Job summary
The Emergency Department (ED) at West Middlesex Hospital sees 55,000 patients a year of which approximately 30% of these are children, providing the service to a large urban population.
The dedicated Paediatric Emergency Department and the adjoining UCC, is open 24/7, which treats over 34,000 children per year with 18,000 being referred to PED.
The post will be divided into a ratio 8.5/1.5 direct clinical care (DCC) / supporting programmed activities (SPA). Specific SPA objectives and outcomes will be agreed with the Service Lead within 3 months of appointment.
The current consultant work pattern provides hands on Consultant 'shop floor' presence from 08:00 to 20:00 Monday to Friday, 10am to 17:00 Saturday and Sunday to directly lead and guide the team to provide a high standard of clinical care for patients attending the Paediatric Emergency Department. There are no on call commitments as part of this post.
**Please note the job description is pending Royal College approval**
Main duties of the job
Applications are invited for post in Paediatric Emergency Medicine (PEM) at West Middlesex Hospital.
PED is staffed entirely by paediatric nurses and medical staffing is jointly from general paediatrics and the emergency medicine teams. It is co-located with the main Emergency Department with a separate audio-visual waiting room. Our department is a 9 bedded space, including an HDU space, a mental health room, a separate isolation room and a paediatric dedicated bay in the 6 bedded resuscitation area.
The post holder will support the current PEM consultants as part of the recently established PEM team. The team have been central in developing an acute paediatric pathway with real potential for further quality improvement projects.
As such we are looking for an enthusiastic Consultant from either a Paediatric or PEM background with expertise in all aspects of working with emergency care of children to working with the Paediatric and Emergency Team.
About us
We provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East. We have over 6,000 members of staff that arePROUD to Carefor nearly one million people. Both hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.
We're one of the best preforming Trusts in the country. We're also one of the top trusts to work for - our staff say they're engaged, motivated, and would recommend us as a place to work and receive treatment.
Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an 'Outstanding' rating for 'use of resources' by an NHS Improvement inspection.
Our facilities are some of the best in the country. We have been investing around £10 million a year in our estate. We are currently spending £25 million on expanding our adult and neonatal critical care facilities at Chelsea and Westminster and redevelopment of our children's unit at West Middlesex - in partnership with our charity, CW+ and generous donors.
Job description
Job responsibilities
A detailed work programme and a job plan will be arranged and agreed by the appointee with the Service Director in Medicine and the Chief Executive of the Trust.
The post holders will undertake fixed clinical and non-clinical sessions according to an agreed timetable with other members of the Consultant Team.
The post will be divided into a ratio 8.5/1.5 direct clinical care (DCC) / supporting programmed activities (SPA). Specific SPA objectives and outcomes will be agreed with the Service Lead within 3 months of appointment.
The current consultant work pattern provides hands on Consultant shop floor presence from 08:00 to 20:00 Monday to Friday, 10am to 17:00 Saturday and Sunday to directly lead and guide the team to provide a high standard of clinical care for patients attending the Paediatric Emergency Department. There are no on call commitments as part of this post. This will change as the PEM consultant group continues to grow.
The Department is busy, seeing over 169,000 patients per year (20% paediatric) in conjunction with the Urgent Care Centre, achieving a high clinical standard of care and delivering the 95% 4 hour target. This is achieved through working as a close, co-operative team. Twenty four hour middle grade cover is provided with 7.7 Registrars in Emergency Medicine, and 10.2 Senior Clinical Fellow posts. At present there are 10 FY2 posts (rotating every 4 months), 5 six month SHO post on GP VTS rotation, 5.4 SHOs. There is also 1 FY1 who works predominantly in the Adult Observation Unit. It is expected that the post holder will take an active role in teaching and mentoring ED staff.
The minor injuries/illness stream is provided by London Central and West through a subcontract with the Trust, and see almost 100,000 patients per year in the 24/7 co-located Urgent Care Centre.
PACS is installed and the department is very well supported by the Radiology Department with ready access to all investigations and prompt reporting. The department is fully computerised for patient attendances, investigations (radiology & pathology) and results and discharge summaries. Within the department we have Point of Care Testing for FBC, U&E and ABG and several ultrasound machines.
The Paediatric area is staffed by a separate team of senior and junior doctors employed within the EIC Directorate. The PEM team is comprised of PEM consultants (3 in post with aim to recruit up to 5 in the future). PEM registrars, Advanced Care Practitioner, CT3/JCF/FT2 doctors who have designated shifts in the PED as well as CESR doctors competing their secondments in PEM.
Teaching duties will include medical students, sessions for the FY2s and middle grade teaching including preparation for FRCEM.
The post holder will be required to participate in the Trust and Directorates Clinical Governance activities, with a commitment to audit, annual appraisal for themselves, revalidation and CPD, and regular appraisal and mentoring of other team members.
It is expected that the post holder will engage in specific management tasks and contribute to monthly departmental meetings (sub-directorate and Clinical Effectiveness) and hospital committees in agreement with the Service Lead and the Directorate Policy Board.
Job description
Job responsibilities
A detailed work programme and a job plan will be arranged and agreed by the appointee with the Service Director in Medicine and the Chief Executive of the Trust.
The post holders will undertake fixed clinical and non-clinical sessions according to an agreed timetable with other members of the Consultant Team.
The post will be divided into a ratio 8.5/1.5 direct clinical care (DCC) / supporting programmed activities (SPA). Specific SPA objectives and outcomes will be agreed with the Service Lead within 3 months of appointment.
The current consultant work pattern provides hands on Consultant shop floor presence from 08:00 to 20:00 Monday to Friday, 10am to 17:00 Saturday and Sunday to directly lead and guide the team to provide a high standard of clinical care for patients attending the Paediatric Emergency Department. There are no on call commitments as part of this post. This will change as the PEM consultant group continues to grow.
The Department is busy, seeing over 169,000 patients per year (20% paediatric) in conjunction with the Urgent Care Centre, achieving a high clinical standard of care and delivering the 95% 4 hour target. This is achieved through working as a close, co-operative team. Twenty four hour middle grade cover is provided with 7.7 Registrars in Emergency Medicine, and 10.2 Senior Clinical Fellow posts. At present there are 10 FY2 posts (rotating every 4 months), 5 six month SHO post on GP VTS rotation, 5.4 SHOs. There is also 1 FY1 who works predominantly in the Adult Observation Unit. It is expected that the post holder will take an active role in teaching and mentoring ED staff.
The minor injuries/illness stream is provided by London Central and West through a subcontract with the Trust, and see almost 100,000 patients per year in the 24/7 co-located Urgent Care Centre.
PACS is installed and the department is very well supported by the Radiology Department with ready access to all investigations and prompt reporting. The department is fully computerised for patient attendances, investigations (radiology & pathology) and results and discharge summaries. Within the department we have Point of Care Testing for FBC, U&E and ABG and several ultrasound machines.
The Paediatric area is staffed by a separate team of senior and junior doctors employed within the EIC Directorate. The PEM team is comprised of PEM consultants (3 in post with aim to recruit up to 5 in the future). PEM registrars, Advanced Care Practitioner, CT3/JCF/FT2 doctors who have designated shifts in the PED as well as CESR doctors competing their secondments in PEM.
Teaching duties will include medical students, sessions for the FY2s and middle grade teaching including preparation for FRCEM.
The post holder will be required to participate in the Trust and Directorates Clinical Governance activities, with a commitment to audit, annual appraisal for themselves, revalidation and CPD, and regular appraisal and mentoring of other team members.
It is expected that the post holder will engage in specific management tasks and contribute to monthly departmental meetings (sub-directorate and Clinical Effectiveness) and hospital committees in agreement with the Service Lead and the Directorate Policy Board.
Person Specification
Education and Qualifications
Essential
- Full GMC Registration license to practice with specialist registration, or within 6 months of CCT in Emergency Medicine from the date of AAC
- FCEM/MRCPCH or equivalent
- MBBS or equivalent
- MRCP/FRCP past record of academic achievement
Skills and knowledge
Essential
- Meets good clinical / research practice standards
- Extensive knowledge of relevant Specialty
- Organisational skills
- Problem solving
- Good inter-personal and communications skills
- Computer skills and IT literacy
- Ability to apply managerial & professional theory
- Leadership and teaching
- Commitment to multidisciplinary team working
- Commitment to continuing medical education
- Ability to conduct teaching and research
- Ability to meet on call requirements
- Commitment to the goals of the Chelsea & Westminster Hospital
Desirable
- Experience at consultant level
- IT skills for word processing and data handling
- Knowledge of NHS plan and priorities including the National Service Frameworks
- Awareness of the financial framework of the NHS
Personal qualities
Essential
- Good communication skills
- Non-judgemental attitude
- Good organisational and leadership qualities
- Flexible, Objective, Compassionate
- Attention to detail
- Subject to Occupational Health Clearance for the post specified.
- Demonstrable evidence of being able and willing to understand our Trust values
Training
Essential
- Provider in at least two of ATLS, APLS, MIMMS
- Instructor in at least one of ATLS, APLS
Desirable
- Research experience with publication record
- Use of Ultrasound in EM
- Child Protection Awareness
Person Specification
Education and Qualifications
Essential
- Full GMC Registration license to practice with specialist registration, or within 6 months of CCT in Emergency Medicine from the date of AAC
- FCEM/MRCPCH or equivalent
- MBBS or equivalent
- MRCP/FRCP past record of academic achievement
Skills and knowledge
Essential
- Meets good clinical / research practice standards
- Extensive knowledge of relevant Specialty
- Organisational skills
- Problem solving
- Good inter-personal and communications skills
- Computer skills and IT literacy
- Ability to apply managerial & professional theory
- Leadership and teaching
- Commitment to multidisciplinary team working
- Commitment to continuing medical education
- Ability to conduct teaching and research
- Ability to meet on call requirements
- Commitment to the goals of the Chelsea & Westminster Hospital
Desirable
- Experience at consultant level
- IT skills for word processing and data handling
- Knowledge of NHS plan and priorities including the National Service Frameworks
- Awareness of the financial framework of the NHS
Personal qualities
Essential
- Good communication skills
- Non-judgemental attitude
- Good organisational and leadership qualities
- Flexible, Objective, Compassionate
- Attention to detail
- Subject to Occupational Health Clearance for the post specified.
- Demonstrable evidence of being able and willing to understand our Trust values
Training
Essential
- Provider in at least two of ATLS, APLS, MIMMS
- Instructor in at least one of ATLS, APLS
Desirable
- Research experience with publication record
- Use of Ultrasound in EM
- Child Protection Awareness
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).