FY3- Junior Clinical Fellow (Virtual Hospital Services)

Royal Berkshire NHS Foundation Trust

The closing date is 30 December 2024

Job summary

The Virtual Hospital Services (VHS) team at the Royal Berkshire Foundation Trust (RBFT) is forward thinking and dynamic, always willing to embrace new ways of working that benefit our patients. This is an exciting opportunity to help to continue the development and management of the RBFT's VHS directorate.

This is a full time post covering 7 days between 09:00 - 17:00hrs. The roster will reflect the need to provide cover at approximately 1.5 in 4 weekends. The services operates a hybrid model of working, where the ability to work away from the acute site and at home remotely is an attractive opportunity. This will based on the service coverage.

Main duties of the job

The average day consists of arriving at 9am at the Virtual Ward hub at the Royal Berkshire Hospital site. Working within a multidisciplinary team, consisting of Consultants, Physician Associates, Nursing Staff, Pharmacists and Clinical Admin, the post holder will support the management of patients remotely in a place they call home.

  • To take part in the management of patients that meet the eligibility criteria to be managed by the VHS.
  • The successful candidate is expected to work 5 days per week (can negotiate for less than full time if required) on site at the Royal Berkshire Hospital or remotely, dependant on roster.
  • To support in the development of the VHS across care pathways at the RBFT, ensuring safe and high quality care is provided.
  • Setting patients up with virtual monitoring kit on the wards, and educating patients about how to monitor their obs and symptoms.
  • Actively be involved in clinical governance, patient safety and quality.

About us

The Trust is based in Reading, which sits on the river Thames, and is served by great road and rail links to London, Oxford and Southampton. With excelled leisure and shopping facilities, and a thriving cultural scene, Reading is a wonderful place to live and work.

The CQC recently rated the care provided by the Royal Berkshire Foundation Trusts as Good.

We have many opportunities for development and have been awarded University Status by the University of Reading.

Date posted

15 December 2024

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£49,909 a year per annum

Contract

Fixed term

Duration

12 months

Working pattern

Full-time, Flexible working, Home or remote working

Reference number

193-MS1522UCGA

Job locations

Royal Berkshire Hospital

London Road

Reading

RG15AN


Job description

Job responsibilities

PRINCIPLE RESPONSIBILITIES

General

  • Ensure that patient experience, patient safety and clinical effectiveness are of the highest standard, meeting national and local outcome measures and standards.
  • Role model Trust leadership behaviours.
  • Cultivate an open & honest culture where people feel able to raise concerns & share good practice.
  • Ensure effective implementation of all Trust policies, procedures and standards within the wards/departments.
  • Ensure the clinical area practice within Data Protection/ Confidentiality/ Caldicott principles.
  • Work collaboratively with clinical and non-clinical colleagues across the Trust to ensure effective and efficient delivery of services.
  • Ensure that effective communication processes are in place.
  • Contribute to the development of a high performance culture for the directorate.
  • To identify modernising opportunities to utilise digital opportunities to enhance care, patient empowerment and communication.

Clinical and Quality

  • Supports the Trust capacity and flow processes to ensure patients access the care needed at the appropriate time and receive their care in the right clinical setting.
  • Actively support the process to discharge patients safely and timely, which requires helping ward teams to set patients up with remote monitoring kit and explaining to patients how to use it.
  • To review VHS patients with daily contact through the most appropriate medium, including patient symptom assessment and observations. To interpret findings and form a list of differential diagnoses and a treatment plan.
  • To undertake a full virtual clerking of patients on admission to the VH service, ensuring patients have the necessary information and target reading upon discharge from hospital and (re)admission to the VH, clarifying with the discharging team whenever necessary.
  • Communicate with primary care services to ensure continuity of care and coordinate readmission of patients who are deteriorating in the community.
  • Maintains timely, accurate and appropriate documentation, whilst communicating the outcome of clinical encounters to GPs and other health professional in a timely manner.
  • Foster good relationships by working collaboratively with the multidisciplinary team.
  • To ensure wards have appropriate equipment to provide to patients on discharge and transfer into the VH.
  • Close interaction and care coordination with maternity triage service for the management of pregnant women.
  • Instructing and counselling patients & their relatives with regard to mental and physical health issues.
  • Supporting and contributing to timely discharge planning including completing discharge summaries and support optimising bed capacity.
  • Work to improve the quality of patient experience within the directorate.
  • Participating in writing up service evaluation results
  • Contribute to achieving and maintaining financial sustainability of the VHS.
  • Identify opportunities to improve quality and deliver best value for the VH service.

Teaching and Training

  • Participate in the development and expansion of the service including:
    • Attending teaching and developing skills on literature review.
    • Engaging in collecting data and patient feedback.
    • Proactive role in developing pathways, including literature research.

Personal Development

  • Takes responsibility for attending statutory and mandatory training in accordance with the Trusts training needs analysis and mandatory training matrix. Makes effective use of e-learning opportunities to achieve compliance with mandatory training.
  • Takes responsibility for own continuing professional development and performance, maintaining own portfolio in accordance with Professional body revalidation requirements. Is able to identify own development needs in relation to current practice and future plans, setting personal development objectives.

Job description

Job responsibilities

PRINCIPLE RESPONSIBILITIES

General

  • Ensure that patient experience, patient safety and clinical effectiveness are of the highest standard, meeting national and local outcome measures and standards.
  • Role model Trust leadership behaviours.
  • Cultivate an open & honest culture where people feel able to raise concerns & share good practice.
  • Ensure effective implementation of all Trust policies, procedures and standards within the wards/departments.
  • Ensure the clinical area practice within Data Protection/ Confidentiality/ Caldicott principles.
  • Work collaboratively with clinical and non-clinical colleagues across the Trust to ensure effective and efficient delivery of services.
  • Ensure that effective communication processes are in place.
  • Contribute to the development of a high performance culture for the directorate.
  • To identify modernising opportunities to utilise digital opportunities to enhance care, patient empowerment and communication.

Clinical and Quality

  • Supports the Trust capacity and flow processes to ensure patients access the care needed at the appropriate time and receive their care in the right clinical setting.
  • Actively support the process to discharge patients safely and timely, which requires helping ward teams to set patients up with remote monitoring kit and explaining to patients how to use it.
  • To review VHS patients with daily contact through the most appropriate medium, including patient symptom assessment and observations. To interpret findings and form a list of differential diagnoses and a treatment plan.
  • To undertake a full virtual clerking of patients on admission to the VH service, ensuring patients have the necessary information and target reading upon discharge from hospital and (re)admission to the VH, clarifying with the discharging team whenever necessary.
  • Communicate with primary care services to ensure continuity of care and coordinate readmission of patients who are deteriorating in the community.
  • Maintains timely, accurate and appropriate documentation, whilst communicating the outcome of clinical encounters to GPs and other health professional in a timely manner.
  • Foster good relationships by working collaboratively with the multidisciplinary team.
  • To ensure wards have appropriate equipment to provide to patients on discharge and transfer into the VH.
  • Close interaction and care coordination with maternity triage service for the management of pregnant women.
  • Instructing and counselling patients & their relatives with regard to mental and physical health issues.
  • Supporting and contributing to timely discharge planning including completing discharge summaries and support optimising bed capacity.
  • Work to improve the quality of patient experience within the directorate.
  • Participating in writing up service evaluation results
  • Contribute to achieving and maintaining financial sustainability of the VHS.
  • Identify opportunities to improve quality and deliver best value for the VH service.

Teaching and Training

  • Participate in the development and expansion of the service including:
    • Attending teaching and developing skills on literature review.
    • Engaging in collecting data and patient feedback.
    • Proactive role in developing pathways, including literature research.

Personal Development

  • Takes responsibility for attending statutory and mandatory training in accordance with the Trusts training needs analysis and mandatory training matrix. Makes effective use of e-learning opportunities to achieve compliance with mandatory training.
  • Takes responsibility for own continuing professional development and performance, maintaining own portfolio in accordance with Professional body revalidation requirements. Is able to identify own development needs in relation to current practice and future plans, setting personal development objectives.

Person Specification

Qualifications

Essential

  • MBBS or equivalent
  • GMC full registration
  • Completed Foundation training

Desirable

  • Management/leadership qualification or equivalent experience at postgraduate level

Experience

Essential

  • Ability to organise, prioritise workload and take responsibility for the clinical care of patients under the supervision of the medical team

Desirable

  • Clinical experience and training in virtual hospital services
  • Experience of service design and improvement
  • Experience of conducting clinical audit and/or quality improvement projects
Person Specification

Qualifications

Essential

  • MBBS or equivalent
  • GMC full registration
  • Completed Foundation training

Desirable

  • Management/leadership qualification or equivalent experience at postgraduate level

Experience

Essential

  • Ability to organise, prioritise workload and take responsibility for the clinical care of patients under the supervision of the medical team

Desirable

  • Clinical experience and training in virtual hospital services
  • Experience of service design and improvement
  • Experience of conducting clinical audit and/or quality improvement projects

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.

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

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.

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

Royal Berkshire NHS Foundation Trust

Address

Royal Berkshire Hospital

London Road

Reading

RG15AN


Employer's website

https://www.royalberkshire.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Royal Berkshire NHS Foundation Trust

Address

Royal Berkshire Hospital

London Road

Reading

RG15AN


Employer's website

https://www.royalberkshire.nhs.uk/ (Opens in a new tab)


For questions about the job, contact:

Clinical Lead for Virtual Hospital Services

Dr Andy Walden

andrew.walden@royalberkshire.nhs.uk

01183228104

Date posted

15 December 2024

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£49,909 a year per annum

Contract

Fixed term

Duration

12 months

Working pattern

Full-time, Flexible working, Home or remote working

Reference number

193-MS1522UCGA

Job locations

Royal Berkshire Hospital

London Road

Reading

RG15AN


Supporting documents

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