Specialty Doctor in Accident and Emergency

An exciting opportunity has arisen within the Emergency Department at Jersey General Hospital. We are seeking to appoint a dynamic and forward-thinking Specialty doctor to join our dedicated Emergency Medicine team.

Main duties of the job

• The postholder will provide high-quality emergency care within the Emergency Department, managing a wide range of acute conditions and injuries while supervising junior doctors and medical students.
• They will assume operational responsibility for the department when required, including acting as the most senior doctor on duty during evenings, nights and weekends.
• Duties include reviewing X-ray and pathology results and validating discharge letters.
• The department operates an electronic rostering system managed by the rostering team and Clinical Lead.
• The role includes participation in a rolling rota covering early, late, night and weekend shifts across seven days.

Clinical Governance and Departmental Development

• The postholder will support clinical governance by working with consultants and multidisciplinary teams to develop and implement evidence-based guidelines, protocols and care pathways.
• The role includes 1.5 SPA sessions and study leave to support CPD, appraisal requirements and departmental activities.
• Supported by a nominated ED Consultant Educational/Clinical Supervisor, the postholder will participate in training, supervision and appraisal of doctors in training.
• They will also contribute to management, quality improvement, patient safety, risk management and representation at hospital meetings.
• The successful candidate will demonstrate flexibility, adaptability and innovation in meeting the needs of the service.

Job responsibilities

• This position comprises 10 basic PAs and does not include on-call commitment, although the postholder will be expected to work day, late and night shifts as part of a full rota.
• We are committed to continuous professional development, offering a generous study leave budget.
• A generous relocation package is available with full travel expenses covered from the UK port of entry.
• The post also attracts residential qualifications, and Jersey offers affordable private education for children.
• Under Jersey Law, applicants must hold full registration with the General Medical Council and a license to practice.
• The Government of Jersey is dedicated to safeguarding and promoting the welfare of vulnerable people, including children.
• All staff and volunteers are expected to share this commitment.
• As this role involves working with vulnerable individuals, the selection process will include safeguarding measures and an enhanced DBS check.

On Call Rota

There is no on-call rota.

The Specialty - Emergency Medicine

The Emergency Department is self-contained and well situated close to support services. It is equipped to a high standard and has had a recent refurbishment which provides a delightful bright environment to work in opposite one of St Helier's parklands. Jersey is currently receiving significant inward investment in its health service which is completely independent of the NHS. Being an island-based emergency department, there is exposure to all types of emergency work. There are also occasions when patients need to be air-evacuated to a mainland hospital. For this, we have access to three aircraft fully dedicated to aeromedical evacuation. The JETS (Jersey Emergency Transfer Service) team will provide training for doctors involved in island to mainland transfers. Doctors involved in aero-medical transfers are paid an additional fee per transfer.

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. 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.

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.

Person Specification

Qualifications

• Essential: Primary Medical Degree, Full Registration with the General Medical Council (GMC) with a license to practice (for overseas candidates it is mandatory that a license is obtained prior to appointment).
• Desirable: Clinical experience in a similar environment.

Experience

• Essential: Evidence of Emergency Medicine experience in an appropriate setting at Staff Grade / Senior level at least 12 months full time (or equivalent part time), Completed at least four years full-time postgraduate training (or its equivalent gained on a part-time or flexible basis), at least two of which will be in a specialty training programme in a relevant specialty or as a fixed term specialty trainee in a relevant specialty or shall have equivalent experience and competencies.

Specialist Experience

• Essential: Provider status in ATLS/ETC (or equivalent), Provider status in ALS (or equivalent), Provider status in EPLS/APLS (or equivalent), MRCEM or FRCEM (or equivalent).
• Desirable: ATLS, ALS, or PAL/APLS (Instructor Status), Teaching Diploma.

Management Skills

• Essential: Ability to Work Flexibly with Colleagues to provide services, Ability to Work Effectively with a Multi-Disciplinary Team, motivating and influencing others through their enthusiasm, Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses, management and other agencies, Highly motivated, Able to work within a team, Experience of teaching, training and supervision of junior medical staff and undergraduate students.

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.

UK Registration

Applicants must have current UK professional registration.

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