Infectious Diseases Clinical: Provide expert opinions on patients with infectious disease complaints, taking independent responsibility for the clinical care of patients referred to the unit. Participate in regular clinical multidisciplinary meetings. Undertake regular ward rounds (daily presence during 1st-on-call week, minimum twice-weekly during 2nd-on-call week). Undertake clinical duties in such a way that meets with Directorate and Trust aims and objectives. Lead on departmental provision of general medical care outside of the specialist department, including medical boarding and winter pressures. Contribute pro rata to the Infectious Diseases on-call rotas as outlined below.
On-call: On-call commitment will be 1 in 16 pro rata, covering Infectious Diseases on a 24 hour, 7 day on-call week basis, which will attract 0.5 PA pro rata and an on-call commitment for Medical Microbiology. Infectious Diseases on-call includes daily on-call for ID Ward 19, provision of external advice, regular ward rounds including Saturdays and Sundays on the Infectious Diseases unit, and providing specialist opinion to other teams in the Trust on a consult basis. A pan-regional telephone advice service is offered, supported by direct admission of patients to the ID unit at the discretion of the on-call ID consultant. The service is currently supported by an ID StR on-call between the hours of 0900 and 2100 7 days per week, and a General Internal Medicine StR outside those hours.
The unit is also on 24/7 standby for HLIU/HCID activities. Additionally, there is a requirement as part of the clinical directorate of medicine to look after medical boarders/winter pressure boarders and additional Covid-19 boarders in line with departmental duties. There is an additional ID on-call commitment providing telephone advice 24/7 for non-specialist clinicians in Northern Ireland.
Medical Microbiology Clinical: The Microbiology / Virology Department is very clinically orientated and the duties of the post include regular ward visits including visits to ITUs, review of consults and patients with chronic or complicated infections, daily clinical meetings, attendance at ward rounds and relevant MDTs and telephone consultations. This also involves the development of the clinical service, protocols and guidelines.
Antimicrobial Stewardship: The post holder will help to further develop antimicrobial stewardship and improve and further implement audits within the Trust, working with the well-established pharmacists and IT teams.
Laboratory: Duties in the laboratory include bench rounds (physical or virtual via TEAMS if based at the RVI site), providing day-to-day supervision of diagnostic methods and examination of specimens, authorisation and interpretation of results and attendance at laboratory meetings. This also includes training the junior medical and laboratory staff, and participation in the development of laboratory protocols and procedures. Duties also involve participation in business planning and helping the laboratory to maintain full accreditation with UKAS.
Infection prevention and control: The Trust is committed to minimising risks of healthcare associated infection to patients, visitors and staff. All employees are required to be familiar with and comply with Infection Prevention and Control Policies (IPC) relevant to their area of work and must participate in IPC training and activities commensurate to their role. IPC duties include providing advice relating to day-to-day IPC issues, meeting with Infection Prevention and Control staff, attending or chairing infection meetings including outbreak meetings and Root Cause Analysis as appropriate and IPC Committee meetings/forums. This time allocation of tasks may vary, depending on agreed assignment of other duties.
On-call: Trainees are mostly first on-call for microbiology queries, supervised by consultants for weekday evening shifts and weekends after 12 noon. This work is carried out mostly via the telephone. Consultants are required to be first on call, on some weekends where there are gaps in the rota and also all weeknights from 10 pm till 9 am of the next morning. There is an arrangement to cross-cover a neighbouring Trust for on-call (Northumbria Healthcare NHS Foundation Trust), however an on-site presence at Northumbria is not required.
The appointee will participate in the Consultant on-call and the microbiology transplant rota (for the provision of out-of-hours advice related to infection in transplantation). Acute Laboratory cover for Saturdays and Sundays and Bank Holidays 9-12 Medical cover is also required and can be on site or from home since TEAMS working has been acceptable Post Covid. This acute lab work requires 1 trainee and 1 Consultant to cover one site each (RVI and Freeman) and complete all proactive work of new results and infection cases and handovers and follow up of patients on wards and ITUs. Time off in lieu will be given for Bank Holiday and weekend working by mutually convenient arrangement (department and the individuals) and is currently 1 Day in TOIL per weekend/BH worked.
On-call will be: 1 in 13 as a joint on-call rota with Northumberland Consultants, and a 1 in 7.5 transplant on-call (Recent diary of activity in 2022 led to a tally of each Consultant doing a weekend in 5.2 weekends) responsibility and it attracts a Category A on-call supplement.
Cross-Cover for Clinical Duties with Colleagues: You will be expected to provide cross-cover for your colleagues during periods of leave and short-term sickness absence.
Study Leave: There is an entitlement of up to 10 days paid study leave (including off-duty days falling within the period of leave) per annum, subject to Trust approval. Funding for study leave is subject to available resources and applications will be evaluated according to criteria outlined in the Trust study leave policy. Final approval for funding will be undertaken by the Trust Education and Workforce Development Team in conjunction with the relevant Head of Service or Clinical Director.
Supporting Professional Activities (SPA): The time that is devoted to SPA within the Job Plan will be likely to vary at different times in a Consultants career. The Trust believes that full-time Consultants require 6 hours per week, on average, (1.5 PAs) to undertake the core activities common to everyone within SPA, such as undertaking CPD, mandatory training, appraisal (separate SPA time is not identified by the Trust formally for appraisal preparation) and revalidation, attendance at department management and audit meetings and other appropriate meetings such as the Antimicrobial Steering Group, and Infection Prevention and Control Committee, basic trainee supervision etc. Additional SPA time is recognised for further activity with a measurable output, which might include regular teaching, training supervision, department management or audit lead. This will be agreed through the regular Job Plan review mechanism, usually up to the maximum of 2.5 SPAs.
Teaching: The duties of the role include: The supervision and training of junior medical staff in Combined Infection Training, Medical Microbiology, Virology and Infectious Diseases. Teaching undergraduate medical students, postgraduates and others including Biomedical Scientists, nursing staff and the professions allied to medicine. Where appropriate an application may be made for the appointee to be granted the title of Associate Clinical Lecturer in Microbiology.
Flexibility: In line with the Trust's core value of placing patients at the heart of everything we do, we are developing our service provision to be responsive to the needs of our patients. To meet those needs some staff groups will be increasingly asked to work a more flexible work pattern so that they can offer services in the evening or weekend. As a result, any offer of employment to a consultant post will be subject to you agreeing to work a new more flexible pattern or working in the future if required, including evening and weekend work.
For full details of the Job Description, please read attached Job Description and Person Specification.
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