The Emergency Medical Transfer and Retrieval Service (EMRTS) is a helicopter/car based pre hospital enhanced care team. The team is responsible for providing a critical care response in the pre-hospital environment to critically ill or injured patients. An operational team is made up of either one critical care practitioner (CCP) and one doctor or two CCPs. In addition, Helicopter Transfer Practitioners (HTPs) provide care on the inter hospital transfer aircraft and within the air support desk.
The service represents a joint partnership with NHS Wales, the Wales Air Ambulance Charitable Trust and the Welsh Ambulance Services NHS Trust. The service is commissioned by NHS Wales Joint Commissioning Committee and is hosted by Swansea Bay University Health Board who has responsibility for this commissioned service.
Appointed Consultants will hold honorary contracts with Swansea Bay Health Board and accountability lies with SBHB when working for EMRTS.
Consultants are expected to work both day and night shifts, of 12 hour duration. As the service is seven days a week pro-rata weekend days will be part of the working pattern.
A 12-day hour shift will be remunerated at 3.2 sessions whilst a 12 hour night shift will be remunerated at 4.5 sessions, with the additional allowance of SPA paid to LHB's. The rota is annualised over 42 weeks allowing for annual, study and professional leave.
We will be recruiting at this time for North and South Based Consultants.
Main duties of the job
There are two main service activities, both delivered by teams consisting of a Consultant and Critical Care Practitioner:
1. Pre-hospital Critical Care. EMRTS attends the scene of seriously injured or ill patients requiring specialist care together with senior decision making skills. The aim of EMRTS is to bring the resuscitation room to the patient, providing rapid access to critical care interventions and safe transfer of critically ill or injured patients to an appropriate centre.
2. Retrieval. Healthcare facilities in Wales may request an EMRTS Critical Care Consultant and a Critical Care Practitioner to resuscitate, stabilise and safely transfer patients to definitive care. This includes hospitals, urgent care facilities, GP practices and Midwife Lead Units and patients of all ages who have life threatening illness or injury.
In addition, EMRTS will also provide critical care support to major incidents and mass casualty events.
About us
Swansea Bay University Health Board has responsibility for the health of around 390,000 people in the Neath Port Talbot and Swansea areas, with a budget of around £1 billion and employing 12,500 people. We are a University Health Board working in partnership with Swansea University, Swansea School of Medicine, the School of Health Science and the Institute of Life Science. The HB has three major hospitals providing a range of services: Morriston and Singleton hospitals in Swansea and Neath Port Talbot hospital in Baglan, Port Talbot.
The Health Board is part of A Regional Collaboration for Health (ARCH), which is a partnership with Hywel Dda UHB and Swansea University. Aimed at improving the wellbeing and wealth of South West Wales.
Swansea is Wales' second-largest city, and sits on the five-mile sweep of Swansea Bay. An ideal base for exploring South-West Wales, there is also much on offer for visitors in Swansea itself. Swansea has a range of shops, cozy cafes, great restaurants, art galleries as well as being able to offer good outdoor lifestyle with its beautiful coastline and beaches on the Gower Peninsula. Swansea also has excellent sporting facilities including the Wales National pool and liberty stadium home to the Ospreys and Swansea City football club.
Job description
Job responsibilities
A full and detailed Job Description is attached to this advert - Please check that you meet the essential criteria prior to submitting your application.
Selection for this rewarding role is demanding and consists of several clinical scenario assessments as well as a formal interview.
An assessment event will be held on 15th February 2025.
The ability to speak Welsh is desirable for this post English and/or Welsh speakers are equally welcome to apply.
Person Specification
Qualifications and Training
Essential
1. Full GMC registration with license to practice and up to date appraisal / revalidation.
2. Substantive Consultant in or having accepted an Advisory Appointments Committee (AAC) approved substantive post in Anaesthetics/EM/ICM.
3. Successful completion of relevant life support/resuscitation/trauma courses previously.
4. Where a sub specialty training programme in Pre-Hospital Emergency Medicine has been undertaken it must have been successfully completed prior to appointment.
5. Diploma in Immediate Medical Care.
6. To have obtained Fellowship in Immediate Medical Care within 5 years of commencing work with the service if this has not already been achieved.
7. Successful completion of the PHEM Training programme or equivalent training and experience.
Desirable
1. Diploma in Retrieval and Transfer Medicine.
2. Clinical fellowship in Trauma System (Overseas/Military/UK).
3. Higher Degree (MD/MSc) in allied subject: (Resuscitation /Trauma Sciences).
4. Postgraduate qualification in medical education.
5. Experience in FAST scanning or bedside echocardiography.
6. Advanced driving certification.
7. Substantive Consultant post within Wales.
Knowledge & Skills
Essential
1. Competence in management of acute illness and injury in adults and children.
2. Competence in independent initial and ongoing advanced management of the critically ill patient including emergency anaesthesia. Initiation and maintenance of emergency anaesthesia should ideally be evidenced through an anonymized log book of pre-hospital and/or in-hospital practice. Experience will be judged on a case to case basis. CV should reflect level of competence.
3. Sound judgment and decision making.
4. Good understanding of the principles of clinical governance.
Desirable
1. Previous attendance on an EMRTS clinical attendant scheme, and/or prior engagement with the EMRTS service (such as attendance at EMRTS governance days, training events, etc.).
Experience (Should be within 5 years)
Essential
1. Experience of working in the pre-hospital environment and/or experience of carrying out secondary transfers.
2. Experience in postgraduate/multidisciplinary Education.
3. Prior experience with evidence of working within an established pre-hospital aero-medical or road-based service.
Desirable
1. Prior experience working within a trauma centre (experience of major trauma, major haemorrhage, massive transfusion).
2. Prior experience with evidence of working within an established secondary retrieval service.
3. Experience as a clinical tutor or lecturer at postgraduate level.
4. Experience using simulation for education.
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