[ref. m26797701] Specialist Grade Doctor - Intensive Care Unit
We provide healthcare services to people living in Bridgend, Merthyr Tydfil and Rhondda Cynon Taf county borough areas, serving a population of around 450,000. We are ideally situated between Wales’s capital city, Porthcawl to the west, and the stunning scenery in the Brecon Beacons.
Our vision is to care for our communities and patients by preventing ill-health, promoting better health, providing excellent services and reducing the need for inpatient care wherever possible through the provision of strengthened home, primary and community care.
We value the diversity of our staff and welcome applications from people from protected groups under the Equality Act 2010, this specifically includes age, sex, sexual orientation, gender identity/reassignment, race/nationality, religion/belief, disability, pregnancy and maternity and marriage and civil partnership.
Cwm Taf Morgannwg is a Living Wage Employer.
Please check your email account regularly. Successful applicants will receive all recruitment related correspondence via the email account registered on the application form.
All applicants are invited to apply in Welsh or English, and no preference will be given to applications submitted in either language.
Job overview
These are newly created Specialist Doctor posts developed as part of the Medical Workforce productivity programme.
Specialist doctors are senior and experienced clinicians who will work autonomously to a level of defined competencies, as agreed within local clinical governance frameworks. Specialists will be responsible for patients in their areas of practice as an ‘expert decision maker’.
Specialist doctors provide expertise in a specialised area, whether delivering care in a specific specialty or in a generalist service and will manage the full range of presentations in their area of practice. The role will primarily focus on providing direct clinical care, meeting service delivery and improvement requirements.However, the role will be supported by suitable development opportunities including management roles and leadership responsibilities in teaching, academia research and service development. The details of the balance between clinical care and other elements of the role would be discussed during the job planning process.
This post is fixed term for up to 9 months due to limited funding.- Welsh and/or English speakers are equally welcome to apply.
Main duties of the job
The postholder will be responsible for the general care of patients on the Intensive Care Unit at Prince Charles Hospital, and provide clinical support for critically ill in-patients and within the Emergency Department.
The Critical Care service has Tier 3 Intensive Care Units at the the Princess of Wales Hospital, Prince Charles Hospital and the Royal Glamorgan Hospital. The postholder will be expected to undertake clinical sessions at all locations, if necessary.
Working for our organisation
Cwm Taf Morgannwg University Health Board is part of the NHS Wales family. Our Health Board provides primary, secondary and community health and wellbeing services to around 450,000 people living in three County Boroughs: Bridgend Merthyr Tydfil, and Rhondda Cynon Taf.
We live by our core values:
- We listen, learn and improve
- We treat everyone with respect
- We all work together as one team
We are a proud local employer; around 80% of our 15000 workforce live within our region, making our staff not only our lifeblood of our organisation but of the diverse communities that we serve.
Detailed job description and main responsibilities
These are newly created Specialist Doctor posts developed as part of the Medical Workforce productivity programme.
Specialist doctors are senior and experienced clinicians who will work autonomously to a level of defined competencies, as agreed within local clinical governance frameworks. Specialists will be responsible for patients in their areas of practice as an ‘expert decision maker’.
Specialist doctors provide expertise in a specialised area, whether delivering care in a specific specialty or in a generalist service and will manage the full range of presentations in their area of practice. The role will primarily focus on providing direct clinical care, meeting service delivery and improvement requirements.However, the role will be supported by suitable development opportunities including management roles and leadership responsibilities in teaching, academia research and service development. The details of the balance between clinical care and other elements of the role would be discussed during the job planning process.
Specialists are also expected to be involved in delivering teaching and training to others. They will be able to work as a member of a multi-disciplinary team, leading MDTs where appropriate.
Specialists are required to actively engage in CPD activities both internally and externally to their organisations. A special interest will be encouraged and is negotiable. The post can be full time, maximum part time or job share by negotiation.
The post holder will be managerially responsible to Dr David Jones, Clinical Director in Critical Care and professionally responsible to Mr Stephen Sarasin, Care Group Medical Director. The post holder will be required to work closely with senior medical colleagues as appropriate and to liaise with other senior clinicians within and beyond the UHB as and when necessary.The posts will be based as indicated above. The post holder will be expected to work at other Health Board premises and at other sites within the district as required.
You will provide a clinical service, with colleagues, which will include the responsibility for the prevention, diagnosis and treatment of illness.
Working with Consultant colleagues and the multi-professional team you will have continuing responsibility for the well-being of all patients under your care; allowing for proper delegation to, and training of staff. In partnership with clinical and managerial colleagues you will also have responsibility for the safe, efficient and effective functioning of the services in which you work in line with the values, operational policies and integrated medium-term plan (IMTP) of the Health Board.You are encouraged to consider how services can be improved and to report concerns about safety.
You will be required to adhere to the principles of good medical practice as laid down by the General Medical Council.
You will be required to participate in the Health Board’s risk management process, clinical governance and any other healthcare governance activities within the department, the directorate and the Health Board. Adherence to the Caldicott Principles of information governance is mandatory.
You will be required to maintain a license to practice through revalidation, to undergo satisfactory annual appraisal using the all Wales online Medical Appraisal Scheme (“MARS”) and to formulate a Personal Development Plan, in conjunction with the Clinical lead, to identify training and development needs.You will be expected to participate in sufficient personal and professional development to fulfill Royal College and GMC requirements. You will also be required to undergo a job plan review at least annually, and to agree, and then meet service outcomes.
You will be expected to make a significant contribution to the service and directorate planning process through active participation in the clinical directorate structure.
You will adhere to all policies which cover radiation exposures as currently outlined in IRMER regulations.
The Health Board is committed to meet its obligations to minimise infection. You will be required to comply with current procedures for the control of infection, including dress-code, to challenge non-compliance by colleagues, and to attend training in infection control provided by the Health Board.
The post holder will play a pivotal role in ensuring that there are effective communication processes in place to ensure that all clinical stakeholders:
- Are aware of the range of services available, the standard to which they operate, and the evidence base to support their use
- Understand the service vision and its implications on their practice
- Are able to contribute to the planning and evaluation of all services
As a senior employee of the Health Board the post holder will work in close co-operation with, and support other clinical, medical professional and managerial colleagues in providing high quality healthcare to the Health Board’s patients.
Integral to the responsibilities of the post are the following requirements:
- To ensure the provision of a first-class clinical service
- To provide effective leadership to all staff engaged in the specialty
- To sustain and develop teaching and research wherever appropriate
- To undertake all work in accordance with the Health Board’s procedures and operating policies
- To conduct clinical practice in accordance with contractual requirements and within the parameters of the CSG and UHB’S service plans
- To maintain the confidence of business plans and development strategies formulated for the specialty, the CSG and UHB
- Core clinical expertise in the speciality
- Leadership and team building skills as well as working as part of a multidisciplinary team
- Supporting and training multidisciplinary teams
- Delivering care in the acute hospital setting
- Participating in CPD including Audit
- A Teaching and Training Role for medical undergraduates and postgraduates
- Educational Supervisor role to Junior and Middle Grade Medical Staff
- To undertake regular multidisciplinary clinical audit and provide evidence-based medicine
- 2 Education and Training
We place great importance on our University status and have strong educational links to the Colleges of Medicine in Swansea and Cardiff and the College of Human and Health Science in Swansea and you will be responsible for carrying out training, teaching, examination of healthcare staff and accreditation duties as required and for contributing to and participating in postgraduate and continuing medical education activity, locally and sometimes nationally.
The Multi-professional education centre (MPEC) in Princess of Wales Hospital contains clinical skills and resuscitation training facilities, a library, seminar rooms and lecture theatres. The centre is home to modern IT systems, experienced clinical teachers and technical support staff.
You will participate in the specialty’s postgraduate teaching sessions.- 3 Research
We are a University Health Board and you will be encouraged to participate in or actively support research and development in line with our Research and Development strategy and in discussion with the Director of Research and Development. The time required for supported research activities will be agreed through the job planning process.
- 0 UNIVERSITY PARTNERS
- 1 School of Medicine, Cardiff University
The School of Medicine at Cardiff is one of the largest in the UK, employing nearly 500 academic and 300 support staff. Over 1000 undergraduate and 1100 postgraduate students are currently enrolled on medical and science courses. As a major international centre for teaching and research, staff and students make a world-leading contribution to medicine and are committed to the pursuit of improved human health through education, research and engagement with the wider world.
The school has recently invested heavily in a programme of curriculum development, is rated among the top 10 medical schools in the UK and the top 100 world-wide and is among the five most rapidly improving medical schools in the UK. As part of this programme, they are also in the midst of developing a new assessment strategy for all undergraduate and postgraduate programmes.
The Princess of Wales Hospital in Bridgend is affiliated with Cardiff University’s School of Medicine, with around 700 undergraduate medical students spending time in the hospital each year, where the involvement in medical student teaching includes:
- First-year students: introduction to hospital medicine.
- Second-year students: teaching basic clinical skills (history taking and examination).
- Third and fourth-year students: clinical placements directed at consolidating basic clinical skills developing and shaping “medical” knowledge, skills and behaviours and preparation for examinations.
- Final year students: “student assistantship” placements directed at preparing individual students for junior doctor posts by means of “apprenticeship”- like training.
Undergraduate medical education is co-ordinated and supervised by an Honorary Senior Lecturer Dr Tom Lawson, and an Honorary Lecturer Mr Steve Shearing, supported by an undergraduate education manager Mrs Julie Jones.
Person specification
Knowledge, personal skills, and abilities
Essential criteria- MBChB/MBBS or equivalent
- Post-graduate diploma in Critical Care (e.g. FFICM, EDIC)
- MRCS/MRCP FRCA
- MSc or MD
Education/ Qualifications and training
Essential criteria- Full registration and a Licence to Practice with the General Medical Council
Experience
Essential criteria- Shall have completed a minimum of 12 years’ medical work (either continuous period or in aggregate) since obtaining a primary medical qualification of which a minimum of 6 years should have been in a relevant specialty in the Specialty Doctor and/or closed SAS grades.
- Equivalent years’ experience in a relevant specialty from other medical grades including from overseas will also be accepted.
- Evidence of active involvement in risk management
- Evidence of personal involvement in management and administrative roles in Health Care
Personality requirements to include attitudes and personal disposition
Essential criteria- Good communication and empathy skills with patients.
- Evidence of willingness to participate in a multi-disciplinary team environment to provide an integrated service.
- Ability to work as a member of a team, both through communication and sharing workload.
- Ability to cope with stressful situations including clinical crises.
- Ability to prioritise and organise workload and co-ordinate staff.
- Ability to lead a team.
- Evidence of a clear understanding of principles and practice of involving patients in all aspects of care.
- Willingness to work flexibility to deliver clinically effective and cost effective healthcare
If you are eligible for the Health and Care visa, application costs are lower and you do not need to pay the annual Immigration Health Surcharge.