Leeds Teaching Hospitals

Physician Associate (XR07)

Information:

This job is now closed

Job summary

Applicants are invited for the post of Physician Associate in Trauma and Orthopaedics at the Leeds Teaching Hospitals NHS Trust. We are looking to further develop our physician associate workforce by recruiting to 2 substantive positions. The department was one of the first employers of Physician Associates in West Yorkshire 6 years ago. We now have 4 established Physician Associates within the trauma service.

The post will be based at Leeds General Infirmary and offers successful candidates the opportunity to acquire specialist skills in the management of trauma in both inpatient and outpatient settings. Clinical and Educational supervision will be provided with release to a local education program covering all aspects of clinical practice. We will also be delivering weekly departmental teaching covering areas incl MSK, perioperative medicine and simulation (SIM). We provide daily senior support on the ward, designated daily senior medical support, and are flexible to your educational and leave requirements.

Main duties of the job

We need physician associates with a positive attitude that will deliver quality services with compassion and become an integral member of a dedicated and dynamic team. Leeds offers many opportunities; prospective applicants are encouraged to visit the Department and are invited to contact any of the following persons.

Full time position (37.5 hours weekly) The successful candidate should be flexible to cover some weekend work and out of hours work.

The department is very excited about the future of Physician Associates within the trauma service, with GMC regulation and prescribing around the corner we would be involved as much as possible to maximise the development of PAs.

If you have any further questions or would like to visit the department, please contact Faisal Rangzeb.

Mr Faisal Rangzeb LGI Lead Physician Associate/Trauma Lead PA. faisal.rangzeb@nhs.net

Ms LGI Lead Physician Associate Consultant Trauma & Orthopaedic Surgeon l.deriu@nhs.net

Miss Emma Snowden - Business Manager T&O emma.snowden3@nhs.net

About us

The Trauma & Related Services department at Leeds General Infirmary is internationally renowned for treatment and research and offers the highest levels of service, and access to world class treatment in Trauma & Orthopaedics, Vascular, Plastic and reconstructive surgery. This post offers opportunities for both professional and personal development. We seek those who are interested in service development, education, audit and research. We are dedicated to extending the boundaries of healthcare and allowing you to expand the knowledge in your specialism for the benefit of our patients and the profession.

The CSU provides care for approximately 20,000 in-patients and 110,000 out-patients on an annual basis. The catchment area of the population is approximately 800,000, with a Major Trauma Network & tertiary referral population of 3.5 million from Yorkshire.

Within TRS we value all our staff. We are a friendly and flexible department.

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Details

Date posted

23 August 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£43,742 to £50,056 a year

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

C9298-TRS-063

Job locations

Leeds General Infirmary

Great George Street

Leeds

LS1 3EX


Job description

Job responsibilities

Applicants are invited for the post of Physician Associate in Trauma and Orthopaedics at the Leeds Teaching Hospitals NHS Trust. We are looking to further develop our physician associate workforce. This is substantive position. The department was one of the first employers of Physician Associates in West Yorkshire 6 years ago. We now have 4 established Physician Associates within the trauma service. The post is open for PAs wanting to experience a new specialty or PAs that have previous experience in T+O. The post is also open to newly qualified PAs.

The post will be based at Leeds General Infirmary and offers successful candidates the opportunity to acquire specialist skills in the management of trauma in both inpatient and outpatient settings. Clinical and Educational supervision will be provided with release to a local education program covering all aspects of clinical practice. We will also be delivering weekly departmental teaching covering areas incl MSK, perioperative medicine and simulation (SIM).

The Trauma & Related Services department at Leeds General Infirmary is internationally renowned for treatment and research and offers the highest levels of service, and access to world class treatment in Trauma & Orthopaedics, Vascular, Plastic and reconstructive surgery. This post offers opportunities for both professional and personal development. We seek those who are interested in service development, education, audit and research. We are dedicated to extending the boundaries of healthcare and allowing you to expand the knowledge in your specialism for the benefit of our patients and the profession.

The CSU provides care for approximately 20,000 in-patients and 110,000 out-patients on an annual basis. The catchment area of the population is approximately 800,000, with a Major Trauma Network & tertiary referral population of 3.5 million from Yorkshire.

Within TRS we value all our staff. We are a friendly and flexible department. We provide daily senior support on the ward, designated daily senior medical support, and are flexible to your educational and leave requirements.

Above all we need physician associates with a positive attitude that will deliver quality services with compassion and become an integral member of a dedicated and dynamic team. Leeds offers many opportunities; prospective applicants are encouraged to visit the Department and are invited to contact any of the following persons

Full time position (37.5 hours weekly) The successful candidate should be flexible to cover some weekend work and out of hours work..

Education/Development Opportunites:

1:1 Mentorship and buddy system with established PA in trauma

Access to protected LTHT trust wide weekly teaching Thur 9-11am

Mentorship from Orthogeriatric Consultant

Exposure to Major Trauma Carry Observation Trauma Bleep (optional)

Weekly departmental teaching

Access to study budget and study leave days

Opportunity to get involved in QIP/Audit

Networking with ~50 PAs already working at LTHT

Option to work within Spinal Surgery and Vascular Surgery (both within the trauma service)

Involved in PA student teaching and development (incl OSCE examination)

Rota Example:

Supernumerary period first 4-6 weeks.

1:1 mentorship with an established PA in the department for the first ~3 months.

Close daily supervision from Orthogeriatric Consultants

Jobs based on Orthogeriatric wards focusing on perioperative medicine and post op surgical care.

Mon: Orthogeriatric Ward (Ward Round/Jobs)

Tue: Orthogeriatric Ward Evening onc-all with FY doctor

Wed: Orthopaedic Clinic/theatre AM / Orthogeriatric Ward PM

Thur: Teaching/SDL AM / Orthogeriatric Ward (PM)

Fri: Orthogeriatric Ward (+ Trauma Call Observation Bleep)

Some out of hours cover incl potential twilights and weekend cover.

The department is very excited about the future of Physician Associates within the trauma service, with GMC regulation and prescribing around the corner we would be involved as much as possible to maximise the development of PAs.

The PAs will provide expert assistance to the multidisciplinary teams in the provision of a high-quality service to patients. The post holders will work under the direction of a supervising Consultant and mentor, working collaboratively with other members of the clinical team within the Trusts policies and clinical guidelines. The job will involve inpatient and outpatient work. Successful appointees will perform delegated duties with a high degree of clinical skill and knowledge, working within clinical environments such as operating theatres, wards and outpatient clinics.

It is not mandatory that the Physician Associate has prior experience of a relevant speciality. The post-holders will undergo training, supervision and accreditation to activities relevant to each recruiting department.

The Physician Associate role is being developed to work alongside the departments doctors, advanced practitioners and other team members.

They will be trained in a broad range of skills to undertake clinical care of patients as appropriate to the clinical environment and specialty. They will be expected to liaise with other professionals and specialities as required and complete necessary documentation relating to their patients.

PAs will be clinically supervised by a designated consultant for each post. There will also be an individual mentor to oversee professional development, supported by an annual appraisal and a professional portfolio.

It is expected that the Physician Associate will become involved in all activities of a department or CSU, including clinical governance, quality improvement projects, research and teaching. Physician Associates will also represent the departments at local and external meetings as appropriate.

PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY

The PA will be required to work as part of the clinical team, under supervision of a named to Consultant, to deliver high quality patient care.

This will include duties and responsibilities in the following areas:

Clinical

Delivery and participation in the clinical care of patients.

To exercise a high degree of personal autonomy when assessing and planning care for patients. Working within a set of defined parameters when working in a particular specialty.

Provision of a level of advanced and comprehensive health assessment based on a specialist body of knowledge under established parameters.

Appropriate assessment, examination, investigation, diagnosis and treatment of patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations within the boundaries of the role as a trainee.

Recognition of patients with changing health status and undertaking appropriate actions.

Communication of highly complex and highly sensitive information with patients and families and within the healthcare team.

Liaison with other hospital services to enable detailed planning for patient management, referral and discharge.

Undertaking advanced clinical skills according to agreed protocols and service need.

Interpretation of laboratory and radiological results and initiate appropriate patient management.

Maintenance of own clinical development by keeping abreast of new treatments and technologies within emergency and unscheduled care.

Improvements on the quality of the patient experience by identifying and meeting the individual clinical needs of patients.

Rigorously review with a supervisor, all aspects of the patients plan of care and identify and address issues that may result in a sub-standard service.

Contribution to the review and development of integrated care pathways and clinical guidelines to ensure a standardised approach to care.

Practice with confidence and competence within professional guidelines, and established parameters.

Ensure accurate documentation and records of patient care.

Assist in the development of patient management systems, processes and tools within the work area and adjacent clinical/assessment areas.

Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care.

Implementation of effective systems and processes for infection control management and relevant audit within their clinical area.

Acting in such a way that safeguards the health and wellbeing of children and vulnerable adults at all times, in keeping with LTHT safeguarding policies.

Job description

Job responsibilities

Applicants are invited for the post of Physician Associate in Trauma and Orthopaedics at the Leeds Teaching Hospitals NHS Trust. We are looking to further develop our physician associate workforce. This is substantive position. The department was one of the first employers of Physician Associates in West Yorkshire 6 years ago. We now have 4 established Physician Associates within the trauma service. The post is open for PAs wanting to experience a new specialty or PAs that have previous experience in T+O. The post is also open to newly qualified PAs.

The post will be based at Leeds General Infirmary and offers successful candidates the opportunity to acquire specialist skills in the management of trauma in both inpatient and outpatient settings. Clinical and Educational supervision will be provided with release to a local education program covering all aspects of clinical practice. We will also be delivering weekly departmental teaching covering areas incl MSK, perioperative medicine and simulation (SIM).

The Trauma & Related Services department at Leeds General Infirmary is internationally renowned for treatment and research and offers the highest levels of service, and access to world class treatment in Trauma & Orthopaedics, Vascular, Plastic and reconstructive surgery. This post offers opportunities for both professional and personal development. We seek those who are interested in service development, education, audit and research. We are dedicated to extending the boundaries of healthcare and allowing you to expand the knowledge in your specialism for the benefit of our patients and the profession.

The CSU provides care for approximately 20,000 in-patients and 110,000 out-patients on an annual basis. The catchment area of the population is approximately 800,000, with a Major Trauma Network & tertiary referral population of 3.5 million from Yorkshire.

Within TRS we value all our staff. We are a friendly and flexible department. We provide daily senior support on the ward, designated daily senior medical support, and are flexible to your educational and leave requirements.

Above all we need physician associates with a positive attitude that will deliver quality services with compassion and become an integral member of a dedicated and dynamic team. Leeds offers many opportunities; prospective applicants are encouraged to visit the Department and are invited to contact any of the following persons

Full time position (37.5 hours weekly) The successful candidate should be flexible to cover some weekend work and out of hours work..

Education/Development Opportunites:

1:1 Mentorship and buddy system with established PA in trauma

Access to protected LTHT trust wide weekly teaching Thur 9-11am

Mentorship from Orthogeriatric Consultant

Exposure to Major Trauma Carry Observation Trauma Bleep (optional)

Weekly departmental teaching

Access to study budget and study leave days

Opportunity to get involved in QIP/Audit

Networking with ~50 PAs already working at LTHT

Option to work within Spinal Surgery and Vascular Surgery (both within the trauma service)

Involved in PA student teaching and development (incl OSCE examination)

Rota Example:

Supernumerary period first 4-6 weeks.

1:1 mentorship with an established PA in the department for the first ~3 months.

Close daily supervision from Orthogeriatric Consultants

Jobs based on Orthogeriatric wards focusing on perioperative medicine and post op surgical care.

Mon: Orthogeriatric Ward (Ward Round/Jobs)

Tue: Orthogeriatric Ward Evening onc-all with FY doctor

Wed: Orthopaedic Clinic/theatre AM / Orthogeriatric Ward PM

Thur: Teaching/SDL AM / Orthogeriatric Ward (PM)

Fri: Orthogeriatric Ward (+ Trauma Call Observation Bleep)

Some out of hours cover incl potential twilights and weekend cover.

The department is very excited about the future of Physician Associates within the trauma service, with GMC regulation and prescribing around the corner we would be involved as much as possible to maximise the development of PAs.

The PAs will provide expert assistance to the multidisciplinary teams in the provision of a high-quality service to patients. The post holders will work under the direction of a supervising Consultant and mentor, working collaboratively with other members of the clinical team within the Trusts policies and clinical guidelines. The job will involve inpatient and outpatient work. Successful appointees will perform delegated duties with a high degree of clinical skill and knowledge, working within clinical environments such as operating theatres, wards and outpatient clinics.

It is not mandatory that the Physician Associate has prior experience of a relevant speciality. The post-holders will undergo training, supervision and accreditation to activities relevant to each recruiting department.

The Physician Associate role is being developed to work alongside the departments doctors, advanced practitioners and other team members.

They will be trained in a broad range of skills to undertake clinical care of patients as appropriate to the clinical environment and specialty. They will be expected to liaise with other professionals and specialities as required and complete necessary documentation relating to their patients.

PAs will be clinically supervised by a designated consultant for each post. There will also be an individual mentor to oversee professional development, supported by an annual appraisal and a professional portfolio.

It is expected that the Physician Associate will become involved in all activities of a department or CSU, including clinical governance, quality improvement projects, research and teaching. Physician Associates will also represent the departments at local and external meetings as appropriate.

PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY

The PA will be required to work as part of the clinical team, under supervision of a named to Consultant, to deliver high quality patient care.

This will include duties and responsibilities in the following areas:

Clinical

Delivery and participation in the clinical care of patients.

To exercise a high degree of personal autonomy when assessing and planning care for patients. Working within a set of defined parameters when working in a particular specialty.

Provision of a level of advanced and comprehensive health assessment based on a specialist body of knowledge under established parameters.

Appropriate assessment, examination, investigation, diagnosis and treatment of patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations within the boundaries of the role as a trainee.

Recognition of patients with changing health status and undertaking appropriate actions.

Communication of highly complex and highly sensitive information with patients and families and within the healthcare team.

Liaison with other hospital services to enable detailed planning for patient management, referral and discharge.

Undertaking advanced clinical skills according to agreed protocols and service need.

Interpretation of laboratory and radiological results and initiate appropriate patient management.

Maintenance of own clinical development by keeping abreast of new treatments and technologies within emergency and unscheduled care.

Improvements on the quality of the patient experience by identifying and meeting the individual clinical needs of patients.

Rigorously review with a supervisor, all aspects of the patients plan of care and identify and address issues that may result in a sub-standard service.

Contribution to the review and development of integrated care pathways and clinical guidelines to ensure a standardised approach to care.

Practice with confidence and competence within professional guidelines, and established parameters.

Ensure accurate documentation and records of patient care.

Assist in the development of patient management systems, processes and tools within the work area and adjacent clinical/assessment areas.

Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care.

Implementation of effective systems and processes for infection control management and relevant audit within their clinical area.

Acting in such a way that safeguards the health and wellbeing of children and vulnerable adults at all times, in keeping with LTHT safeguarding policies.

Person Specification

Qualifications

Essential

  • Bachelors Degree prior to undertaking Physicians Associate programme
  • PG Dip/masters qualification in Physician Associate Studies from an accredited UK or Irish training programme (or be within 6 months of graduation at time of application)
  • Current and valid certification or re-certification of the National Certifying Examinations for Physicians Associates (Royal College of Physicians)
  • Passed the UK RCP National Certification Examination for Physician Associates (PANCE)
  • Membership of the Physician Associate Managed Voluntary Register (Royal College of Physicians).

Desirable

  • Life support course certification e.g. ILS, ALS or PALS
  • Experience working as a Physician Associate in hospital or community setting

Experience

Essential

  • Experience of conducting clinical audit
  • Knowledge of medical procedures and terminology
  • Ability to work cohesively within the multi-disciplinary team.
  • Ability to communicate effectively with colleagues, patients, relatives, other staff and agencies
  • Ability to contribute to effective patient flow through the Trust
  • An inquiring and critical approach to work and performance
  • Ability to organise and prioritise workload effectively
  • Ability to maintain confidentiality

Desirable

  • Evidence of assisting in the development of the Physician Associate role in the UK
  • Evidence of teaching Physician Associate students or Medical students

Skills and Behaviours

Desirable

  • Excellent verbal and written communication skills
  • Ability to identify potential areas of risk; takes action to minimize the risk.
  • Good interpersonal skills with effective oral and written communication skills.
  • Communication skills.
  • Conflict management
  • Organisational skills
  • Well-developed clinical practice skills.

Other Criteria

Essential

  • Energy and enthusiasm and the ability to work under pressure
  • Commitment to CME and professional development.
  • Able to fulfil Occupational Health requirements for the post (with reasonable adjustments if necessary), including clearance on blood borne viruses in compliance with Trust Policy
Person Specification

Qualifications

Essential

  • Bachelors Degree prior to undertaking Physicians Associate programme
  • PG Dip/masters qualification in Physician Associate Studies from an accredited UK or Irish training programme (or be within 6 months of graduation at time of application)
  • Current and valid certification or re-certification of the National Certifying Examinations for Physicians Associates (Royal College of Physicians)
  • Passed the UK RCP National Certification Examination for Physician Associates (PANCE)
  • Membership of the Physician Associate Managed Voluntary Register (Royal College of Physicians).

Desirable

  • Life support course certification e.g. ILS, ALS or PALS
  • Experience working as a Physician Associate in hospital or community setting

Experience

Essential

  • Experience of conducting clinical audit
  • Knowledge of medical procedures and terminology
  • Ability to work cohesively within the multi-disciplinary team.
  • Ability to communicate effectively with colleagues, patients, relatives, other staff and agencies
  • Ability to contribute to effective patient flow through the Trust
  • An inquiring and critical approach to work and performance
  • Ability to organise and prioritise workload effectively
  • Ability to maintain confidentiality

Desirable

  • Evidence of assisting in the development of the Physician Associate role in the UK
  • Evidence of teaching Physician Associate students or Medical students

Skills and Behaviours

Desirable

  • Excellent verbal and written communication skills
  • Ability to identify potential areas of risk; takes action to minimize the risk.
  • Good interpersonal skills with effective oral and written communication skills.
  • Communication skills.
  • Conflict management
  • Organisational skills
  • Well-developed clinical practice skills.

Other Criteria

Essential

  • Energy and enthusiasm and the ability to work under pressure
  • Commitment to CME and professional development.
  • Able to fulfil Occupational Health requirements for the post (with reasonable adjustments if necessary), including clearance on blood borne viruses in compliance with Trust Policy

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

Leeds Teaching Hospitals

Address

Leeds General Infirmary

Great George Street

Leeds

LS1 3EX


Employer's website

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


Employer details

Employer name

Leeds Teaching Hospitals

Address

Leeds General Infirmary

Great George Street

Leeds

LS1 3EX


Employer's website

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


Employer contact details

For questions about the job, contact:

LGI Lead Physician Associate

Faisal Rangzeb

faisal.rangzeb@nhs.net

Details

Date posted

23 August 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£43,742 to £50,056 a year

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

C9298-TRS-063

Job locations

Leeds General Infirmary

Great George Street

Leeds

LS1 3EX


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