Job responsibilities
Clinical: The postholder will, together with consultant colleagues, be responsible for the provision of Emergency services to the Guys & St Thomas NHS Foundation Trust to include:
(a) Diagnosis and treatment of paediatric patients presenting to the Emergency Department.
(b) Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.
(c) Liaise with the clinical teams of the Evelina London Childrens Hospital to optimise patient care.
(d) Be responsible for the care of children for up to 24 hours in the CSSU.
(e) Work in partnership with the Childrens Acute Paediatric team in Evelina London to develop and deliver ambulatory models of care.
The appointee will, together with 21 other whole-time consultant colleagues in Emergency Medicine and 6 consultants in Paediatric Emergency Medicine be responsible for the provision Emergency Medicine services to the Guys & St Thomas Hospital Trust to include:
Teaching:
All consultants are expected to take part in undergraduate teaching during their normal clinical work.
Consultants taking on additional teaching responsibilities will have time allocated for these in their job plan.
Training: All consultants will be expected to contribute to the training and support of doctors in training, including the role of Educational Supervisor in the educational contracts for junior staff in the speciality.
The post holder will be expected to take an active part in undergraduate and postgraduate students. In particular the post holder will be expected to:
(a) Take responsibility for the training and direction of junior staff allocated t o him/her and is the designated educational supervisor in the Education Contracts for these junior staff.
(b) Be instrumental in the training of Emergency Medicine Specialist Registrars, Emergency Department ST2/3 or CT3 doctors in training and Primary Care trainees in Emergency Medicine.
(c) Train year 4 medical students during their Emergency Medicine and supervise students undertaking Special Study Modules (SSMs).
Research: Consultants are encouraged to become involved in clinical research. Clinical research undertaken as part of the trust research and development programme will be allocated specific time in a consultants job plan. Consideration will be given to the support required for any research agreed as part of the job plan.
There is an active research programme in the Emergency Department with the added expectation of the Department developing an academic base for Emergency Medicine in the future. Full support for the research is available within the directorates of Acute Medicine and Paediatrics. There are close links with GKT Medical School, which is part of Kings College London. College facilities include full text access to biomedical journals on-line, statistical and database software and support, statistician support and a full local and multi-centre ethical review boards.
Clinical Governance: All consultants 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 annual appraisal.
Clinical Management: All consultants are expected to contribute to the management and development of their clinical service. Additional clinical management roles will be recognised in the consultant job plan.
Consultant staff are expected to lead on the investigation and compilation of reports relating to any complaints or critical incidents involving staff and patients as directed.
The appointee will be responsible for the departmental clinical administration including staff rotas as part of their contribution to the smooth running of their Department as required, in particular the policies, standing orders and financial regulations of the Trust must be observed. They are expected to assist their Clinical Lead in delivering the Corporate Objectives.
The post holder will be managerially and professionally responsible to the Clinical Lead forEmergency Medicine.
Appraisal: All consultants are required to undertake annual appraisal.
The appointee will be expected to appraise junior staff as directed by their Clinical Lead
Provide High Quality Care to Patients
The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice
To develop and maintain the competencies required to carry out the duties required of the post.
To ensure prompt attendance at agreed direct clinical care Programmed Activities.
To ensure patients are involved in decisions about their care and to respond to their views.
Research, Teaching and Training
Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of Research Governance.
To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director.
To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.
Performance Management
To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.
Quality of outcomes e.g. infection control targets, reducing re-admission rates.
Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
Operational efficiency e.g. day-case rates, waiting list activity and demand management.
Medical Staff Management
To work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal.
To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments
To participate in the recruitment of junior medical staff as and when required.
To participate in team objective setting as part of the annual job planning cycle.
To be responsible for the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager.
Governance
To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.
Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director.
Participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas.
To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director.
To role model good practice for infection control to all members of the multidisciplinary team.
Strategy and Business Planning
To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director.
