Job summary
This post has been created to help build a larger core Acute Medicine team at Charing Cross Hospital in light of the growing demands and pressure at the front door of the hospital. The successful applicant will contribute to the acute medical take and Acute Medicine services at Charing Cross Hospital. They will also contribute to the newly established virtual wards and Hot Clinics via SDEC.
We are looking for a Consultant with sound experience and training in General Internal Medicine to join the Acute Medical team to support existing colleagues in a busy service. The role holder will work within the Division of Medicine and Integrated Care and will be expected to participate in the management of the patients under the care of the Acute Medicine team in accordance with local and national clinical guidelines and will rotate through these parts of the service.
The appointee will work closely and in partnership with the rest of Specialty Medicine and Emergency Medicine. They will also be expected to contribute to the Acute Medicine rota and clinical governance. The appointee will also play an active role in undergraduate and postgraduate supervision of medical students and resident doctors.
Main duties of the job
The Acute Medicine service at Charing Cross Hospital works closely with the Emergency Department and with Specialty Medicine services. The AMU/AAU has a fast turnover of patients; our usual length of stay is around 1.5 days. This is due to a consultant led service with twice daily consultant input into patient care, great support from imaging and diagnostics, multidisciplinary approach to patient care (delivered by the OPAL team) and an excellent pharmacy team across Acute Medicine. In addition there is daily input from a consultant led cardiology team and in reach from other specialties (gastroenterology, neurology, infectious diseases, endocrinology, psychiatry, etc) for patients who require specialist input.
The post holder will work closely with other members of the team to ensure high quality acute and specialist medical services within the strategic framework agreed by the team. They will work closely with the appropriate clinical management teams.
About us
The Acute Medicine service at Charing Cross hospital provides a consultant led service for all patients admitted under Acute Medicine 24 hours a day, 7 days a week. The ward areas covered by Acute Medicine are an Acute Medicine Unit (AMU) and an Acute Assessment Unit (AAU).
Admission rates to Medicine from the Emergency Department can vary quite significantly with the seasons. The post holder is expected to help deliver consultant lead care to all patients managed by the Acute Medicine team regardless of their location. The care of medical patients outlying on non-medical wards during the winter months is shared between Acute and Specialist Medicine.
The Acute Medical team holds regular morbidity and mortality meetings as well as quality and safety meetings. The post holder is expected to contribute to these meetings and to an open atmosphere of learning and excellence on the AAU/AMU.
Acute medicine at Charing Cross hospital has a diverse workforce with 21 juniors doctors as well as one physicians associate (PA). The workforce includes 2 registrars, 9 FY1s 4 IMTs, 2 ACCSs, 3 FY2 and 1 GP trainee. Each consultant ward round will have at least two junior doctors or PA.
Job description
Job responsibilities
A formal job plan will be agreed between the appointee and divisional director, on behalf of the medical Director, this is not designed to be exhaustive.
The post holder and divisional director/ chief of service will review the job plan annually in line with the provisions in schedule 3 of the terms and conditions. Either may propose amendment of the job plan.
Programmed activities (PAs)
For a whole-time contract: A total of 10 Pas
This will involve clinical activity, including specialty clinics, predictable and unpredictable emergency work, and Supporting Professional activities, including audit, clinical governance, CPD, teaching, research, educational supervision of junior staff and CPD). The successful applicants will be support by the Head of speciality to achieve CPD goals.
Job description
Job responsibilities
A formal job plan will be agreed between the appointee and divisional director, on behalf of the medical Director, this is not designed to be exhaustive.
The post holder and divisional director/ chief of service will review the job plan annually in line with the provisions in schedule 3 of the terms and conditions. Either may propose amendment of the job plan.
Programmed activities (PAs)
For a whole-time contract: A total of 10 Pas
This will involve clinical activity, including specialty clinics, predictable and unpredictable emergency work, and Supporting Professional activities, including audit, clinical governance, CPD, teaching, research, educational supervision of junior staff and CPD). The successful applicants will be support by the Head of speciality to achieve CPD goals.
Person Specification
Professional Values and Behaviours, Skills and Knowledge
Essential
- Experience of working in Acute Medicine and working in units with rapid turn over.
- Experience of organising rotas and running M and M meetings
- Clinically evaluates and manages a patient, formulating a prioritised differential diagnosis, initiating an appropriate management plan, and reviewing and adjusting this depending on the outcomes of treatment
- Manages the difficulties of dealing with complexity and uncertainty in the care of patients; employing expertise and clinical decision making skills of a senior and independent/autonomous practitioner
- Demonstrates key generic clinical skills around the areas of consent; ensuring humane interventions, prescribing medicines safely and using medical devices safely
- IT knowledge/experience with Cerner electronic health records and e-prescribing
Leadership/Management Skills
Essential
- Able to take responsibility, show leadership, make decisions, exert appropriate authority
- Have proven skills in leading, motivating, developing and managing the performance of colleagues
- Management of staff
Teaching & Training
Essential
- Critically assesses own learning needs and ensures a personal development plan reflects both clinical practice and the relevant generic capabilities to lead and develop services.
- Promotes and participates in individual and team learning
Audit
Essential
- Understanding of principles of clinical audit
Academic achievements including research/publications
Essential
- Evidence of achievement appropriate to appointment at Consultant at Imperial College Healthcare NHS Trust
- MRCP
- CCT within a medical speciality and General Internal Medicine or acute medicine.
Language
Essential
- Able to speak and write English to the appropriate standard necessary to fulfil the job requirements
Person Specification
Professional Values and Behaviours, Skills and Knowledge
Essential
- Experience of working in Acute Medicine and working in units with rapid turn over.
- Experience of organising rotas and running M and M meetings
- Clinically evaluates and manages a patient, formulating a prioritised differential diagnosis, initiating an appropriate management plan, and reviewing and adjusting this depending on the outcomes of treatment
- Manages the difficulties of dealing with complexity and uncertainty in the care of patients; employing expertise and clinical decision making skills of a senior and independent/autonomous practitioner
- Demonstrates key generic clinical skills around the areas of consent; ensuring humane interventions, prescribing medicines safely and using medical devices safely
- IT knowledge/experience with Cerner electronic health records and e-prescribing
Leadership/Management Skills
Essential
- Able to take responsibility, show leadership, make decisions, exert appropriate authority
- Have proven skills in leading, motivating, developing and managing the performance of colleagues
- Management of staff
Teaching & Training
Essential
- Critically assesses own learning needs and ensures a personal development plan reflects both clinical practice and the relevant generic capabilities to lead and develop services.
- Promotes and participates in individual and team learning
Audit
Essential
- Understanding of principles of clinical audit
Academic achievements including research/publications
Essential
- Evidence of achievement appropriate to appointment at Consultant at Imperial College Healthcare NHS Trust
- MRCP
- CCT within a medical speciality and General Internal Medicine or acute medicine.
Language
Essential
- Able to speak and write English to the appropriate standard necessary to fulfil the job requirements
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).
