Job summary
Direct Clinical Care (DCCs):Shop floor presence - This job plan provides a physical consultant presence out in the clinical arenaof the Emergency Department. Each consultant will ensure clinical leadership and support to thedepartment and other specialty staff as well as taking on their own patient workload. They willmaintain and improve quality of care delivered to patients and guarantee the efficiency of thedepartment.There will be a consultant present on the shop floor from 0800 hours until 00:00 hours seven days aweek.Sessions are allocated to Clinical administration and shop floor back up - each consultant requiresclinical time to undertake clinical administration and to ensure a quality clinical service in times ofneed.Overall weekend frequency equals 1 in 7 therefore attracts 5% on call allowance; however, thiscould be changed by an individual as we are running a self-rostering rota. Doctors are able to have agreater input of the number and type of shift that they are able to workCore Shop Floor DCC Roles:(i) Medical Controller(ii) Resuscitation Room supervision - to include oversight of the paediatric area(iii) Assessment Hub Medical Lead - to ensure early senior medical input for ambulance
(iiii) Peads Lead
Main duties of the job
Emergency Medicine Consultant
North Middlesex University Hospital is one of London's busiest acute hospitals, serving more than 350,000 people living in Enfield and Haringey and the surrounding areas, including Barnet and Waltham Forest.
We work within a multi-ethnic population with a high index of deprivation. This is both a challenging and a fascinating hospital to work in.
These are exciting times with excellent opportunities to develop and enhance our clinical services with a clinical partnership with the Royal Free Hospital.
Applications are invited for a consultant position in Emergency Medicine at North Middlesex University Hospital. there are 2 posts available. It is feasible that one of these could be a joint adult/PEM position
Applicants must hold, or be within 6 months of obtaining their CCT in Emergency Medicine.
The Emergency Department at NMUH is one of the busiest in London, with an average of 550 patient attendances a day, and 100 ambulance conveyances. There is potential to support and develop individual interests and to support suitable candidates wishing to take their career to the next level.
Candidates will be fully supported to develop their clinical, leadership and improvement skills and there are a range of opportunities to be involved in pathway development and redesign of educational structures and programmes.
About us
North Middlesex University Hospital NHS Trust is a medium sized District General Hospitalbased in Edmonton in Enfield, North London. We serve a diverse multicultural populationlargely from the London boroughs of Enfield and Haringey. Many of our patients live in wardsthat are within the 5% most deprived in the UK and a large proportion of our patients wereborn abroad. This makes it both a fascinating and a challenging hospital to work in.Over the last decade we have rebuilt almost all of the hospital and now have facilities thatwe are proud to work in. We employ over 3,500 staff, more than half of whom live locally.We encourage apprenticeships from the local community and work closely with our localHealthWatch.We are primarily an emergency led hospital with more than 90% of our bed days being usedfor patients admitted via our emergency and ambulatory units. As well as offering everythingyou would expect from a major acute hospital we have a number of tertiary services treatingpatients with HIV and Sickle Cell Disease and a large cancer and radiotherapy service. We alsorun our local community Sexual Health Clinics.We are proud of our staff and want to ensure their training allows them to provide excellentclinical care. We are also a training unit for medical students from UCL and St George'sUniversity Grenada, and for nursing and midwifery students from Middlesex and CityUniversities.
Job description
Job responsibilities
General Responsibilities as Consultant in Emergency MedicineThe following is not an exhaustive or exclusive list of the duties of a consultant. The appointee isexpected to: Provide senior clinician services to the Emergency Department as per job plan or as agreedwithin the Trust, and as required when on call. Provide clinical leadership to the department when undertaking clinical care, taking lead clinicalresponsibility as rostered on a day-to-day basis. Facilitate safe and effective clinical care Lead on service design and development to help with establishing pre-operative patientassessment Work with consultant colleagues and nursing staff to ensure efficient use of Trusts resourcesand contribute actively to clinical governance in the department and to development of qualityenhancement projects in the unit. Show flexibility and undertake different appropriate clinical tasks within allocated DCC sessionsafter discussion with the clinical manager, as the need arises. Actively participate in the Units Teaching Programme and undertake supervision, teaching andtraining of medical trainees and other multi-professional staff, in line with guidance from therelevant Royal Colleges or specialty bodies. Actively participate in clinical guidelines development, audit and CPD.Indicative Job Plan/TimetableAn indicative job plan/timetable for this post with indicative Programmed Activities (PAs) is providedbelow, but this will normally be re-assessed after 3 months of appointment to ensure it meets theneeds of the service.For a whole-time 10 PA contract: the normal split is Direct Clinical Care: 8 PAs on average per week(Clinical activity, clinically related activity, predictable & unpredictable emergency work) Supporting Professional Activities: 2 PAS on average per week (CPD, audit, teaching &research ) **** An additional 0.5 SPA is available to all Consultant Staff subject to review andagreement by job plan which must be approved prospectively by the Clinical Director.After this review the substantive doctor will be on a 7.5 DCCs /2.5 SpAsAdditional (APA) clinical PAs may be offered to consultants up to 1.5 extra DCCs that if agreed can betaken by the individual.Job plans are reviewed annually, and applicants are encouraged to study the provisions of theConsultant Contract for England 2003 under which this post is offered.Total Hours, Monitoring and Future Working:Last reviewed: March 2024Based on the above working pattern each new consultant post will attract 10 PAs per week and aband A supplement (5%).On Call and Internal Cover:Each consultant will be expected to provide an on-call commitment to the department. Whilst oncall the consultant must remain contactable at all times and be prepared to give advice on clinicaland managerial issues as required by the hospital staff. The consultants must always be prepared toreturn to the department whilst on call for pressing clinical issues in accordance with escalationpolicy. The request for a consultant to return to the department should only be made for clinicalreasons and is in line with the College of Emergency Medicine recommendations. There will becontinuous on call cover from 0000 hours to 0800 hours Monday to SundayProspective cover is included in the self-rostering rota for weekend shifts, evening shifts, on-callshifts. There are sufficient clinical PAs in the Team job plan to guarantee the core DCC shop floorshifts all year round.The department must always be able to access the services of one of the emergency consultants.Each successful applicant will share an office with fellow consultants and be supported by thesecretarial pool based in the department.Other Roles and ResponsibilitiesThe post holder will work with colleagues and the Clinical Audit and Effectiveness departmentto ensure that relevant clinical audit is carried out.Consultants have continuing responsibility for the care of patients in their charge and for theproper functioning of their department. They are expected to undertake administrative dutiesassociated with the care of their patients and the running of their clinical departments. Theappointee will be expected to take responsibility for maintaining their continuing medicaleducation to the standard set by the relevant Royal College.All consultants are expected to participate in the management of their own department andthe hospital as a whole and will be encouraged to develop their management and leadershipskills. Therefore, it is expected the post holder will make efforts to attend their specialtiesmanagement meetings where possible.
Job description
Job responsibilities
General Responsibilities as Consultant in Emergency MedicineThe following is not an exhaustive or exclusive list of the duties of a consultant. The appointee isexpected to: Provide senior clinician services to the Emergency Department as per job plan or as agreedwithin the Trust, and as required when on call. Provide clinical leadership to the department when undertaking clinical care, taking lead clinicalresponsibility as rostered on a day-to-day basis. Facilitate safe and effective clinical care Lead on service design and development to help with establishing pre-operative patientassessment Work with consultant colleagues and nursing staff to ensure efficient use of Trusts resourcesand contribute actively to clinical governance in the department and to development of qualityenhancement projects in the unit. Show flexibility and undertake different appropriate clinical tasks within allocated DCC sessionsafter discussion with the clinical manager, as the need arises. Actively participate in the Units Teaching Programme and undertake supervision, teaching andtraining of medical trainees and other multi-professional staff, in line with guidance from therelevant Royal Colleges or specialty bodies. Actively participate in clinical guidelines development, audit and CPD.Indicative Job Plan/TimetableAn indicative job plan/timetable for this post with indicative Programmed Activities (PAs) is providedbelow, but this will normally be re-assessed after 3 months of appointment to ensure it meets theneeds of the service.For a whole-time 10 PA contract: the normal split is Direct Clinical Care: 8 PAs on average per week(Clinical activity, clinically related activity, predictable & unpredictable emergency work) Supporting Professional Activities: 2 PAS on average per week (CPD, audit, teaching &research ) **** An additional 0.5 SPA is available to all Consultant Staff subject to review andagreement by job plan which must be approved prospectively by the Clinical Director.After this review the substantive doctor will be on a 7.5 DCCs /2.5 SpAsAdditional (APA) clinical PAs may be offered to consultants up to 1.5 extra DCCs that if agreed can betaken by the individual.Job plans are reviewed annually, and applicants are encouraged to study the provisions of theConsultant Contract for England 2003 under which this post is offered.Total Hours, Monitoring and Future Working:Last reviewed: March 2024Based on the above working pattern each new consultant post will attract 10 PAs per week and aband A supplement (5%).On Call and Internal Cover:Each consultant will be expected to provide an on-call commitment to the department. Whilst oncall the consultant must remain contactable at all times and be prepared to give advice on clinicaland managerial issues as required by the hospital staff. The consultants must always be prepared toreturn to the department whilst on call for pressing clinical issues in accordance with escalationpolicy. The request for a consultant to return to the department should only be made for clinicalreasons and is in line with the College of Emergency Medicine recommendations. There will becontinuous on call cover from 0000 hours to 0800 hours Monday to SundayProspective cover is included in the self-rostering rota for weekend shifts, evening shifts, on-callshifts. There are sufficient clinical PAs in the Team job plan to guarantee the core DCC shop floorshifts all year round.The department must always be able to access the services of one of the emergency consultants.Each successful applicant will share an office with fellow consultants and be supported by thesecretarial pool based in the department.Other Roles and ResponsibilitiesThe post holder will work with colleagues and the Clinical Audit and Effectiveness departmentto ensure that relevant clinical audit is carried out.Consultants have continuing responsibility for the care of patients in their charge and for theproper functioning of their department. They are expected to undertake administrative dutiesassociated with the care of their patients and the running of their clinical departments. Theappointee will be expected to take responsibility for maintaining their continuing medicaleducation to the standard set by the relevant Royal College.All consultants are expected to participate in the management of their own department andthe hospital as a whole and will be encouraged to develop their management and leadershipskills. Therefore, it is expected the post holder will make efforts to attend their specialtiesmanagement meetings where possible.
Person Specification
Qulaifications
Essential
- MBBS or equivalent medical degree
- Full GMC Registration CCT or within 6 months of obtaining CCT or CESR ALS, ATLS, APLS/PALS provider status FRCEM or equivalent
Experince
Essential
- trained in UK Emergency Medicine
- Ability to take full and independent responsibility for clinical care of patients within the ED
- Operational experience of a Clinical Decision Unit
Person Specification
Qulaifications
Essential
- MBBS or equivalent medical degree
- Full GMC Registration CCT or within 6 months of obtaining CCT or CESR ALS, ATLS, APLS/PALS provider status FRCEM or equivalent
Experince
Essential
- trained in UK Emergency Medicine
- Ability to take full and independent responsibility for clinical care of patients within the ED
- Operational experience of a Clinical Decision Unit
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
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).
