Sessional ENT Consultant

Job description

Job responsibilities

Harrow Health Community Services directorate has been awarded a contract to provide general Ear, Nose and Throat (ENT) service on behalf of local trusts and community services.

To provide high quality patient care, enhancing patient experience by providing excellent clinical effectiveness in a safe environment. Working in partnership with other stakeholders Harrow Health will continue to provide gold standard services and develop a sustainable future for the local health community.

The post holder will work with a team of ENT Doctors, Nurses, Audiologists and Health Care Assistants providing predominately face to face consultations, in one of our community based clinics. The clinics provide pre-booked appointments for patients referred to the service. A range of ENT conditions will be seen in the clinics, including but not limited to, Otitis Externa, Otalgia, BPPV, Nasal obstruction, Tympanic Membrane Perforation, Epistaxis, Nasal Endoscopy.

You will be required to:

Participate in leading the team to optimise performance and ensure the delivery of high quality evidence based care.

Inspire and motivate the team members providing clear goals and recognising accomplishments

Offer support and mentorship, promoting good practice and a learning environment

Be a source of clinical expertise

Lead on clinical educational sessions and support the development of junior colleagues

Undertake yearly performance reviews / appraisals of the team members, sooner if indicated

Participate in clinical audit as per Harrow Health policy and procedure

Actively contribute to development and efficiency of the service

As with all members of the team you will also need to:

Be competent in managing common ENT presentations

Optimise the medical management of this group of patients, in agreement with the patient and discharge them back to their registered GP

Refer to secondary care and / or other services as appropriate

Complete comprehensive, contemporaneous notes

Be a source of clinical expertise to less experienced staff, and work in partnership within a multi-disciplinary team as appropriate

Participate in clinical meetings, Harrow Health clinical governance agenda, training and education

Be responsible for any pathology or radiology results that are ordered by themselves and support team members in interpreting the same as needed.

Internal: Harrow Health Clinical Director

Head of Contracts and Performance

Head of Nursing

Operations Manager

Team Leads

Clinical Governance Team

To support the ENT team to deliver a high standard of evidence based care to those attending the service

Lead Multidisciplinary Team meetings as requested

To work with the team to maintain a high quality, clinically effective and cost effective primary care service

To provide a comprehensive service to the patients attending the ENT clinic including clinical examination, investigations as needed, diagnosis and management, and referral as appropriate

To ensure patients have consented to, and are fully involved in the implementation of their procedure / treatment plans

Interpretation of results where requested for individuals

If a prescription is needed, this must be in line with the NHS England and NWL Primary care prescribing formulary

To adapt styles of communication appropriately to promote empowerment, self-management and health education for patients. Interpreters can be sought as needed.

Using the EMIS system the consultation must be recorded in the patients records. Where the patient is registered with a Harrow GP the clinician will have access to their GP records. Proformas are set on the EMIS system and must be completed by the clinician. These will be shared with all the referring clinicians and the Trust, if appropriate

Liaise with other team members as appropriate

To identify actual or potential clinical risks within scope of practice and take appropriate action using, when required, the appropriate reporting structure

To be personally accountable for professional and ethical actions and practices within a framework that adheres to the GMCs requirements and Harrow Health policies and procedures

Service delivery responsibilities:

To ensure that patient records and documentation are maintained in line with HHCIC policies and use of the electronic patient records system. This includes:

Documenting full, accurate and contemporaneous records of assessments, investigations, procedures, treatments and aftercare.

Encouraging colleagues to maintain good and complete records.

Working closely with the reception team / administrator, ensuring all records pertinent to patients are filed as appropriate

Work within local policies, protocols and guidelines.

Ensure Safeguarding Adults referral is considered in cases of suspected abuse and policies and procedures are followed when concerns are raised

To participate in audits as requested, and use the results, current research, and government guidelines to make recommendations for changes to service delivery and clinical practice, sharing these findings as appropriate.

To collect data, and provide service information to the Service Manager as required.

To ensure that the Team leads / Operational Manager / Head of Nursing and Clinical Governance Lead are kept informed on service issues and potential risks.

To work with the Operational Manager in delivering and promoting the needs of the service

To work with the Clinical Lead, Operational Manager, Head of Nursing and Clinical Governance Lead to meet the Clinical Governance needs of the services, including investigation of incidents (including serious incidents) and complaints, where required.

To remain updated in the use all equipment used in the service and to report any technical problems or issues with that equipment.

To participate in team meetings to discuss day to day operational issues as required.

Personal & professional development:

To be a skilled practitioner in areas needed for effective care delivery

Recognise and work within own competence and keep abreast of developments in practice and topical issues ensuring that skills are maintained

To collaborate in the continuing development of the Consultant role to include:-

Level of autonomy in practice.

Show self-motivation toward expanding practice and developing skills and knowledge, with the support of Harrow Health

Ensure statutory and mandatory training is up to date

Policies & Guidelines:

Awareness of and compliance with all relevant company policies / guidelines, e.g. confidentiality, data protection, health and safety

To participate and contribute to operational policy making, attending appropriate meetings as required.

Work within policies relating to safeguarding, prevent and other Harrow Health Policies

The Post holder must be able to work independently within defined responsibilities, but also as part of a larger team and be able to trouble shoot and find solution to problems

To adhere to Information Governance, patient confidentiality and Data protection legislations/standards.

To work to standards set out in Harrow Health policies, service contracts and in line with NHS England/ CQC regulations

To support the team to ensure that all Harrow Health policies, standards and requirements are understood and in place in the service to in include excellent record keeping and delivery of high standard patient and customer services

To understand service specifications and contracts

Represent Harrow Health effectively and professionally to a wide range of patients, stakeholders, members and partners

Take an active role in the development and embedding of the organisations culture, values and reputation as a provider of high quality services, leading by example at all times

Responsible for policy implementation related to own Service area

Pro-actively look for growth opportunities

The post holder is expected to work with a high level of individual discretion and autonomy, knowing when to partner with colleagues as appropriate

Person Specification

Qualifications

Essential

• Professional Qualification
• Full registration with the General Medical Council
• GMC Specialist Register for Consultants

Desirable

• Relevant Higher Degree e.g PhD, MD or other clinical qualifications

Experience

Essential

• Experience of working independently, with a minimum of 10 years experience post qualification
• Diploma or Masters in ENT qualification OR Certificate of Completion of Training in ENT
• Relevant experience in specialist or community ENT services
• Able to perform Nasoendoscopy and Pharyngoscopy
• Microsuction competency as needed
• Up to date knowledge of DOH, NICE and local guidelines for the management of ENT presentations to the service, including pharmacological measures
• Competency in interpreting and acting on pathology, histology and radiology results
• Teaching experience
• Mentorship and appraisal experience
• Infection Prevention and Control Procedures
• Knowledge of use of IT / EMIS system
• Excellent written and oral communication skills

Desirable

• Regular attendance at ENT updates

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).

Employer details

Employer name

Harrow Health GP Federation

Address

Metro House, Ground Floor

203 Pinner Road

Northwood

HA6 1BX

Employer's website

https://harrowhealth.online/about-harrow-health/ (Opens in a new tab)