Job summary
St Margaret's Hospice Care has a fantastic opportunity for a Specialty Doctor to join our team.
This role is based in the Taunton Inpatient Unit with 1 in 8 weekends on-call, and a one night per week covering Taunton IPU. You will join us on apermanent basis, working 16 hours per week (4 sessions).
Pay will be basedon level of experience using the NHS speciality Doctor pay scale.
Working as part of a multi-disciplinary team, you will be based at St Margaret's Inpatient Unit in Taunton. There are 12 beds in the unit, used for patients who need specialist symptom control or have complex end of life care needs.
IT training and induction will be provided prior to commencement of the post, with access to ongoing support via the wider hospice education programme.
Main duties of the job
Your day-to-day work will involve:
- Providing specialist medical care, advice and support in order to provide high quality individualised care to patients/clients in line with local and national guidelines.
- Providing medical assessment and care for all patients on the inpatient unit, in line with the care plan ensuring that medical care is evidence-based (as far as is possible) and best practice.
- Holistically assess patients admitted to the inpatient unit, planning initial management in discussion with the available senior doctor as appropriate.
- Completing holistic assessment records, discharge letters, letters notifying death, TTO prescriptions and anticipatory prescribing.
The weekend role involves a ward round of the inpatient unit each Saturday and Sunday following handover with the nursing team. The on-call is then for phone advice as required but there may be a need to revisit the unit in the case of an emergency admission or to review a patient acutely. Second on-call phone support is provided by a Palliative Care Consultant.
About us
Be part of a welcoming, community minded charity. Our mission is to provide excellent specialist palliative care for patients and support to their families. Everyone here contributes and has a part to play towards our goal. If you speak to any of our staff or volunteers, they will tell you how the patient is at the heart of everything they do. So, if you're looking for a role where you can really make a difference, working as part of a supportive team, we could be a perfect match.
Holiday entitlement
- In line with 2021 NHS Speciality doctor contract
Pension scheme
- NHS employees eligible to continue with their NHS pension scheme*
Award-winning Employee Assistance Programme for you and your family offering:
- Vitality & wellbeing health portal for non-emergency care
- Unlimited access to 24/7 online GP Consultations as well as Expert Case Management
- Confidential and free 24-hour Employee Assistance
- Counselling and support
- Legal, financial, and medical information and advice
And more
- Life assurance cover
- Health Cash Plans
- Blue Light Discount Card
- Enhanced parental leave*
- Excellent learning and development opportunities
- Free on-site parking in Yeovil and Taunton
- Volunteering and fundraising opportunities
*Eligibility criteria applies
Job description
Job responsibilities
Clinical:
- Provide
specialist medical care, advice and support in order to provide high quality
individualised care to patients/clients in line with local and national
guidelines.
- Provide
medical assessment and care for all patients on the inpatient unit, in line
with the patients care plan, as part of the multidisciplinary team
ensuring that medical care is evidence-based (as far as is possible) and best
practice.
- Work
together with other members of the medical team to ensure each patient is
reviewed as frequently as their symptom management dictates (usually at least
once per day).
- Participation
in weekly inpatient MDT meeting if working hours include this.
-
Holistically assess patients admitted to the
inpatient unit, planning initial management in discussion with the available
senior doctor as appropriate.
- Carry out basic
clinical procedures as necessary including phlebotomy and cannulation as
necessary. The post holder will not be expected to attempt procedures in
which they do not feel competent.
- Maintain
accurate and timely patient records. Medical records are electronic based (Systmone).
- Ensure
legible prescribing in accordance with local policy.
- Liaise with
primary and secondary care services (and other statutory and voluntary
agencies) as appropriate to ensure continuity of medical care.
-
Complete holistic assessment records (including drug
reconciliation charts, VTE screening), discharge letters, letters notifying
death, TTO prescriptions and anticipatory prescribing in line with local
guidance. (As appropriate within the hours worked.)
-
Confirmation and certification of death in line with
hospice protocol, liaising with the Medical examiner service and Coroners
Office where required by law and local practice.
-
Liaise with family members/carers as appropriate.
Out-of-hours,
maintaining principles as above, additionally:- Undertake
emergency admissions, in agreement with the out-of-hours consultant
- Re-assess,
review and adjust treatment of any inpatient where necessary due to change in
patient condition
Teaching and Training:- Participate in
the induction for new members of staff.
- To take the
opportunity to take part in in-house teaching and training if appropriate.
Clinical
Governance:-
To always adhere to the GMC code of professional
conduct.
-
To work within St Margarets Hospice organisational
policies and to implement policies within area of responsibility.
- To work with
other members of the team to ensure that evidence from research is
systematically considered and practices changed as appropriate.
- To actively
contribute to audits and review of service if hours allow.
-
To complete relevant sections of mandatory training
or show evidence of completion elsewhere.
-
To commit to continuing professional development
-
To participate in annual appraisal programme and job
planning process as appropriate for job role.
-
To keep appropriate records to comply with General
Medical Council requirements for revalidation.
-
To comply with the incidence reporting process and
support service improvement.
Other responsibilities-
To work within Hospice policies and procedures to
ensure safe and effective working practices for self and others (e.g. Health
and Safety, COSHH, emergency procedures, the Mental Health Act, Child
Protection procedures)
-
To
always maintain patient confidentiality within Hospice policy and procedures.
Job description
Job responsibilities
Clinical:
- Provide
specialist medical care, advice and support in order to provide high quality
individualised care to patients/clients in line with local and national
guidelines.
- Provide
medical assessment and care for all patients on the inpatient unit, in line
with the patients care plan, as part of the multidisciplinary team
ensuring that medical care is evidence-based (as far as is possible) and best
practice.
- Work
together with other members of the medical team to ensure each patient is
reviewed as frequently as their symptom management dictates (usually at least
once per day).
- Participation
in weekly inpatient MDT meeting if working hours include this.
-
Holistically assess patients admitted to the
inpatient unit, planning initial management in discussion with the available
senior doctor as appropriate.
- Carry out basic
clinical procedures as necessary including phlebotomy and cannulation as
necessary. The post holder will not be expected to attempt procedures in
which they do not feel competent.
- Maintain
accurate and timely patient records. Medical records are electronic based (Systmone).
- Ensure
legible prescribing in accordance with local policy.
- Liaise with
primary and secondary care services (and other statutory and voluntary
agencies) as appropriate to ensure continuity of medical care.
-
Complete holistic assessment records (including drug
reconciliation charts, VTE screening), discharge letters, letters notifying
death, TTO prescriptions and anticipatory prescribing in line with local
guidance. (As appropriate within the hours worked.)
-
Confirmation and certification of death in line with
hospice protocol, liaising with the Medical examiner service and Coroners
Office where required by law and local practice.
-
Liaise with family members/carers as appropriate.
Out-of-hours,
maintaining principles as above, additionally:- Undertake
emergency admissions, in agreement with the out-of-hours consultant
- Re-assess,
review and adjust treatment of any inpatient where necessary due to change in
patient condition
Teaching and Training:- Participate in
the induction for new members of staff.
- To take the
opportunity to take part in in-house teaching and training if appropriate.
Clinical
Governance:-
To always adhere to the GMC code of professional
conduct.
-
To work within St Margarets Hospice organisational
policies and to implement policies within area of responsibility.
- To work with
other members of the team to ensure that evidence from research is
systematically considered and practices changed as appropriate.
- To actively
contribute to audits and review of service if hours allow.
-
To complete relevant sections of mandatory training
or show evidence of completion elsewhere.
-
To commit to continuing professional development
-
To participate in annual appraisal programme and job
planning process as appropriate for job role.
-
To keep appropriate records to comply with General
Medical Council requirements for revalidation.
-
To comply with the incidence reporting process and
support service improvement.
Other responsibilities-
To work within Hospice policies and procedures to
ensure safe and effective working practices for self and others (e.g. Health
and Safety, COSHH, emergency procedures, the Mental Health Act, Child
Protection procedures)
-
To
always maintain patient confidentiality within Hospice policy and procedures.
Person Specification
Education and Qualifications
Essential
- Full registration and licence with the GMC.
- MB, BS, or equivalent
- Completed at least 3 years full time post registration training (or its equivalent on a part time or flexible basis) within a relevant training program such as GP training, general medicine or oncology.
- Experience of assessment and management of patients with life limiting conditions.
Desirable
- Diploma in Palliative Medicine or equivalent.
- MRCP/MRCGP/FRCR
- At least 1 years experience in Palliative Medicine.
- Experience in working in Specialist Palliative Care inpatient services.
Self Awareness
Essential
- To demonstrate an understanding of evidence based medicine.
- To have a basic knowledge of the management of symptom control, including familiarity with prescribing opioids.
- To have an understanding of the roles and contributions of other members of the Specialist Palliative Care multidisciplinary team.
Working with others
Essential
- To have the ability to communicate well with people on sensitive subjects in a non-judgmental way both verbally and written.
- Excellent oral and written communication skills.
- Ability to work within a team and communicate effectively.
Outcome and Results
Essential
- To demonstrate a good understanding of clinical governance and quality outcomes.
- Basic IT skills and working knowledge of clinical patient administration systems, emails, word, etc.
- Ability to organize and prioritize workload.
Leading in your area
Essential
- Participation and promotion of multi-disciplinary and multi-agency working.
- To have an understanding of the ethical and legal frameworks which are relevant to End of Life Care and Specialist Palliative Care e.g. Mental Capacity Act, GMC guidance on Treatment and Care towards the End of Life.
Person Specification
Education and Qualifications
Essential
- Full registration and licence with the GMC.
- MB, BS, or equivalent
- Completed at least 3 years full time post registration training (or its equivalent on a part time or flexible basis) within a relevant training program such as GP training, general medicine or oncology.
- Experience of assessment and management of patients with life limiting conditions.
Desirable
- Diploma in Palliative Medicine or equivalent.
- MRCP/MRCGP/FRCR
- At least 1 years experience in Palliative Medicine.
- Experience in working in Specialist Palliative Care inpatient services.
Self Awareness
Essential
- To demonstrate an understanding of evidence based medicine.
- To have a basic knowledge of the management of symptom control, including familiarity with prescribing opioids.
- To have an understanding of the roles and contributions of other members of the Specialist Palliative Care multidisciplinary team.
Working with others
Essential
- To have the ability to communicate well with people on sensitive subjects in a non-judgmental way both verbally and written.
- Excellent oral and written communication skills.
- Ability to work within a team and communicate effectively.
Outcome and Results
Essential
- To demonstrate a good understanding of clinical governance and quality outcomes.
- Basic IT skills and working knowledge of clinical patient administration systems, emails, word, etc.
- Ability to organize and prioritize workload.
Leading in your area
Essential
- Participation and promotion of multi-disciplinary and multi-agency working.
- To have an understanding of the ethical and legal frameworks which are relevant to End of Life Care and Specialist Palliative Care e.g. Mental Capacity Act, GMC guidance on Treatment and Care towards the End of Life.
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
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).
