Specialty Doctor In Palliative Medicine in City of London

This is an excellent opportunity for a doctorwith experience in palliative medicine who is looking to take the next step intheir career, combining hands-on clinical work with opportunities to developleadership, teaching and service development experience. The post holder willbe based predominantly within the inpatient unit and will participate in thehospice first on call rota. We are offering a full time substantive post withina supportive multidisciplinary team.

Main duties of the job

Thespecialty doctor is an experienced member of the medical team who works closelywith consultants to deliver high-quality palliative care across hospiceservices.

Alongsidedirect patient care, the post holder will support the development of residentdoctors and medicalstudents, contribute to quality improvement and servicedevelopment initiatives, and undertake agreed administrative and operationalresponsibilities within the department.

Opportunities for professional development, education, quality improvement and career progression will be supported in line with the post holder's experience, interests and development goals.

About us

St Josephs is a large 24-bed hospice in Hackney, East London, with an inner-city, ethnically diverse population. There are excellent modern facilities including a busy community team, day hospice, complementary therapies centre, bereavement service, access to a multi-lingual advocacy team and a purpose-built education centre and library.

The successful applicant will join a team of 3 Consultants, 2 Specialty Doctors, 2 Palliative Medicine Specialty Registrars, 1 IMT doctor, 2 GPVTS doctors and additional Clinical Fellow posts.

Why work for us?

• 27 days holiday plus public holidays, increasing up to 33 days with service
• Subsidised cafe and early access to retail sale events
• Season ticket loans
• Continuation of NHS Pension Scheme or an excellent salary-exchange pension scheme
• Santander cycles discount and cycle to work scheme
• Health Cash Plan and access to the EAP services

Join St Josephs team and find out more!

Job responsibilities

1. INPATIENTHOSPICE DUTIES AND RESPONSIBILITIES

This rolewill mainly be spent within the inpatient unit setting. Community cover androtation between service departments may be required depending on servicerequirements. The post holder will be expected to contribute fullyto the day to day clinical workload of the service, including the assessment ofnew admissions and development of initial management plans.

1.1 Provide day to dayclinical support and guidance to resident doctors, clinical fellows and medicalstudents, offering advice within own level of competence and escalating toconsultant colleagues as appropriate.

1.2 Contribute tomultidisciplinary clinical decision-making and support collaborative workingacross professional groups.

1.3 Assist in prioritisation of clinical workloadand admissions within the inpatient unit in collaboration with consultantcolleagues and senior nurses.

1.4 Assessnew admissions to the hospice, including holistic assessment of physical,psychological, social and spiritual needs, and develop initial management planscovering symptom control, advance care planning and treatment escalationdecisions, with consultant support as required.

1.5 Participate in consultant ward rounds,multidisciplinary team meetings and other clinical discussions relating topatient care.

1.6 Communicate proactivelywith patients, families and carers, providing appropriate information andsupport, and leading family meetings and advance care planning discussionswhere appropriate, including discussions relating to prognosis, treatmentoptions, ceilings of care and preferred place of care.

1.7 Use of the multi-lingual advocacy serviceto aid assessment of and communication with patients and families who do notspeak English fluently.

1.8 Liaiseeffectively with professionals and organisations involved in patient care toensure continuity of care, safe discharge planning and coordinated servicedelivery.

1.9 Ensure timelycompletion of clinical documentation, including medical correspondence anddischarge summaries.

1.10 Participate inbereavement follow up as required.

2. COMMUNITYPALLIATIVE CARE DUTIES AND RESPONSIBILITIES- as required

2.1 Reviewingcommunity patients and providing advice to community team Clinical NurseSpecialists, plus undertaking joint home visits as necessary

2.2 Undertaking home visits, video calls andproviding telephone contact and advice to patients and their families.

2.3Workingclosely alongside the primary healthcare team, to ensure both the goodco-ordination of care and effective communication with different communityhealthcare professionals.

2.4 Useof the multi-lingual advocacy service to undertake joint visits, or telephonecontacts, for patients and families who do not speak English fluently.

2.5 Bereavementfollow up of families/carers of patients as appropriate

2.6 Provisionof clinical advice to external healthcare professionals by telephone or byundertaking joint home visits.

2.7 Reviewof day hospice patients who require medical intervention.

2.8 Attendance at weekly Multi-disciplinaryteam meetings where community / day hospice / respite patients are beingdiscussed.

3. OUT-OF-HOURS / ON-CALLDUTIES AND RESPONSIBILITIES

3.1 The on call component of this rolecomprises a full on call rota working 1 in 5 weekdays and 1 in 4 single weekenddays. There may be additional on call duties available at other times.

3.2 Participation in the hospice first on-callrota, providing out-of-hours cover for the hospice inpatient unit and communitypalliative care team with consultant support throughout. On-calls days from Monday to Friday are resident09:00-19:00 then non-resident 19:00-09:00 with average estimated average workof 2 hours during the non-resident period.On-call days at weekends and bank holidays are single-days non-resident09:00-09:00 with estimated average work of 12 hours during each 24-hournon-resident period. In practice thedoctor will usually be on site from 9am to 5pm with scope for a longer dayand/or overnight work as dictated by the clinical need.

3.3 Must be available to attend the hospicewithin 60 minutes during all non-resident on-call periods. On site on-call accommodation is available ifrequired.

3.4 There will be full discussion prior toinclusion/cross-covering the rota

4. NON-CLINICALDUTIES / EDUCATION, TRAINING & SUPPORT

4.1 Weekly doctors journal club.

4.2 Weekly doctors teaching.

Delivery of teaching:

4.4Teachingand supervision of medical students, and supporting the learning anddevelopment of resident doctors and clinical fellows, both on the ward andwithin the education centre.

4.5 Contribute to inductionand orientation programmes for rotating resident doctors.

4.6Largegroup teaching to year 3 and 5 Barts, The Royal London and Queen MarysHospitals Medical School students, GPs, DNs and multi-disciplinary groups.

Research & Audit:

4.7 Undertaking of clinical audit andquality improvement projects

4.8 Supervision of audit projects undertakenby other St Josephs Hospice staff.

4.9 Thepost holder would be encouraged to participate in research projects with theassistance and support of the research governance and support lead.

Management

4.10 Support theorganisation of rotas, induction and departmental educational activities.

4.11 Working with consultants on servicedevelopment and operational projects appropriate to the post-holdersexperience and areas of interest.

4.12 Participatein medical team business meetings and contribute to discussions regardingservice delivery and operational issues.

Support:

4.13Monthly group clinical supervision for specialty doctors

4.14Monthly Schwartz rounds the post holder can attend and present as theywish

4.15Facilitated debriefing sessions about individual patients arranged onrequest

Supervision:

4.16 Regularclinical/educational supervision by named Consultant

4.17 Availabilityof consultant support/advice daily following patient reviews or telephonecontacts with patients, carers, staff and external healthcare professionals.

5. GENERALREQUIREMENTS FOR MEDICAL STAFF

5.1 To contact one of the consultants, othersenior colleague or managers, as appropriate, if there are any clinicalconcerns.

5.2 To make accurate, legible andcontemporaneous entries in the patients records and to ensure continuity ofpatient care by handover to colleagues. St Josephs Hospice uses an electronicpatient records system.

5.3 To participate in audit, research or anyon-going developments within the hospice.

5.4 Toparticipate in teaching students, hospice staff and volunteers as required.

5.5 Toparticipate in journal club and educational activities at St Josephs Hospice.

5.6 To comply with Continuing ProfessionalDevelopment (CPD) requirements as stipulated by the Royal Colleges.

5.7 Tomaintain own professional indemnity insurance to cover work in the hospice.

5.8 To maintain confidentiality at all timesand comply with all other aspects of the General Medical Councils Code ofProfessional Conduct.

5.9 To keep a portfolio of evidence, to havean annual appraisal and write a personal development plan (PDP) in line withGMC revalidation policies and procedures.

6. GENERAL REQUIREMENTS FOR ALL STAFF

6.1 To perform his / her duties according tothe philosophy of the Hospice, acting at all times to safeguard the interestsof patients and their families, and in particular to respect and live out theHospice Mission and Core Values.

6.2 To attend the induction programme.

6.3 To comply with Occupational Healthprocedures.

6.4 To attend any staff meetings, whereappropriate, in discussion with the Medical Lead.

6.5 To keep up to date and complete all statutoryand mandatory training, e.g. fire training, lifting and handling and otherhealth and safety issues.

6.6 To monitor, record and assist ininvestigations of any complaints from patients, visitors and staff, reportingthese to the Medical Lead.

6.7 To recognise the importance of, and toparticipate in, Clinical Governance activities at St Josephs Hospice.

7. SAMPLE WEEKLY TIMETABLE

Please see the attached JD alongside this post for the sample timetable.

8. MAINTERMS AND CONDITION OF EMPLOYMENT

8.1Educational supervisionwill be provided by one of the medical consultants.

8.2The post holder will beappraised via an arrangement between the hospice and Homerton UniversityHospital unless they hold an NHS contract with another organization who acts as their designated body.

8.3The Responsible Officerfor this post, in relation to revalidation, is the Medical Director of theHomerton University Hospital NHS Trust.

8.4St Josephs Hospicesupports requirements for continuous professional development as laid down bythe Royal College of Physicians and is committed to providing time andfinancial support for these activities. There is a study leave budget for themedical staff. Study leave will need tobe approved by the medical director or other member of the consultant team.

8.5Job planning will beundertaken and reviewed on a yearly basis with the Medical Lead.

8.6NHS superannuation can becontinued subject to no significant gaps in service.

8.7There is an office forthe medical team at the Hospice. Thereis secretarial support, internet access and email facilities.

8.8Three months notice oftermination of contract must be given by the postholder and employer.

Person Specification

Qualifications

• Please refer to job description above
• Please refer to job description above

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.

Depending on experienceStarting salary £63,696 plus on call and £2,162 London Weighting