-call commitment is shared between all the other EM consultants with internal prospective cover. The on-call is site-specific. The current weekend frequency is 1 in 6. As part of your on-call duties, time is specifically allocated for investigating Datixes, answering complaints and reviewing x-ray reports.

Participating in departmental teaching: We run monthly middle grade education afternoons and weekly SHO education sessions in various aspects of emergency care. We previously won the RCEM Learning Environment of the Year Award. We have good working relationships with other specialists and often invite them to share their expertise and experiences and run joint SIM sessions. We have access to simulation facilities on both sites and a number of our consultants are trained in the delivery of simulation training. Development of this skill would be encouraged. We have a strong ultrasound training faculty and clinical educator program.

Attendance at departmental meetings: Our consultants meeting is fortnightly and it is the forum at which we discuss various matters pertaining to management, trainees and patients. These meetings are conducted over Microsoft Teams.

Staff management: As a consultant you will be expected to provide clinical supervision to junior doctors rotating through the department. This involves guiding them through their time in the department, helping them with audit projects and offering career guidance when necessary. There are also opportunities to progress to educational supervision of Foundation year doctors and Higher Specialist Trainees in Emergency Medicine after attending the Health Education Wessex training course. Additional responsibilities associated with this are attendance at ARCP panels and dealing with doctors in difficulty.

Clinical Governance: The department holds monthly clinical governance learning meetings which are open to all staff within the department where serious incidents, Coroners cases and trends in complaints and Datix forms are discussed. We use these as fora to discuss possible changes to our practice which can improve our patient care. The successful candidate will be encouraged to participate in these and to review any incidents arising from their duty shifts with the support of our departmental governance staff. We also run quarterly mortality and morbidity meetings where we review the mortality rate in the last quarter and present cases where care could be improved.

Research: The Emergency Department is research active. We have participated in a number of national and international research studies (HALT-IT, CRASH 3, BEST, RAIDS, ATOMIC 2). Currently we are recruiting into DRAFT, LEX and IDEAL. We support the TERN and PHOTON research networks and encourage multidisciplinary involvement in research. Our team of four research nurses support the recruiting process and following up of patients. Candidates would be required to support research activity in the department and will be expected to complete and maintain currency in GCP training. A candidate with a special interest in research would be welcomed.

Regional Training: As a department we contribute to the Wessex Emergency Medicine Trainee Association (WREMTA) education programme, a responsibility shared with other Trusts in the region. Wessex region has a reputation for delivering exemplary higher specialist training for EM in the UK and consistently achieves excellent results in the FRCEM examination. In addition we are responsible for the organisation of the regional mock FRCEM examination every five years. As a consultant within this department you would be expected to support these programmes, either supervising or delivering educational sessions.

Continuing Professional Development: In the fast-moving speciality that is emergency medicine maintaining up-to-date practice is supported by the availability of study leave to attend various courses and professional leave to instruct on courses. SPA time is not prescriptive and there is a degree of flexibility allowed in how it is arranged.

Other managerial responsibilities: Each consultant individually holds responsibility for attendance on the various Committees in the Trust. You will be expected to take on your share of these responsibilities in order to develop our service and foster links with the other departments.

Person Specification

Qualifications

Essential

  • MBBS or equivalent
  • FRCEM or equivalent
  • ALS provider
  • APLS provider
  • ATLS or ETC provider
  • Full GMC registration
  • Entry onto GMC specialist register or within 6 months of CCT

Desirable

  • Dual CCT
  • Instructor in 1 or more life support courses

Experience

Essential

  • Broad experience in EM and related disciplines
  • Evidence of maintaining good medical practice
  • Level 1 USS competent

Desirable

  • GCP Training
  • Previous management experience
  • Advanced ultrasound training

Research and Teaching

Essential

  • Evidence of teaching sessions delivered

Skills

Essential

  • Team leadership experience in a clinical setting
  • Experience of departmental management
  • Competent in procedural sedation, adult and paediatric
  • Management of minor injuries

Desirable

  • Independent practitioner of RSI
Person Specification

Qualifications

Essential

  • MBBS or equivalent
  • FRCEM or equivalent
  • ALS provider
  • APLS provider
  • ATLS or ETC provider
  • Full GMC registration
  • Entry onto GMC specialist register or within 6 months of CCT

Desirable

  • Dual CCT
  • Instructor in 1 or more life support courses

Experience

Essential

  • Broad experience in EM and related disciplines
  • Evidence of maintaining good medical practice
  • Level 1 USS competent

Desirable

  • GCP Training
  • Previous management experience
  • Advanced ultrasound training

Research and Teaching

Essential

  • Evidence of teaching sessions delivered

Skills

Essential

  • Team leadership experience in a clinical setting
  • Experience of departmental management
  • Competent in procedural sedation, adult and paediatric
  • Management of minor injuries

Desirable

  • Independent practitioner of RSI

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.

Certificate of Sponsorship

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Hampshire Hospitals NHS Foundation Trust

Address

Basingstoke and North Hampshire Hospital

Basingstoke

RG24 9NA


Employer's website

https://www.hampshirehospitals.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Hampshire Hospitals NHS Foundation Trust

Address

Basingstoke and North Hampshire Hospital

Basingstoke

RG24 9NA


Employer's website

https://www.hampshirehospitals.nhs.uk/ (Opens in a new tab)

For questions about the job, contact:

Clinical Director of Unscheduled Care

Jennifer Joiner

jennifer.joiner@hhft.nhs.uk

01259319825

Date posted

29 November 2023

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£93,666 to £126,281 a year per annum

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

251-MD23135

Job locations

Basingstoke and North Hampshire Hospital

Basingstoke

RG24 9NA


Supporting documents

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