Job responsibilities
JOB
SUMMARY
To work together with
the other palliative medicine consultants in the provision of medical services
to patients of St Elizabeth Hospice, James Paget Hospital and East Coast
Community Healthcare and to support staff.
To develop services and improve integrated working between local Palliative
Care providers (Hospice, Hospital and in the wider community of the Integrated
Care Systems).
This post has arisen following a readjustment
of posts following retirement and changes to team working patterns associated
with expansion into the Great Yarmouth and Waveney Area. This post is 0.8 WTE. Terms
and Conditions will be based on the current NHS Consultant Contract, (see Job
Plans below) with the postholders contract held at the Hospice and there will
be an honorary contract with the James Paget Hospital and ECCH as required.
The new post holder will join a growing medical
team who work collaboratively and supportively to cover services across the two
service areas, and rotation of area of responsibility is usual.
Current consultant provision is 5.1 WTE (Hospice)
of which 0.2 WTE supports Ipswich hospital alongside another 0.95 WTE
consultant. There will be cover from the other consultants for leave and as
need arises. There are also 3 full time Nurse Consultants embedded within the
team, one of whom provides clinical and service development support for Great
Yarmouth and Waveney services.
There are two Specialty Registrars on the East
of England Palliative Medicine Specialty Training Scheme. There are also four middle
grade doctors providing support to both the IPUs as well as the outpatient
clinical areas. There are 6 GP
vocational training scheme doctors on attachment rotating with other
specialties and two foundation year doctors.
The team works closely alongside the full
multidisciplinary team including nurses, Clinical Nurse Specialists, healthcare
assistants, nurse associates, Physiotherapists, Occupational Therapists,
counsellors, spiritual care workers and volunteers.
The On-call commitment is approximately 1 in 8
second on call with 5% availability supplement. This provides telephonic
medical and symptom control advice to St Elizabeth Hospice, Ipswich Hospital,
West Suffolk Hospital and St Nicholas Hospice Care in Bury St Edmunds, James
Paget Hospital (Gorleston), and community calls in Suffolk and the Great
Yarmouth and Waveney area. This may involve taking calls from GPs, hospital
doctors, nurses or allied healthcare professionals. There is no formal
expectation of face-to-face reviews on-call but should the consultant be on
site during that time then this time will be deducted from their clinical PAs
in the next week and remunerated accordingly. There may be the need to do
occasional first on-call on an emergency basis and this will be compensated by
a PA off in lieu for each PA done as first on-call (week night equals 1 PA and
weekend equals 6 PAs).
Formal consultant appraisal will be completed
by the hospice appraisal team with St Elizabeth Hospice as the designated body and
the Medical Director of the Hospice as Responsible Officer. The postholder will
be supported through the appraisal and revalidation process.
All new consultants can be mentored by an
established consultant within the organisation or by one of the consultants
from the neighbouring Palliative Care service providers to enable them to
settle into the post and to support them in their initial years as a
consultant. Established consultants will also have access to mentoring or
support as needed.
Professional and Managerial
1.
On
call will be based on NHS terms and conditions and will be at 5%. There is no
formal expectation of face-to-face reviews on call but should the consultant be
on site during that time then this time will be deducted from their clinical
PAs in the next week. The job plan will then be reviewed to determine if a
designated PA is needed for on call.
2.
To
assist in the supervision of junior medical and other staff in the hospice,
ensuring that medical care and practice follow professional guidelines and St
Elizabeth Hospice Policies and Procedures.
3.
To
support effective liaison and communication with relevant disciplines in
respect of all aspects of palliative and end of life care.
4.
To
attend multidisciplinary team meetings at St Elizabeth Hospice, James Paget
Hospital or in the community (such as GSF meetings).
5.
To
establish and provide outpatient clinics and day services by St Elizabeth
Hospice at Beccles Hospital or at other community sites as required and to
undertake domiciliary visits as necessary.
6.
To
work alongside key JPUH stakeholders to maintain and develop hospital-based
palliative and end of life care in line with agreed strategic aims. The post
may incorporate the Clinical Lead for palliative care role, as a Trust internal
appointment.
7.
To
be responsible with the other consultants for the admission, inpatient care and
discharge of patients at hospice inpatient sites.
8.
To
develop and maintain knowledge and skills to a level appropriate to the
responsibilities of the post.
9.
To
work with colleagues in the development and provision of education and training
in palliative care at St Elizabeth Hospice inpatient sites, James Paget
Hospital and the community.
10.
To
contribute to the initiation and conduct of research projects in Palliative
Care.
11.
To
initiate and participate in audit regarding palliative and end of life care in
the hospice, hospital and community
12.
To
represent the Hospice on local and national bodies as appropriate.
13.
Formal
consultant appraisal will be completed by the hospice appraisal team with St
Elizabeth Hospice as the designated body with the Medical Director of the
Hospice as Responsible Officer.
14.
The
postholder will have administrative support from the patient services
administrators and will have a dedicated laptop in a shared
office and office facilities at associated sites.
Service Development
15.
To
work alongside colleagues in the development of hospice policies, procedures
and services.
16.
There
will be opportunity for post holders to develop service roles that may include
appraisal and clinical supervisor roles.
General
17.
To
be a fully subscribed member of a recognised professional defence organisation
and to provide evidence of membership to the Hospice HR department annually, or
on request.
18.
To
work at all times within the policies and procedures of the Hospice, reviewing
same and contributing to their development as appropriate, and to ensure
compliance to same by other members of staff.
19.
To
work at all times within the policies and procedures of the James Paget
Hospital Foundation NHS Trust when working at the Trust.
20.
In
conjunction with members of the Hospice Governance Committees and the Quality
Assurance and Improvement Group, to develop quality assurance and audit
policies to monitor medical standards of care and practice.
21.
To
develop and maintain personal contact with key professionals within local
health and social care providers and commissioners.
22.
To
promote St Elizabeth Hospice philosophy of care towards patients, relatives and
visitors.
23.
To
play an active part in the development and maintenance of good relationships
with all who do business with St Elizabeth Hospice.
24.
To
respect at all times the confidentiality of information covering patients,
staff and volunteers.
25.
To
contribute to and participate in the Hospice fundraising and public relations
programme when required.
26. To be responsible for
complying with the hospice Infection Control policies and clinical guidelines.
27. To have annual medical appraisal
as well as annual performance reviews.
28. To ensure training and
development needs detailed in your personal development plan are followed up
and the effectiveness of the acquired training and development evaluated in
terms of self, patient and service.
29.
To meet the Royal College of Physician
recommendations on appropriate completion of continuing professional
development activity and be committed to the GMC revalidation process
30.
To
be responsible and accountable for ensuring that all staff under your direction
comply with Trust Infection Control policies and clinical guidelines
31.
To
conduct annual Performance Development Reviews, and progress reviews, for staff
in your charge and, through this process, to identify and facilitate
development opportunities to improve the performance of the individual and the
organisations.
32.
Ensure
training and development needs identified in the individuals personal
development plan are followed up and assist staff to identify their development
needs and to promote a learning culture.
33.
To
be responsible for the quality of data recorded. The data should be accurate,
legible (if hand written), recorded in a timely manner, kept up to date and
appropriately filed.
34.
All
employees must comply with the St Elizabeth Hospice Equal Opportunity Policy
and must not discriminate on the grounds of sex, colour, race, ethnic or
national origins, marital status, age, disability, sexual orientation or
religious belief.
35.
Employees
have a responsibility to themselves and others in relation to managing risk, health
and safety and will be required to work within the policies and procedures laid
down by St Elizabeth Hospice. St
Elizabeth Hospice seeks to establish a safe and healthy working environment for
its employees and operates a non-smoking policy.
36.
All
employees have the right to work in an environment which is safe and to be
protected from all forms of abuse,
violence, harassment and undue stress.
All employees are responsible for helping to ensure that individuals do
not suffer harassment or bullying in any form.
All employees will be personally accountable for their actions and
behaviour in cases of complaint of harassment or bullying.
