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Job summary

Job ID
45230823
Posting Date
31/01/2018
Company
County Durham & Darlington NHS Foundation Trust
Location
UK-TT-Darlington
Industries
Healthcare services
Job type
Full time
Career level
Experienced (Non-Manager)
Education Level
Doctorate or specialist award
Salary
37,923.00 - 70,718.00  per year
Job reference code
439-AEC-16406-1

County Durham & Darlington NHS Foundation Trust

Speciality Doctor

Job description

Senior Staff Grade Doctor in Emergency Medicine

Job Description

October 2017

1. DESCRIPTION OF POST

Nominal Base:

Darlington Memorial Hospital or University Hospital North Durham

The post holder will be required to work at any location within the Trust

Hours

: Full Time, 10 Programmed activities 8DCC and 2 SPA (Time included to

Work towards CESR in emergency medicine and managerial duties)

There will be formal job plan discussion with appointees and the Clinical Lead prior to or on commencement in post

Contract type and salary:

Permanent Senior Staff grade and salary: £37,923 - £70,718 (Highest speciality doctor grade salary will be offered)

Hierarchy:

Professionally Accountable to Clinical Lead Emergency Department and will

have a dedicated educational supervisor

2. JOB SUMMARY

This is an opportunity to join a dynamic and enthusiastic team who believe in leading from the frontline and aim to provide outstanding care. They are supported by an excellent Middle Grade tier which provides 24 hour cover. The ED departments are blessed with an excellent and supportive nursing team and our friendly atmosphere is frequently commented upon by past junior doctors. These are new posts which will strengthen the ED team and delivery high quality care to our patients.

The post will enhance the amount of clinical input at a middle grade level to the Emergency Department and the care of patients with acute problems. The successful candidates will augment our clinician capacity, skill mix, share development, management, and administration responsibilities and facilitate teaching for all grades. The Trust would welcome any appointee able to enhance the overall development of emergency care across the Trust in partnership with other departments and/or specialties. There are close links with the Physicians and Care of the Elderly Medicine.

Colleagues who have an interest in acute Medicine will have the opportunity to continue this interest and contribute to the development of acute medical services and Paediatric Emergency Medicine.

The applicants will be expected to have undergone and to undergo appropriate training and experience in all aspects of Emergency Medicine to attain name on GMC specialist register through CESR route after gaining adequate experience and assessments.

Opportunities for teaching and training junior and middle grade doctors, nursing staff including emergency nurse practitioners and undergraduate medical students are immense

3.

EMERGENCY DEPARTMENT

The Trust has five Care Groups, namely Surgery, Acute & Emergency Care, Integrated Adults, Family Health, and Clinical Specialist Services. The Emergency Department sits within the Acute & Emergency Care Group.

The Care Group is supported by the following:

Clinical Lead: Mr John Holmes (UHND)

Mr Kashyapa DISSANAYAKE (DMH)

Emergency care Clinical Director: Mr Shahzad Afzal

Care group director: Dr Paul Peters

Associate Director of Operation: Shane Longden

Associate Director of Nursing: Jayne McClelland

The Trust prides itself on its teaching and training and achieves good scores in the annual GMC survey. All the consultants instruct on at least one life support course and some have formal teaching qualifications. In addition there is a departmental Sim-Man who is frequently used in teaching.

We are a Trauma Unit and work in close relationship with the Northern Trauma Network. We see more than average major trauma patients, as compared to other Trauma units in the region, due to geographical location as the west of the catchment area is more than one hour from the major trauma centre and hence does not bypass.

We run ED review clinic twice a week in which review soft tissue injuries, burn patient, potential scaphoid fractures and follow up head injury patients.

In addition to the standard activities of an Emergency Medicine Department, medical staff are responsible for initial management of fractures and dislocations, e.g. reduction of Colle’s fracture, dislocated shoulders, etc. These patients are followed up in the next day fracture clinic by the orthopaedic team.

In 2016 pro rata, we are going to see approximately 132,514 new patients between two sites (numbers are increasing). The case mix is different from many other departments, with a high proportion of medically unwell patients, approximately 40% of patients attending the departments are brought by 999 ambulance and 24% of new patients were admitted to in-patient wards. Consequently close working relationships with the Acute Assessment/ Ambulatory Care Units are essential to help speed the process of managing patients who attend the hospitals with acute illness. We would positively welcome applications from candidates with an interest in acute medicine.

Emergency Department at Darlington Memorial Hospital

:

We have access to out of hour’s GI bleed / Endoscopy rota.

 We currently hold the admission rights for head injury patients under ED Consultant in ward 33 Trauma ward. Foundation year 1 doctor normally facilitate our ward rounds.

 We have dedicated Paediatric trained Practitioner and nursing staff who recently joined us providing excellent service throughout the week.

 Co-located Urgent care from 1800 onwards at present and by October 2016 fully integrated service.

 We run in situ Trauma and Paediatric simulation teaching on monthly basis.

 We have got three adult resuscitation beds with separate paediatric resuscitation bed with resuscitaire and anaesthetic machine.

 Audio-visually separate Paediatric waiting room with two treatment rooms.

 Dedicated eye room with slit lamp and a relatives room with a joining viewing room.

Emergency Department at University Hospital of North Durham

:

We have a 5 bedded short stay ward adjacent to the ED where we are responsible for the ongoing care of head injury patients as well as other well-defined patient groups e.g. musculo-skeletal back pains.

 We have various Practitioners including Minor injury and illness, emergency physio practitioners and advanced clinical practitioners (seeing ‘majors’ type patients)

 There is a current business case being submitted for the development of a new Emergency Care Centre adjacent to the current ED which will be considerably larger than the current estate. It will enable us to provide more efficient and consultant delivered care- this will include a robust RAT (Rapid Assessment & Treatment) of ambulance delivered patients, a fully integrated UCC and dual delivered Paediatric front of house care.

 We have front of house GP streaming started from 1

st October 2017.

 We use a high-fidelity simulator for training sessions (there will be a dedicated simulation room in the new ECC).

Ambulatory Care Units

Providing a one-stop assessment with access to diagnostics model is a key priority for the Trust & NHS by improving patient flow, avoiding inappropriate admission to secondary care and integrating primary, community and social services.

RAMAC (rapid access medical assessment centre) has a model of care in County Durham and Darlington Foundation Trust (CDDFT) since 2009; staffed by the Acute Care Physicians.

Ambulatory continues to evolve and is closely linked to the Emergency Department. It provides a safe, efficient ambulatory alternative to medical admission patient pathway. The main function to the centre is to proactively diagnose and treat patients deemed to be at risk of requiring emergency admission.

The Consultant staff complement in the Emergency Department comprises of:

Darlington Memorial Hospital

Mr K U Dissanayake– Clinical Lead

Mr P Muthu

Mr O Afolabi: College Tutor

Mrs L Simmonds

Mrs K Akhtar

Mr S Afzal

Mr T Hassan

University Hospital North Durham

Mr John Holmes – Clinical Lead

Dr Richard Hardern: College Tutor

Dr Chris Burdess

Dr Debra Kennedy

Dr Sunil Gopisetty

Dr Sarah Payne

4. MAIN DUTIES AND RESPONSIBILITIES

The main duties of the advertised post will be as follows:

To provide Emergency Medicine services in Durham or Darlington. The post holder will be expected to provide a comprehensive clinical service at level of middle grade. The Consultant has a continuing responsibility for the care of patients in his/her charge.

Specific clinical areas include:

Supervision of and assistance to junior medical staff and Emergency Nurse Practitioners

To act as Team Leader in the resuscitation of seriously traumatised patients and those with critical illness.

To conduct review clinics if required

Assist in the smooth integration of the Emergency Department and Urgent Care services.

The post holders will be expected to provide a comprehensive clinical service to consultant colleagues in clinical disciplines in the Hospital and to general practitioners in Durham or Darlington.

For management purposes and use of resources the post holders will be accountable to the clinical lead and will ensure the effective and efficient use of resources allocated.

The appointee will be expected to provide cover when colleagues are on annual and study/professional leave.

Research activities which are considered to be an inherent part of normal clinical duties will be encouraged and limited research funding may be available following successful application to the local research and development committee.

Administrative duties – the post holder will have continuing responsibility at all times for the care of patients in his/her charge and for contributing in the smooth running of the service. The post holders will also be expected to share the administrative responsibility.

The post holder will be responsible for the professional supervision and management of junior staff to ensure standards of care are maintained on the shop floor.

The appointee will be expected to participate in the teaching of medical staff and undergraduates

attached to the Trust and in the training of all grades of staff as well. There is in house teaching for

middle Grades for personal professional development and there are various other teachings held in

trust if interested in other topics.

It is expected that the appointees will actively and regularly participate in Clinical Audit. Evaluation of the department’s performance against agreed measures will take place.

The post holder will be expected to participate in clinical governance arrangements in line with national and local guidelines and in respect of undergraduate and postgraduate teaching in the Trust in accordance with current best practice.

Maintenance of the highest clinical standards in the management of all patients presenting to the Emergency Department

To share with colleagues responsibility for the day-to-day management of the Emergency Department

Teaching and Training of intermediate and, junior medical staff, nursing staff, medical students and paramedic staff

To actively participate in both departmental and Trust matters concerning Clinical Governance and audit

To have responsibility for and actively participate in continuing professional development (CPD)

The new appointees will be expected to join the middle grade body in leading by example, managing the sickest patients, engaging with the juniors to ensure safe and timely management and working with the nursing staff to ensure adequate patient flow.

The appointees will be expected to be involved in implementing the Trust’s clinical governance programme. This includes active participation in clinical audit, clinical guidelines/pathways, professional development, appraisal and risk management.

5. TIMETABLE AND JOB PLAN

The final job plan arrangements will be agreed in partnership prior to appointment. The Department is committed to increasing flexibility in working hours and extended-days may be considered to suit the needs of the Candidate and Trust.

A formal job plan will be agreed between the appointee and their Clinical Lead/Clinical Director and, when approved by the Medical Director and Chief Executive, will be effective from the commencement date of the appointment. The job plan will then be reviewed annually in accordance with the Trust policy on Consultant Job Planning.

Weekly work commitments will be within the European directives on working hours and will also be influenced by the UK College of Emergency Medicine recommendations, the consultant contract and specified in the Job Plan. The appointment is to the Trust and not to a specific hospital, however the post holder will be nominally located in either University Hospital North Durham or Darlington Memorial Hospital depending on the role. However, there is an expectation that in times of pressure you may be redeployed to an alternative site or cross cover.

Note: The SPA time allocated (Will be part of Job plan Discussion) will be used to work towards CESR (as per GMC and RCEM guidelines). The time frame for CESR completion will also be discussed on successful completion of interview and selection and also check on annual appraisal.

Leave

The post holder will be expected to deputise in the absence of colleagues in cases of annual leave, study leave and sickness as far as is practicable and ensure continuous patient care.

6. TERMS AND CONDITIONS OF SERVICE

The post is subject to the Terms and Conditions – Senior Staff grade

Removal Expenses as per Trust Policy

The current salary applicable to the post is as per national guidelines for Staff grade

For pre-employment health assessment purposes, as part of the Trust’s Staff Health and Wellbeing Service, the successful candidate will be required to complete a health questionnaire. This will be treated in the strictest confidence and will not be seen by any employee of the County Durham and Darlington NHS Foundation Trust, other than Staff Health & Wellbeing Department. The successful applicant may be required to undergo a medical examination, and any offer of the post is subject to medical clearance from the Trust’s Occupational Health Physician. The appointee may be required to undergo any future medical examinations considered necessary by the Trust.

Satisfactory enhanced Disclosure and Barring Scheme clearance.

The successful applicant must be fully registered with a licence to practice with the GMC.

7.GENERAL

Education Centre - Facilities & Training

The Education Centre contains well equipped and stocked libraries with easy access to electronic media and the internet. There is also a well-equipped lecture theatre and seminar rooms with a significant planned programme of lectures and specific tutorial sessions organised by individual departments across the DMH and UHND sites.

The Trust supports the requirements for continuing professional development and is committed to providing time and financial support for these activities.

Maintaining Medical Excellence

The Trust is committed to providing a safe and effective care for patients. To ensure this, there is an agreed procedure for medical staff that enables them to report quickly and confidentially, concerns about the conduct, performance or health of medical colleagues. You must ensure that you are familiar with the procedure and apply it.

Revalidation

The Trust has the required arrangements in place, to ensure that all doctors have an annual appraisal with a trained appraiser and supports doctors going through the revalidation process.

Research and Teaching

CDDFT is a research-active trust. The Centre for Clinical Research and Innovation (CCRI) is a new, state-of-the-art clinical trials unit funded by income generated by the Trust’s current research activity. The CCRI houses the core research team, alongside the Research Nursing and Data Management teams. The unit provides expertise to aid the design and conduct of high quality trials including trial management, data processing and trial governance. The unit also has facilities for outpatient clinics including a four person unit for longer stay appointments. There has been investment in to state-of- the-art video conferencing facilities to enhance cross-site working and allow for external conferencing. As of 2016 the trust is running 164 clinical trials and employs 16 WTE research nurses.

For many years the hospitals have had a close association with the medical school of the University of Newcastle upon Tyne and undergraduates are regularly posted to many of the clinical departments. Following the successful joint bid for 100 extra medical student places by the Universities of Durham and Newcastle, the Trust is undertaking a much increased role in undergraduate teaching, as part of an enlarged regional clinical school. The first academic Consultant appointment (Dr P J Cook) has been made, and more are expected to follow

A number of medical students have worked in the Emergency Departments as one of their student selected components. We now run an SCC in Life Support for Medical Students. Many of the Emergency Medicine Consultants contribute to teaching on the Fundamentals of Clinical Practice Course, delivered to 3

rd year medical students, and to 5th year medical students who rotate through the departments.

The Emergency Medicine Departments have a strong commitment to education numbering currently 1 Foundation Undergraduate Doctor, 1 SAS Doctor professional Lead in addition to ENP programme Lead. All of the current Consultant body instruct on at least 1 life support course.

Research activity is now increasing and the Trust bid successfully in 1998 for support funding, which has enabled the appointment of a full-time Research Officer. The appointees will be encouraged to participate in on-going projects and initiate research in their own field.

6. TRUST BEHAVIOURS FRAMEWORK

Patients, public and staff have helped develop the Trusts’ Behaviours Framework of Values that inspire passion in the NHS and that should underpin everything it does. The NHS values provide common ground for co-operation to achieve shared aspirations, at all levels of the NHS. The post holder is required to commit to delivering the actions in the Trust’s Behaviours Framework:

Working together for patients.

Patients come first in everything we do. We fully involve patients, staff, families, carers, communities, and professionals inside and outside the NHS. We speak up when things go wrong.

Respect and Dignity

. We value every person – whether patient, their families or carers, or staff – as an individual, respect their aspirations and commitments in life, and seek to understand their priorities, needs, abilities and limits.

Commitment to quality of care

. We earn the trust placed in us by insisting on quality and striving to get the basics of quality of care – safety, effectiveness and patient experience – right every time.

Compassion

. We ensure that compassion is central to the care we provide and respond with humanity and kindness to each person’s pain, distress, anxiety or need.

Improving lives

. We strive to improve health and wellbeing and people’s experiences of the NHS.

Everyone counts

. We maximise our resources for the benefit of the whole community, and make sure nobody is discriminated against or left behind.

All employees are required to promote high quality care and good health and wellbeing through the enduring values described by the Department of Health: "The 6Cs – care, compassion, competence, communication, courage and commitment."

Duty of Candour

All employees are required to comply with the Statutory Duty of Candour: The volunteering of all relevant information to persons who have or may have been harmed by the provision of services, whether or not information has been requested and whether or not a complaint or a report of that provision has been made

7.

COMMUNICATIONS AND WORKING RELATIONSHIPS

The post holder is required to communicate with a broad range of internal and external stakeholders to ensure continuous patient care and safety standards. Key trust stakeholders will include Clinical Directors, Executive Colleagues, Care Group Senior Management in addition to clinical and non-clinical colleagues in the execution of their daily activities.

8. MANAGEMENT AND SUPERVISORY POSTS

All managerial and supervisory posts are expected to follow the principles of being a Great Line Manager and specifically be aware of, understand, and apply fair employment policies/practices, and equality and diversity principles and legal obligations. Commit to developing staff preferences, promoting flexible working arrangements, and encourage change of working practice following major life changing events.

All managerial and supervisory posts will ensure compliance with Trust policies and procedures and clinical guidelines.

All managerial and supervisory posts must ensure staff have equal access to career progression and are appraised annually and have a PDP.

9. HEALTH AND SAFETY RESPONSIBILITY/RISK MANAGEMENT

It is the responsibility of the individual to work in compliance with all current health and safety legislation and the Trust’s Health and Safety Policy and to attend any training requirements both statutory and mandatory in line with the Trust’s legal responsibility to comply with the Health and Safety and Welfare at Work Act 1974.

It is a standard element of the role and responsibility of all staff of the Trust that they fulfill a proactive role towards the management of risk in all of their actions. Members of staff are responsible for adherence to all Trust policies for the safety of themselves, staff and patients at work

10. INFECTION CONTROL

It is the responsibility of all individuals to comply with infection control policies and to attend any appropriate training requirements in line with the Trust's responsibility to comply with Government Directives.

11. CHILD/YOUNG PERSON RELATED POSTS

.

Has responsibility for ensuring that children and young people are safeguarded and must comply with the NHS Safeguarding Children Procedures and the LSCB Child Protection Procedures. The postholder must attend safeguarding children training at a level appropriate to the role and function of the post. Safeguarding Children Training is mandatory for all staff within this field.

12. DISCLOSURE & BARRING CHECK

(the post is exempt from the Rehabilitation of Offenders Act

)

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 (DBS to check for any previous criminal convictions).

This post will involve access to patient/person identifiable information, access to children, access to vulnerable adults and work in a regulated establishments such as a school

(delete any/all that are not applicable to this role)

13. SUSTAINABILITY

The Trust works in partnership with the NHS Sustainability Unit and Carbon Trust to achieve and exceed carbon reduction targets. Our aim is to be an exemplar organisation in the way we embraces sustainability and corporate social responsibility. To achieve this it is the responsibility of all staff to minimise the environmental impact of their day to day activities and adhere to Trusts policies on sustainability, waste, resource usage and governance.

14. GENERAL

This job description is intended as a guide to the principal duties and responsibilities for the post and should not be considered an exhaustive list. It is subject to change in line with future development of the service.

Any changes to the job description will be discussed with the postholder

ANNUAL REVIEW RECORD

Date of Issue: ……………………………

Date of Review: Employees Signature: Signature of Line Manager:

……………………………………………………………………………

……………………………………………………………………………

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