Specialty Doctor in Urgent Treatment Centre

Job responsibilities

Job Summary

Specialty Doctor in Urgent Treatment

For entry to the Speciality Doctor grade, applicants must have at least four years of post-registrationtraining, of which at least two years must be in a speciality training programme in Emergency Medicine (forexample, ACCS) or must be able to demonstrate comparable skills and competencies for example havingcompleted General Practitioner Training.The job title of the post is Speciality Doctor in Urgent Treatment Medicine. The post is paid on theSpeciality Doctor scale. Applicants wishing to work part-time would be considered.Job Plans are specific to the post and generally 10 PA posts with a split of 8.5 DCC and 1.5 SPA.The department has experience of supporting doctors in CESR (previously Article 14) applications, andagain this would be encouraged for suitable experienced doctors.

Duties of the Post

The postholder is expected to work on the middle grade tier in the Urgent Treatment Centre provide therelevant expertise and experience necessary to ensure the efficient primary management of urgenttreatment cases. The postholder will be required to work with the other team members in the managementof the department workload. The postholder will also be expected to provide supervision to the juniormembers of the team.The postholder will be expected to undertake full clinical duties including the running of clinics or assessingand managing acutely unwell patients, along with patients presenting with injuries both major and minor.The care may very occasionally include initial resuscitation where appropriate. The postholder will beexpected to manage the caseload within urgent treatment and organise immediate management and planfor discharge or where required referral for follow up. The referral could be to GPs to an appropriatespecialist team for continued hospital care or to other services.The postholder will be expected to follow the various guidelines and protocols issued in the department. Inthe case of major trauma cases, cardiac arrests and critically ill patients attending the department, thepostholder will be expected to act in a team leadership role, following appropriate life support guidelines.Postholders would be expected to gain and maintain certification in ALS, ATLS etc and APLS or recognisedequivalents to these courses.In light of the changing work practices, the work programme may need to be varied in the future. This willbe done only after consultation with the incumbent of the post. As duty hours require the incumbent beingpresent in the department, no on-call or residential accommodation is offered with this post.In exceptional circumstances, additional duties outside normal rostered hours may be required to ensurethe continuation of essential patient care. So far as is consistent with the proper discharge of the aboveduties, the postholder may be required to deputise from time to time for absent colleagues.A mentoring process will be in place to make sure that the professional and personal development of thepostholder are maintained. The Consultants will act as mentors and will meet with the postholder on aregular basis.Teaching, Audit & Research

The postholder will be expected to participate in teaching and training of junior doctors, medical students,nurses and paramedical staff as directed by the Clinical Lead. The postholder will also be expected toparticipate in the educational programme and attend relevant postgraduate courses in accordance with thelocal and national CME requirements.The postholder will also be expected to participate in the departmental audit programme. Clinical researchwill be encouraged.

Emergencies and Unforeseen Circumstances

The postholder accepts that they will also perform duties in occasional emergencies and unforeseencircumstances, without additional remuneration at the request of the Clinical Lead or the on-call Consultant.It has been agreed between the professions and the Department that while the postholder accepts that theywill perform such duties, it is stressed that additional commitments arising under this heading areexceptional and the postholder should not be required to undertake work of this kind for prolonged period oron a regular basis.It is the responsibility of the Clinical Lead to determine whether a particular situation can be described asan emergency.

Study and Training

Postgraduate study is encouraged. In-service training is available and clinical meetings are held in theDepartment. There is an excellent postgraduate medical centre at Royal Blackburn Hospital whichprovides excellent library facilities and an active teaching programme, including guest speakers, clinicalconferences and departmental tutorials. Study leave is awarded at the discretion of the Clinical Lead.

The Department

The Emergency Department is located at the Royal Blackburn Hospital a newly built PFI hospital with fullyintegrated Paediatric and adult areas with Resus, PACS system, and fully supported by CCU and ITUAssessments Units, X-ray, CT and MRI facilities. There is a hospital trauma team and cardiac arrest ismanaged in house.In additional to the main Emergency Department which takes primarily ambulance cases, there are 2Urgent Treatment Centres catering to minor injuries and illnesses assessing both walk-in and appointedpatients. One is situated in Burnley General Hospital and other co-located within the Emergency

Department at Royal Blackburn Hospital.

The Emergency Department has an 8 bedded resuscitation area (with 1 bed designated for paediatricpatients) with 42 major cubicles. The two Urgent Treatment Centres have examination cubicles, staff base,separate adult and children waiting areas, reception and all facilities to see minor injury and illness. Thedepartment receives excellent support from the Intensive Care Unit, Medical Assessment Unit and SurgicalAssessment Unit, Paediatrics, Orthopaedics, ENT and Maxillofacial Surgery. Serious burns andneurosurgical patients are transferred to the regional centre at Preston or Manchester.The Departments have annual attendances of approximately 170,000 across the three sites.The Acute Medical Unit has been established both for medical patients referred from the EmergencyDepartment and Urgent Treatment Centre and for direct GP referrals. Patients who are referred by theirGP to other specialities are ordinarily directed straight to the appropriate ward or assessment area. Thereare ambulatory medical and surgical day emergency care units.There are currently 18 Consultants and two Specialists who work on the Consultant Rota in post in the unit.1. Mrs Georgina Robertson, Clinical Director2. Dr Neil Prater3. Dr Charles Thomson, Deputy Medical Director for Clinical Effectiveness4. Dr Shanthi Siva5. Dr Anna Kirby-Bailey6. Dr Fahad Shaik7. Dr Mohamed Sohail8. Dr Ali Gillani (Specialist)9. Dr Rajendran Garlapati10. Dr Rafeeq Sulaiman11. Dr Mehdi Teeli, Deputy Clinical Director12. Dr Ahmad Alabood13. Dr Helen Turner14. Dr Jawad Saleemi15. Dr Aamir Soohail16. Dr Sukhbir Bhullar17. Dr Badal Sarin (Specialist)18. Dr Maad Jasim19. Dr Claudia Spalding (Paediatric Consultant)Burnley UTC is lead by two Consultant General Practitioners, Dr Zulfikar Aslam and Dr Raju Uppalapati.Other Clinicians include 4 higher specialist trainees, 28 speciality doctors, 57 junior doctors made up ofACCS & GP trainees, junior clinical fellow and foundation year 1 and 2 doctors. We also have AdvancedCare Practitioners, Emergency Nurse Practitioners, Physicians Associates and First ContactPhysiotherapists. We train staff of all grades and have medical students of various years from UCLAN andLancaster University in the department.

Terms and Conditions of Service

This post is subject to the Terms and Conditions of Service for Speciality Doctors England 2021.The appointee will be required to live within 10 miles or 30 minutes travel time by car from the RoyalBlackburn Hospital. The Trust will reimburse certain expenses relating to removal and relocation whenrequired, the expenses refunded shall reflect actual costs involved but will not exceed £8,000. If relocationis required this must be discussed as interview.A satisfactory medical examination is a condition of employment for medical and dental staff in theNHS.Candidates are requested to note that any person recommended for appointment inconnection with this post will be referred to the D.B.S. for their clearance.

shortlisting

Essential

• Full registration and licence to practice with General Medical Council

Desirable

• A higher qualification e.g. MD or MSC
• MRCEM

Training

Essential

• Minimum of four years experience post graduation
• Satisfactory completion of previous posts providing professional training in Emergency Medicine
• Attendance at appropriate professional meetings and courses

Desirable

• Experience in other areas
• Experience and training in Acute Medicine, paediatrics, Anaesthetics, ICU

Training

Essential

• Minimum of four years experience post graduation.
• Satisfactory completion of previous posts providing professional training in Emergency Medicine
• Attendance at appropriate professional meetings and courses

Desirable

• Experience in other areas
• Experience and training in Acute Medicine, paediatrics, Anaesthetics, ICU

Experience

Essential

• Management of wide range of Emergency and Urgent care conditions
• ALS, APLS and ATLS certificates
• Evidence of undergraduate and postgraduate teaching
• Understanding of and experience performing audit
• Awareness of basic research methods
• Familiarity with evidence based practice.

Desirable

• Attendance at courses in teaching, appraisal and mentorship
• Previous research projects/publications

Continuing Professional Development

Essential

• Clear commitment to lifelong learning
• Experience of evidence based medicine
• Ability to keep up to date in the speciality

Desirable

• Membership of appropriate post graduate societies
• IT skills

Personal Skills

Essential

• Ability to communicate and liaise effectively with patients, their parents and other relatives and with colleagues and staff in all disciplines
• Experience of supervision of junior staff
• Ability to lead the development of services and provoke best practice amongst the colleagues
• Ability to work in a team with professional colleagues both medical and from other disciplines

Desirable

• Attendance at e.g. Death/Bereavement or Breaking News workshops and Counselling courses
• Evidence of development of leadership within the work environment

Management

Essential

• Understanding of current NHS management systems including clinical governance and risk management

Desirable

• Attendance at appropriate management courses
• Previous participation in a management role

Personal Skills

Essential

• Ability to communicate and liaise effectively with patients, their parents and other relatives and with colleagues and staff in all disciplines
• Experience of supervision of junior staf
• Ability to lead the development of services and provoke best practice amongst the colleagues
• Ability to work in a team with professional colleagues both medical and from other disciplines

Desirable

• Attendance at e.g. Death/Bereavement or Breaking News workshops and Counselling courses
• Evidence of development of leadership within the work environment

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).