Job summary
This post has been created to support a new quality improvement project to enhance care of patients presenting to the emergency department (ED) who require input from the palliative care team. The post is ideal for any doctor looking to expand their palliative care skills and to prepare for application to internal, general or palliative medicine training.The post holder will be involved in a dynamic project incorporating quality improvement and service development. They will work as part of and with support from the hospital palliative care team with a working focus in the ED, providing urgent patient reviews, supporting those important to the patient and assisting with complex discharges for patients at the end of life.
This is a fixed term 6-month post. It is not a formally approved training post, but the postholder will join a busy and supportive department, have consultant-led education and supervision and will be supported in their professional development.There is no on-call requirement in the post but there is the opportunity to participate in bank shifts at the hospital if desired.
The successful candidate would be employed by the Royal Free Trust, to work at NMUH. The North Middlesex hospital palliative care team comprises clinical nurse specialists, resident doctors (IMT, GPTVS and StR), a nurse consultant and 4 part time palliative medicine consultants as well as admin support.
Main duties of the job
1. CLINICAL RESPONSIBILITIES
1.1 Medical review of patients as part of the palliative care team (PCT), with appropriate support by team members1.2 Holistic assessment and follow-up of palliative care patients with action plans supported by the PCT1.3 Clear documentation and handover, including in discharge documentation and to community services if applicable, and liaison with patients' responsible team and supporting services2. RESPONSIBILITY FOR PATIENTS
2.1 Provide patient-centred care and advise, including about the role of the hospital PCT
2.2 Ensure patient and those important to them are involved in decision making
2.3 Respect and respond to individuald ideas, concerns and expectations as well as potential cultural needs
3. RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT
3.1 Engage with QI techniques and participate in the audits or projects with the service
4. RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES
4.1 Awareness of NHS and voluntary sector resources, use these with clear indications for best patient-centred care
4.2 Contribute to data collection as required for the service
5. RESPONSIBILITY FOR LEADING AND MANAGING
5.1 No direct managerial responsibility but expected to support and educate where appropriatea) other members of the Palliative Care Teamb) members of the MDTc) medical students during their placement with the Palliative Care Team
About us
North Mid is part of North Central London integrated care system - consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS's, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.
We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George's University Grenada, and for nursing and midwifery students from Middlesex and City Universities.
Take a tour of our hospital here
Job description
Job responsibilities
1. CLINICAL RESPONSIBILITIES
- 1.1 Medical review of patients as part of the palliative care team (PCT), with appropriate support by team members
- 1.2 Holistic assessment and follow-up of palliative care patients with action plans supported by the PCT
- 1.3 Clear documentation and handover, including in discharge documentation and to community services if applicable, and liaison with patients responsible team and supporting services2. RESPONSIBILITY FOR PATIENTS
- 2.1 Provide patient-centred care and advise, including about the role of the hospital PCT
- 2.2 Ensure patient and those important to them are involved in decision making
- 2.3 Respect and respond to individual ideas, concerns and expectations as well as potential cultural needs
- 3. RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT
- 3.1 Engage with QI techniques and participate in the audits or projects with the service
- 4. RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES
- 4.1 Awareness of NHS and voluntary sector resources, use these with clear indications for best patient-centred care
- 4.2 Contribute to data collection as required for the service
- 5. RESPONSIBILITY FOR LEADING AND MANAGING
- 5.1 No direct managerial responsibility but expected to support and educate where appropriatea) other members of the Palliative Care Teamb) members of the MDTc) medical students during their placement with the Palliative Care Team
6. RESPONSIBILITY FOR INFORMATION RESOURCES
6.1 Use of hospital systems, discharge letters and Universal Care Plan as per patients consent to ensure coordinated care across services
Job description
Job responsibilities
1. CLINICAL RESPONSIBILITIES
- 1.1 Medical review of patients as part of the palliative care team (PCT), with appropriate support by team members
- 1.2 Holistic assessment and follow-up of palliative care patients with action plans supported by the PCT
- 1.3 Clear documentation and handover, including in discharge documentation and to community services if applicable, and liaison with patients responsible team and supporting services2. RESPONSIBILITY FOR PATIENTS
- 2.1 Provide patient-centred care and advise, including about the role of the hospital PCT
- 2.2 Ensure patient and those important to them are involved in decision making
- 2.3 Respect and respond to individual ideas, concerns and expectations as well as potential cultural needs
- 3. RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT
- 3.1 Engage with QI techniques and participate in the audits or projects with the service
- 4. RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES
- 4.1 Awareness of NHS and voluntary sector resources, use these with clear indications for best patient-centred care
- 4.2 Contribute to data collection as required for the service
- 5. RESPONSIBILITY FOR LEADING AND MANAGING
- 5.1 No direct managerial responsibility but expected to support and educate where appropriatea) other members of the Palliative Care Teamb) members of the MDTc) medical students during their placement with the Palliative Care Team
6. RESPONSIBILITY FOR INFORMATION RESOURCES
6.1 Use of hospital systems, discharge letters and Universal Care Plan as per patients consent to ensure coordinated care across services
Person Specification
Education & professional Qualifications
Essential
- MBBS or equivalent medical qualification.
- oFull GMC Registration with License to Practice
Desirable
- oProgression towards full MRCP or equivalent specialist qualification
Experience
Essential
- oBroad experience in General (Internal) Medicine and medical specialties
- oCompletion of F1/F2 years
Desirable
- oAt least 6 months experience of working in NHS hospital environment, with knowledge of NHS structures and pathways
- oWorking experience in a specialist palliative care setting
Skills and aptitudes
Essential
- oRelevant clinical knowledge: capacity to apply sound clinical knowledge relevant to the job
- oClinical judgment: experience in making clinical decisions and managing risk. Knows when to seek help, able to prioritize clinical need
- oKnowledge of multidisciplinary clinical audit/quality improvement and demonstrable commitment to improving quality of care to patients
Desirable
- oExtra-curricular activities / achievements relevant to the job
Personal Qualities & attributes
Essential
- oAbility to work as part of a multi-disciplinary team
- oAbility to communicate effectively with colleagues, patients, relatives, GPs, nurses and other agencies
- oEmpathy and sensitivity: Ability to listen and take in others' perspectives; caring approach to patients
Desirable
- oAbility to teach medical students and junior medical and nursing staff
Others
Essential
- oFlexible and co-operative approach to colleagues
- oSelf-motivated with an enquiring, creative approach to work
- oEnthusiasm, willingness to make a difference to patients and ability to work under pressure
Person Specification
Education & professional Qualifications
Essential
- MBBS or equivalent medical qualification.
- oFull GMC Registration with License to Practice
Desirable
- oProgression towards full MRCP or equivalent specialist qualification
Experience
Essential
- oBroad experience in General (Internal) Medicine and medical specialties
- oCompletion of F1/F2 years
Desirable
- oAt least 6 months experience of working in NHS hospital environment, with knowledge of NHS structures and pathways
- oWorking experience in a specialist palliative care setting
Skills and aptitudes
Essential
- oRelevant clinical knowledge: capacity to apply sound clinical knowledge relevant to the job
- oClinical judgment: experience in making clinical decisions and managing risk. Knows when to seek help, able to prioritize clinical need
- oKnowledge of multidisciplinary clinical audit/quality improvement and demonstrable commitment to improving quality of care to patients
Desirable
- oExtra-curricular activities / achievements relevant to the job
Personal Qualities & attributes
Essential
- oAbility to work as part of a multi-disciplinary team
- oAbility to communicate effectively with colleagues, patients, relatives, GPs, nurses and other agencies
- oEmpathy and sensitivity: Ability to listen and take in others' perspectives; caring approach to patients
Desirable
- oAbility to teach medical students and junior medical and nursing staff
Others
Essential
- oFlexible and co-operative approach to colleagues
- oSelf-motivated with an enquiring, creative approach to work
- oEnthusiasm, willingness to make a difference to patients and ability to work under pressure
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).
