Sustainability and Emergency Medicine Senior Clinical Fellow

Job description

Job responsibilities

Duties and responsibilities:

The post will be split 80:20 clinical to non-clinical.

Emergency department time

The Emergency Department operates a full shift system, which is fully compliant with the European Working Time Directive. The post holder will participate in the night and weekend rota. All shifts are either 9 or 10 hours in length. The rota uses self rostering to facilitate a positive work-life balance. Salary is in accordance with the national salary scale.

When on duty in the Emergency Department, the post-holder will be expected to work with the Consultants in direct patient management and supervising the work of the junior medical staff in both the adult and paediatric areas. He/she will also lead treatment of patients in the resuscitation area. The Senior Fellow, alongside the other middle grades, is expected to advise the junior doctors and Emergency Nurse Practitioners on patient management and to authorise referrals to speciality teams. He/she is also responsible for ensuring that the policy for admissions to the Clinical Decision Unit is adhered to and to ensure that these patients are appropriately managed. The Senior Fellow will assist the registrars and Consultants in the clinical and administrative management of the Emergency Department.

Environmental Sustainability time

GSTT is one of the only trusts in the UK with a dedicated environmental sustainability team. In 2020 GSTT launched an ambitious 10 year environmental sustainability plan in line with the UN sustainable development goals. There are various projects already ongoing within GSTT ED including reducing ambulance ramp idling, reducing screen brightness, improving sorting of waste, reducing single use plastics and much more, . As the environmental sustainability fellow you would help oversee these projects as well as supporting other projects and initiatives around the trust.

Supervision:

The fellow will have a supervisor from the ED who is experienced in environmental sustainability who will support their personal developmental needs and appraisal.

Annual Leave:

27 -32 working days per annum (depending on level of experience) plus Bank/Public Holidays. All requests for annual leave must be approved in advance by the Consultant running the Middle Grade rota.

Clinical Governance:

All medical and dental staff are expected to take part in clinical governance activity, including clinical audit, clinical guideline and protocol development and clinical risk management. They will be expected to produce evidence of their contribution in these areas and their audit of their own clinical work as part of their appraisal

Mutual Obligation to Monitor Hours:

There is a contractual obligation on employers to monitor working hours through robust local monitoring arrangements supported by national guidance, and on individual doctors to co-operate with those monitoring arrangements.

European Working Time Directive (EWTD):

All posts and working patterns are under constant review in line with EWTD guidelines

Appraisal:

All medical and dental staff are required to undertake appraisal.

Confidentiality / Data Protection / Freedom of Information:

Post holders must maintain the confidentiality of information about patients, staff and other health service business in accordance with the Data Protection Act of 1998. Post holders must not, without prior permission, disclose any information regarding patients or staff. If any member of staff has communicated any such information to an unauthorised person those staff will be liable to dismissal. Moreover, the Data Protection Act 1998 also renders an individual liable for prosecution in the event of unauthorised disclosure of information.

Following the Freedom of Information Act (FOI) 2005, post holders must apply the Trusts FOI procedure if they receive a written request for information.

Equal Opportunities:

Post holders must at all times fulfil their responsibilities with regard to the Trusts Equal Opportunities Policy and equality laws.

Health and Safety:

All post holders have a responsibility, under the Health and Safety at Work Act (1974) and subsequently published regulations, to ensure that the Trusts health and safety policies and procedures are complied with to maintain a safe working environment for patients, visitors and employees.

Infection Control:

All post holders have a personal obligation to act to reduce healthcare-associated infections (HCAIs). They must attend mandatory training in Infection Control and be compliant with all measures required by the Trust to reduce HCAIs. All post holders must comply with Trust infection screening and immunisation policies as well as be familiar with the Trusts Infection Control Policies, including those that apply to their duties, such as Hand Decontamination Policy, Personal Protective Equipment Policy, safe procedures for using aseptic techniques and safe disposal of sharps.

Risk Management:

All post holders have a responsibility to report risks such as clinical and non-clinical accidents or incidents promptly. They are expected to be familiar with the Trusts use of risk assessments to predict and control risk, as well as the incident reporting system for learning from mistakes and near misses in order to improve services. Post holders must also attend training identified by their manager, or stated by the Trust to be mandatory.

Safeguarding children and vulnerable adults:

Post holders have a general responsibility for safeguarding children and vulnerable adults in the course of their daily duties and for ensuring that they are aware of the specific duties relating to their role.

Sustainability:

It is the responsibility of all staff to minimise the Trusts environmental impact by recycling wherever possible, switching off lights, computersmonitors and equipment when not in use, minimising water usage and reporting faults promptly.

Information Governance

All staff must comply with information governance requirements. These includes statutoryresponsibilities (such ascompliance with the Data Protection Act),following nationalguidance (such as theNHS Confidentiality Code of Practice) andcompliance with local policies and procedures (such as the Trust's Confidentiality policy). Staff are responsible for any personal information (belonging to staff or patients) that they access and must ensure it is stored, processed and forwarded in a secure and appropriate manner.

Smoking Policy:

It is the Trusts policy to promote health. Smoking, therefore, is actively discouraged. It is illegal within Trust buildings and vehicles.

Study Leave:

Study Leave will be granted at the discretion of the Clinical Lead.

Funding for CPD will be equivalent to that of the appropriate Training post.

Review of this Job Description:

This job description is intended as an outline of the general areas of activity and will be amended in the light of the changing needs of the organisation. To be reviewed in conjunction with the post holder.

Terms and Conditions of Employment:

This post is exempt from the Rehabilitation of Offenders Act 1974 and this means that any criminal conviction must be made known at the time of application.

Other:

The list of duties and responsibilities given above is not an exhaustive list and you may be asked to undertake other duties in line with the overall purpose and nature of the post as may be required from time to time.

This job description reflects core activities of a post at a particular time. The trust expects that all staff will recognise this and adopt a flexible approach to work.

All staff are expected to contribute to the smooth running of their clinical service as required; in particular, to comply with the policies and procedures, Standing Orders and Financial Regulations of the trust.

Person Specification

Education/Qualifications

Essential

• oGMC Registration / Eligible for GMC registration.
• oMB BS (or equivalent)
• oALS provider

Desirable

• oBSc, BMedSci (or other intercalated degree), other degrees/qualifications.
• oATLS/APLS Provider.
• oMCEM A, B C/ Intermediate FRCEM

Previous experience

Essential

• oProve track record of hospital medicine in the NHS, with experience in EM (Minimum 4 months in Emergency Medicine) and a total of a minimum of 1 years working since qualification. Short term locums & clinical attachment are not acceptable and will not be considered. This is not suitable as a first UK post due to the level of responsibility and candidates will not be shortlisted unless they fulfil the criteria below
• oAny EM trainees from recognised overseas training programmes will be considered for shortlisting whether they have yet worked in the UK or not.

Desirable

• oAdditional experience in emergency medicine.
• oAdditional experience in one or more of other related specialties (acute medicine, orthopaedics, cardiology, ITU, anaesthetics, plastics or primary care).
• oResearch experience, education programme development, ultrasound qualification as approriate

Skills/Knowledge/Ability

Essential

• oEvidence of experience in performing procedures relevant to emergency medicine: venous cannulation, phlebotomy, fracture manipulation
• oEvidence of good documentation - application form or/and documentation audit.
• oEvidence of keeping up to date with topics relevant to EM practice- courses/teaching sessions attended.
• oDocumented provision of teaching sessions on EM relevant topics.
• oCorrectly written personal statement about why this job and where it fits in to career plans

Desirable

• oDocumented (log book) competence in other practical procedures: central lines, arterial lines, chest drains etc.
• oEvidence of a quality improvement or audit project involvement
• oExperience of clinical risk management/clinical governance
• oFeedback on teaching sessions delivered.

Additional Information

Essential

• oRecord of audit of a clinical pathway of direct relevance to EM practice
• oExperience of supporting more junior staff.

Desirable

• oPrevious audit projects with closure of loop documented.
• oFeedback on ability to supervise juniors.

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

Guy's and St Thomas' NHS Foundation Trust

Address

St. Thomas' Hospital

Westminster Bridge

London

SE1 7EH

Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)