Consultant in Acute Medicine (NHS Medical & Dental: Consultant) - Acute Medicine - Royal Free L[...]

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Main area Acute Medicine Grade NHS Medical & Dental: Consultant Contract Permanent Hours Full time – 10 sessions per week (Annualised Rota) Job ref 391-NMUH-7306144

Site North Middlesex University Hospital Town London Salary £105,504 – £139,882 per annum Salary period Yearly Closing 20/07/2025 23:59

Our trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community. This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.

Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers’ money, being safe and meeting our external duties, and building a strong organisation.

Everyone is welcome at Royal Free London NHS Foundation Trust. We\’re proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.

The Acute Medical Unit is a 39-bedded assessment and short-stay Ward located on the ground floor of the hospital. Of the 39 beds, 11 are side rooms (including 4 negative pressure isolation rooms for infection control purposes).

The care of patients on the Ward is divided between two acute medical teams each led by an acute medicine consultant, with each team caring for 15-16 patients.

The development of our SDEC services has allowed for the prevention of avoidable admissions and management of patients along ambulatory / same day emergency care pathways. Acute medical patients are referred to SDEC along established pathways following emergency presentation to ED, or can be referred directly from GPs or NHS111 via our dedicated acute medicine Hot Phone. LAS directly conveys suitable patients to SDEC following the Trusted Assessor model.

Patients also attend SDEC as part of early supported discharges from AMU and the medical take. SDEC operating hours are 8am-8pm 7 days a week. We are currently expanding our SDEC Team to accommodate increased demand.

Admission avoidance and early discharge are further supported by our dedicated therapies team. Specialty in-reach is provided by medical specialties.

Main duties of the job

MAIN DUTIES AND RESPONSIBILITIES

1.CLINICAL RESPONSIBILITIES

1.1 Participate in clinical governance activities including incident reporting and patient safety initiatives.

1.2 Provide senior clinical leadership and expert management for patients presenting with acute medical conditions.

1.3 Contribute to safe discharge planning in partnership with community and primary care services.

1.4 Promote early senior decision-making to support effective patient flow.

1.5 provide clinical supervision, training, and mentoring to resident medical staff and support their professional development.

1.6 Show flexibility and undertake different appropriate clinical tasks at the request of the clinical manager, as the need arises.

1.7 To provide clinical supervision for specialist registrars

See full details on attached Job description.

Working for our organisation

The North Middlesex University Hospital, Royal Free NHS Foundation Trust is a medium-sized acute and community trust with over 525 beds and over 600 community staff, serving more than 600,000 people living across Enfield and Haringey and the surrounding areas, including Barnet and Waltham Forest.

In the year ending 31 March 2022, the Trust reported a turnover of £419.7m and employed almost 4,000 staff. Following the transfer of Enfield Community Services on 1st April 2023, this has increased as we have welcomed over 600 new staff including District Nurses, Community Matrons, Community Physiotherapists, Psychologists and many more across a wide range of adult and children’s community services in Enfield.

In January 2025 we joined the Royal Free group: it is an exciting time to join North Mid as we continue our journey to become an integrated care organisation to deliver high quality, seamless care in our local communities, with a focus on tackling health inequalities.

North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICSs, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone statutory bodies, we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

Detailed job description and main responsibilities

An indicative job plan/timetable for this post with indicative Programmed Activities (PAs) is provided below, but this will normally be re-assessed after 3 months of appointment to ensure it meets the needs of the service.

For a whole-time 10 PA contract: the baseline split is:

· Direct Clinical Care: 8.0 PAs on average per week (Clinical activity, clinically related activity, predictable & unpredictable emergency work)

· Supporting Professional Activities: 1.5 core SPAs (CPD, audit, teaching & training) and 0.5 Quality and Service SPAs to be agreed with appointee (assumed to be educational supervision).

An additional 0.5 SPA is available to all Consultant Staff subject to review and agreement for quality and service roles which must be approved prospectively by the Clinical Director, or by the Medical Director for Trust-wide roles.

Job plans are reviewed annually, and applicants are encouraged to study the provisions of the Consultant Contract for England 2003 under which this post is offered.

Supporting Professional Activities (SPAs):

Delivery of the highest quality service possible is the main priority of this department. This means integrating evidence-based practice, research, audit, and other aspects of clinical governance, particularly the delivery of quality training and risk management. There are many areas for service development and requirements for working with all healthcare professionals and specialties.

There are a number of different shifts within the annualised acute medicine consultant rota: the following description covers the shifts duties, the average workload and the shift frequency.

· AMU A & B: 0800-1600 (1.75 DCC PAs + 0.25 SPA PAs/day): 8-10 am post-take round in ED then named consultant for half of AMU each (15-16 patients) (frequency: 65 shifts per year).

· SDEC: 0800-1700 (2.0 DCC PAs + 0.25 SPA PAs/day): named consultant for SDEC supporting ANPs and resident doctors, holding referral & advice hot phone (frequency: 33 shifts per year).

· PTWR & Day Take: 0800-1700 (2.25 DCC PAs): 8-10 am post-take round in ED then named consultant for the medical take. The average medical take is 50 patients/24h. (frequency: 33 shifts per year).

· Additional standalone SPA activity (up to 2 SPA PAs/day).

· Weekday Evening Take: 1700-2000 (0.83 DCC PAs) (frequency: 1 shift per month (on a fixed evening between Monday and Thursday), plus 1 in 14 Fridays).

o Saturday 0800-2000 (4 DCC PAs) and Sunday 0800-1700 (3 DCC PAs) alternate with:

o Saturday 0800-1700 (3 DCC PAs) and Sunday 0800-2000 (4 DCC PAs).

o Post-take round in ED then responsible for half of AMU (15-16 patients), medical take in the afternoon until the end of the shift. AMU consultant supporting SDEC.

o 1.75 of SPA PAs for the rest of the week, on a day of own choice.

o Compensatory time off/zero hours is included following a weekend displacing normal clinical activity.

o (The weekend frequency is 1 in 8).

We have adopted annualised job plans and the exact timetable of shifts are allocated to take account of annual leave requests and other agreed specialty activities whilst maintaining cover in all clinical areas. There are opportunities to swap with colleagues where the need arises after the rota is written. The exact allocation of shifts on the rota also takes into account individual skills and preferences across the Consultants contributing to the Acute Medicine Rota, eg some consultants contributing to a higher proportion of SDEC or take shifts.

Dedicated time for DCC admin duties (reviewing results, attending MDT meetings, dictating letters, virtual clinics, etc) is included in the AMU and SDEC shifts (0.25 PA per shift).

On Call Duties

There is evening and weekend scheduled working as per above shifts description.

This post does not currently include participation in the overnight or weekend out of hours on-call rota, therefore no on-call supplement applies.

Person specification

Qualifications, Training and Experience

• MRCP or Equivalent
• CCST/CCT or equivalent in Acute Medicine / General Internal Medicine and on the specialist register, or otherwise within 6 months of CCT date at the time of interview, or CESR application submitted Experience of working in acute medicine
• Ability to take full and independent responsibility for clinical care of patients
• Ability to take full and independent responsibility for the management of acute emergencies
• Experience in Ambulatory Emergency Care / Same Day Emergency Care

Skills & Abilities

• Ability to communicate effectively with staff, patients, and relatives
• Potential to develop leadership skills
• Excellent interpersonal and organisational skills
• Experience of service development and quality improvement initiatives
• Ability to work in a pressurised environment
• Training/qualification in leadership and management
• Posters/presentations at regional and national meetings Publications in peer-reviewed journals

Knowledge

• Knowledge and participation of clinical audit
• Understanding of Clinical Governance
• Experience on providing high quality training and education to undergraduates and postgraduates
• Posters/presentations at regional and national meetings Publications in peer-reviewed journals
• Post graduate diploma in teaching

Other Requirements

• Excellent communication skills, both oral and written, and an ability to relate to staff and patients.
• Knowledge of resource management issues.
• Ability to stay calm under pressure. Computer literate
• Willingness to work flexibly as part of a team
• GMC Registration
• Ability to support and motivate staff during periods of pressure

Getting vaccinated, and getting a booster, remains the best defence against COVID-19.
We encourage and support staff to get COVID-19 vaccine and a booster dose as and when they are eligible.

• AT* – Apprenticeship Training . Where AT* is entered next to the job title indicates that this vacancy is for an apprenticeship role.
• By applying for this role, you accept if successful, that your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which aims at saving you time and improving efficiencies within the NHS when your employment transfers.Therefore we require you to complete your stat and Man e-learning modules prior to joining our organisation.
• If you are an EU/EEA citizen who does not have EU Settlement or Pre-Settled status, you will require a visa to work in the UK.
• Applications from job seekers who require sponsorship to work in the UK are welcome and will be considered alongside all other applications. Before submitting your application and to avoid disappointment please check that you are eligible under the UKVI points based system .
• If you are offered a role with one of the NLPSS partner trusts, as part of pre-employment checks youridentity and right to work documentation will be verifiedremotely (in most circumstances), using a certified identity verification service provider TrustID. You will be asked to capture an image of the relevant documents as well as a “selfie” using your smartphone/tablet (if available) for facial matching. TrustID will also perform a digital address check using Trunarrative and Equifax, which is a soft check and does not leave a footprint on your credit rating. For more information, visit
• The Trust uses electronic new starter forms on Trac to collect personal details. Information collected is securely stored and used to set up the employee record on the ESR HR system.
• The Trust will request a DBS (CRB) if post involves regulated activities. The Trust is compliant with the Disclosure and Barring Service Codes of practice and the Rehabilitation of offenders act.
• By applying for this post you are agreeing to Royal Free London NHS Foundation Trust transferring the information contained in this application to its preferred applicant management system. If you are offered a job, information will also be transferred into the national NHS Electronic Staff Records system.
• Please be aware of scams – unless specified above, we will only communicate with you via @recruit.trac.jobs or nhs.net e-mails and we will never ask you for any payments.

Applications are welcome from people wishing to job share or work flexible patterns. We are committed to equal opportunities.

Please note:

• Due to the high number of applications that are received for some posts we may close this vacancy before the advertised closing date. Therefore please apply for this post as soon as you can, if you are interested and you meet the requirements of the Person Specification.
• Only those candidates who clearly demonstrate how they meet the person specification will be shortlisted for this job.
• Interview arrangements will be communicated via email so please check your email regularly following the closing date.

Please be advised that due to exceptionally high demand, all Royal Free accommodation is at full capacity and waiting lists are being held. Average waiting times are 12 months. Please do not rely on Trust accommodation when you commence your role and ensure you investigate alternative accommodation for your arrival.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Application numbers

This vacancy may close early if it receives a high number of applications. Please complete and submit your application in good time to avoid disappointment.

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