Locum Consultant - 12 month Fixed Term Contract
Having strong communication and people skills is fundamental as you will be required to work in partnership with the multi-professional team, ensuring every patient and their needs are always at the centre of what you do. You will draw on your expertise to carry out a holistic assessment of patients and work collaboratively with the other healthcare professionals to provide excellent care for our patients and their families. You will need to share and be able to demonstrate our five key values of Integrity, Compassion, Accountability, Respect and Excellence. Finally, you will be able to provide evidence of full registration, with a GMC licence to practice and ongoing appraisal / revalidation.
Main duties of the job
This post will be a key part of the Consultant team. You will primarily support our In-Patient Unit, looking after hospice patients with a Multi Professional team approach, providing urgent and planned medical reviews for patients as needed. You will also provide regular support to the Wellbeing Centre, as well as cover for our Hospice at home. You will be available to support and provide cross-cover to consultant medical team colleagues. Join Our Team! For Excellence. For Compassion. For People. For Living. Our Medical Team has a weekly rolling programme of continuous professional development and journal clubs to support your learning and development. You will also have the opportunity to contribute more widely to Hospice clinical services including teaching, audit, and research.
About us
Princess Alice Hospice is one of the top ten adult hospices in the UK, providing specialist palliative care and support to a community of more than a million people living in Surrey, south west London and Middlesex. Here at Princess Alice, you have the opportunity to make a satisfying, rewarding difference to the lives of our patients, their families and friends, and be supported every step of the way. We are small enough for you to see the impact your medical skills have, and big enough to support you with training, experience and opportunities. In November 2022, we were rated as overall Outstanding by the Care Quality Commission (CQC). The CQC team commented on our focus on each person's individual needs and the expressed view that staff went 'the extra mile' with empathy and compassion.
Job responsibilities
* To liaise closely with, and support, consultant colleagues.
* To work closely with, and support, all members of the wider Multi Professional Team (MPT).
* To participate in the weekly in-patient ward round and provide medical leadership when needed.
* To provide ward reviews and Consultant ward-cover when needed and provide clinical supervision and support to middle grade staff.
* To work closely with external healthcare professionals GPs, district nurses and hospital specialists to provide support, advice and continuity of care.
* To manage hospice patients within an MPT approach, providing urgent and planned medical reviews for patients when in their home, as an outpatient or as hospice inpatients as needed.
* To complete holistic, medical assessments and formulate clear management plans, in close collaboration with the rest of the MPT, patients and their families.
* To maintain ongoing medical care for Princess Alice Hospice (PAH) patients, reviewing signs and symptoms and to negotiate / update management plans accordingly with the rest of the MPT, the patients and their families.
* To support / address the needs of carers / families, e.g. communicating with them as often as necessary.
* To maintain accurate and clear, contemporaneous clinical records i.e. appropriately updated electronic patient records.
* To provide excellent communication / handover of clinical information by telephone, email or in writing as appropriate, ensuring that all relevant in-house / external healthcare professionals are up to date with clinical events e.g. letters to general practitioners.
* To ensure continuity of care.
* To attend appropriate community MPT meetings.
* To coordinate with colleagues to help in the prioritising of admissions to and discharges from; ESS; the community caseload; and the inpatient unit.
* To coordinate with colleagues to assess and manage patients in the Wellbeing Centre as necessary. Also, where appropriate, discuss with their Clinical Nurse Specialist (CNS) and / or GP in a timely fashion.
* To work flexibly with the medical team and to provide cover for colleagues and the wider MPT as appropriate.
* To help with induction, education and supervision of medical students and visiting doctors as appropriate.
* In line with national changes, plans for 7-day working have to be considered, future work patterns, including on-call patterns, may need to change in line with this.
General requirements for medical staff
* To participate in audit, research or any ongoing developments within the hospice and, where appropriate, to develop their own audit / research.
* To participate in the medical department's Continuing Professional Development (CPD) programme e.g. Monday meetings and the Wednesday / Thursday medical journal club (alternates monthly), as well as other educational activities at the Hospice.
* To participate in teaching for the wider MPT, hospice staff / volunteers and externally where appropriate.
* To comply with CPD requirements as stipulated by the Royal Colleges.
* To keep up to date with clinical mandatory training requirements.
* To keep a portfolio of evidence, to have an annual appraisal and write a personal development plan (PDP) and objectives in line with GMC revalidation policies and procedures.
* To maintain their own professional indemnity insurance to cover all work in the hospice.
* To maintain confidentiality at all times and comply with all other aspects of the General Medical Council's Code of Professional Conduct / Good Medical Practice.
General requirements for all Staff:
* To attend the induction programme.
* To comply with Occupational Health procedures.
* To attend any staff meetings, where appropriate, in discussion with the Medical Director.
* To attend statutory training, e.g. fire training, moving and handling and other health and safety issues.
* To act at all times in a manner to safeguard the interests of patients and their families.
* To be aware of and perform according to the Hospice's values and behaviours.
* To monitor, record and assist in investigations of any complaints from patients, visitors and staff, reporting these to the Medical Director.
* To be fully conversant with, and participate in, the hospice's Governance Policies.
* To be aware of personal and others' responsibility as defined in the Health and Safety at Work Act and COSHH regulations.
Person Specification
Personal Qualities and Other Requirement
* Commitment to the specialty and its future development
* Commitment to learning
* Meets professional health requirements (in line with GMC standards in Good Medical Practice)
* Ability to organise own learning and development
Qualifications
* MB BS or equivalent
* MRCGP or MRCP or equivalent
* On the Specialist Register for Palliative Medicine (or within 3 months of their CCT date at the time of interview)
* Registration and defence union:
* Full GMC registration and licence to practice
* Subscription to a defence union
* Fitness to practise:
* Applicants knowledge is up to date and has evidence of being fit to practice safely through appraisal / revalidation.
* Diploma in Palliative Medicine or equivalent
Particular Skills and Aptitudes
* Able to work as part of a multi-professional team and to demonstrate leadership when appropriate
* Able to cope with pressure
* Flexible approach to work: able to adapt and work with employer to deliver improved patient care
* Equality and diversity: promotes equality and values diversity
* Probity: professional integrity and respect for others
* Advanced communications skills
* Clinical judgement: experience in making clinical decisions and managing risk.
* Knows when to seek help, able to prioritise clinical need
* Able to comfortably engage with clinical uncertainties and constructive clinical debate with medical and nursing colleagues.
* Commitment to clinical governance / improving quality of patient care:
* Clinical governance: capacity to be alert to dangers or problems and respond accordingly
* Audit: understand principles and has evidence of completed audits
* Teaching: evidence of interest and has appropriate experience in teaching
* Research: demonstrates understanding of research, evidence of relevant academic and research achievements
* Educational supervision training and experience
Experience
* Relevant specialty clinical knowledge
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 experience aligned to current NHS Consultant Pay Scales.
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