Locum Consultant Physician in General Internal Medicine
Job overview
Applications are invited for the above full time post for this 660 bedded acute hospital serving a local population of approximately 400,000. The appointment will be made in accordance with the terms and conditions of service for the 2003 consultant contract (England).
This is an exciting opportunity to join a friendly and well-established team. The successful candidate will complement the consultant capacity to participate in the General Internal Medical in-patient duties of the department.
Main duties of the job
The key tasks for the role of Locum Consultant are;- The post holder will work to a 10 PA plan
- Maintenance of the highest clinical standards in the management of all patients presenting to the Hospital.
- To undertake duties as defined within the agreed job plan
- To participate in any on-call rotas providing specialist, timely advice in line with the seven
- day working national agenda and local service need.
- Teaching and training of intermediate grade and, junior medical staff, nursing staff and
- medical students. Supporting members of the multi disciplinary team.
- To actively participate in both departmental and Trust matters concerning clinical governance
- and audit.
- To have responsibility for and actively participate in continuing professional development
- (CPD)
Working for our organisation
Our Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton. Travel between hospital sites may be required.
We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.
The Luton and Dunstable University Hospital (L&D) has always been renowned for its friendly atmosphere and good working relationships. The Hospital has an excellent track record of financial and senior executive stability.
The Trust has University Hospital status which provides an academic environment to the hospital. In addition to postgraduate training, we welcome medical students from the UCL Medical School throughout the year and by arrangement with the medical school provide a programme of clinical placements to support their education.We have an excellent reputation for junior staff training. Within the Centre of Multi-Professional Educational & Training (COMET) is the Medical Education Department, the library including an IT suite, and the Training & Development Department.
The main aim of the Medical Education Department is to promote postgraduate and continuing medical education and training for all doctors and dentists. The Hospital actively promotes career development and progression for all staff.
Detailed job description and main responsibilities
The appointee will be one of seven consultants in the Diabetes & Endocrinology department, to participate in the General Internal Medical in-patient duties of the department.
The ward-based model of medical in-patient service is provided by Acute, Elderly and General/ Subspecialty teams, in a ward based model. Apart from Acute Medical ward areas and Medicine for the Elderly wards, base wards are assigned to Cardiology, Stroke, Respiratory, Gastroenterology, and Diabetes & Endocrinology.The appointee will be expected to work with the other Consultants in the department of Diabetes & Endocrinology to deliver a comprehensive general internal medical service for in-patient care for the Diabetes & Endocrinology base ward. At present this is a 30 bedded ward, with a mix of complex medical patients as well as subspecialty (mostly diabetes) patients.
The ward duty is shared with other consultants in the department of Diabetes & Endocrinology who rotate to in-patient duties on a regular basis. Together with the subspecialty consultant, the post holder is responsible for daily review of patients including those newly admitted/ transferred to the ward, supervision of junior medical staff and nursing staff, and running multidisciplinary Board rounds and daily review of patients to ensure safe, effective management and early discharge.
Complex endocrine and diabetes in-patients (such as diabetic foot patients and complex type 1 diabetics) are admitted to the Diabetes & Endocrine base ward as part of the Needs Based Care model. The post holder will be expected to manage these complex specialty patients in close coordination with the specialty consultant sharing the ward, and the specialist nurses.Medicine operates a seven day model of care, and there is consultant led weekend ward round in all base wards, which is supported by one junior member of staff.
The post holder is expected to participate in weekend ward rounds on a 1:8 rota. The post holder is expected to participate in the overnight on-call ‘B’ rota (see below) in a 1:13 rota. The ‘B’ rota is a low intensity low frequency on-call from home providing telephone guidance and support, but available to be called back if required.
There is requirement to undertake a post-discharge general medical out-patient clinic to see follow-up patients.
There may also be an optional specialist activity, if desired.
Applicants must be fully registered on the UK General Medical Council’s Specialist Register and have MRCP. Specialist Registrars may apply if within 6 months of CCT.
Candidates unable for personal reasons to work full-time are also invited to apply.
The appointment will be subject to full Occupational Health Clearance and Enhanced Disclosure and Barring Service check for the successful candidates prior to commencement.
Please note that vacancies may close prior to the advertised closing date when sufficient number of applications have been received. Please ensure that you make your application as soon as possible.
Please refer to the Job Description for full details of the post.
Person specification
Training
Essential criteria- • Training and experience equivalent to that required for UK CCT (or within 6 months of it being issued).
Qualifications
Essential criteria- MB ChB or equivalent.
- Relevant postgraduate qualification - MRCP
- MD or equivalent Higher Degree or evidence of relevant research.
- Ability to supervise postgraduate research
Registration
Essential criteria- Full and Specialist registration (and with a licence to practise) with the General Medical Council (GMC) or be eligible for registration within six months of interview. Applicants that are UK trained, must ALSO be a holder of a Certificate of Completion of Training (CCT), or be within six months of award of CCT by date of interview. Applicants that are non-UK trained, will be required to show evidence of equivalence to the UK CCT
Domicile
Essential criteria- Residence within 10 miles by road or up to 30 minutes travelling time of the hospital for purposes of on-call emergencies.
Teaching
Essential criteria- Knowledge and ability to teach all grades of trainees and medical students.
- Understands learner centred teaching.
- Has attended Teaching the Teachers or similar course.
Clinical Effectiveness
Essential criteria- Understanding of clinical governance and ability to demonstrate ongoing CPD.
- Experience of guideline appraisal.
- Participation in relevant local audits.
- Ability to interpret and apply clinical research.
- Evidence of implementing relevant evidence based medicine.
- Implementation of evidence based guidelines.
- Participation in relevant national audits.
- Recent published clinical research in peer reviewed journal.
Clinical Governance
Essential criteria- Able to demonstrate a broad understanding of the principles and elements of clinical governance.
- Knowledge and Experience of Safeguarding for Children and Adults.
Clinical Experience
Essential criteria- Has a thorough knowledge and understanding of “Good Medical Practice” from the GMC.
- Evidence of thorough and broad training and experience in General Medicine and Diabetes/Endocrinology.
- Able to offer expert clinical opinion on all aspects within general medicine and Diabetes/Endocrinology.
- Able to take full and independent responsibility for delivering service without direct supervision.
- Commitment to sub-specialty interest in diabetes or endocrinology
Professional Interest
Essential criteria- An interest which improves the core clinical service for patients with acute medical and diabetic/endocrine problems presenting to the Trust.
Personnel Skills
Essential criteria- Able to organise and prioritise workload.
- An understanding of accountability for patient care.
- Ability to work as part of a multidisciplinary team.
- Experience of team leadership.
Management
Essential criteria- Evidence of management experience or training.
- Time management skills.
- IT literacy.
- Ability to share departmental management duties e.g. staff rotas.
Personal Qualities
Essential criteria- Caring, honest and reliable.
- Able to foster good working relations with staff.
- Excellent verbal and written skills in English.
- Ability to co-operate in a democratic team environment.
- Able and willing to work with consultant colleagues in equitable sharing of clinical, non-clinical and on-call duties.
It is an exciting time to join the newly formed Bedfordshire Hospitals NHS Foundation Trust. We run two busy hospital sites in Bedford and Luton. Our 7,500 staff provide high quality care for a growing population of around 700,000 across Bedfordshire and the surrounding areas.
You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career.Travel between hospital sites may be required. We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.
All new staff will be subject to a probationary period covering their first six months in post.