Darzi Fellow 2023-24

Job description

Job responsibilities

The programme is full-time for one year (without exception) for all Darzi Fellows. Whilst in post, Fellows are expected to undertake one main change programme the Fellowship Challenge and join LSBUs 1-year bespoke clinical leadership programme: PGCert Leadership in Health (Darzi).

Your Darzi Challenge

This Challenge is a live piece of change work that supports the Fellow in testing out new ideas and practices, applying their learning. It will:

Involve System Change Be complex Involve Multiple Stakeholders Benefit from a collaborative relationship with Citizens Enable the Fellow to Lead

Medway has an organisational strategy centred around developing a culture of continuous improvement led by frontline staff empowered to initiate and lead positive change, to achieve our mission to provide the best of care, by the best of people. The strategy is Patient First based on systems wide sustainability with a focus on high quality outcomes for our patients with a highly engaged workforce. We will be focussing on five key themes called True North Domains (Sustainability, People, Patients, Quality, Systems and Partnerships) with a number of key breakthrough objectives and strategic initiatives that the organisation must achieve within the next few years.

The current Darzi Fellow has worked within the true north domain of Quality, on the breakthrough objective of reducing avoidable 2222 calls by 50%, with the purpose of improving the care of the deteriorating patient and avoidable mortality within the Trust.

The 2023 Darzi Fellow will be given the challenge of providing clinical leadership to develop and improve Medway NHS Foundation Trusts approach to the treatment escalation, ReSPECT (Recommended Summary Plan for Emergency Care and Treatment), and DNACPR (do not attempt cardiopulmonary resuscitation) planning in partnership with the Kent and Medway ICS. This complex area will require the Darzi fellow to work closely with organisational systems including electronic patient records, work with multiple stakeholders including the ICS, intensive care, community and hospital palliative care teams, and the secondary care divisions. Fundamentally, this work has our trust mission Best of Care at its core, and would benefit from a collaborative relationship with citizens in how these complex plans and decisions are made in the interaction between community and secondary care

What our current Darzi Fellow says about Medway as a place to learn and work

"My name is Aranghan Lingham, and I am the Darzi fellow at Medway NHS Foundation Trust. I took on this fantastic opportunity via an out of programme experience between my ST6 and ST7 years as an orthopaedic specialty training registrar.

This has been an incredible year that I would highly recommend to anyone who is curious, would love taking an academic approach to learning about systems, organizations, and people outside of their routine clinical practise, and someone who sees themselves as having a leadership role within the NHS in the future. Overall the programme has enabled me to better understand myself and the system I work in, learn and apply organizational change strategies in practise, and build communities and networks with my peers and mentors from all backgrounds and levels.

At Medway NHS foundation trust, Alison (our CMO) and Steve (Head of MD services) along with numerous other people, have been hugely supportive of my development as a leader, and have really enabled me to explore, take on, and deliver critical complex system organizational change work to improve the quality of care for patients. I spent most of my time working with a number of different teams in the trust on several quality improvement projects, spent a session a week delivering patient care in orthopaedics, and some time in my academic commitments at London Southbank University.

At London Southbank University, we took an adult learning inquiry based very interactive approach to a wide breadth of topics which together contributing to health, including but not limited to inequality, economics, psychology, philosophy, organisational management, coproduction, ergonomics, law, and patient safety. We have had a variety of workshops, guest speakers, site visits, and collaborative learning where our experiences, together with those of our peers, patients, and facilitators, really brought about incredibly insights and learning.

I look forwards to continuing my learning as a leader in the NHS in my future career!"

Person Specification

Qualifications

Essential

• Full registration with relevant professional body, e.g. GMC, GDC, NMC, HPC, GPC, HPCP
• Undergraduate Degree
• Minimum training level or experience of: ST4-6, CT3, SAS, GPST3/4, Band 7/8a or equivalent, from a recognised specialty school training programme
• Satisfactory progression through training, as evidenced by satisfactory outcomes in relevant specialty examination, e.g. RITA, ARCP, Prep CPD/Practice
• Where applicable, (e.g. for medical trainees) meets 'out of programme experience' (OOPE) requirements or other required permission
• Higher degree or management qualification

Experience and achievements

Essential

• Previous co-ordination or management or leadership experience either at undergraduate or postgraduate level, within or without health care
• Evidence of clinical excellence e.g. prizes, presentations papers
• Some knowledge of organisational development or management or leadership development theory, principles or programmes
• Understanding of current issues and challenges within health care delivery across the wider NHS
• Some understanding of quality improvement/safety improvement/ clinical governance principles application within clinical settings

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

Medway NHS Foundation Trust

Address

Medway Maritime Hospital

Windmill Road

Gillingham

ME7 5NY

Employer's website

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