Consultant in Emergency Medicine

NHS; Leicester; On-site; GBP 80,000 - 120,000; Full time

Job description

University Hospitals of Leicester NHS Trust

Fancy a new challenge in a purpose-built Emergency Department? Ready to test your emergency medicine skills in one of the busiest Emergency Departments in the country? Then Leicester could be for you...

UHL is one of the largest teaching hospital trusts in the UK. The Emergency Department (ED) is based at Leicester Royal Infirmary where we see over 240,000 patients a year.

The emergency department was completed in April 2017. The Emergency Department incorporates a 48 majors cubicles, a 12 cubicle Emergency Room and a separate Children's ED with 12 bedded Short Stay Paediatric Unit for children who are expected to stay less than 18 hours.

The ED in Leicester has pioneered an annualised consultant rota which is increasingly being adopted in other centres. This offers personal flexibility, within a large committed team, time for sub-specialty interests in existing Consultants and support for others.

Despite the clinical work pressures and challenges, our ED is a leading light nationally in Paediatric EM, EM Research, EM education and Geriatric EM and is actively developing a program in Pre-Hospital EM.

Leicester offers the option of rural or city living, excellent state and private education, easy access to London by train (55min) and East Midlands airport (30min).

Main duties of the job

Principle Elements of the Post:

• Participate in the delivery of high quality Consultant led 'shop floor' clinical care for the Emergency Department.
• To provide on-call cover and cover for Major Incidents
• Ensure high clinical standards are met through structured supervision of Specialist Registrars, Junior Doctors, Emergency Care Practitioners and Advanced Nurse Practitioners
• To deliver and promote excellence in teaching of medical students, paramedics, doctors, nurses and Emergency Nurse Practitioners
• To actively support and promote a culture of high quality patient care through multi-disciplinary Clinical Governance, audit activities and quality improvement projects
• Actively engage in the non-clinical and administrative work that underpins excellence in clinical care
• To act in a way that is consistent with UHL's five values
• To work with the Clinical Governance team to enhance patient safety

About us

Our new strategy, 'Leading in healthcare, trusted in communities' was developed with the support and feedback of colleagues, patients, and partners and is our compass for the next seven years (2023-2030).

We have four primary goals:

• high-quality care for all,
• being a great place to work,
• partnerships for impact, and
• research and education excellence

And we will embed health equality in all we do - taking active steps to reduce the avoidable differences in healthcare that some people face, working in partnership with communities.

Our strategy is underpinned by new values and we will work to ensure they are an everyday reality for all:

• we are compassionate,
• we are proud,
• we are inclusive, and
• we are one team

This is an exciting moment as we look to the future with clarity on what we already do well and where we need to focus our energies to make an even bigger difference for the people we serve.

Job responsibilities

Background

This post is part of a strategy to provide increased consultant cover from 08:00 01:00 and overnight 20:00-08:00 7-days per week in the Emergency Department.

Principle Elements of the Post

• Participate in the delivery of high quality Consultant led shop floor clinical care for the Emergency Department.
• To provide on-call cover and cover for Major Incidents
• Ensure high clinical standards are met through structured supervision of Specialist Registrars, Junior Doctors, Emergency Care Practitioners and Advanced Nurse Practitioners
• To deliver and promote excellence in teaching of medical students, paramedics, doctors, nurses and Emergency Nurse Practitioners
• To actively support and promote a culture of high quality patient care through multi-disciplinary Clinical Governance, audit activities and quality improvement projects
• Actively engage in the non-clinical and administrative work that underpins excellence in clinical care
• To act in a way that is consistent with UHL's five values
• To work with the Clinical Governance team to enhance patient safety
• To support and oversee the placement of students in the department and act as a clinical teacher
• To facilitate delivery of undergraduate teaching as directed by the departmental undergraduate education lead

Job Plan

The job plan will be subject to annual review, with any revisions sought by mutual agreement but it is expected that the successful candidate will work with the ED management team to ensure that services are delivered efficiently and reflect best practice with processes and governance to match - this may require new and flexible ways of working in the future.

The Emergency Department rota is annualised therefore there is not a weekly pattern. Annual, professional and study leave is allocated as per new Consultant contract, and generates a shift total over rota cycles of 16 weeks. On call duties will be roughly1:16 depending on vacancy factor, with up to 1:6 weekends as a minimum. The rota is based on our funded establishment of 31.32WTE Consultants.

The department is working towards an overnight Consultant working model to support the trainees and demand overnight. Flexible working will be considered. The department works on an annualised rota providing flexibility.

The appointment will be whole time. Any Consultant who is unable for personal reasons, to work whole time, will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis in consultation with Consultant colleagues.

Work Programme:

Outline Job plan- Example only

DCC present in ED clinical areas

7.5

Admin / Teaching / CPD (SPA)

2.5

TOTAL PROGRAMMED ACTIVITIES

10.0

Given our current establishment levels, it is anticipated that there will be opportunity for the successful candidate to contract for additional programmed activities in the Emergency Department on a temporary basis, up to the maximum level consistent with the Working Time Regulations (i.e. 12 PAs maximum), through discussion and mutual agreement.

This post will be an RCEM approved post with a job plan designed to deliver high quality care, leadership and teaching.

Your normal place of work will be as discussed at interview and will be confirmed in Section 1 of your contract but you may be required to work in other locations of the Trust. In particular, flexibility is required across the three main Hospital sites (Leicester Royal Infirmary, Leicester General Hospital, Glenfield Hospital). If your initial location is based at one of these sites, excess travel reimbursement will not apply for a permanent/temporary change to base.

Education: Teaching and Training

All Consultants are expected to contribute to teaching and training of undergraduate students and postgraduate trainees as part of their role as a Consultant in UHL.

Consultants will normally have undergraduate medical students placed with them during clinical duties and are expected to teach alongside clinical service work. Similarly, Consultants will normally be involved in clinical supervision of postgraduate trainees working within UHL.

Medical students based at the University of Leicester follow a standard 5 year programme. The teaching of undergraduate students in UHL reflects the Divisional structure of the Trust. Undergraduate medical students are taught by UHL throughout the medical course from years 1 to 5. Both ward and outpatient based clinical teaching, as well as tutorial and lecture style teaching is undertaken.

Some Consultants will choose to take on additional undergraduate and/or postgraduate education and training responsibilities. This activity will be specific, identifiable, evidenced, recognised and appraised. Such additional teaching and training activity will be recognised within their SPA allowance.

Those undertaking specifically agreed additional undergraduate teaching duties recognised as part of the SPA allowance (up to 0.5SPA) within their job plan may be recognised as Clinical Teachers Clinical Teachers Guidance. This teaching can occur in different settings. The clinical teacher will be expected to show evidence of satisfactory performance in this role at appraisal.

Enhanced undergraduate duties will include acting as examiners in medical school assessments, providing occasional seminar and small group teaching, lecturing & other Phase 1 teaching within the medical curricula, in addition to individual supervision of clinical students attached to them.

Those who have an additional significant responsibility as a block or clinical education lead within their DCC time are also considered for the award of the title of honorary senior lecturer.

Enhanced postgraduate duties will include acting as an Educational supervisor for Foundation or Specialty trainee, UHL Divisional Education governance lead, contributing to recognised postgraduate-teaching courses in UHL, e.g. Specialty Training programmes or involvement in recruitment of trainees, e.g. interviews for Specialty training, recruitment to Foundation programmes.

Person Specification

Qualifications

• Completed or within 6 months of CCT
• GMC registered
• MB BS or Equivalent
• FCEM or equivalent, provider status for life support courses eg APLS, ALS, ATLS
• Membership of RCEM and other professional bodies affiliated to Emergency Medicine

Management

• Willingness to work in a cohesive manner as a member of the team and shared philosophy
• Evidence of completed projects led by the applicant
• Capacity to manage/prioritise time and information effectively; capacity to organise own workload.
• Knowledge of clinical governance issues
• Demonstration of previous successful leadership at senior level
• Management training on an accredited course

Communication Skills

• Clear, fluent and articulate in Written English
• To be empathic and sensitive; capacity to take others perspectives and treat others with understanding

Teaching

• Demonstrate enthusiasm and commitment to teaching.
• Interest in clinical education
• Experience of, and commitment to teaching postgraduates
• Enthusiastic and ability to inspire others
• Past experience of medical education.
• Willingness to develop new approaches to teaching
• Higher qualification in medical education.
• Ability to lead others and deliver change.

Experience

• Experience of working as part of a large, multidisciplinary team including those involved in caring for older people
• Experience of working in UK Emergency Departments
• Clinical Knowledge and Expertise: Appropriate knowledge base and ability to apply sound clinical judgment to problems; demonstrates clear, logical thinking/analytical approach; understands evidence based practice
• Willingness to develop skills and experience in areas of interest

Audit and Research

• Experience in, and commitment to medical audit.
• Understanding and interest in research relevant to older people.
• Ability to appraise research critically
• Ability to supervise juniors undertaking research projects.
• Evidence of improvement of service delivery in previous posts
• Undergone training in teaching and willingness to organise relevant audit activities.
• Evidence of recent research and development activity

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.

University Hospitals of Leicester NHS Trust

Head of Service, Emergency Department (Adults)