Job summary
CEMS is a unique service commissioned by Lincolnshire NHS to provide enhanced assessment and intervention to patients who have accessed the NHS by dialling 999. Bringing the Emergency Department to the patient, three dual-crewed CEMS vehicles containing a multi-disciplinary team of pre-hospital nurses, paramedics, doctors and advanced clinical practitioners attend complex emergencies in partnership with East Midlands Ambulance Service. Using skills and equipment normally found in hospital, CEMS teams are able to provide enhanced clinical assessment, diagnostic testing and treatment beyond what is usually provided by the ambulance service. Most patients episodes of care are able to be completed at the scene of the emergency, and for those needing to go to hospital or receive ongoing community management, teams are often able to access alternative pathways avoiding the emergency department.
CEMS teams also provide an initial or supporting response to life-threatening emergencies such as cardiac arrest or major trauma when requested by the ambulance service
Main duties of the job
As one of our CEMS Doctors, you will be responsible for triaging, assessing, investigating and treating patients with illness and injuries across the whole spectrum of acuity and age. You will be dispatched to jobs in our modern fleet of blue-light response vehicles equipped with the latest ultrasound and point of care technology. Working in conjunction with a colleague, and supported by the senior clinical leadership team, you will manage a high percentage of our patients in the community by delivering care beyond the scope of the typical ambulance, primary care or urgent care provider.
CEMS Doctors will be encouraged to utilise and develop pathways into primary and secondary care services, and where needed develop additional clinical skills and extend their scope of practice. Where patients need to be referred into other parts of the NHS, we aim to direct patients to the right speciality first time and enhance their pre-hospital management by the interventions we perform.
About us
About LIVES
LIVES is a forward-thinking innovative charity that first started 50 years ago. We passionately believe it takes a team to save a life, and that means we value our team and everything they do! CEMS is an exciting and motivated team of like-minded healthcare professionals who go above and beyond for their patients. LIVES is a flexible and supportive employer, who places education and continuing development at the centre of its focus. Looking after our team and our local communities is what LIVES does best.
Every member of the LIVES team is vital to delivering the best outcome for patients, from the volunteer Community First Responder (CFR) and Medical First Responders (MFR)s attending a cardiac arrest, to experienced health care professionals bringing advanced treatments into the community. To enable all this to happen, LIVES is supported by a team of dedicated people across various departments, all united in the mission to save lives and improve patient outcomes across Lincolnshire. This role is part of that team.
Job description
Job responsibilities
Responsibilities of the role
As one of our CEMS Doctors, you will be responsible for triaging, assessing, investigating and treating patients with illness and injuries across the whole spectrum of acuity and age. You will be dispatched to jobs in our modern fleet of blue-light response vehicles equipped with the latest ultrasound and point of care technology. Working in conjunction with a colleague, and supported by the senior clinical leadership team, you will manage a high percentage of our patients in the community by delivering care beyond the scope of the typical ambulance, primary care or urgent care provider.
CEMS Doctors will be encouraged to utilise and develop pathways into primary and secondary care services, and where needed develop additional clinical skills and extend their scope of practice. Where patients need to be referred into other parts of the NHS, we aim to direct patients to the right speciality first time and enhance their pre-hospital management by the interventions we perform.
We are looking for experienced doctors with relevant clinical experience including recent exposure to emergency or urgent care. Prior pre-hospital care experience is an advantage but not essential as we can provide pre-hospital training relevant to the role. CEMS is a unique role incorporating clinicians from a variety of backgrounds. We understand that its unusual for clinicians to have the full range of experience relevant to the role so well provide training and support to the right applicants to address any skills gaps.
MAIN DUTIES & RESPONSIBILITIES
Pre-Operational Training
Undertake required training and sign-off for role
Clinical Practice / Operational Response
Attend ambulance service emergencies identified by the CEMS team or Emergency Operations Centre
Act as the lead clinician for of a two-person team
Assess patients in accordance with under and postgraduate training, LIVES and national guidelines
Use diagnostic equipment including multi-parameter monitoring and point-of-care ultrasound and blood testing equipment as part of patient assessment
Provide emergency treatment in accordance with LIVES and national guidelines
Formulate an ongoing management plan, taking into account the wishes of the patient, which may include transfer to an Emergency Department, referral to an alternative hospital or community pathway, or discharge at scene
Supply prescriptions or medications where appropriate
Document care episodes using the appropriate systems
Where appropriate initiate end-of-life care or planning
Provide clinical advice via telephone, video-call or face-to-face discussion to ambulance service and other LIVES team members
Undertake regular checks and restocking of medical and operational equipment and medicines
Use on-board communication and technology equipment
Driving and Vehicle Checks
Conduct vehicle checks in line with CEMS Standard Operating Procedures, ensuring the vehicle is re-fuelled, re-stocked and operationally ready to respond
Conduct vehicle and equipment inspections at the start and end of clinical shifts, ensuring all defects, accidental damage or loss is reported in accordance to CEMS Standard Operating Procedures and the inspection is logged
Drive LIVES vehicles in accordance with the Highway Code, road traffic legislation and LIVES driving policy, under emergency driving conditions where appropriately trained
Education, Development and Research
Maintain required clinical skills currencies as prescribed by LIVES
Engage in the appraisal process for LIVES as well as the designated body if this is not LIVES
Undertake initial training and sign-off processes
Undertake ongoing training in accordance with the individual training plan
Maintain a portfolio of evidence against an appropriate Faculty of Pre-Hospital Care curriculum or syllabus
Undertake an appropriate faculty of pre-hospital care examination (e.g. Diploma in Urgent Medical Care or Diploma in Immediate Medical Care) in accordance with individual training plan
Support new team members and clinicians in training with their educational requirements
Support undergraduate and postgraduate students on clinical placement with the team
Support internal and external observers on placement with the team
Participate in clinical audit
Participate in research opportunities
Assist in the idenfitication and development of pre-hospital pathways
Undertake teaching and training within CEMS, LIVES and externally according to training, experience and personal interest
Management, Leadership and Clinical Governance
Doctors with appropriate seniority and experience may be asked to act as duty senior clinician
Report incidents, near misses and good practice using the Learning Events system in line with LIVES policies and co-operate with any investigation processes
Regularly attend clinical governance meetings as per currency requirements
Engage with clinical governance processes and activities within LIVES
Infection Prevention and Control
Undertake and maintain mandatory training in Infection Prevention and Control
Comply with LIVES policies and procedures regarding Infection Prevention and Control
Comply with LIVES policies and procedures regarding use of Personal Protective Equipment
Health and Safety
All team members are required to make every effort to maintain a safe working environment in accordance with LIVES Standard Operating Procedures and the Health and Safety at Work Act (1974).
Comply with LIVES policies and procedures regarding Health and Safety
Undertake dynamic risk assessment at incident scenes
Use Personal Protective Equipment where required and in accordance with training and safe systems of work
Undertake and maintain mandatory training on Health & Safety
Fundraising and Public Relations
Participate in public relations activities where required
Deal with offers of donations or support in an appropriate manner in line with LIVES fundraising policy.
Represent LIVES and CEMS by acting professionally at all times and complying with LIVES communications policy.
Confidentiality & Data Protection
Maintain professional standards regarding confidentiality in accordance with GMC guidance, Caldicott principles and LIVES policies and procedures
Undertake and maintain mandatory training on information governance
Comply with policy and legislation around data protection
Store paper records in accordance with LIVES policies
Comply with IT access policies and procedures
Report any Information Governance breaches according to policy
Success in the Role
Job description
Job responsibilities
Responsibilities of the role
As one of our CEMS Doctors, you will be responsible for triaging, assessing, investigating and treating patients with illness and injuries across the whole spectrum of acuity and age. You will be dispatched to jobs in our modern fleet of blue-light response vehicles equipped with the latest ultrasound and point of care technology. Working in conjunction with a colleague, and supported by the senior clinical leadership team, you will manage a high percentage of our patients in the community by delivering care beyond the scope of the typical ambulance, primary care or urgent care provider.
CEMS Doctors will be encouraged to utilise and develop pathways into primary and secondary care services, and where needed develop additional clinical skills and extend their scope of practice. Where patients need to be referred into other parts of the NHS, we aim to direct patients to the right speciality first time and enhance their pre-hospital management by the interventions we perform.
We are looking for experienced doctors with relevant clinical experience including recent exposure to emergency or urgent care. Prior pre-hospital care experience is an advantage but not essential as we can provide pre-hospital training relevant to the role. CEMS is a unique role incorporating clinicians from a variety of backgrounds. We understand that its unusual for clinicians to have the full range of experience relevant to the role so well provide training and support to the right applicants to address any skills gaps.
MAIN DUTIES & RESPONSIBILITIES
Pre-Operational Training
Undertake required training and sign-off for role
Clinical Practice / Operational Response
Attend ambulance service emergencies identified by the CEMS team or Emergency Operations Centre
Act as the lead clinician for of a two-person team
Assess patients in accordance with under and postgraduate training, LIVES and national guidelines
Use diagnostic equipment including multi-parameter monitoring and point-of-care ultrasound and blood testing equipment as part of patient assessment
Provide emergency treatment in accordance with LIVES and national guidelines
Formulate an ongoing management plan, taking into account the wishes of the patient, which may include transfer to an Emergency Department, referral to an alternative hospital or community pathway, or discharge at scene
Supply prescriptions or medications where appropriate
Document care episodes using the appropriate systems
Where appropriate initiate end-of-life care or planning
Provide clinical advice via telephone, video-call or face-to-face discussion to ambulance service and other LIVES team members
Undertake regular checks and restocking of medical and operational equipment and medicines
Use on-board communication and technology equipment
Driving and Vehicle Checks
Conduct vehicle checks in line with CEMS Standard Operating Procedures, ensuring the vehicle is re-fuelled, re-stocked and operationally ready to respond
Conduct vehicle and equipment inspections at the start and end of clinical shifts, ensuring all defects, accidental damage or loss is reported in accordance to CEMS Standard Operating Procedures and the inspection is logged
Drive LIVES vehicles in accordance with the Highway Code, road traffic legislation and LIVES driving policy, under emergency driving conditions where appropriately trained
Education, Development and Research
Maintain required clinical skills currencies as prescribed by LIVES
Engage in the appraisal process for LIVES as well as the designated body if this is not LIVES
Undertake initial training and sign-off processes
Undertake ongoing training in accordance with the individual training plan
Maintain a portfolio of evidence against an appropriate Faculty of Pre-Hospital Care curriculum or syllabus
Undertake an appropriate faculty of pre-hospital care examination (e.g. Diploma in Urgent Medical Care or Diploma in Immediate Medical Care) in accordance with individual training plan
Support new team members and clinicians in training with their educational requirements
Support undergraduate and postgraduate students on clinical placement with the team
Support internal and external observers on placement with the team
Participate in clinical audit
Participate in research opportunities
Assist in the idenfitication and development of pre-hospital pathways
Undertake teaching and training within CEMS, LIVES and externally according to training, experience and personal interest
Management, Leadership and Clinical Governance
Doctors with appropriate seniority and experience may be asked to act as duty senior clinician
Report incidents, near misses and good practice using the Learning Events system in line with LIVES policies and co-operate with any investigation processes
Regularly attend clinical governance meetings as per currency requirements
Engage with clinical governance processes and activities within LIVES
Infection Prevention and Control
Undertake and maintain mandatory training in Infection Prevention and Control
Comply with LIVES policies and procedures regarding Infection Prevention and Control
Comply with LIVES policies and procedures regarding use of Personal Protective Equipment
Health and Safety
All team members are required to make every effort to maintain a safe working environment in accordance with LIVES Standard Operating Procedures and the Health and Safety at Work Act (1974).
Comply with LIVES policies and procedures regarding Health and Safety
Undertake dynamic risk assessment at incident scenes
Use Personal Protective Equipment where required and in accordance with training and safe systems of work
Undertake and maintain mandatory training on Health & Safety
Fundraising and Public Relations
Participate in public relations activities where required
Deal with offers of donations or support in an appropriate manner in line with LIVES fundraising policy.
Represent LIVES and CEMS by acting professionally at all times and complying with LIVES communications policy.
Confidentiality & Data Protection
Maintain professional standards regarding confidentiality in accordance with GMC guidance, Caldicott principles and LIVES policies and procedures
Undertake and maintain mandatory training on information governance
Comply with policy and legislation around data protection
Store paper records in accordance with LIVES policies
Comply with IT access policies and procedures
Report any Information Governance breaches according to policy
Success in the Role
Person Specification
Experience
Essential
- 5 years post-registration clinical experience.
- Recent experience in independently managing undifferentiated acute presentations in all age groups.
- Recent experience in an emergency care setting or community setting with regular exposure to acute/urgent presentations
- Knowledge or experience of end-of-life care
- Experience of wound closure e.g., suturing, stapling, steri-strips.
- Evidence of career progression and continuous professional development.
- Knowledge of clinical governance systems.
- Good IT skills, including use of Office 365.
- Excellent communication skills
- Occupational health clearance
- Fit to perform pre-hospital care work
Desirable
- Experience of teaching/instructing on resuscitation, trauma care or emergency care courses.
- Completion of anaesthetic Initial Assessment of Competence
- Pre-hospital care experience
- Local knowledge of health care systems and geographical area.
Qualifications
Essential
- MBBS or equivalent.
- Adult and paediatric advanced life support training.
Desirable
- Relevant post-graduate qualification e.g., Royal College Examination and/or Membership such as MCRGP, MRCEM etc.
- Higher qualification in pre-hospital emergency medicine e.g., Diploma in Immediate Medical Care, Diploma in Urgent Medical Care, Diploma in Retrieval Transfer Medicine, Fellowship in Immediate Medical Care.
- Trauma management qualification.
- Emergency Ultrasound Training (e.g. RCEM Core, FUSIC, FICE).
Personal Attributes
Essential
- Commitment to uphold the LIVES values: Integrity, Community & Excellence
- Good written and verbal interpersonal communication skills.
- Ability to work as part of a team.
- Ability to lead a team.
- Ability to work in unpredictable pre-hospital settings.
- Ability to remain calm under pressure and during emotive situations.
- Demonstrates tact and diplomacy.
- Ability to develop effective working relationships with colleagues, patients and the public.
- Adaptable and flexible approach to work.
- Punctuality.
- Acts with honesty, integrity and professionalism.
- Caring attitude.
- Ability to self-motivate and motivate others.
- Promotes anti-discriminatory practice and equality and diversity.
Person Specification
Experience
Essential
- 5 years post-registration clinical experience.
- Recent experience in independently managing undifferentiated acute presentations in all age groups.
- Recent experience in an emergency care setting or community setting with regular exposure to acute/urgent presentations
- Knowledge or experience of end-of-life care
- Experience of wound closure e.g., suturing, stapling, steri-strips.
- Evidence of career progression and continuous professional development.
- Knowledge of clinical governance systems.
- Good IT skills, including use of Office 365.
- Excellent communication skills
- Occupational health clearance
- Fit to perform pre-hospital care work
Desirable
- Experience of teaching/instructing on resuscitation, trauma care or emergency care courses.
- Completion of anaesthetic Initial Assessment of Competence
- Pre-hospital care experience
- Local knowledge of health care systems and geographical area.
Qualifications
Essential
- MBBS or equivalent.
- Adult and paediatric advanced life support training.
Desirable
- Relevant post-graduate qualification e.g., Royal College Examination and/or Membership such as MCRGP, MRCEM etc.
- Higher qualification in pre-hospital emergency medicine e.g., Diploma in Immediate Medical Care, Diploma in Urgent Medical Care, Diploma in Retrieval Transfer Medicine, Fellowship in Immediate Medical Care.
- Trauma management qualification.
- Emergency Ultrasound Training (e.g. RCEM Core, FUSIC, FICE).
Personal Attributes
Essential
- Commitment to uphold the LIVES values: Integrity, Community & Excellence
- Good written and verbal interpersonal communication skills.
- Ability to work as part of a team.
- Ability to lead a team.
- Ability to work in unpredictable pre-hospital settings.
- Ability to remain calm under pressure and during emotive situations.
- Demonstrates tact and diplomacy.
- Ability to develop effective working relationships with colleagues, patients and the public.
- Adaptable and flexible approach to work.
- Punctuality.
- Acts with honesty, integrity and professionalism.
- Caring attitude.
- Ability to self-motivate and motivate others.
- Promotes anti-discriminatory practice and equality and diversity.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
