Consultant in Accident and Emergency in Southampton

This is an opportunity to join a dynamic, forward looking Consultant team where change and evolution of Emergency Medicine is a priority. This is a replacement post to join the existing team of eleven consultants within Jersey General Hospital, which is the only Emergency Department on the island. There are medical secretaries to support our clinical services. The appointee will have access to a shared office space with IT facilities.

Duties

• To lead or supervise the resuscitation and treatment of patients with life threatening injury and illness.
• To work in close partnership and liaison with Primary Care, other specialties within the hospital and other specialist services.
• Assess, review, treat and establish management plans for patients within the Resus, Majors and Minors areas of the Emergency Department.
• To work as the Consultant in charge of the department and lead the shift.
• To work collaboratively with multidisciplinary teams to monitor, improve and maintain compliance with the Emergency Department 4-hour safety standard and associated quality and performance standards.
• Participate in the Emergency Department Consultants' on-call rota.
• To provide clinical advice and support to primary care colleagues and other consultants within Health and Care Jersey medical model.
• To deliver personalised, evidence-informed medical care plans to all patients, that are appropriately documented and regularly evaluated.
• To provide advice and timely medical reviews and interventions as part of the interdisciplinary model of care.
• To set-up, participate and attend relevant services' MDTs where applicable.
• Maintain good quality up to date medical records, including timely discharge letters and summaries.
• To ensure appropriate documentation and coding is used to provide consistent audit and monitoring of the service.
• To adhere to local prescribing guidelines.
• To provide clinical supervision, advice and guidance to the resident doctor workforce and emergency nurse practitioners. The post holder is expected to provide cross cover for colleagues during absences.
• The post holder should be adaptable, flexible and innovative in order to meet the ongoing challenges within the service. The responsibilities of the role may change from time to time.
• To comply with infection prevention and control requirements including the latest COVID-19 guidance and policies.

Leadership and Management

• Take part in management and audit activities to support the Care Group Leadership team and Public Health in planning for services and ensuring the service meets key performance indicators.
• The post holder will be expected to take part in management and audit activities and represent the service at Hospital meetings, as required.
• The post holder will be expected to be fully involved in Clinical governance, which includes risk management and supporting improvements in quality and safety.
• Provide clinical leadership and support to the department's nurse specialists.
• Build and develop an excellent service for Emergency Medicine.

Teaching and Research

The department is recognised for training of resident doctors from the Wessex deanery and medical students from Southampton. Active teaching is encouraged in this role. It is expected that the post holder will participate in the training of medical staff and ensure that training and learning needs are identified and facilitated. This includes educational support for clinical fellows recruited directly to Health and Care Jersey. Opportunities for participating in research are supported where appropriate. Health and Care Jersey has a policy for professional leave and is supportive of external duties for the good of the wider profession.

Management Structure

Health and Care Jersey are a directorate of the Government of Jersey, that is responsible for the delivery of specialist health care and the running of the general hospital. The directorate is led by a Chief Officer, who leads an executive team. Health and Care Jersey (HCJ) is organised as a series of Care Groups, each with a senior leadership team consisting of a triumvirate model. This post is set within the Medical Care Group.

Medical Care Group

The Emergency Department sits within the Medical Care Group which comprises the following range of services: Acute Assessment Unit, Cardiology, Clinical Investigations Department, Diabetes, Emergency Department, Frailty, Gastroenterology & Endoscopy, Haematology, Medical Day Unit, Medical Outpatients, Medical Wards, Neurology, Oncology, Palliative Medicine, Pathology, Renal Medicine, Respiratory, Rheumatology, Sexual Health, Stroke Medicine. In Jersey is fully age and specialty integrated. There are 4 medical wards, Plemont, Rozel, Bartlett and Corbiere. A 5-bedded Enhanced Care Area is located in AAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit led by the Acute Medicine Department. There is a 25-bed Acute Assessment Unit. SAS doctors are responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, Residents whom they closely supervise. On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the AAU by GPs in conjunction with the Acute Medicine team. A core responsibility of the Medicine Care Group is the provision of a safe acute medical service. The Care Group always provides named Consultant supervision for non-Consultants and ensures that prompt review and treatment are provided for acute medical emergencies referred by General Practitioners or the Emergency Department. Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area.

There are 87 medical beds. 12-20 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24. There are approximately 4,500 medical admissions annually. In addition to outpatient clinics and 4 general medical wards containing 83 beds, the Medical Service Care Group is involved in the management of several specialist facilities. These include: 20 bedded Acute Assessment Unit (AAU), 5 bedded Enhanced Care Area (ECA), A well-equipped Clinical Investigations Department providing echocardiography, exercise ECG, respiratory assessment and GI physiology. An endoscopy suite providing a full range of endoscopy and bronchoscopy services. Diabetes Centre providing outpatient care for the diabetic population of Jersey, including retinal photography and specialist nursing support. Renal/Dialysis unit, providing emergency, acute and longer-term renal support as well as management of transplanted patients and assessment and treatment of renal conditions. 6 bedded isolation area for infected or neutropenic patients.

We actively seek to recruit people from different backgrounds with diverse perspectives, creating a richer, more varied environment where you're exposed to new ideas, new ways of thinking, and new opportunities to build an exciting and rewarding career. To maintain the highest standards of public service, we have a rigorous screening process, to ensure candidates align with our values, skills, and professional requirements. This helps us create a trusted, capable workforce that can deliver excellence and safeguard our community.

Employment Details

Health and Care Jersey are seeking to appoint an enthusiastic and dynamic substantive Consultant in Accident and Emergency to join our welcoming consultant body. The successful candidate will be expected to work a minimum of 10 PAs, with the option of 12 PA to be discussed at interview if shortlisted.

Essential

• Primary Medical Degree
• Full Registration with the General Medical Council (GMC) with a Licence to practise (for overseas candidates it is mandatory that a licence is obtained prior to appointment).
• Higher Specialty qualification: FRCEM or equivalent European Qualifications for Specialist Registration
• To have obtained CCT and be on specialist register
• To have obtained CESR and be on specialist register or,
• Within 6 months of obtaining CCT with recommendation of programme director
• ALS, ATLS/ETC, APLS/EPLS provider status

Desirable

• Higher Degree MSc, MD or PhD or equivalent ALS, ATLS/ETC, APLS/EPLS trainer status

Relevant Experience

• Relevant experience at a consultant level in a similar setting
• Leadership skills in managing change within healthcare services
• Wide experience in emergency medicine
• Evidence of successful interface between secondary and primary care
• Enthusiastic Teacher Management responsibility/leadership experience
• Participation on an emergency medicine on-call rota at a consultant level
• Ultrasound qualifications
• Major Trauma Centre experience
• Pre-Hospital experience
• Specialist interest

Leadership and Management Skills

• Ability to work flexibly with colleagues to provide services
• Ability to work effectively within a multi-disciplinary team, motivating and influencing others through their enthusiasm
• Ability to communicate effectively with colleagues, patients, relatives, GPs, management teams and external stakeholders
• Highly motivated

Other Essential

• Participation in clinical audit and risk management activities
• Demonstrates a commitment to safeguarding young people and vulnerable adults
• Evidence of annual appraisal
• IT literate

Desirable (additional)

• Experience of service planning and development
• Evidence of research and publication in peer reviewed journals

Benefits

• Generous relocation and remuneration package, which is benefitted by lower taxation than within the UK.

Jersey is easily accessible from most regional airports in the UK and has good links with NHS tertiary centres, particularly with Southampton and London, which affords the successful candidates the ability to maintain links within the NHS.

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