Job summary
Applications are invited for the above full time posts for this 660 bedded acute hospital serving a local population of approximately 400,000. The appointment will be made in accordance with the terms and conditions of service for the 2003 consultant contract (England).
The Respiratory Department has been providing a Needs Based Care (NBC) service since Jan 2018 and this has been implemented in other Medical specialities where timely allocation is predicated on a patient's clinical need & not on age. Early allocation of patients to a speciality team according to their clinical need, improved continuity of care across seven days, with minimal handovers and an identified single responsible consultant is associated with safer practice, improved clinical outcomes and higher levels of patient and workforce satisfaction.
The consultants share the inpatient respiratory service duties, including consultant cover for the respiratory base ward, respiratory HDU, medical outliers, the reporting of GP X-rays and review of medical patients by consultation request from non-respiratory wards, ITU and HDU. In line with the Needs Based Care Model the consultant will also contribute to the speciality take and 'front door' in-reach. These activities are rostered equitably among 9 consultants across the year.
The department has a dedicated respiratory HDU within the main respiratory ward (ward 10). There is also a respiratory step down ward for female patients adjacent to this (ward 3)
Main duties of the job
The appointee will work as part of the Respiratory Multi-Disciplinary Team across inpatient and elective pathways mainly focusing in the respiratory wards, including High Dependency Unit (HDU) and NIV (Non Invasive Ventilation) service.
The pattern of work may change in the future to meet local changing needs and annual review meetings will take place in line with the trust's job planning and appraisal arrangements.
The post holder will work 9 am to 5 pm on a daily basis with occasional early starts and out-of-hours commitment. This is based on a 40 hour week.
The work consists of daily ward round with the consultants and day to day management of all the patients on the Respiratory unit and the Respiratory HDU.
Other duties of the post will include reviewing patients on other medical wards and the emergency department for Respiratory HDU admissions and NIV support.
Opportunities could be available to rotate into other Respiratory registrars' duties including Respiratory ward cover, US pleural procedures, bronchoscopic examinations and out patient clinic duties.
In case of difficulties of any kind, the post holder will seek the advice of the appropriate Consultant. The post holder is not expected to participate in any work beyond his/her level of expertise.
The proposed timetable is detailed below. This may be subject to change in response to service demands and developments.
About us
Our Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton. Travel between hospital sites may be required.
We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.
Please note that vacancies may close prior to the advertised closing date when sufficient number of applications have been received. Please ensure that you make your application as soon as possible.
Job description
Job responsibilities
The consultants share the inpatient respiratory service duties, including consultant cover for the respiratory base ward, respiratory HDU, medical outliers, the reporting of GP X-rays and review of medical patients by consultation request from non-respiratory wards, ITU and HDU. In line with the Needs Based Care Model the consultant will also contribute to the speciality take and front door in-reach. These activities are rostered equitably among 9 consultants across the year.
The department has a dedicated respiratory HDU within the main respiratory ward (ward 10). There is also a respiratory step down ward for female patients adjacent to this (ward 3).
Both in-patient and out-patient services are based at the Luton and Dunstable Hospital. Currently just over 140 beds are allocated for use by General Medicine and related specialties.
The Luton and Dunstable University Hospital (L&D) has always been renowned for its friendly atmosphere and good working relationships. The Hospital has an excellent track record of financial and senior executive stability.
The Trust has University Hospital status which provides an academic environment to the hospital. In addition to postgraduate training, we welcome medical students from the UCL Medical School throughout the year and by arrangement with the medical school provide a programme of clinical placements to support their education. We have an excellent reputation for junior staff training. Within the Centre of Multi-Professional Educational & Training (COMET) is the Medical Education Department, the library including an IT suite, and the Training & Development Department. The main aim of the Medical Education Department is to promote postgraduate and continuing medical education and training for all doctors and dentists. The Hospital actively promotes career development and progression for all staff.
The Hospital has excellent access to the surrounding areas with easy access to central London and the rural Chilterns. The rural areas include many attractive villages and towns within easy reach of the Hospital including St Albans and Harpenden. Excellent schools are found nearby. There is also very good access to the Midlands and North by road using the M1 or A1, or by rail to one of the Lutons three stations. A direct link using the new Busway takes passengers from Luton Train station just 7 minutes to reach a stop that is within a short walking distance of the hospital. London Luton Airport is within fifteen minutes of the hospital.
Applicants must be fully registered with the UK General Medical Council, and have a minimum of 2 years clinical experience in Elderly Medicine.
Candidates unable for personal reasons to work full-time are also invited to apply.
The appointment will be subject to full Occupational Health Clearance and Enhanced Disclosure and Barring Service check for the successful candidates prior to commencement.
Please refer to the Job Description for full details of the post.
Job description
Job responsibilities
The consultants share the inpatient respiratory service duties, including consultant cover for the respiratory base ward, respiratory HDU, medical outliers, the reporting of GP X-rays and review of medical patients by consultation request from non-respiratory wards, ITU and HDU. In line with the Needs Based Care Model the consultant will also contribute to the speciality take and front door in-reach. These activities are rostered equitably among 9 consultants across the year.
The department has a dedicated respiratory HDU within the main respiratory ward (ward 10). There is also a respiratory step down ward for female patients adjacent to this (ward 3).
Both in-patient and out-patient services are based at the Luton and Dunstable Hospital. Currently just over 140 beds are allocated for use by General Medicine and related specialties.
The Luton and Dunstable University Hospital (L&D) has always been renowned for its friendly atmosphere and good working relationships. The Hospital has an excellent track record of financial and senior executive stability.
The Trust has University Hospital status which provides an academic environment to the hospital. In addition to postgraduate training, we welcome medical students from the UCL Medical School throughout the year and by arrangement with the medical school provide a programme of clinical placements to support their education. We have an excellent reputation for junior staff training. Within the Centre of Multi-Professional Educational & Training (COMET) is the Medical Education Department, the library including an IT suite, and the Training & Development Department. The main aim of the Medical Education Department is to promote postgraduate and continuing medical education and training for all doctors and dentists. The Hospital actively promotes career development and progression for all staff.
The Hospital has excellent access to the surrounding areas with easy access to central London and the rural Chilterns. The rural areas include many attractive villages and towns within easy reach of the Hospital including St Albans and Harpenden. Excellent schools are found nearby. There is also very good access to the Midlands and North by road using the M1 or A1, or by rail to one of the Lutons three stations. A direct link using the new Busway takes passengers from Luton Train station just 7 minutes to reach a stop that is within a short walking distance of the hospital. London Luton Airport is within fifteen minutes of the hospital.
Applicants must be fully registered with the UK General Medical Council, and have a minimum of 2 years clinical experience in Elderly Medicine.
Candidates unable for personal reasons to work full-time are also invited to apply.
The appointment will be subject to full Occupational Health Clearance and Enhanced Disclosure and Barring Service check for the successful candidates prior to commencement.
Please refer to the Job Description for full details of the post.
Person Specification
Qualifications
Essential
- Medical Degree
- Relevant postgraduate qualification MRCP, MRCS
Desirable
- Additional relevant clinical experience
Registration
Essential
- Full GMC Registration
- GMC Licence to Practice (before commencement of employment)
Clinical Experience
Essential
- Excellent all round experience of DGH work
- Minimum of 2/3 years experience in Respiratory
- Ability to work independently, but aware of own limitations and know when to seek advice from senior colleagues
- Evidence of achievement of ST1/CT1 competences in a relevant specialty at time of application and likelihood of achieving ST2/CT2 competences in a relevant specialty by the start date of the post.
Clinical Effectiveness
Essential
- Understand the principles of audits
Desirable
- Understanding CPD
- Experience of audits
Teaching
Essential
- Interest in and ability to contribute to teaching and learning of more junior doctors and medical students
Desirable
- Publications and presentations
Personnel Skills
Essential
- Ability to co-operate in a democratic team environment
- Flexible attitude, team player with good management skills
Clinical Governance
Essential
- Able to demonstrate an understanding of the principles and elements of clinical governance.
Personnel Circumstances
Essential
- Fit to undertake the role with satisfactory Occupational Health clearance
- Satisfactory DBS clearance
Person Specification
Qualifications
Essential
- Medical Degree
- Relevant postgraduate qualification MRCP, MRCS
Desirable
- Additional relevant clinical experience
Registration
Essential
- Full GMC Registration
- GMC Licence to Practice (before commencement of employment)
Clinical Experience
Essential
- Excellent all round experience of DGH work
- Minimum of 2/3 years experience in Respiratory
- Ability to work independently, but aware of own limitations and know when to seek advice from senior colleagues
- Evidence of achievement of ST1/CT1 competences in a relevant specialty at time of application and likelihood of achieving ST2/CT2 competences in a relevant specialty by the start date of the post.
Clinical Effectiveness
Essential
- Understand the principles of audits
Desirable
- Understanding CPD
- Experience of audits
Teaching
Essential
- Interest in and ability to contribute to teaching and learning of more junior doctors and medical students
Desirable
- Publications and presentations
Personnel Skills
Essential
- Ability to co-operate in a democratic team environment
- Flexible attitude, team player with good management skills
Clinical Governance
Essential
- Able to demonstrate an understanding of the principles and elements of clinical governance.
Personnel Circumstances
Essential
- Fit to undertake the role with satisfactory Occupational Health clearance
- Satisfactory DBS clearance
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).