Job summary
The Emergency Department at Hereford County Hospital currently has approximately 70,000 attendances per year, of which 20% are paediatric. It is a Major Trauma Unit and incorporates a Children & Young Peoples' Emergency Department, which is a self-contained area within the main ED footprint, adjacent to our resuscitation area. We have good links with the Paediatric Consultants and the Children's Unit, and the Children & Young Peoples' ED is staffed with Paediatric Nurses.
The Emergency team currently consists of a dynamic team of 5 Consultants who are supported by regular input from the Acute Medicine Consultants. The appointed candidate will join our team of ED Consultants to support the department in developing our Children & Young People's ED. Other leadership roles may be available following discussion with the team.
We currently have 16.59 WTE Specialty Doctors, 15.21 WTE Doctors working on the Junior tier, 4 ACPs and 8 ENPs. We have recently been able to secure funding to expand not just the Consultant tier, but also the Specialty Doctor tier (to 24 WTE), and an increase to 8 ACPs. This is in addition to staffing our Urgent Treatment Centre stream 0800-1800 5 days a week.
The post could be filled on a whole or part-time basis, and any candidate who is unable to work full time will still be considered for the post. If such a person is appointed, modification of the job plan will be discussed.
Interview Date - 28th Feb 2025
Main duties of the job
The Consultants are based at the Hereford County Hospital site and provide Emergency Services for patients attending the Emergency Department. This service will include the reception, resuscitation and initial diagnosis of patients, together with the provision of treatment, appropriate referral and discharge of the patient - either back to the community, General Practitioner, outpatients, or admission. As a Senior Leader within the Trust we are looking for motivated and forward thinking engaged Clinical staff to work within the teams to develop and encourage this way of working. A key role of the shop floor Consultant is to support the non-consultant grade clinicians and to support flow.
Together with the other EM Consultants, the post holder will be required to provide 24hr out of hours cover for the Emergency Department. This is currently provided by mutual arrangement on a flexible rota of 1:6, although increasing recruitment will allow this frequency to be reduced.
The post holder will be the departmental lead for Paediatric Emergency Medicine.
About us
Wye Valley NHS Trust is a member of an NHS Foundation Group with South Warwickshire NHS FT , the George Eliot Hospital NHS Trust and Worcestershire Acute Hospitals NHS Trust.
Located on the border with Wales in the shadow of the Black Mountains, we provide acute and community services across Herefordshire and into parts of Powys and run Hereford County Hospital and the community hospitals in Bromyard, Leominster and Ross-on-Wye.
We are a progressive and forward looking trust with ambitious plans to improve quality and integrate patient pathways through close collaborative working with our partners to deliver the quality of care we'd want for our family and friends.
More than 3,500 people work for the Trust - they tell us it's a great place to work, blending the busyness of a DGH with the benefits of working in a beautiful rural and unspoilt county like Herefordshire.
We can offer a great work-life balance and have a fine tradition of working with staff to help them achieve their full potential.
Russell Hardy, Trust Chairman: "The strength of the Trust is its amazing staff; a great place to work, a great place to develop your career and a great place to reach your potential."
Our values - Care, Accountability, Respect and Excellence - are at the heart of all we do. We believe in providing the right care in the right place at the right time...all the time.
Job description
Job responsibilities
Principle Duties
Lead for Paediatric Emergency Medicine
In conjunction with the other Consultants, the provision of Emergency Services for patients attending the Emergency Department at Hereford County Hospital
To provide clinical leadership for development and delivery of a Blended Model of Emergency and Acute Physicians across teams sharing tasks, reducing duplication and improving the patient experience
Clinical
To share responsibility for the organisation and delivery of high quality care to the people of Herefordshire and to work with other healthcare providers in this delivery
To ensure timely and effective communication with all colleagues, including using the Trusts electronic discharge summary system
The diagnosis, management and treatment of patients within the Emergency Department
To work in partnership with the wider medicine team
To contribute to the effective use of the inpatient beds including engaging in consultations regarding the admission and discharge processes of patients
Special clinical interests: The post holder may in conjunction with the agreement of the Clinical Lead develop any other services or aspects of a service.
The post-holder will also demonstrate a firm commitment to the principles of clinical governance, including:
Developing and maintaining appropriate systems and practice to ensure effective clinical audit in Emergency Medicine
Attending and contributing to the Trust's Clinical Effectiveness Programme
Participating in the Trust's Clinical Incident Reporting system
Support Quality Improvement Projects and the introduction of new technology/advances in clinical practice
Developing a programme of personal continuing professional education, development and, if appropriate, research within available resources and within the workload and priorities of the service as agreed with Consultant colleagues and senior managers.
Job description
Job responsibilities
Principle Duties
Lead for Paediatric Emergency Medicine
In conjunction with the other Consultants, the provision of Emergency Services for patients attending the Emergency Department at Hereford County Hospital
To provide clinical leadership for development and delivery of a Blended Model of Emergency and Acute Physicians across teams sharing tasks, reducing duplication and improving the patient experience
Clinical
To share responsibility for the organisation and delivery of high quality care to the people of Herefordshire and to work with other healthcare providers in this delivery
To ensure timely and effective communication with all colleagues, including using the Trusts electronic discharge summary system
The diagnosis, management and treatment of patients within the Emergency Department
To work in partnership with the wider medicine team
To contribute to the effective use of the inpatient beds including engaging in consultations regarding the admission and discharge processes of patients
Special clinical interests: The post holder may in conjunction with the agreement of the Clinical Lead develop any other services or aspects of a service.
The post-holder will also demonstrate a firm commitment to the principles of clinical governance, including:
Developing and maintaining appropriate systems and practice to ensure effective clinical audit in Emergency Medicine
Attending and contributing to the Trust's Clinical Effectiveness Programme
Participating in the Trust's Clinical Incident Reporting system
Support Quality Improvement Projects and the introduction of new technology/advances in clinical practice
Developing a programme of personal continuing professional education, development and, if appropriate, research within available resources and within the workload and priorities of the service as agreed with Consultant colleagues and senior managers.
Person Specification
Qualifications
Essential
- Full GMC registration with Licence to Practice
- Entry on the Specialist Register in Emergency Medicine via: ? CCT ? CESR ? CCT or CESR proposed date within six months of interview ? European Community Right
- MBBS or equivalent
- FRCEM or equivalent
- PEM sub specialist qualification through RCEM or RCPCH
Desirable
- Additional degrees, diplomas or postgraduate thesis relevant to the specialty
Experiance
Essential
- General training leading towards CCT or equivalent in Emergency Medicine
- Current ALS certificate or equivalent
- Current ATLS certificate or equivalent
- Current APLS certificate or equivalent
Desirable
- Level 1 Ultrasound competency
- Experience in a specialist interest that will complement those of other staff
- A dedicated period of training working in a community setting, including leadership and organisation
Teaching
Essential
- Ability to teach clinical and generic skills
- Training in teaching skills
Desirable
- Instructor status in Life Support Courses (ALS, ATLS, APLS, ETC etc)
- Experience of teaching of clinical skills to undergraduates and postgraduates
- Ability to supervise postgraduate research
Person Specification
Qualifications
Essential
- Full GMC registration with Licence to Practice
- Entry on the Specialist Register in Emergency Medicine via: ? CCT ? CESR ? CCT or CESR proposed date within six months of interview ? European Community Right
- MBBS or equivalent
- FRCEM or equivalent
- PEM sub specialist qualification through RCEM or RCPCH
Desirable
- Additional degrees, diplomas or postgraduate thesis relevant to the specialty
Experiance
Essential
- General training leading towards CCT or equivalent in Emergency Medicine
- Current ALS certificate or equivalent
- Current ATLS certificate or equivalent
- Current APLS certificate or equivalent
Desirable
- Level 1 Ultrasound competency
- Experience in a specialist interest that will complement those of other staff
- A dedicated period of training working in a community setting, including leadership and organisation
Teaching
Essential
- Ability to teach clinical and generic skills
- Training in teaching skills
Desirable
- Instructor status in Life Support Courses (ALS, ATLS, APLS, ETC etc)
- Experience of teaching of clinical skills to undergraduates and postgraduates
- Ability to supervise postgraduate research
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.
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.
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).
