Job responsibilities
Summary of Post
This is a part time, substantive post that attracts full NHS Terms and Conditions.
The post holder will be responsible for day to day senior medical assessment and management of patients with specialist palliative care needs under the care of Martlets Hospice Clinical Services. The job plan includes 5 PAs for Direct Clinical Care and 2 PAs for Supporting Professional Activities.
Martlets Hospice
Martlets Hospice is located in Hove, East Sussex with its catchment area covering Brighton and Hove and the coastal strip up to Newhaven. The organisations clinical services include an 18 bedded specialist palliative care inpatient unit and a busy community specialist palliative care service, which consists of a multi disciplinary community palliative care team, a dedicated Hospice at Home team and a growing suite of out patient services.
Tasks and Responsibilities
To contribute to the professional and clinical supervision of junior/middle grade medical staff. This will include day to day clinical supervision of these staff when on the inpatient unit ward, as well as regular, formal 1 to 1 sessions with one or two SAS/Trust Grade doctors.
To participate in clinical audit and support the wider clinical governance agenda within Martlets Hospice, including identifying and implementing evidence based practice with appropriate guidelines and standards, and integrated care pathways.
To contribute to the education programmes run by the Martlets Hospice. This will include work with medical students, junior doctors, GPs, trained nurses from the hospice and community and nursing students, as well as other members of the multidisciplinary teams.
To support a culture of innovation, development and research in palliative care within the hospice, involving staff, and patients and their families/significant others.
To engage in the Appraisal and Revalidation system with Brighton and Sussex University Hospitals NHS Trust as well as associated job planning/objective setting meetings with Martlets Medical Director.
The post includes a key role in medical education and training, and outpatient service development. Medical leadership to further optimise our use of digital technologies to support our clinical work would be an optional opportunity. Whilst the recent pandemic has resulted in rapid and creative transformational change which has, in effect, propelled the organisation through many objectives outlined in our 2018 five year Clinical Strategy, we still aim to see major growth to ensure those with unmet needs are able to access appropriate care. The post holder should be willing and able to work with our Service User Involvement Lead to help inform strategic planning and service development.
Resources available to the Post Holder
- A dedicated clinical administrative and secretarial team supports the
consultant team.
- The post holder will have a desk in a shared, well equipped office.
- Information technology (IT) facilities include access to nhs.net, PACS
and WinPath, Somerset database, and the Martlets intranet and electronic
patient records. The IT facilities also include access and equipment to support
remote working if appropriate. Necessary IT training will be provided.
- Regular 1 to 1 sessions with the line manager (Martlets Medical
Director).
- Regular clinical supervision with an external supervisor on a 1 to 1
basis is available.
- Monthly consultants meetings to discuss operational and professional
issues and for peer support.
- Mentoring can be put in place for a newly appointed consultant if this
is identified as something the post holder would benefit from or would like.
- Regular multiprofessional Journal Club.
- Martlets Doctors Education Meetings, held twice a year with the GPs
providing first on call cover for the out of hours rota.
Key Working Relationships
- Dr Simone Ali Martlets Medical Director - 10PAs
- Dr Fiona Lindsay - 10PAs
- Dr Rishma Pau - 8PAs
The 1 in 6 on call rota is also covered by the Consultants in Palliative
Medicine employed by Brighton and
Sussex University Hospitals (BSUH) NHS Trust:
- Dr
Ollie Minton Lead Clinician, BSUH
- Dr
Emily Savage starting early 2021
Internal Relationships
- Multidisciplinary team members working for Martlets Hospice Clinical
Services, including 2.2 WTE specialty doctors, a full time FY1 doctor and GP
trainees on Integrated Training Post (ITP) placements within the hospice.
- Members of staff from Martlets Hospice Support Services, e.g. People
Services, Organisational Development and Fundraising.
- Martlets Leadership Team and Board of Trustees.
- GPs working for Martlets on the out of hours first on call rota.
External Relationships
- Hospital Specialist Palliative Care Team
- Hospital consultants, junior medical staff and other hospital based
clinical teams
- GPs and other practicebased staff working in Brighton and Hove and in
the Havens
- Community nurses and other allied health professionals
- Out of Hours services
- Community pharmacists
- South East Coast Ambulance service
- Brighton and Sussex Medical School staff and students
- Commissioning bodies
Relationships with Others
The post holder will assume a continuing responsibility for the care of
patients in his/her care and in maintaining the smooth running of the service,
and will:
- Work
in partnership so that individuals are fully involved in and empowered to
make decisions about their treatment and care.
- Work
constructively with clinical managers and clinical colleagues to maintain
effective working and service improvement.
- Establish
good communication and effective working relationships with all relevant
agencies in relation to individual patients and service development.
Audit and Clinical Governance
- The
post holder will be expected to support and deliver all elements of good
clinical governance, including risk management, clinical audit, incident
reporting, and other aspects of quality improvement.
Teaching and Training
- To
provide guidance and support to immediate medical and multidisciplinary
team colleagues and the wider service where appropriate, and to
participate in education and training for internal and external teams in
collaboration with the Hospice Organisational Development department.
- Martlets
has close links with Brighton and Sussex Medical School (BSMS). The post
holder will be expected to be involved in the teaching of medical students
at different stages in their training.
Research
The Martlets has a strong commitment to research and engaging in
research within this post is strongly encouraged.
There is a consultant in the team who is the Research Lead.
Maintaining Good Medical Practice
- All
doctors are expected to participate in appropriate and relevant Continuing
Professional Development opportunities and to remain up to date with
mandatory and statutory training.
- Commitment
to Medical Appraisal and Revalidation (this is supported by BSUH).
- Doctors
are actively encouraged to take their study leave entitlement in line with
the Royal College guidelines and to support the development needs
identified in their Professional Development Plan, peer group reviews and
appraisal.
- There
is a dedicated study leave budget and a process for approval which
considers the individual Professional Development Plan.
- The
consultant team is committed to ensuring there are opportunities for
learning and development and for sharing best practice across palliative
care services in the local area. Examples include regular CPD meetings
with senior medical colleagues from other regional palliative care teams.
On Call Commitments
- The
post holder will be required to participate in a 1 in 6 on call rota.
- The
on-call rota is covered by the four Martlets Palliative Medicine
Consultants (including the post holder) and the two Palliative Medicine
Consultants based at the Royal Sussex County Hospital.
- The
on call is nonresident with second on call duties and internal cover.
- The
on-call duties include provision of specialist palliative care advice to
the:
Hospice inpatient unit, working with an established rota of 10 GPs who
are first on call.
Community teams including Martlets Hospice Clinical Nurse Specialists
and Hospice at Home Nurses, generalist Community Nurses and GPs.
Clinical staff at the Royal Sussex County Hospital, Brighton.
- Visits
to the inpatient unit may be required on occasion if deemed clinically
necessary and also on bank holidays; otherwise all other clinical advice
is via telephone.
- The
on-call commitments attract 1.0 PA per week (of Direct Clinical Care
activity).
- These
duties also attract a 5% availability supplement (Category A).
Please download the job description for the full list of tasks and responsibilities, including the job plan.
