Senior Leadership Fellow in Ambulatory Medicine

Job responsibilities

Successful applicants will develop a job plan in conjunction with a senior Fellowship supervisor which will compose:

80% (0.8WTE) Clinical Work: to include Ambulatory experience across the John Radcliffe (mainly)/ and subject to discussion with supervisor may involve activity in other acute and ambulatory medicine settings in the Trust. This will include short days, long days on call, out of hours weekend work. Specifically, within a < 48 hour average working week, it is currently proposed that the fellow will contribute to the weekend rota and to one late evening /long day per week, but not to overnight care (beyond midnight or before 7am).

The clinical role gives a great opportunity to work with a wide range of excellent consultants with special skills in ambulatory care. Also will allow to the candidate to collaborate and familiarise with pathways team such as Acute hospital at home.

20% (0.2WTE) leadership/ research/quality improvement : this would give a great opportunity to the candidate to develop leadership skills and to become involved in projects on service development. Those days ambulatory fellow will work close with the AAU clinical lead/matron and the rest of the team to design and complete projects with impact on ambulatory care.

All activities will embrace the Trusts vision of patient-centered service transformation and be aligned with the Future Hospital Commissions recommendations for ambulatory care: with greater vertical and horizontal integration of acute services transcending traditional hospital-community and intra-hospital barriers. Such activities will complement Trust service improvement initiatives and will have patient safety and the delivery of high-quality, better safe, compassionate care at their core.

The development and embedding of comprehensive ambulatory care pathways for

o common and less common discrete medical presentations

o complex and/or frail patients, complementing existing services

o conditions with existing dedicated pathways but where further embedding, development or a complementary approach is needed to deliver best outcomes and resource use (eg DVT and TIA/minor stroke).

Evaluating care through the development and embedding of relevant patient-centred outcome measures, and useful measures of whole pathway resource use

Developing systems to support clinicians outside hospital (GPs, ambulance teams) to deliver effective care in the home

Introduction and evaluation of pragmatic telemedicine systems

Resident Doctor Forum and engagement

Be a point of escalation of issues within Acute General Medicine and Geratology from the resident doctor workforce.

The AAU is embedded within the research and innovation infrastructure forming the Academic Health Sciences Centre (AHSC). Supervision and support is readily available to support projects that are aimed at improving clinical outcomes through changes in service models.

GMC

Essential

• Full GMC registration and licence to practise

Qualifications

Essential

• Be fit to practice
• Experienced in Acute medicine
• Should be ST4 and above
• Should not hold a CCT
• Satisfactory progress throughout training, including ARCP outcomes

Desirable

• Additional degree (intercalated, masters or doctorate)

Clinical Skills

Essential

• Clinical competency in own medical specialty appropriate for their stage in training
• Appropriate knowledge base, and ability to apply sound clinical judgement to problems
• Ability to prioritise clinical need
• Ability to maximise safety and minimise risk
• Ability to work without supervision where appropriate Demonstrable experience in ambulatory care

Desirable

• Demonstrable outcomes in ambulatory care
• Experience in management of frailty syndromes
• Evidence of skills in management of acute medical emergencies (eg ALERT, IMPACT certification, ALS Instructor)

Research

Essential

• Understanding of research, including awareness of ethical issues
• Understanding of research methodology
• Knowledge of evidence-based practice

Desirable

• Evidence of involvement in a formal research project
• Evidence of relevant academic achievements, including publications / presentations

Leadership and management

Essential

• Effective team working and leadership skills, supported by MSF or WBAs
• Self-awareness, with knowledge of personal strengths and weaknesses, impact and areas for development
• Interest in and knowledge of the importance of leadership and management for clinicians

Desirable

• Effective leadership skills in and outside medicine (eg evidence of leading innovations or improvements)
• Understanding of NHS management and resources
• Understanding of the local and national context in which the trust operates, including economic and political influences

Quality / Service improvement

Essential

• Understanding of clinical governance
• Active involvement in QIP/audit, research or other activity that focuses on patient safety and clinical improvement and innovation
• Interest in / knowledge of the delivery of safe, effective healthcare services

Desirable

• Evidence of completed audit/Quality improvement projects
• Evidence of learning about the principles of change management
• Insight into issues facing UK healthcare services

Education and Teaching

Essential

• Interest in and experience of teaching
• Evidence of excellent feedback on teaching

Desirable

• Teaching diploma or degree
• Development of teaching programmes
• Participation in teaching courses

Personal Skills

Essential

• Clarity in written and spoken communication
• Capacity to use logical/lateral thinking to solve problems/ make decisions, indicating an analytical/scientific approach and where appropriate, creativity in problem solving
• Capacity to manage/prioritise time and information effectively
• Ability to work effectively under pressure
• Capacity to manage conflicting demands
• Self-motivation, and resilience
• Initiative and ability to work autonomously

Desirable

• Leadership skills gained within the NHS or elsewhere
• Writing experience: - clinical and/or non-clinical topics - peer-reviewed publications and/or communication
• Evidence of achievements outside medicine
• Evidence of altruistic behaviour (e.g. voluntary work)

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).