LAS SHO Acute Medicine in Emergency Quadrant in Rhyl

The average daily emergency “take” in Adult Medicine is 35 patients (+25 for Care of the Elderly) and the average length of stay is < 4-5 days. Consultant post-take ward rounds are carried out continuously in the Emergency Quadrant (EQ). There are over 6,000 emergency admissions each year to Adult Medicine, with a further 4,000 annual admissions to Care of the Elderly. The Division of Emergency and Integrated Medicine has twice-weekly sessions of postgraduate and audit activity, including a weekly Physician’s Grand Round and a weekly lunchtime Clinical Conference. The Division has a regular teaching commitment with resident students from Cardiff, Manchester and Liverpool, with the majority appointed from these Universities. A core curriculum is taught to Foundation Year Ones and SHOs/FY2s, and there are also regular MRCP tutorials. There is a dedicated Clinical Governance Unit and Audit Office with permanent staff.

Main duties of the job:

• The candidate will be responsible, both professionally and managerially, for the acute medicine team under the lead of Dr H Nair.
• Supervision will be provided by a team of consultants (08:00 hrs to 18:00 hrs, present in the EQ).
• Provide cover to medical patients in the EQ from 08:00 hrs until 18:00 hrs on a day‑to‑day basis and is not part of the on‑call rota.
• Provide in‑reach to Emergency Department patients that require review post ward rounds.
• Advise and liaise with GPs, preventing admission and utilising alternative appropriate pathways.
• Cover within SDEC to review GP admission patients (as per the national SDEC model patient management).
• Cover within SDEC to review patients within ward and re‑attenders / redirected from ED.
• Implement Hot‑Clinics for rapid review of appropriate patients.
• Support medical patients alongside the ANPs and medical residents (EQ).
• Liaise with multidisciplinary teams and other specialties.
• Participate in Clinical Audit and CPD, fully supported by the Health Board.
• Adhere to GMC guidelines and be accountable to the clinical Director for EQ and the Clinical Director for Medicine.

Working for our organisation:

Glan Clwyd Hospital opened in 1980 and is a modern District General Hospital providing a comprehensive range of services to the population of North Wales, between Llandudno and Flint and the adjacent inland rural communities. It serves a population of approximately 220,000 with a considerable influx of holidaymakers in the summer months. The hospital has 513 acute beds on the Glan Clwyd site, with additional in‑patient beds at Abergele Hospital (Ophthalmology Department and Orthopaedics). An Acute Psychiatric Unit (Ablett Unit) is situated on the Glan Clwyd site, as is the North Wales Cancer Treatment Centre. The Division of Emergency and Integrated Medicine includes eight medical wards, an 8‑bedded Cardiac Care Unit, a 28‑bed Acute Medicine Unit and three Care of the Elderly wards. There is also a busy Emergency Department, a Gastroenterology Unit and a Cardiac Catheterisation Laboratory within the Division. The Renal and Diabetes Centre attached to the site was opened in September 2004.

Person specification:

Qualifications

• Essential criteria: MBBS, GMC registration
• Desirable criteria: Successful completion of 1 of the 3 UK advanced life support provider training courses (ALS, ATLS or APLS) or equivalent courses.

Eligibility

• Essential criteria: Evidence of achievement of Foundation competences in line with GMC standards / Good Medical Practice. Evidence of achievement of FY2 acute & general medical competences. At least 12 months experience at FY1 and FY2 level.
• Desirable criteria: Experience in medical specialties such as cardiology, COPD medicine, respiratory medicine. Experience in surgical specialties such as neurosurgery, cardiothoracic, plastic, obstetrics & gynaecology, general or oral‑maxillofacial surgery.