Job summary
Employer heading
Specialty Doctor - Acute Medicine
NHS Medical & Dental: Specialty Doctor
At East Lancashire Hospitals NHS Trust our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 600,000 people across East Lancashire and the surrounding area. We employ over 9,500 staff, many of whom are internationally renowned and have won awards for their work.
Job overview
This is an outstanding opportunity to join our team at the Acute Medicine Department at Royal Blackburn Teaching Hospital. The acute medical unit (AMU) in Blackburn was established in 1993 and has been the longest continuously operating AMU in the country. The Acute Medicine Department currently consists of a 73-bedded Acute Medical Unit (AMU), an Ambulatory Emergency Care Unit (AECU) with 10 assessment cubicles, and a Short Stay Ward with 23 beds. Our most recent expansion in 2020 was a purpose-built modern AMU-B with continuous cardiac monitoring in high observation areas and point-of-care ultrasound. Our AECU provides an outstanding service in same-day ambulatory emergency care. Together with Hospital at Home sessions, we provide acute medical care to a significant number of non-hospitalised patients. The unit has also a dedicated outreach service into the emergency department. Our weekly departmental teaching programme and twice-weekly radiology teaching sessions are highly valued within the team. The department has actively embraced the use of point-of-care ultrasound in acute medicine, and we have become an accredited centre for delivering the FAMUS course. Out-of-hours consultant cover is provided by the on-call medical consultant. Weekend duties are long-day shifts Saturday and Sunday on AECU every 6 weeks. The appointment is full-time and there will be a requirement for flexible hours in accordance with service needs as they develop.
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Main duties of the job
- Sharing the overall responsibilities of the AMU.
- Hands-on involvement with medical admissions ensuring the timely development of appropriate management plans for patients.
- Employing alternatives to in-patient management where clinically appropriate.
- Supervision and co-ordination of junior doctors within the unit.
- Helping to maintain multi-professional systems of care for common conditions.
- Teaching and training of medical and nursing staff, both informal and formal.
- Adherence to the clinical governance framework.
Working for our organisation
When you walk through the door, one of the first things you’ll notice is that the organisation is full of talented people. Not just in the fields of medicine, nursing or diagnostics but in every part of the organisation. Professional and committed people who are all working together in an open and supportive culture. We don’t just look at you for who you are now; we look at you for who you could be in the future. We take training seriously and encourage you to do the same. We want staff to develop their capabilities to the full with a range of learning and development opportunities.
Our main sites include the Royal Blackburn Teaching Hospital and Burnley General Teaching Hospital as well as a number of smaller community led sites.
Detailed job description and main responsibilities
Clinical sessions are currently provided in AMU, AECU and Fast Flow Ward.
Individual allocation of shifts in certain areas will depend on session availability and individual preferences.
Available shifts on AMU, AECU, AMU and Fast Flow Ward are as follows (Monday to Friday):
- AMU 08:00-12:00 (1 PA): 1 shift per day
- AMU 12:00-16:30 (1.1 PA): 1 shift per day
- AMU 16:30-20:30 (1.1 PA): 1 shift per day
- AECU 10:00-14:00 (1 PA): 1 shift per day
- AECU 14:00-19:00 (1.25 PA): 2 shift per day
- AECU 19:00-22:00 (1 PA): 1 shift per day
- Fast Flow Ward: 08:00-13:00 (1.25 PA): 1 shift per day
Administrative duties are allocated 0.2 PA per 1 PA clinical duty.
Weekend commitments are long shifts on AECU Saturday and Sunday (08:00-20:30) every six weeks (equivalent to 1.4 PA per week).
Supporting Professional Activities are assigned to 1.5 SPA core SPA for continuous professional development. A remaining 0.5—1 SPA can be awarded for work in areas of governance, clinical supervision, departmental development projects, etc.
Example job plan (10 PA):
- Clinical sessions: as per table below (4.6 PA)
- Weekend duties (1.4 PA: as specified above)
- Admin time: 1 PA (15% of 6.0)
- SPA: 2.5 SPAs (1.5 SPA for Core SPA + 0.5 SPA for mortality lead + 0.5 SPA for educational supervision – at flexible times)
Location |
Start |
End |
PAs |
Mon |
Tue |
Wed |
Thu |
Fri |
AMU |
08:00 |
12:00 |
1 |
x |
|
|
|
|
AMU |
12:00 |
16:30 |
1.125 |
|
|
x |
|
|
AMU |
16:30 |
20:30 |
1.125 |
|
|
|
|
|
AECU |
10:00 |
14:00 |
1 |
|
|
|
|
|
AECU |
14:00 |
19:00 |
1.25 |
|
x |
|
|
|
AECU |
19:00 |
22:00 |
1 |
|
|
|
|
|
FF |
08:00 |
13:00 |
1.25 |
|
|
|
x |
|
Person specification
Attainments
Essential criteria
- Full registration with General Medical Council
- MRCP
Desirable criteria
- A higher qualification e.g. M.D. or MSc.
- Sufficient clinical experience to work towards CESR
- Up to date ACLS
Training
Essential criteria
- Satisfactory completion of previous posts providing professional training in a wide range of acute medical specialities
- Minimum of 4 years of post MRCP training all of which include participation in acute medical rota work
- Attendance at appropriate professional meetings and courses
Desirable criteria
- Experience in other areas
- Specialist experience in one or more areas of practice to take a lead role in that area
Experience
Essential criteria
- Management of wide range of Acute medical emergencies
- Ability to assess and deal with medical cases in the resuscitation department
- Ability to perform ward rounds unsupervised and with minimal consultant input
- Evidence of undergraduate and postgraduate teaching and commitment to these within the Trust
Desirable criteria
- Enhanced care, HDU or ITU experience
- Emergency medicine experience
- Cardiology or CCU experience
- Attendance at courses in teaching, appraisal and mentorship
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Andreas Jostel
- Job title
- Clinical Director Acute Medicine
- Email address
- [email protected]
- Telephone number
- 01254 732761
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