JOB DESCRIPTION 1. INPATIENT HOSPICE DUTIES AND RESPONSIBILITIES Duties include: 1.1 Delivery of medical care to specialist palliative care inpatients with consultant supervision (using a holistic approach, addressing the patients physical, psychological, social and spiritual needs). 1.2 Work as part of the multi-disciplinary, specialist palliative care team to optimise patient care. 1.3 Clerk new admissions to the hospice through history and physical examination and explore advance care planning. 1.4 Attendance at & participation in the weekly Consultant Ward Round and Multi-Disciplinary Team meeting. 1.5 Communicating with patients and their families pro-actively, providing appropriate information and support as necessary. 1.6 Chairing of family meetings when appropriate. 1.7 Use of the multi-lingual advocacy service to aid assessment of and communication with patients & families who do not speak English fluently. 1.8 Appropriate communication with health professionals outside of palliative medicine, to ensure good continuity of patient care. 1.9 Timely provision of medical letters and discharge summaries. 1.10 Participation in bereavement follow-up as required. 2. OUT-OF-HOURS / ON-CALL DUTIES AND RESPONSIBILITIES 2.1 The on call component of this role comprises a full on call rota working 1 in 6 weekdays and 1 in 4 single weekend days. There may be additional on call duties available at other times. 2.2 Participate in the hospice first on-call rota, providing out-of-hours cover for the hospice inpatient unit and community palliative care team with consultant support throughout. On-call days at weekends and bank holidays are single-days non-resident 09:00-09:00 with estimated average work of 12 hours during each 24-hour non-resident period. 2.3 Must be available to attend the hospice with 60 mins during all non-resident on-call periods. On site on-call accommodation is available if required. 3. NON-CLINICAL DUTIES / EDUCATION, TRAINING & SUPPORT Educational opportunities: 3.1 Weekly doctors journal club. 3.2 Weekly doctors teaching. 3.3 Monthly Schwartz Rounds. 3.4 Courses available via hospice Education Centre as per candidates training needs. Delivery of teaching: 3.4 Teaching & supervision of medical students on placement at the hospice, both on the ward setting and in the education centre (currently mainly virtual) 3.5 Teaching on induction programme for St Josephs rotating junior doctors 3.6 Large group teaching to year 5 Barts, The Royal London and Queen Marys Hospitals Medical School students, GPs, DNs and multi-disciplinary groups. Audit: 3.7 Undertaking of clinical audit and quality improvement projects 3.8 Supervision of audit projects undertaken by other St Josephs Hospice staff. Management 3.10 Helping organise teaching and journal club rotas. 3.11 Observation of work and teaching by St Josephs fundraising department 3.12 Observation of work of volunteers department, including teaching on recruitment and selection process for volunteers. 3.13 Working with consultants on service development projects appropriate to the post-holders experience and areas of interest. Support: 3.14 Regular group clinical supervision for specialty doctors 3.15 Monthly Schwartz rounds the post holder can attend and present as they wish 3.16 Facilitated debriefing sessions about individual patients arranged on request Supervision: 3.17 Regular clinical/educational supervision by named Consultant 3.18 Availability of consultant support/advice daily following patient reviews or telephone contacts with patients, carers, staff and external healthcare professionals. 4. GENERAL REQUIREMENTS FOR MEDICAL STAFF 4.1 To contact one of the consultants, other senior colleague or managers, as appropriate, if there are any clinical concerns. 4.2 To make accurate, legible and contemporaneous entries in the patients records and to ensure continuity of patient care by handover to colleagues. St Josephs Hospice uses an electronic patient records system. 4.3 To participate in audit, research or any on-going developments within the hospice. 4.4 To participate in teaching students, hospice staff and volunteers as required. 4.5 To participate in journal club and educational activities at St Josephs Hospice. 4.6 To comply with Continuing Professional Development (CPD) requirements as stipulated by the Royal Colleges. 4.7 To maintain own professional indemnity insurance to cover work in the hospice. 4.8 To maintain confidentiality at all times and comply with all other aspects of the General Medical Councils Code of Professional Conduct. 4.9 To keep a portfolio of evidence, to have an annual appraisal and write a personal development plan (PDP) in line with GMC revalidation policies and procedures. 5. GENERAL REQUIREMENTS FOR ALL STAFF 5.1 To perform his / her duties according to the philosophy of the Hospice, acting at all times to safeguard the interests of patients and their families, and in particular to respect and live out the Hospice Mission and Core Values. 5.2 To attend the induction programme. 5.3 To comply with Occupational Health procedures. 5.4 To attend any staff meetings, where appropriate, in discussion with the Medical Lead. 5.5 To keep up to date and complete all statutory and mandatory training, e.g. fire training, lifting and handling and other health and safety issues. 5.6 To monitor, record and assist in investigations of any complaints from patients, visitors and staff, reporting these to the Medical Lead. 5.7 To recognise the importance of, and to participate in, Clinical Governance activities at St Josephs Hospice. 6. SAMPLE WEEKLY TIMETABLE OF CLINICAL MEETINGS / TEACHING / SUPPORT ACTIVITIES Monday Tuesday Wednesday Thursday Friday AM 09:00-10:00 Weekend handover 10:00-12:30 Ward round 09:00-09:30 Morning handover 09.30-12.30 Consultant Ward round 09:00-09:30 Morning handover Ward work 09:00-09:30 Morning handover 11:00-12:30 St Michaels Ward MDM 09:00-09:30 Morning handover 09:30-12:30 Consultant ward round PM 12:30-13:30 Journal club Admissions 1400-16:00 Lourdes Ward MDM Admissions 12:30-13:30 Weekly doctors teaching 14:00-15:00 Schwartz Rounds (monthly) 12:30-13:30 Medical team business meeting (twice monthly) Clinical Supervision (monthly) Admissions and ward work 16:00-17:00 Weekend Handover 7. MAIN TERMS AND CONDITION OF EMPLOYMENT 7.1 Educational supervision will be provided by one of the medical consultants. 7.2 The post holder will be appraised via an arrangement between the hospice and Homerton University Hospital. 7.3 The Responsible Officer for this post, in relation to revalidation, is the Medical Director of the Homerton University Hospital NHS Trust. 7.4 St Josephs Hospice supports requirements for continuous professional development as laid down by the Royal College of Physicians and is committed to providing time and financial support for these activities. There is a study leave budget for the medical staff. Study leave will need to be approved by the medical director or other member of the consultant team. 7.5 Job planning will be undertaken and reviewed on a yearly basis with the Medical Director. 7.6 NHS superannuation can be continued subject to no significant gaps in service. 7.7 There is an office for the medical team at the Hospice. There is secretarial support, internet access and email facilities. 7.8 Three months notice of termination of contract must be given by the postholder and employer.