Job responsibilities
1. INPATIENT
HOSPICE DUTIES AND RESPONSIBILITIES
1.1 Delivery of medical care to specialist
palliative care inpatients with consultant supervision (using a holistic
approach, addressing the patients physical, psychological, social and
spiritual needs).
1.2 Work as part of the multi-disciplinary,
specialist palliative care team to optimise patient care.
1.3 Clerk
new admissions to the hospice through history and physical examination and
explore advance care planning.
1.4 Attendance at & participation in the
weekly Consultant Ward Round and Multi-Disciplinary Team meeting.
1.5 Communicating with patients and their
families pro-actively, providing appropriate information and support as
necessary.
1.6 Chairing
of family meetings when appropriate.
1.7 Use of the multi-lingual advocacy service
to aid assessment of and communication with patients & families who do not
speak English fluently.
1.8 Appropriate
communication with health professionals outside of palliative medicine, to
ensure good continuity of patient care.
1.9 Timely provision of medical letters and
discharge summaries.
1.10 Participation
in bereavement follow-up as required.
2. OUT-OF-HOURS / ON-CALL
DUTIES AND RESPONSIBILITIES
2.1 The on call component of this role comprises
a full on call rota working 1 in 6 weekdays and 1 in 4 single weekend days. There
may be additional on call duties available at other times.
For post 1 there will be an on call component for the
full 6 months. For post 2 there will be a regular on call component for the
first 4 months of the post. For the final 2 months there may be ad hoc cover
required.
2.2 Participate
in the hospice first on-call rota, providing out-of-hours cover for the hospice
inpatient unit and community palliative care team with consultant support
throughout. On-call days at weekends and
bank holidays are single-days non-resident 09:00-09:00 with estimated average work
of 12 hours during each 24-hour non-resident period.
2.3 Must be available to attend the hospice
within 60 minutes during all non-resident on-call periods. On site on-call accommodation is available if
required.
3. NON-CLINICAL
DUTIES / EDUCATION, TRAINING & SUPPORT
Educational
opportunities:
3.1 Weekly doctors journal club.
3.2 Weekly doctors teaching.
3.3 Monthly Schwartz Rounds.
3.4 Courses
available via hospice Education Centre as per candidates training needs.
Delivery of teaching:
3.4 Teaching
& supervision of medical students on placement at the hospice, both on the
ward setting and in the education centre (currently mainly virtual)
3.5 Teaching on induction programme for St
Josephs rotating junior doctors
3.6 Large
group teaching to year 5 Barts, The Royal London and Queen Marys Hospitals
Medical School students, GPs, DNs and multi-disciplinary groups.
Audit:
3.7 Undertaking of clinical audit and
quality improvement projects
3.8 Supervision of audit projects undertaken
by other St Josephs Hospice staff.
Management
3.10 Helping organise teaching and journal club
rotas.
3.11 Observation of work and teaching by St
Josephs fundraising department
3.12 Observation
of work of volunteers department, including teaching on recruitment and
selection process for volunteers.
3.13
Working with consultants on service development projects appropriate to
the post-holders experience and areas of interest.
Support:
3.14
Regular group clinical supervision for all doctors
3.15
Monthly Schwartz rounds the post holder can attend and present as they
wish
3.16
Facilitated debriefing sessions about individual patients arranged on
request
Supervision:
3.17 Regular
clinical/educational supervision by named Consultant
3.18 Availability
of consultant support/advice daily following patient reviews or telephone
contacts with patients, carers, staff and external healthcare professionals.
4. GENERAL
REQUIREMENTS FOR MEDICAL STAFF
4.1 To contact one of the consultants, other
senior colleague or managers, as appropriate, if there are any clinical
concerns.
4.2 To make accurate, legible and
contemporaneous entries in the patients records and to ensure continuity of
patient care by handover to colleagues. St Josephs Hospice uses an electronic
patient records system.
4.3 To participate in audit, research or any
on-going developments within the hospice.
4.4 To
participate in teaching students, hospice staff and volunteers as required.
4.5 To
participate in journal club and educational activities at St Josephs Hospice.
4.6 To comply with Continuing Professional
Development (CPD) requirements as stipulated by the Royal Colleges.
4.7 To
maintain own professional indemnity insurance to cover work in the hospice.
4.8 To maintain confidentiality at all times
and comply with all other aspects of the General Medical Councils Code of
Professional Conduct.
4.9 To keep a portfolio of evidence, to have
an annual appraisal and write a personal development plan (PDP) in line with
GMC revalidation policies and procedures.
5. GENERAL REQUIREMENTS FOR ALL STAFF
5.1 To perform his / her duties according to
the philosophy of the Hospice, acting at all times to safeguard the interests
of patients and their families, and in particular to respect and live out the
Hospice Mission and Core Values.
5.2 To attend the induction program.
5.3 To comply with Occupational Health
procedures.
5.4 To attend any staff meetings, where
appropriate, in discussion with the Medical Lead.
5.5 To keep up to date and complete all statutory
and mandatory training, e.g. fire training, lifting and handling and other
health and safety issues.
5.6 To monitor, record and assist in
investigations of any complaints from patients, visitors and staff, reporting
these to the Medical Lead.
5.7 To recognise the importance of, and to
participate in, Clinical Governance activities at St Josephs Hospice.
