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.
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.
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).
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)