States of Guernsey

Associate Specialist in Emergency Medicine

The closing date is 30 July 2025

Job summary

The States of Guernsey are seeking to appoint an Associate Specialist in Emergency Medicine to join the team at Hospital Services.

The post-holder will be expected to work with the Health and Social Care Committee (HSC) managers and professional colleagues to ensure the efficient delivery of clinical services. He/she will be expected to observe the departments agreed policies and procedures, drawn up in consultation with professionals on clinical matters, and to follow the policies, standing orders and financial instructions of the HSC.

Main duties of the job

A whole-time Associate Specialist in Emergency Medicine. The post will be based solely at Princess Elizabeth Hospital (PEH).

There will be protected time for professional development activity.

The role involves both on site and on call working, including sickness cover.

The Lead consultant Emergency Department and the Medical Director are responsible for agreeing the job plan.

All medical staff employed by the HSC are required to comply with health and safety policies and procedures.

The post-holder is expected to help with informal training of Advanced Nurse Practitioners during their clinical duties and other nursing staff working within the department.

About us

The Island of Guernsey is in the English Channel in the Bay of St Malo, 50km off the north-west coast of France and 120km from the English coast.

Guernsey has a population of around 63,000 and in Alderney just under 2,000. Working in a relatively small Health and Social Care Service like ours means you can effectively work with colleagues across the services, health and social care professionals can collaborate not only with each other but also other agencies, the third sector and the community.

We offer an attractive relocation policy and competitive salaries with great career opportunities, modern facilities, excellent training, revalidation and registration support and a healthy work-life balance.

As a health or social care professional who chooses to join our team, you can look forward to working in an environment that gives you the time to care that you hoped for when choosing this career.

Date posted

04 July 2025

Pay scheme

Other

Salary

£73,596 to £120,415 a year

Contract

Permanent

Working pattern

Full-time

Reference number

K0005-25-0096

Job locations

Princess Elizabeth Hospital

Le Vauquiedor

St. Martin

Guernsey

GY4 6UU

Job description

Job responsibilities

GUERNSEYS EMERGENCY DEPARTMENT (ED):

The Islands acute & emergency service for all patients is based entirely at the PEH site.

The Princess Elizabeth Hospital has 12 wards in total and facilitates 113 Adult beds, 23 Paediatric beds, 8 CCU beds. The Emergency Department has capacity for 9 patients.

The ED operates on a 24 7 basis and offers emergency care for the entire population of Guernsey (circa 63,000). The department receives unfiltered emergency patients of all ages. The postholder will need to be proficient in all aspects of contemporary emergency medicine with a particular emphasis of independent assessment and early decision making. The department does not run to any waiting time initiatives and functions as an assessment unit as well as an emergency department. Key priorities are delivery of advanced emergency medicine with low rates of referral and admission.

The emergency service is paid for by patients, either by means of insurance, States support or privately. There is a rate for charges according to time of day and type of clinical emergency. The same applies to the primary care services in Guernsey which are operated separately as private companies.

The department functions as the assessment point for all acute admissions including GP referrals and ED presentations.

The ED service, like all other services of the hospital, is provided entirely by consultants and specialists. There are NO trainee doctors. We are looking to develop an ANP service with a plan to supplement the medical rota with ANP cover 24 7.

Both grades of medical staff, consultants and associate specialists, are rostered to provide 24 7 service. The hours between 0800 2200 are double manned. The Associate Specialist works solo on night shift (1 in 9) between 2200 0800, with the consultant on-call overnight.

Modernisation of the ED is anticipated to be in 2030 or 2032. This will involve a new customised footprint, additional clinical space and a short stay ward. Funding for additional cover by ANPs on shift 24 7 is being sought.

The ED operates TRAK-CARE as the hospital PAS system. This is due to be replaced by IMS MAXIM software in Q4 2024. This is a dedicated clinical information system (EPR), which will assist the migration to paperless working.

DUTIES AND RESPONSIBILITIES:

The main duties and responsibilities of the post-holder are set out below.

To work with the consultants to provide an effective clinical service of emergency medicine for adults and children who present as unselected emergencies at all hours at the PEH.

To undertake ALL relevant procedures needed for any emergency patient.

To liaise with clinical and nursing staff in comprehensive service delivery both in Guernsey and other islands of the Bailiwick e.g. Alderney Mignot Memorial Hospital.

To liaise with in-patient speciality consultants belonging to MSG for patient management, admission and referral for out-patient consultations.

To provide an on-call service and be available for sickness/absence cover (2nd on call) according to duty roster.

To help with professional development and education of advanced practitioners and other nursing staff in the ED as relevant.

To adhere to all HSC and States policies for clinical governance, protection of children & vulnerable adults and all relevant safe practices.

To keep up to date records, comply with data collection arrangements, use of IT systems as appropriate and communicate with external agencies for patient related activity whenever needed.

To keep own professional development activities and revalidation portfolio complete and compliant with Royal College of Emergency Medicine standards.

WORK PROGRAMME:

The above list of duties is supported by a job plan and duty roster that includes a weekly timetable of fixed commitments.

JOB PLAN REVIEW:

This job plan is subject to annual review by the post-holder, the Clinical Lead and the Medical Director. For this purpose, the post-holder and Director should have a copy of the current job plan and job description, including an up-to-date work programme and any relevant departmental statistical information.

Once agreed, job plans should be forwarded to the Director of Care Delivery for approval on behalf of the HSC. If it is not possible to agree a job plan, either initially or at an annual review, an appeal may be made in accordance with the agreed procedure.

The weekend working is 1:3. The on-calls are sporadic and shared with consultants, who are 1st on-call at nights and weekends.

There is a need to be available for sickness/absence cover on island. One day in the week is protected for SPA activities including audit, teaching and patient related administration.

Unsocial hours worked will be balanced by time in lieu on an agreed job plan.