Consultant in Accident and Emergency

Interviews for this post are scheduled for 15th January 2027 with a pre-interview engagement day on 14th January 2027. Attendance in person is required on both days. Please take these dates into consideration when applying.

Health and Care Jersey are seeking to appoint an enthusiastic and dynamic substantive Consultant in Accident and Emergency to join our welcoming consultant body.

Main duties of the job:

• Lead and supervise the resuscitation, assessment, treatment and ongoing management of patients with life-threatening injury and illness within the Emergency Department.
• Work closely with Primary Care, hospital specialties and external services to ensure coordinated, high-quality patient care.
• Assess, review and manage patients across Resus, Majors and Minors areas, acting as Consultant in Charge and leading clinical shifts when required.
• Collaborate with multidisciplinary teams to maintain performance against the Emergency Department 4-hour safety standard and associated quality measures.
• Participate in the Consultant on-call rota and provide clinical advice and support to primary care colleagues, consultants and wider services.
• Deliver personalised, evidence-based care plans, undertake timely reviews and interventions, and contribute to multidisciplinary team meetings where appropriate.
• Maintain accurate medical records, including discharge documentation, and ensure appropriate clinical coding, audit and service monitoring.
• Adhere to local prescribing policies and infection prevention and control requirements, including current COVID-19 guidance.
• Provide clinical supervision, support and guidance to resident doctors and emergency nurse practitioners.
• Provide cover for colleagues during periods of absence and demonstrate flexibility, adaptability and innovation to meet changing service needs, recognising that responsibilities may evolve in line with operational requirements.

About us: We aim to enable Islanders to live longer, healthier and productive lives. We provide safe, sustainable, affordable and integrated services in partnership with others. These include the provision of a wide array of hospital services, social care and support in the community.

Here in Jersey, we have our own Health Care system, separate from the NHS. We are looking to develop and improve our healthcare services towards a modern, fully digitised, and future-proof system, in advance of our new hospital (planned to open in 2029). To do so we need fresh eyes, new ways of working and the next generation of Consultants to make our healthcare system the best it can be.

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. 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.

To support your transition to Jersey, we can provide a generous relocation and remuneration package, which is benefitted by lower taxation than within the UK.

The Government of Jersey is committed to safeguarding and promoting the welfare of vulnerable people (to include children) and requires all staff and volunteers to share this commitment. As this position will work with vulnerable people, the selection process will involve safeguarding measures and include an enhanced DBS check.

On-call commitment: The appointee will take part in the Emergency Medicine on-call rota of one in five.

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: Stroke, 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.

Care Group Statistics:

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.

• 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.

This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time, and this description will be subject to review in consultation with the post holder.

Proposed Job Plan:

All consultants have a 10 PA contract for public work, which is divided into 8 DCCs (including on call) and 2 SPA per week (1 SPA for CPD and 1 SPA job planned for a departmental activity). Provision for break times will be provided between AM and PM sessions. The final job plan will be agreed with the Clinical Director for the Emergency Department and General Manager for Medicine and subsequently the Chief of Service for Medicine, before final approval with the Medical Director. The post holders job plan will be reviewed annually and will be appraised according to the current guidance.

Person Specification:

Qualifications:

• Essential: Primary Medical Degree, Full Registration with the General Medical Council (GMC) with a Licence to practise, 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 at a consultant level in a similar setting, Leadership skills in managing change within healthcare services.

Experience:

• Essential: Wide experience in emergency medicine, Evidence of successful interface between secondary and primary care, Enthusiastic Teacher, Management responsibility/leadership experience.
• Desirable: Participation on an emergency medicine on-call rota at a consultant level.

Specialist Experience:

• Essential: Ultrasound qualifications.
• Desirable: Major Trauma Centre experience, Pre-Hospital experience, Specialist interest.

Leadership and Management Skills:

• Essential: 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, Able to work within a multidisciplinary team, Experience of teaching, training and supervision of junior medical staff and undergraduate students, An understanding of and ability to demonstrate ability to Empower others, Lead through change, Influence strategically, Collaborative working, Drive for Improvement, Demonstrate Integrity.

Personal Attributes:

• Essential: Able to work flexibly in a changing health service, Ability to work as part of a team, Effective communicator.

Other:

• Essential: Participation in clinical audit and risk management activities, Demonstrates a commitment to safeguarding young people and vulnerable adults, Evidence of annual appraisal.
• Desirable: Experience of service planning and development, Evidence of research and publication in peer reviewed journals, IT literate.

All employees are required to: ensure appropriate job plan is in place, adhere to the Standards in Public Services, understand your personal responsibilities in respect of health and safety at work, Undertake mandatory training, assessments, and appraisals within mandated timescales.

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.

Certificate of Sponsorship: Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications.

Employer details:

Employer name: Health and Community Services

Address: Government Of Jersey, The Parade, St. Helier, Jersey, Channel Islands, JE13QS Jersey

Employer's website: https://www.gov.je