Job summary
This post is for a Senior Clinical Fellow in Respiratory Medicine. This is a part-time fixed term post offering an exciting opportunity for a highly motivated Medic to join a dynamic, rapidly expanding team delivering multidisciplinary acute care in Mersey and West Lancashire Teaching Hospitals.
Fixed Term Contract- Maternity cover until August 2025.
The position will enable the Respiratory Department to continue to develop high quality Respiratory services. The appointee will be expected to have extensive general Respiratory medicine training and experience with competency and subspecialty experience in all aspects of Respiratory condition management. Further sub speciality interest is desirable and will be encouraged.
Applicants must be eligible for full Registration with the GMC at time of appointment.
Main duties of the job
The respiratory department has a total of 29 inpatient beds on one ward 14b. The physician appointed to this post will deliver daily sessions of care to respiratory inpatients on the wards above on a rotational basis. Ward 14b houses the respiratory support unit for up to 6 patients and can provide respiratory support including, NIV, CPAP, and high flow nasal oxygen therapy.
The unit is supported by a well-trained respiratory nurse team and is consultant lead 7 days a week. In the Respiratory department model of care 4 full time Respiratory Consultants are available Monday-Friday to provide inpatient and outpatient care.
About us
Mersey and West Lancashire Teaching Hospitals NHS Trust serves a population of over 600,000 with a workforce of over 9000 dedicated and skilled staff across 21 sites.
We strongly believe that the communities we serve should all have access to Five Star Patient Care.
Our Services:
Acute Care
Providing emergency and maternity services at Whiston, Southport and Ormskirk hospitals, and medical and surgical specialties across all our sites.
Primary Care
Providing primary care services at Marshalls Cross Medical Centre situated in St Helens Hospital.
Community Services
Providing adult community services for St Helens and a wheelchair service in Chorley, South Ribble, and West Lancashire. Our inpatient unit at Newton Community Hospital is where patients needing acute hospital beds can continue rehabilitation, freeing up space for more unwell patients. We also provide urgent care at our Urgent Treatment Centre located in St Helens town centre.
Specialist Regional Services
We provide the Mersey Regional Burns & Plastic Surgery Unit at Whiston Hospital and the Spinal Injuries Unit at Southport Hospital to more than 4 million people across the whole of Merseyside, West Lancashire, Cheshire, Isle of Man and North Wales.
Achievements:
o Rated Outstanding by CQC Inspection August 2018
o Top 100 places to work in the NHS (NHS Employers & Health Service Journal)
o National Preceptorship Accreditation (2023) for Nursing & AHP Preceptorship Programme
Job description
Job responsibilities
The physician appointed to this post will help to supervise and contribute to medical care within the following trainee medical staff:
2 Specialist Registrars.
1 SpR Trust grade doctor
2 SHO levels (IMT, GP trainees)
2 FY2 trainee.
2 FY1 trainees.
please see job plan which is subject to change in line with service requirements:
The job plan is embedded below, this is to be used as a guide, there may be variations and a degree of flexibility is required as the demands of the service change.
Monday
Tuesday
Wednesday
Thursday
Friday
AM
Ward
Ward
Ward
Ward
Cancer clinic
Midday
PM
Admin
SPA
Bronchoscopy
General Respiratory Outpatients
Ward
There may also be a requirement to provide out-of-hour general medicine on-calls and weekend cover as per rota and subject to agreement.
The Respiratory Medicine department consists of the following areas:
Lung Cancer
Lung cancer referrals are triaged daily by a virtual work service that is led by a consultant and supported by lung cancer navigator. This allows faster triaging and appropriate investigations requested prior to clinic appointments. At present the department runs two lung cancer clinics, one on a Friday based at Ormskirk hospital.
The MDT is supported by an MDT co-ordinator who also participates in the entry of data into our lung cancer database. The data submitted to the national database reflects the high quality service delivered in the Trust.
Currently we have 2 lung cancer nurse specialists. The specialist nurses provide extensive support to our cancer patients including Holistic Needs assessments. The trust has implemented an automated Failsafe imaging System for identifying imaging suspicious of neoplasia requested both in primary and secondary care.
Chronic Obstructive Pulmonary Disease.
All respiratory consultants contribute to the care of COPD patients. Community COPD Services are available to local residents. These have been developed and enhanced to help prevent unnecessary hospital admissions, improve access to urgent consultant delivered outpatient clinics, and to reduce length of stay for admitted patients by enabling formal early supported discharge. This work is being developed as community COPD services are provided by three separate CCGs (Knowsley, St Helens and Liverpool).
Respiratory Support Unit
Ward 14b houses the respiratory support unit for up to 6 patients and can provide respiratory support including, NIV, CPAP, and high flow nasal oxygen therapy. The unit is supported by a well-trained respiratory nurse team and is consultant lead 7 days a week.
Bronchoscopy
Bronchoscopy is carried out in the Endoscopy Department on both the Southport site and Ormskirk which is well equipped. The Trust delivers around 100 bronchoscopies.
Respiratory specialist nurses.
As well as lung cancer and COPD specialist nurses the department has 3 dedicated respiratory specialist nurses providing a range of services including input into the education and management of patients with asthma, monitoring of patients with bronchiectasis, oxygen assessments.
Please see Job Description and Person Specification attached.
Advertising date: 27th September 2024
Closing date: 6th October 2024
Shortlisting date: W/C 7th October 2024
Proposed Interview date: TBC
Please be aware this vacancy may close early if a sufficient number of applicants is reached.
Job description
Job responsibilities
The physician appointed to this post will help to supervise and contribute to medical care within the following trainee medical staff:
2 Specialist Registrars.
1 SpR Trust grade doctor
2 SHO levels (IMT, GP trainees)
2 FY2 trainee.
2 FY1 trainees.
please see job plan which is subject to change in line with service requirements:
The job plan is embedded below, this is to be used as a guide, there may be variations and a degree of flexibility is required as the demands of the service change.
Monday
Tuesday
Wednesday
Thursday
Friday
AM
Ward
Ward
Ward
Ward
Cancer clinic
Midday
PM
Admin
SPA
Bronchoscopy
General Respiratory Outpatients
Ward
There may also be a requirement to provide out-of-hour general medicine on-calls and weekend cover as per rota and subject to agreement.
The Respiratory Medicine department consists of the following areas:
Lung Cancer
Lung cancer referrals are triaged daily by a virtual work service that is led by a consultant and supported by lung cancer navigator. This allows faster triaging and appropriate investigations requested prior to clinic appointments. At present the department runs two lung cancer clinics, one on a Friday based at Ormskirk hospital.
The MDT is supported by an MDT co-ordinator who also participates in the entry of data into our lung cancer database. The data submitted to the national database reflects the high quality service delivered in the Trust.
Currently we have 2 lung cancer nurse specialists. The specialist nurses provide extensive support to our cancer patients including Holistic Needs assessments. The trust has implemented an automated Failsafe imaging System for identifying imaging suspicious of neoplasia requested both in primary and secondary care.
Chronic Obstructive Pulmonary Disease.
All respiratory consultants contribute to the care of COPD patients. Community COPD Services are available to local residents. These have been developed and enhanced to help prevent unnecessary hospital admissions, improve access to urgent consultant delivered outpatient clinics, and to reduce length of stay for admitted patients by enabling formal early supported discharge. This work is being developed as community COPD services are provided by three separate CCGs (Knowsley, St Helens and Liverpool).
Respiratory Support Unit
Ward 14b houses the respiratory support unit for up to 6 patients and can provide respiratory support including, NIV, CPAP, and high flow nasal oxygen therapy. The unit is supported by a well-trained respiratory nurse team and is consultant lead 7 days a week.
Bronchoscopy
Bronchoscopy is carried out in the Endoscopy Department on both the Southport site and Ormskirk which is well equipped. The Trust delivers around 100 bronchoscopies.
Respiratory specialist nurses.
As well as lung cancer and COPD specialist nurses the department has 3 dedicated respiratory specialist nurses providing a range of services including input into the education and management of patients with asthma, monitoring of patients with bronchiectasis, oxygen assessments.
Please see Job Description and Person Specification attached.
Advertising date: 27th September 2024
Closing date: 6th October 2024
Shortlisting date: W/C 7th October 2024
Proposed Interview date: TBC
Please be aware this vacancy may close early if a sufficient number of applicants is reached.
Person Specification
Qualifications
Essential
- GMC registration and licence to practice
- Completion of ALS Course (provider status)
Desirable
- MRCP (UK) or equivalent medical qualification
Experience
Essential
- Minimum 4 years post graduate experience with at least 1 rotation in respiratory medicine
- Ability to work unsupervised
- Clinical training and experience in order to manage/supervise and/or offer expert clinical opinion on patients presenting to the Respiratory department
- Ability to take responsibility for clinical care of patients within the Respiratory department
Desirable
- Ability to perform ultrasound guided procedures independently (pleural ultrasound)
- Ability to perform bronchoscopy
Teaching
Essential
- Committed to teaching and supervision of junior staff
- Proven ability to teach
Skills
Essential
- Experience of clinically supervising a range of doctors in training with the ability to teach clinical and practical skills
- Experience of and commitment to clinical audit
- Commitment to continuing medical education
- Ability to work as part of a team, with good interpersonal skills; enquiring, critical approach to work; caring attitude to patients; ability to communicate effectively with patients, relatives, GPs, nurses and other agencies
Desirable
- Experience of providing and organising education sessions for doctors in training
- Experience of formally supervising medical students, F1, F2 and CT trainees is desirable
- Ability to apply research outcomes to clinical problems with publications in referred journals
- Experience of and commitment to providing Ambulatory Care and outpatient management of patients presenting to the Respiratory and or the Acute Medical Unit
Person Specification
Qualifications
Essential
- GMC registration and licence to practice
- Completion of ALS Course (provider status)
Desirable
- MRCP (UK) or equivalent medical qualification
Experience
Essential
- Minimum 4 years post graduate experience with at least 1 rotation in respiratory medicine
- Ability to work unsupervised
- Clinical training and experience in order to manage/supervise and/or offer expert clinical opinion on patients presenting to the Respiratory department
- Ability to take responsibility for clinical care of patients within the Respiratory department
Desirable
- Ability to perform ultrasound guided procedures independently (pleural ultrasound)
- Ability to perform bronchoscopy
Teaching
Essential
- Committed to teaching and supervision of junior staff
- Proven ability to teach
Skills
Essential
- Experience of clinically supervising a range of doctors in training with the ability to teach clinical and practical skills
- Experience of and commitment to clinical audit
- Commitment to continuing medical education
- Ability to work as part of a team, with good interpersonal skills; enquiring, critical approach to work; caring attitude to patients; ability to communicate effectively with patients, relatives, GPs, nurses and other agencies
Desirable
- Experience of providing and organising education sessions for doctors in training
- Experience of formally supervising medical students, F1, F2 and CT trainees is desirable
- Ability to apply research outcomes to clinical problems with publications in referred journals
- Experience of and commitment to providing Ambulatory Care and outpatient management of patients presenting to the Respiratory and or the Acute Medical Unit
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).
