Specialty Grade Doctor
This job is now closed
Job summary
To provide the highest possible quality of specialist medical palliative care and advice within the resources available in conjunction with the medical and multidisciplinary teams.
Main duties of the job
We are currently offering a fixed contract until August 2024. This is a great opportunity to gain palliative care experience within a dynamic well established hospice team. It would be great for professional development either for individuals with general practice experience or individuals looking to develop a career in palliative care.
About us
St Michaels is a newly refurbished consultant led hospice. Alongside the inpatient unit it has day services, outpatients and a Hospice at Home service all built on strong MDT and partnership working with our NHS and local authority colleagues.
St Michaels works closely with hospital and community generalist and specialist services to deliver its innovative and ambitious care strategy.
Continuous Professional Development (including ST3 GPVTS and FY2 training) is the corner stone of this experienced medical team.
Details
Date posted
12 July 2023
Pay scheme
Other
Salary
£51,000 to £80,000 a year MC75
Contract
Fixed term
Duration
12 months
Working pattern
Full-time
Reference number
B0210-23-0012
Job locations
St. Michaels Hospice
Bartestree
Hereford
HR1 4HA
Job description
Job responsibilities
Job Description.
Job Title: Medical Specialty Doctor
Salary range: £51,000 to £80,000 (MC75)
Grade: Specialty Grade Doctor
Department: Medical
Location: St. Michaels Hospice, Bartestree
Reports to: Hospice Lead Specialist Doctor
Responsible for: Supervision of doctors in training, Foundation Year 2 (FY2) and GPVTS doctors.
Job Purpose:
To provide the highest possible quality of specialist medical palliative care and advice within the resources available in conjunction with the medical and multidisciplinary teams.
Responsibility Areas:
Direct provision of high-quality specialist palliative care
Assessment, diagnosis and management of patients under the care of the Hospice. Majority of work is based in the in-patient unit and/or Day Hospice, but if required as outpatients or domiciliary visits. Work includes:
Admission assessment and forming a management plan, providing explanation/ information according to individual patient preference, communication with patients/ family and other professional colleagues, arranging and reviewing appropriate investigations, safe and effective prescribing in accordance with prescribing standards, supporting advance care planning, managing challenging symptoms and with others providing leadership in challenging situations.
Providing effective documentation and handover.
Managing expectations and with others working to provide holistic high quality responsive general medical and specialist palliative medical care in accordance with current evidence, accepted practice and guidance.
Use of a variety of clinical support systems to aid clinical decision making.
Working within the medical team to maintain continuity of care.
Working with the nursing and multidisciplinary teams to provide effective joint care.
With the nurse in charge and ANP each day identifying patients for medical/nurse review or shared care.
Following the shared care procedures.
Assessment of appropriateness of discharge, contributing to discharge and aftercare planning.
Liaising promptly with professional colleagues involved in patient and family care during and after admission.
Contributing to admission prioritisation.
Using effective joint working and prioritisation to support responsive admissions within available capacity each day.
Liaison and provision of specialist palliative care advice
With professionals, patients and carers during working hours and on call. This includes decision-making over the appropriateness of admission or discharge to/from the Hospice.
Dictation of medical correspondence and use of NHS mail to liaise with professional colleagues.
Multi-disciplinary team working
Working with the multidisciplinary team to provide holistic specialist palliative care to patients/carers and families.
Ensuring appropriate involvement of relevant professionals, interfacing and planning most effective joint working.
To work alongside the wider multidisciplinary team in promoting the Rehabilitative Palliative Care approach enabling people to live fully until they die.
Share in the training and supervision of the FY2 and other trainees on rotation at the Hospice and providing support to others on educational attachment on the IPU.
Contribute to clinical governance and the Hospice Care strategy implementation.
Involvement in critical incident reporting, quality improvement activity or clinical guideline review is expected e.g. contribute to the medical team quality improvement schedule.
Contribute to the IPU working group and other work to develop hospice care services.
Follow professional code of practice and Hospice professional expectations, policies and procedures. Maintain compliance with mandatory training and mandatory reads.
Continuing professional development
Disseminate knowledge and skills at every opportunity throughout the Hospice multidisciplinary team and where appropriate external health care professionals.
Responsible for maintaining own professional development using reflective practice, allocated time for CPD and study leave effectively.
Compliance with GMC requirements to maintain revalidation and engagement with effective annual professional appraisal.
Dimensions and limits of authority/influence
Need to make safe diagnostic assessment and clinical management decisions including prescribing, appropriate investigation, interventions, communication and provision of specialist palliative care advice.
Assessment and decisions are made within personal competency with access to a senior medical officer or consultant for advice, assessment and supervision with twice weekly consultant ward round.
When on call a consultant is available for telephone advice. The consequence of an error is potentially very serious including death of a patient, serious harm, medico-legal claim against the Hospice, complaint and damage to Hospice reputation/income.
Clinical decisions are made on a constant basis with a need to prioritise competing demands.
Person Specification
1) Specialist knowledge and experience
Essential
Medical degree (MBBS) and registration with the GMC.
Significant post-graduation experience of:
o Providing palliative care within either general medicine, elderly care medicine or general practice.
o Working within a multidisciplinary team.
o Undertaking an holistic approach (able to provide evidence of)
Developed understanding and experience of the fundamental importance in the emotional and psychological support of patient and families.
Understanding and experience of quality improvement practices.
Evidence of compliance with requirements for medical revalidation
Desirable
Diploma in palliative medicine (or working to)
Significant palliative medicine CPD
Experience of working within specialist palliative care services e.g. Hospice
Experience of working within relevant specialities e.g. oncology, elderly care or rehabilitative medicine.
MRCGP or MRCP examination
2) Skills and Behaviours
Interpersonal sensitivity: Interacts with others in a compassionate, sensitive and effective way. Respects and works well with others.
Communication: Explains and speaks clearly and fluently to both individuals and groups.
Problem solving and analysis: Analyses issues and breaks them down into their component parts. Makes systematic and rational judgements based on relevant information.
Resilience: Maintains effective work behaviour in the face of setbacks or pressure. Remains calm, stable and in control of themselves Show understanding of the importance of personal boundaries and how these can be maintained.
Personal motivation: Commits self to work hard towards goals. Shows enthusiasm and career commitment.
Quality orientation: Shows awareness of goals and standards. Follows through to ensure that quality and productivity standards are met.
Time Management: Shows evidence of an ability to prioritise and an ongoing effort to complete tasks within the working day wherever possible.
3) Special Conditions
This post is conditional to an enhanced Disclosure and Barring Service check.
Integral to the job is working with people who are frequently distressed anxious and on occasions angry. By the nature of the work, the appointee will need the personal resources to deal with frequent exposure to suffering, distress, death, grief and the need to give repeated bad news.
On occasions the Medical Officer will be involved in the management of potentially traumatic sudden terminal events. All the above have the potential for adverse psychological impact.
When working on call the doctors must be available and within one hour travel time of the Hospice.
Job description
Job responsibilities
Job Description.
Job Title: Medical Specialty Doctor
Salary range: £51,000 to £80,000 (MC75)
Grade: Specialty Grade Doctor
Department: Medical
Location: St. Michaels Hospice, Bartestree
Reports to: Hospice Lead Specialist Doctor
Responsible for: Supervision of doctors in training, Foundation Year 2 (FY2) and GPVTS doctors.
Job Purpose:
To provide the highest possible quality of specialist medical palliative care and advice within the resources available in conjunction with the medical and multidisciplinary teams.
Responsibility Areas:
Direct provision of high-quality specialist palliative care
Assessment, diagnosis and management of patients under the care of the Hospice. Majority of work is based in the in-patient unit and/or Day Hospice, but if required as outpatients or domiciliary visits. Work includes:
Admission assessment and forming a management plan, providing explanation/ information according to individual patient preference, communication with patients/ family and other professional colleagues, arranging and reviewing appropriate investigations, safe and effective prescribing in accordance with prescribing standards, supporting advance care planning, managing challenging symptoms and with others providing leadership in challenging situations.
Providing effective documentation and handover.
Managing expectations and with others working to provide holistic high quality responsive general medical and specialist palliative medical care in accordance with current evidence, accepted practice and guidance.
Use of a variety of clinical support systems to aid clinical decision making.
Working within the medical team to maintain continuity of care.
Working with the nursing and multidisciplinary teams to provide effective joint care.
With the nurse in charge and ANP each day identifying patients for medical/nurse review or shared care.
Following the shared care procedures.
Assessment of appropriateness of discharge, contributing to discharge and aftercare planning.
Liaising promptly with professional colleagues involved in patient and family care during and after admission.
Contributing to admission prioritisation.
Using effective joint working and prioritisation to support responsive admissions within available capacity each day.
Liaison and provision of specialist palliative care advice
With professionals, patients and carers during working hours and on call. This includes decision-making over the appropriateness of admission or discharge to/from the Hospice.
Dictation of medical correspondence and use of NHS mail to liaise with professional colleagues.
Multi-disciplinary team working
Working with the multidisciplinary team to provide holistic specialist palliative care to patients/carers and families.
Ensuring appropriate involvement of relevant professionals, interfacing and planning most effective joint working.
To work alongside the wider multidisciplinary team in promoting the Rehabilitative Palliative Care approach enabling people to live fully until they die.
Share in the training and supervision of the FY2 and other trainees on rotation at the Hospice and providing support to others on educational attachment on the IPU.
Contribute to clinical governance and the Hospice Care strategy implementation.
Involvement in critical incident reporting, quality improvement activity or clinical guideline review is expected e.g. contribute to the medical team quality improvement schedule.
Contribute to the IPU working group and other work to develop hospice care services.
Follow professional code of practice and Hospice professional expectations, policies and procedures. Maintain compliance with mandatory training and mandatory reads.
Continuing professional development
Disseminate knowledge and skills at every opportunity throughout the Hospice multidisciplinary team and where appropriate external health care professionals.
Responsible for maintaining own professional development using reflective practice, allocated time for CPD and study leave effectively.
Compliance with GMC requirements to maintain revalidation and engagement with effective annual professional appraisal.
Dimensions and limits of authority/influence
Need to make safe diagnostic assessment and clinical management decisions including prescribing, appropriate investigation, interventions, communication and provision of specialist palliative care advice.
Assessment and decisions are made within personal competency with access to a senior medical officer or consultant for advice, assessment and supervision with twice weekly consultant ward round.
When on call a consultant is available for telephone advice. The consequence of an error is potentially very serious including death of a patient, serious harm, medico-legal claim against the Hospice, complaint and damage to Hospice reputation/income.
Clinical decisions are made on a constant basis with a need to prioritise competing demands.
Person Specification
1) Specialist knowledge and experience
Essential
Medical degree (MBBS) and registration with the GMC.
Significant post-graduation experience of:
o Providing palliative care within either general medicine, elderly care medicine or general practice.
o Working within a multidisciplinary team.
o Undertaking an holistic approach (able to provide evidence of)
Developed understanding and experience of the fundamental importance in the emotional and psychological support of patient and families.
Understanding and experience of quality improvement practices.
Evidence of compliance with requirements for medical revalidation
Desirable
Diploma in palliative medicine (or working to)
Significant palliative medicine CPD
Experience of working within specialist palliative care services e.g. Hospice
Experience of working within relevant specialities e.g. oncology, elderly care or rehabilitative medicine.
MRCGP or MRCP examination
2) Skills and Behaviours
Interpersonal sensitivity: Interacts with others in a compassionate, sensitive and effective way. Respects and works well with others.
Communication: Explains and speaks clearly and fluently to both individuals and groups.
Problem solving and analysis: Analyses issues and breaks them down into their component parts. Makes systematic and rational judgements based on relevant information.
Resilience: Maintains effective work behaviour in the face of setbacks or pressure. Remains calm, stable and in control of themselves Show understanding of the importance of personal boundaries and how these can be maintained.
Personal motivation: Commits self to work hard towards goals. Shows enthusiasm and career commitment.
Quality orientation: Shows awareness of goals and standards. Follows through to ensure that quality and productivity standards are met.
Time Management: Shows evidence of an ability to prioritise and an ongoing effort to complete tasks within the working day wherever possible.
3) Special Conditions
This post is conditional to an enhanced Disclosure and Barring Service check.
Integral to the job is working with people who are frequently distressed anxious and on occasions angry. By the nature of the work, the appointee will need the personal resources to deal with frequent exposure to suffering, distress, death, grief and the need to give repeated bad news.
On occasions the Medical Officer will be involved in the management of potentially traumatic sudden terminal events. All the above have the potential for adverse psychological impact.
When working on call the doctors must be available and within one hour travel time of the Hospice.
Person Specification
Qualifications
Essential
- Medical degree (MBBS) and registration with the GMC.
- Significant post-graduation experience of:
- Providing palliative care within either general medicine, elderly care medicine or general practice.
- Working within a multidisciplinary team.
- Undertaking an holistic approach (able to provide evidence of)
- Developed understanding and experience of the fundamental importance in the emotional and psychological support of patient and families.
- Understanding and experience of quality improvement practices.
- Evidence of compliance with requirements for medical revalidation
Desirable
- Diploma in palliative medicine (or working to)
- Significant palliative medicine CPD
- Experience of working within specialist palliative care services e.g. Hospice
- Experience of working within relevant specialities e.g. oncology, elderly care or rehabilitative medicine.
- MRCGP or MRCP examination
Skills and Behaviours
Essential
- Interpersonal sensitivity:
- Interacts with others in a compassionate, sensitive and effective way. Respects and works well with others.
- Communication:
- Explains and speaks clearly and fluently to both individuals and groups.
- Problem solving and analysis: Analyses issues and breaks them down into their component parts. Makes systematic and rational judgements based on relevant information.
- Resilience:
- Maintains effective work behaviour in the face of setbacks or pressure. Remains calm, stable and in control of themselves Show understanding of the importance of personal boundaries and how these can be maintained.
- Personal motivation:
- Commits self to work hard towards goals. Shows enthusiasm and career commitment.
- Quality orientation:
- Shows awareness of goals and standards. Follows through to ensure that quality and productivity standards are met.
- Time Management:
- Shows evidence of an ability to prioritise and an ongoing effort to complete tasks within the working day wherever possible.
Person Specification
Qualifications
Essential
- Medical degree (MBBS) and registration with the GMC.
- Significant post-graduation experience of:
- Providing palliative care within either general medicine, elderly care medicine or general practice.
- Working within a multidisciplinary team.
- Undertaking an holistic approach (able to provide evidence of)
- Developed understanding and experience of the fundamental importance in the emotional and psychological support of patient and families.
- Understanding and experience of quality improvement practices.
- Evidence of compliance with requirements for medical revalidation
Desirable
- Diploma in palliative medicine (or working to)
- Significant palliative medicine CPD
- Experience of working within specialist palliative care services e.g. Hospice
- Experience of working within relevant specialities e.g. oncology, elderly care or rehabilitative medicine.
- MRCGP or MRCP examination
Skills and Behaviours
Essential
- Interpersonal sensitivity:
- Interacts with others in a compassionate, sensitive and effective way. Respects and works well with others.
- Communication:
- Explains and speaks clearly and fluently to both individuals and groups.
- Problem solving and analysis: Analyses issues and breaks them down into their component parts. Makes systematic and rational judgements based on relevant information.
- Resilience:
- Maintains effective work behaviour in the face of setbacks or pressure. Remains calm, stable and in control of themselves Show understanding of the importance of personal boundaries and how these can be maintained.
- Personal motivation:
- Commits self to work hard towards goals. Shows enthusiasm and career commitment.
- Quality orientation:
- Shows awareness of goals and standards. Follows through to ensure that quality and productivity standards are met.
- Time Management:
- Shows evidence of an ability to prioritise and an ongoing effort to complete tasks within the working day wherever possible.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Additional information
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details
Employer name
St Michael’s Hospice
Address
St. Michaels Hospice
Bartestree
Hereford
HR1 4HA
Employer's website
https://www.st-michaels-hospice.org.uk/ (Opens in a new tab)
Employer details
Employer name
St Michael’s Hospice
Address
St. Michaels Hospice
Bartestree
Hereford
HR1 4HA
Employer's website
https://www.st-michaels-hospice.org.uk/ (Opens in a new tab)
Employer contact details
For questions about the job, contact:
Dr Chris Lukaris
Details
Date posted
12 July 2023
Pay scheme
Other
Salary
£51,000 to £80,000 a year MC75
Contract
Fixed term
Duration
12 months
Working pattern
Full-time
Reference number
B0210-23-0012
Job locations
St. Michaels Hospice
Bartestree
Hereford
HR1 4HA