Consultant in Emergency Medicine

Health and Community Services

Information:

This job is now closed

Job summary

We are recruiting into a Emergency Medicine Consultant post at Jersey General Hospital. Emergency Department in Jersey General Hospital sees in excess of 45,000 patients annually with 25% of the attendances being children. We are a Trauma Unit part of the Wessex Trauma Network.

There is a robust Clinical Governance process in the department and an active audit programme. We are a progressive thinking department with active use of ultrasound in diagnostics as well as developing the regional blocks programme.

ED Consultants provide shop floor presence 8am-10pm Monday to Friday and 10am-4pm over the weekend with on-call service outside of those hours. There is 24/7 middle grade shop floor cover and a 15 junior doctors rota involving a mix of F2s/ GPVTS doctors/ Clinical Fellows.

We are supported by on-site 24/7 presence by medicine/ anaesthetics/ paediatrics/ obs & gynae specialities with senior orthopaedic and surgical doctor provision in-hours and on-call out of hours. We have 24/7 access to imaging including cross-sectional imaging. Our Department has 9am-9pm 7 days a week ENP service.

Emergency Consultants constitute large proportion of the senior management team including the Chief of Medicine/ Chief of Surgery/ Chiefs of Education/ Responsible Officer. There will be an opportunity to train and take part in the rota with JETS (Jersey Emergency Transfer Service), main emergency transfer service to mainland hospitals.

Please contact Dr Finn on m.finn@health.gov.je or 01534442800

Main duties of the job

To lead or supervise the resuscitation and treatment of patients with life threatening injury and illness

To work in close partnership and liaison with Primary Care, other specialties and other specialist services.

Assess, review, treat and establish management plans for patients within the resus, majors and minors of the Emergency Department

To work as the consultant in charge of the department and lead the shift

Participate on the Emergency Department Consultants on-call rota

To provide clinical advice & support to primary care colleagues and other consultants within Health & Community Services medical model

To deliver personalised, evidence informed medical care plans to all patients that are appropriately documented and regularly evaluated.

To provide advice and timely medical reviews and interventions as part of the interdisciplinary model of care.

To set-up, participate and attend relevant services MDTs where applicable including frequent attendance

Maintain good quality up to date medical records including timely discharge letters and summaries.

To ensure appropriate documentation and coding is used to provide consistent audit and monitoring of the service.

To adhere to local prescribing guidelines

To provide clinical supervision, advice and guidance to the junior doctor workforce and emergency nurse practitioners

The post holder is expected to provide cross cover for colleagues during absences.

About us

We would also encourage and will facilitate training and subsequently take on a role of a Clinical and Educational supervisor as well as an Appraiser.

Jersey is a lovely place to live with salary being 30% higher than in the NHS and the tax rate on average 22%. Jersey is served by EasyJet (www.easyjet.com) / Blue Islands (www.blueislands.com) / British Airways (www.britishairways.com). There are multiple daily flights from London Gatwick/ London Heathrow/ London Luton/ Birmingham/Liverpool/ Manchester/ Glasgow and other UK airports as well as seasonal flights to Ireland and France (https://www.jerseyairport.com/) with a flight from London Gatwick only taking 35 minutes.

Date posted

16 May 2024

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£110,257 to £164,372 a year Based on 10 PA's and depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

K0011-24-0156

Job locations

Government Of Jersey

19-21 Broad Street

St. Helier

Jersey

Channel Islands

JE2 3RR


General Hospital

Gloucester Street

St Helier

Jersey

JE2 3QS


Job description

Job responsibilities

Leadership & Management

Take part in management and audit activities to support the Care Group Leadership team & Public Health in planning for services and ensuring the service meets key performance indications including excellent patient care.

The post holder will be expected to take part in management and audit activities and represent the service at Hospital meetings, as agreed with colleagues.

The post holder will be expected to be fully involved in a Risk Management program and support the Governance agenda.

Provide clinical leadership and support to the departmental nurse specialists

Represent the service at Hospital meetings, as agreed with colleagues.

Build & develop a service of excellence for Emergency Medicine.

Teaching and Research

The department is recognized for training of junior doctors from the Wessex deanery and medical students from Southampton and active teaching is encouraged in this role. It is expected that the post holder is participating in the training of Medical staff and that the candidate will ensure that the training and learning needs are identified and facilitated. This includes educational support for the clinical fellows recruited directly to Health & Community Services.

Opportunities for participating in research are supported when appropriate. The Health & Community Services has a policy for professional leave and is supportive of external duties for the good of the wider profession.

On call rota

The appointee will take part in the Emergency Medicine on-call rota of one in five.

Departmental Statistics (2022-23)

45,000 Attendances including 9,000 children.

Emergency Department in Jersey General Hospital is a Trauma Unit, part of the Wessex Trauma Network. Our Major Trauma Centre is Southampton General Hospital. Our link cardiology centre is John Radcliff Hospital in Oxford.

Transfer of patients from the island to the mainland centres is on JETS (fixed-wing Jersey Emergency Transfer Service).

The department has a 3 bedded resus (including a fully equipped paediatric resus cubicle), 8 bedded Majors area (half of these are isolation rooms), and there is a paediatric examination room as well as a separate paediatric waiting room. There is a separate Minors area with 4 examination cubicles and a separate Eye examination cubicle.

Medical Services Care Group

Medicine in Jersey is fully age and specialty integrated. There are 3 medical wards, Bartlett, Rozel and Corbiere. A 5-bedded Enhanced Care Area is sited on EAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit on EAU led by a SAS doctor with consultant support. There is a 16 bed Emergency Assessment Unit. Currently there are 11 consultants, 8 SAS doctors, 7 FY1 and 2 FY2 doctors who between them comprise 8 medical teams and the EAU team. 6 Clinical Fellows offer further support to the teams.

SAS doctors are responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, FY1 or FY2 doctor whom they closely supervise.

On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the EAU by GPs in conjunction with the EAU team. A core responsibility of the Division of Medicine is the provision of a safe acute medical service. The Division provides named Consultant supervision for non-Consultants at all times and ensures that prompt review and treatment is provided for acute medical emergencies referred by General Practitioners or the Emergency Department. The Medical Consultants share on-call cover for the general medical take on a rolling 24hr rota, 8am-8am. Consultant-led post take ward rounds take place at 5pm and 8am. Being on an Island, the physicians need to be able to cover the full range of medical emergencies while on call.

The Medical Consultants share responsibility for ongoing management of patients admitted acutely to the wards. At present, the Medical Consultants have responsibilities for ongoing management of inpatients for a 4-week period of each 8-week rota cycle. Leave is by preference taken during the remaining 4 weeks with the remainder of the time allocated to an increased intensity of specialist elective work.

Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area.

Care Group Statistics

There are 63 medical beds. 12-20 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24.

Job description

Job responsibilities

Leadership & Management

Take part in management and audit activities to support the Care Group Leadership team & Public Health in planning for services and ensuring the service meets key performance indications including excellent patient care.

The post holder will be expected to take part in management and audit activities and represent the service at Hospital meetings, as agreed with colleagues.

The post holder will be expected to be fully involved in a Risk Management program and support the Governance agenda.

Provide clinical leadership and support to the departmental nurse specialists

Represent the service at Hospital meetings, as agreed with colleagues.

Build & develop a service of excellence for Emergency Medicine.

Teaching and Research

The department is recognized for training of junior doctors from the Wessex deanery and medical students from Southampton and active teaching is encouraged in this role. It is expected that the post holder is participating in the training of Medical staff and that the candidate will ensure that the training and learning needs are identified and facilitated. This includes educational support for the clinical fellows recruited directly to Health & Community Services.

Opportunities for participating in research are supported when appropriate. The Health & Community Services has a policy for professional leave and is supportive of external duties for the good of the wider profession.

On call rota

The appointee will take part in the Emergency Medicine on-call rota of one in five.

Departmental Statistics (2022-23)

45,000 Attendances including 9,000 children.

Emergency Department in Jersey General Hospital is a Trauma Unit, part of the Wessex Trauma Network. Our Major Trauma Centre is Southampton General Hospital. Our link cardiology centre is John Radcliff Hospital in Oxford.

Transfer of patients from the island to the mainland centres is on JETS (fixed-wing Jersey Emergency Transfer Service).

The department has a 3 bedded resus (including a fully equipped paediatric resus cubicle), 8 bedded Majors area (half of these are isolation rooms), and there is a paediatric examination room as well as a separate paediatric waiting room. There is a separate Minors area with 4 examination cubicles and a separate Eye examination cubicle.

Medical Services Care Group

Medicine in Jersey is fully age and specialty integrated. There are 3 medical wards, Bartlett, Rozel and Corbiere. A 5-bedded Enhanced Care Area is sited on EAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit on EAU led by a SAS doctor with consultant support. There is a 16 bed Emergency Assessment Unit. Currently there are 11 consultants, 8 SAS doctors, 7 FY1 and 2 FY2 doctors who between them comprise 8 medical teams and the EAU team. 6 Clinical Fellows offer further support to the teams.

SAS doctors are responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, FY1 or FY2 doctor whom they closely supervise.

On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the EAU by GPs in conjunction with the EAU team. A core responsibility of the Division of Medicine is the provision of a safe acute medical service. The Division provides named Consultant supervision for non-Consultants at all times and ensures that prompt review and treatment is provided for acute medical emergencies referred by General Practitioners or the Emergency Department. The Medical Consultants share on-call cover for the general medical take on a rolling 24hr rota, 8am-8am. Consultant-led post take ward rounds take place at 5pm and 8am. Being on an Island, the physicians need to be able to cover the full range of medical emergencies while on call.

The Medical Consultants share responsibility for ongoing management of patients admitted acutely to the wards. At present, the Medical Consultants have responsibilities for ongoing management of inpatients for a 4-week period of each 8-week rota cycle. Leave is by preference taken during the remaining 4 weeks with the remainder of the time allocated to an increased intensity of specialist elective work.

Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area.

Care Group Statistics

There are 63 medical beds. 12-20 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24.

Person Specification

Qualifications

Essential

  • Primary Medical Degree
  • Full Registration with the General Medical Council (GMC) with a Licence to practise (for overseas candidates it is mandatory that a licence is obtained prior to appointment).
  • Higher Specialty qualification: FRCEM or equivalent European Qualifications for Specialist Registration
  • Inclusion on the GMC Specialist Register/Certificate of Completion of Training (CCT) or equivalent in Emergency Medicine (or be within 6 months of obtaining this or have submitted CESR application at the date of the interview - documentary evidence of this must be provided to support your application) or equivalent
  • ALS, ATLS/ETC, APLS/EPLS provider status

Desirable

  • Higher Degree MSc, MD or PhD or equivalent
  • ALS, ATLS/ETC, APLS/EPLS trainer status
  • Relevant experience at a consultant level in a similar setting
  • Leadership skills in managing change in services

Experience

Essential

  • Wide experience in emergency medicine
  • Evidence of successful interface between secondary and primary care
  • Enthusiastic Teacher
  • Management Responsibility / Leadership Experience
  • Ultrasound Qualifications

Desirable

  • Participation on a emergency medicine on-call rota at a consultant level
  • Major Trauma Centre Experience
  • Pre-Hospital Experience
  • Specialist interest
  • Evidence of research and publication in peer reviewed journals
Person Specification

Qualifications

Essential

  • Primary Medical Degree
  • Full Registration with the General Medical Council (GMC) with a Licence to practise (for overseas candidates it is mandatory that a licence is obtained prior to appointment).
  • Higher Specialty qualification: FRCEM or equivalent European Qualifications for Specialist Registration
  • Inclusion on the GMC Specialist Register/Certificate of Completion of Training (CCT) or equivalent in Emergency Medicine (or be within 6 months of obtaining this or have submitted CESR application at the date of the interview - documentary evidence of this must be provided to support your application) or equivalent
  • ALS, ATLS/ETC, APLS/EPLS provider status

Desirable

  • Higher Degree MSc, MD or PhD or equivalent
  • ALS, ATLS/ETC, APLS/EPLS trainer status
  • Relevant experience at a consultant level in a similar setting
  • Leadership skills in managing change in services

Experience

Essential

  • Wide experience in emergency medicine
  • Evidence of successful interface between secondary and primary care
  • Enthusiastic Teacher
  • Management Responsibility / Leadership Experience
  • Ultrasound Qualifications

Desirable

  • Participation on a emergency medicine on-call rota at a consultant level
  • Major Trauma Centre Experience
  • Pre-Hospital Experience
  • Specialist interest
  • Evidence of research and publication in peer reviewed journals

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).

Additional information

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

Health and Community Services

Address

Government Of Jersey

19-21 Broad Street

St. Helier

Jersey

Channel Islands

JE2 3RR


Employer's website

https://www.gov.je (Opens in a new tab)

Employer details

Employer name

Health and Community Services

Address

Government Of Jersey

19-21 Broad Street

St. Helier

Jersey

Channel Islands

JE2 3RR


Employer's website

https://www.gov.je (Opens in a new tab)

For questions about the job, contact:

Consultant and Clinical Lead in Emergency Medicine

Dr Maria Finn

m.finn@health.gov.je

01534442800

Date posted

16 May 2024

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£110,257 to £164,372 a year Based on 10 PA's and depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

K0011-24-0156

Job locations

Government Of Jersey

19-21 Broad Street

St. Helier

Jersey

Channel Islands

JE2 3RR


General Hospital

Gloucester Street

St Helier

Jersey

JE2 3QS


Supporting documents

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