Job summary
We are looking for an enthusiastic and motivated Chief SpR Fellow in Medicine, with an interest in leadership, management and quality improvement for a 1 year appointment.
Your role provides senior trainees with 40% protected time to develop skills and confidence in leadership, management and quality improvement. Learning that chief registrars gain from the Royal College of Physicians' (RCP's) bespoke development programme will be put into practice in a supported environment that provides autonomy, flexibility and support to develop and support projects that address key local challenges and priorities. This may include service improvement, engagement and morale, education and training, workforce, and sustainability.
You will also spend 0.6 WTE undertaking clinical activities within the Acute Medical Unit. You will be part of an enthusiastic and dynamic team that aims to deliver excellent patient care and experience within its acute services. You will be part of our large team of doctors, managers and emergency staff and will have full access to the training and development opportunities available within our general and tertiary referral centre.
The post would suit someone who would like to take a year out during their higher training or an overseas doctor with at least 12 months previous experience in an NHS acute care speciality.
This is an exciting opportunity to gain experience in healthcare leadership and management whilst developing skills in acute medicine.
Main duties of the job
The Chief Registrar role is a leadership role for senior specialty trainees in the medicine division, within Acute Medicine. The role provides 40-50% protected time to develop and implement local initiatives focusing on, for example, service improvement, engagement and morale, education and training, workforce and sustainability.
Key aspects of the role include:
involvement in trust management at a high level
involvement with internal medicine (In particular the acute medical take)
mentoring by senior clinical managers
About us
Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing program along with a commitment to developing and advancing your career. Our diverse and welcoming Royal Surrey family will ensure you that you feel valued from your initial interview through your entire tenure.
We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in homes across Guildford and Waverley.
The Care Quality Commission (CQC) have given us an overall rating of Outstanding.
Royal Surrey has a strong reputation and history to build on. We are proud of our achievements and we are investing in our colleagues through our commitment to supporting professional development as well as investing more than £45 million in our physical environment and new equipment in the next few years. There has never been a better time to join us.
Although it isn't the Trusts normal practice, adverts may close early, so you are encouraged to submit an application as soon as possible.
A video about the Royal Surrey - https://www.youtube.com/watch?v=R96pMboIYdo
Job description
Job responsibilities
The Chief Registrar will be responsible for contributing to one or more of the following activities within the Trust:
managing services
coordination of medical care
quality and service improvement
education and training
service re-design
workforce transformation
Coordination of medical care
The chief Registrar will be expected to attend departmental and divisional management meetings to gain an understanding of management and the wider social, political and economic influences on healthcare delivery. Where appropriate this will also involve trust board meetings. The role will involve leading any sessions on service development, improvement and transformation for which the chief registrar will have direct responsibility.
The chief Registrar will also be involved in overseeing the planning of service delivery in relation to junior medical staff deployment. This may include planning and oversight of delegation of specific duties to non-medical staff. The chief registrar will have insight into patterns of out-of-hours working, shift working, safe cover / medical staffing, handover, hospital at night, communication and information technology systems.
An important function of the Chief Registrar will be to engage with junior medical staff within the Medical Division, to act as a conduit between them and the senior physicians and senior clinical managers responsible for service delivery. The chief registrar will also engage with allied healthcare professionals and may explore innovative solutions to medical workforce challenges.
Quality and service improvement
The chief registrar will work closely with senior management and the Project Management Office, to initiate and lead a range of strategic projects, including service re-design and the introduction of new services. The projects selected will be tailored to the needs of the trust and individuals interests however will involve patient flow through the emergency floor and service delivery to reduce hospital admissions. All such activities will have patient safety and the delivery of high-quality, safe, compassionate care at their core.
Education and training
The appointee will contribute to the junior doctor educational programme. This may include designing teaching programmes, overseeing the delivery and evaluation of teaching, and ensuring the quality of junior doctor education in the Medical Division, particularly with respect to internal medicine. It is envisaged that the Chief registrar will work closely with the Education Fellow in AMU to deliver these programmes and will also contribute to the running of the Leadership Group programme currently run by the Department of Medical Education within the Trust.
Clinical responsibilities:
The amount of time spent undertaking clinical commitment will be 60%. The chief registrar will ideally be undertaking dual training in internal medicine and a specialty. The chief registrar will be expected to contribute to the acute medical take. Specialty clinics can be arranged according to the trainees requirements.
Interested trainees should refer to their TPD / educational supervisor or the contacts below for further information. Discussion with the TPD and educational supervisor is essential.
The aims of the clinical component are to:
Be part of a team that delivers excellent care at the front door
Develop enhanced clinical skills, especially in the assessment and management of acutely ill medical patients
Follow patients through emergency clinical pathways
Improve all aspects of communication with patients, carers and staff members working within multi-disciplinary teams and primary care
Improve competencies in IT skills and critical use of evidence and data
Gain competencies in practical procedures
In addition the trainee will have knowledge and clinical exposure to the following:
- Management of Cardiac Arrest
- Peri arrest management / ITU liaison
- Management of patients requiring Non Invasive Ventilation
- Management of Acute Coronary Syndromes
- The Integrated Discharge Team
- Same Day Emergency Care Clinic and processes
- Specialist out-patient clinics
Job description
Job responsibilities
The Chief Registrar will be responsible for contributing to one or more of the following activities within the Trust:
managing services
coordination of medical care
quality and service improvement
education and training
service re-design
workforce transformation
Coordination of medical care
The chief Registrar will be expected to attend departmental and divisional management meetings to gain an understanding of management and the wider social, political and economic influences on healthcare delivery. Where appropriate this will also involve trust board meetings. The role will involve leading any sessions on service development, improvement and transformation for which the chief registrar will have direct responsibility.
The chief Registrar will also be involved in overseeing the planning of service delivery in relation to junior medical staff deployment. This may include planning and oversight of delegation of specific duties to non-medical staff. The chief registrar will have insight into patterns of out-of-hours working, shift working, safe cover / medical staffing, handover, hospital at night, communication and information technology systems.
An important function of the Chief Registrar will be to engage with junior medical staff within the Medical Division, to act as a conduit between them and the senior physicians and senior clinical managers responsible for service delivery. The chief registrar will also engage with allied healthcare professionals and may explore innovative solutions to medical workforce challenges.
Quality and service improvement
The chief registrar will work closely with senior management and the Project Management Office, to initiate and lead a range of strategic projects, including service re-design and the introduction of new services. The projects selected will be tailored to the needs of the trust and individuals interests however will involve patient flow through the emergency floor and service delivery to reduce hospital admissions. All such activities will have patient safety and the delivery of high-quality, safe, compassionate care at their core.
Education and training
The appointee will contribute to the junior doctor educational programme. This may include designing teaching programmes, overseeing the delivery and evaluation of teaching, and ensuring the quality of junior doctor education in the Medical Division, particularly with respect to internal medicine. It is envisaged that the Chief registrar will work closely with the Education Fellow in AMU to deliver these programmes and will also contribute to the running of the Leadership Group programme currently run by the Department of Medical Education within the Trust.
Clinical responsibilities:
The amount of time spent undertaking clinical commitment will be 60%. The chief registrar will ideally be undertaking dual training in internal medicine and a specialty. The chief registrar will be expected to contribute to the acute medical take. Specialty clinics can be arranged according to the trainees requirements.
Interested trainees should refer to their TPD / educational supervisor or the contacts below for further information. Discussion with the TPD and educational supervisor is essential.
The aims of the clinical component are to:
Be part of a team that delivers excellent care at the front door
Develop enhanced clinical skills, especially in the assessment and management of acutely ill medical patients
Follow patients through emergency clinical pathways
Improve all aspects of communication with patients, carers and staff members working within multi-disciplinary teams and primary care
Improve competencies in IT skills and critical use of evidence and data
Gain competencies in practical procedures
In addition the trainee will have knowledge and clinical exposure to the following:
- Management of Cardiac Arrest
- Peri arrest management / ITU liaison
- Management of patients requiring Non Invasive Ventilation
- Management of Acute Coronary Syndromes
- The Integrated Discharge Team
- Same Day Emergency Care Clinic and processes
- Specialist out-patient clinics
Person Specification
Qualifications
Essential
- MRCP
- Additional related qualifications, e.g. intercalated degree, BSc, BA, BMedSci or equivalent
- Full registration with, and hold a current license to practice from the GMC
- MBBS or equivalent medical qualifications
Skills and Capabilities
Essential
- Evidence of clinical competencies in their medical specialty appropriate for their stage in training
- Evidence of interest in, and experience of teaching
Desirable
- Instructor status in an advanced life support course (ALS, ATLS, EPLS, APLS) or equivalent course
Person Specification
Qualifications
Essential
- MRCP
- Additional related qualifications, e.g. intercalated degree, BSc, BA, BMedSci or equivalent
- Full registration with, and hold a current license to practice from the GMC
- MBBS or equivalent medical qualifications
Skills and Capabilities
Essential
- Evidence of clinical competencies in their medical specialty appropriate for their stage in training
- Evidence of interest in, and experience of teaching
Desirable
- Instructor status in an advanced life support course (ALS, ATLS, EPLS, APLS) or equivalent course
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).
