King's College Hospital NHS Foundation Trust
An exciting opportunity has opened up to join the dynamic Acute Medicine team at Princess Royal University Hospital. The team are actively seeking to review and develop the acute services in line with the changing demand. We are looking for an enthusiastic colleague who will join a team of 10 Consultants in developing and delivering acute care provision. The team promote best practice in the management of emergency medical admissions, discharges and admission avoidance.
The successful candidate will join an existing team of Acute Medicine Consultants working across the Acute Medicine services at the Princess Royal University Hospital. There is also the potential for prospective candidates to develop their specialty interest as part of their acute job role. This is dependent on informal agreement before formal application. The expanded team will progress the development of Acute Medicine and Same day emergency care service within the PRUH and South Sites Division. This includes the ongoing development of Ambulatory Emergency Care and Acute Medical Unit re-design, seven-day acute medical model to improve patient safety, continuity of care experience and good clinical outcome.
For further information or informal visits, please contact:
Dr Harry Wright, Clinical Lead for Acute Medicine, harry.wright@nhs.net on 01689 863610
Main duties of the job
The successful candidate will be responsible for covering a range of clinical duties which will include patient care on Acute Medical Wards and in the Medical Ambulatory unit.
As an Acute Physician, you will be providing consultant-led care for patients based on the Acute Medical Units. The Units are two modern purpose-designed wards in very close proximity to the Emergency Department and consist of 56 beds including 8 monitored beds. Consultant ward rounds are conducted every morning with a second round in the afternoon in line with acute medicine standards. Multi-disciplinary board rounds take place twice a day with specialty in-reach for advice. Successful candidates would also participate in the on-call medical take rota.
The Consultant-led Medical Ambulatory Unit is open 7 days a week and accepts referrals directly from GPs, Urgent Care, LAS, NHS 111 and the Emergency Department. The unit also sees step-down patients from the Acute Medical Units that require rapid follow-up or further treatment following discharge from hospital. We are currently expanding this service to take more patients from the acute medical take and directly from the community.
About us
King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of c£1 billion, 1.5 million patient contacts a year and more than 15,000 staff based across South East London. The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.
We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.
King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.
Job responsibilities
GENERAL
The remit of the post holder will be to work within the multidisciplinary team providing and further developing care for patients under the Acute Medicine. In addition, the individual will be required to play an active role in the general workload of the department while having a significant commitment to teaching and training of junior staff. The individual will also be required to take on appropriate specific responsibilities as part of their core Supporting Professional Activity (e.g. infection control, risk and performance management, consultant and junior rota supervision, teaching programme, mortality monitoring, audit, specialty liaison).
Major areas of Acute Medicine in Kings include the interface with Emergency Medicine, other medical specialties and community care providers. It is envisaged that the successful candidate will contribute to the development and delivery of all aspects of the service but our priorities are to continue working towards provision of recognised outstanding patient safety, quality of care, patient experience and reducing waste, with a focus on the expansion of ambulatory assessment and management of our patients with appropriate clinically lead pathway design.
The post will be based at the Princess Royal University Hospital. The proposed 10 PA Job Plan is attached and will be reviewed within 3 months of the postholder commencing in post. The job plan is based on the provision of a Consultant delivered service seven days a week and into the evening in accordance with principles of Acute Medicine endorsed by the Royal College of Physicians and NHS England (London).
We welcome applications from candidates with interest in Specialty.
The On-Call commitment is for a 1:10 rota, which is classed as Category A. There is a commitment to undertake routine job planned work on Saturdays or Sundays as part of the total job planned PAs.
All employees are expected to undertake work on any of the Trust's sites as required by the service. As a senior employee of the Trust, you will work in close cooperation with, and support other clinical, medical professional and managerial colleagues in providing high quality healthcare to the Trust's patients. Integral to these responsibilities is the following:
* The provision of a first-class clinical service
* Effective leadership to all staff engaged in the specialty
* Sustaining and developing teaching and research in conjunction with Kings College London / KHP
* Undertaking all work in accordance with the Trust's procedures and operating policies
* Conducting clinical practice in accordance with contractual requirements and within the parameters of the Trust's service plans
* Maintaining the confidence of business plans and development strategies formulated for the specialty, the Division or the Trust
KEY DUTIES AND RESPONSIBILITIES
* Together with the other Acute Medicine Consultants, to provide a service for Acute Medicine. This includes all aspects of treatment and relevant management duties for the proper functioning of the department.
* Shared responsibility with the other Acute Medicine and contributing GIM Consultants for providing 24 hour, 7 day a week cover for AM on a rota basis. Responsible also for covering colleagues' periods of annual leave and short-term sickness.
* Provide clinical supervision of junior medical staff as a shared responsibility with other consultant colleagues.
* Responsible for carrying out teaching, examination and accreditation duties as required and contributing to CPD and clinical governance initiatives.
* Responsible for outpatient clinic commitments in peripheral hospitals as agreed with the Divisional management team.
* Contribute to departmental research interests in accordance with the Trust's R&D framework.
* Contribute to the audit programmes, Morbidity and Mortality, clinical governance programs and learning from Deaths.
* Take an active role in the formulation, implementation and monitoring of the departments/ Divisions Business Plan. This may include assisting with discussions regarding service plans and developments with internal and external agencies.
* Conduct all activities within the contracted level of service and operating plan for service(s).
* Exercise professional leadership for all staff working in the specialty. This will include fostering and developing projects focused towards these ends and ensuring that the momentum of post-qualification professional education and other appropriate training is maintained.
* Work in conjunction with clinical and other professional colleagues to ensure that the productivity of staff within the specialty is maintained and their job satisfaction is enhanced. This may include involvement in the appraisal process for peers and/or junior colleagues.
* Undertake Divisional management duties as agreed with the Divisional/departmental Manager/Clinical Director.
* Be aware of, and comply with, all Trust infection prevention and control policies, to include hand hygiene, personal hygiene, environmental and food hygiene.
* Prepare for and undertake the protective interventions that you are responsible for in a manner that is consistent with evidence-based practice and maintaining patient safety.
Generic Statements for inclusion in all job descriptions:
* You have a general duty of care for the health, safety and well-being of yourself, work colleagues, visitors and patients within the hospital in addition to any specific risk management or clinical governance responsibilities associated with this post.
* You are required to observe the rules, policies, procedures and standards of Kings College Hospital NHS Foundation Trust together with all relevant statutory and professional obligations, including complying with statutory and Trust core training.
* You are required to observe and maintain strict confidentiality of personal information relating to patients and staff.
* You are required to be responsible, with management support, for your own personal development and to actively contribute to the development of colleagues.
* The post-holder has an important responsibility for, and contribution to make to, infection control and must be familiar with the infection control and hygiene requirements of this role. These requirements are set out in the National Code of Practice on Infection Control and in local policies and procedures, which will be made clear during your induction and subsequent refresher training. These standards must be strictly complied with at all times.
* All employees must hold an 'nhs.net' email account, which will be the Trust's formal route for email communication. You are therefore required to check this regularly and to deal with such communication promptly.
* 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
* Full MRCP
* Full Registration with GMC
* Other higher degree or diploma (e.g., MD)
Registration
* Full Registration with GMC
* Applicants must be within 6 months of CCT or must have fully completed CESR application and be fully registered on the GMC general medicine/acute medicine Specialist Register. Any applications not meeting these criteria will not be considered.
Training and Experience
* Experience in day-to-day organisation of General Medicine on wards services in a busy Teaching Hospital
* Familiar with current structure of UK National Health Service and conversant with recent initiatives and changes
* Acute Medical experience
Audit
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