Consultant in Acute Medicine

Job overview

We are open to applications from candidates wanting part time, flexible / annualised contracts.

We are committed to continuous service improvement across all areas of the service for the benefit of patients. Applications are welcomed from candidates with qualifications / interests in teaching, education, research, patient safety, quality improvement and management.

NUH has one of the busiest acute medical takes in the country, taking on average 110 patients per day so if keeping busy is how you thrive, come and join us!

Candidates should want Acute Medicine as their primary commitment but applications from candidates wanting to continue clinical interests in other medical specialties are very welcome.

Main duties of the job

The successful candidate will work across all areas of the service –Acute Medicine Receiving Area (22 trollies and recliners), Assessment Unit (currently 51 beds), Level 1 (12 monitored beds for initial care of high acuity admission) Acute Medicine Rapid Assessment (AMRAT - dedicated ED in reach service that triages referrals from ED) and Telephone Triage.

Consultants are on site 7 days until 22.00 and are well supported by a superb nursing team plus around 45 junior doctors. We are embracing alternative workforce models with a growing team of ACPs, Physician Associates and prescribing pharmacists.

For further information, please read the attached job description and person specification.

Working for our organisation

Our vision for the service is a senior-led, front door service working across traditional boundaries and in close partnership with colleagues in the ED, Critical Care, medical specialties, and Primary Care.

NUH has a national and international reputation for high quality patient care and research, education and innovation. We have strong links to local universities. This allows for the provision of excellent training and education for students, as well as being a major research organisation.

We offer a wide range of staff benefits including:

• Access to Staff Wellbeing programme including free 24 hour advice and emotional support service, financial advice service, staff physiotherapy and staff support networks
• On site day nursery
• Amazon parcel collection points
• Secure cycle facilities
• Consultant car park on the QMC campus
• Spiritual and Pastoral Care Services
• Salary sacrifice schemes
• Cycle to work and travel passes

Detailed job description and main responsibilities

We are able to offer a uniquely flexible annualised job pattern which enables people to shape a pattern of working to suit their circumstances. A ‘shift bank’ allows for ease of shift swaps and time in lieu for additional shifts worked above job plan.

We have expanded our bed base, and we have plans to further develop our SDEC provision. We strive to offer the very best care for our patients. The team is committed to providing continuous service improvement with opportunities for everyone to contribute.

We seek a colleague interested in Acute Medicine as their primary commitment but will support candidates wanting to continue clinical interests or work in liaison roles with other specialities, for example:

• Stroke
• Neurology
• Geriatric Medicine
• Acute Oncology
• Haematology
• Endocrinology
• Cardiology
• Respiratory
• Emergency Department
• Psychiatry (liaison only)

• Interested candidates are encouraged to register their interests with the Acute Medicine Head of Service prior to interview.

We are ambitious in our plans to develop and improve all aspects of our service so would also welcome candidates with qualifications and / or interests in teaching, research, patient safety, quality improvement, management and leadership or bedside ultrasound.

We recognise that all recent trainees have a special interest or skill gained in training and we will incorporate these into the team as fully as possible. Special skills / interests and how these might be incorporated into the role and the wider Acute Medicine team can be discussed informally pre-interview.

Clinical

A full range of Acute Medicine emergency and elective patients are admitted to Nottingham University Hospitals NHS Trust and the appointee will be responsible for the management of those patients admitted under their care.

Provision with Consultant colleagues of a comprehensive elective and emergency Acute Medicine service.

Provision of reciprocal cover for periods of leave.

Continuing responsibility for the care of patients in their charge and the proper functioning of the department.

These duties are subject to review from time to time in the light of the changing requirements of the service. If alterations to the described duties are required these will be mutually agreed between the appointee, their Consultant colleagues, and the Trust.

The person appointed will be required to devote substantially the whole of their time to the duties of the post and give them priority at all times.

Governance and Audit

Each consultant is expected to take an active role in clinical governance activities including (but not restricted to) clinical audit, incident reporting, review of complaints, risk management, CPD and Evidence-Based Practice. Each specialty has a Consultant Clinical Governance lead.

Teaching

Both main campuses of the Trust are major centres for undergraduate and postgraduate education and teaching. The successful candidate will be expected to play a significant role in undergraduate and postgraduate teaching. There are opportunities for formal, job planned time for Educational Supervision of Junior Doctors.

Person specification

Professional Registration

• Full GMC registration & Licence To Practise
• Eligible to be included on the Specialist Register (already holds CCT OR CCT expected within 6 months of interview date OR CESR application submitted and approved by the GMC/Royal College - only waiting for GMC to add the Specialist Registration

Professional Qualifications/Development

• MBBS or equivalent medical qualification
• MRCP
• ALS

• Speciality Certificate Examination in Acute Medicine

Clinical Skills/Experience

• Depth and breadth of clinical experience in Acute and General Internal Medicine
• Acute and GIM experience throughout most or all of training – including working assessment, short stay and Same Day Emergency Care units.

• Specific training in communication skills
• Specific training in patient safety and/or human factors
• Experience at Consultant level in the UK with in the last 3 years
• Clinical training, experience and leadership in a High Dependency unit environment

Managment Skills

• Able to develop, present and operationalise coherent ideas for service development/delivery.
• An understanding of the current NHS environment, and the Trust’s strategic objectives
• Able to delegate appropriately. Able to lead and manage a multidisciplinary team and take full and independent responsibility for the clinical care of patients, including medical emergencies.

• Higher management degree or qualification or training
• Experience of change management

Teaching, Audit and Research

• Evidence of participation in clinical audit, and change management
• Able to teach and support junior and multidisciplinary staff staff effectively in training and development.

• Original Research Publications
• Higher teaching degree or qualification or training

[...]

Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at the NUH we will endeavour to turn your job into a career!

We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.

Closing Dates: Please submit your application form as soon as possible to avoid disappointment; we reserve the right to close vacancies prior to the published closing date if we receive a sufficient number of completed application forms.

Communication: All communication related to your application will be via the email address you have provided. Please ensure you check your email account including your junk email regularly.

Easy read application: if you have a disability and find it difficult to complete our online application form, you can apply via our easy read application which you can find on the intranet https://www.nuh.nhs.uk/easy-read-job-application

NUH are now able to offer application completion support and interview preparation support. Please follow the link to book onto our sessions: Support for NUH Job Applications

Applicants are kindly requested to refrain from using AI at any stage during the recruitment process.

If you are aged 16 or 17 and applying for a role that is more than 20 hours a week, please be aware that you will be asked to commence an Apprenticeship within the Trust alongside your role, as long as there is a suitable apprenticeship standard available. This is in line with the current guidance in England that whilst young people under the age of 18 can leave school (on the last Friday in June) they must then do one of the following:

• Stay in full-time education, for example at a college
• Start an Apprenticeship
• Spend 20 hours of more a week working or volunteering, while in part-time education or training

For more details visit; School leaving age - GOV.UK (www.gov.uk)

Disability Confidence: All applicants who have declared a disability and who meet the essential criteria for the post will be shortlisted.

At Risk of redundancy: NHS employees within the East Midlands who are ‘at risk’ of redundancy will be given a preferential interview where they meet the essential criteria of the person specification.

International Recruitment: If you are applying for a role with us from outside of the UK then please read the guidance on applying for a health or social care job in the UK from abroad.

The system will run a check against the key security features within your documentation. The system will provide us with an outcome of your check which will be stored securely on your personal file along with all other pre-employment check documentation.

Consent:

• Transfer of information: If I have previous NHS service - I consent to the transfer of my Electronic Staff Record (ESR) data between this and other NHS Trusts. I also consent to the Occupational Health Department confidentially accessing my occupational health records from my current or previous employer in order to check the status of my vaccinations, immunisations s and screening tests as relevant to the post. I understand this is an automated process and the information will only be used for these purposes prior to me taking up the position at NUH.
• Disclosure and Barring Service: Your post maybe subject to a DBS check which incur a cost dependent on the level of check required (£42.90 for enhanced and £22.90 for standard). I agree to reimburse Nottingham University Hospitals NHS Trust the cost of a Disclosure and Barring Service (DBS) check if it is required (by deduction from first month’s pay). Should I decide to withdraw from my job offer, I agree to reimburse Nottingham University Hospitals NHS Trust the cost of the DBS check undertaken by cheque or other agreed method.
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