Speciality Doctor Emergency Medicine
Job Description
Job summary
The role is for a middle grade level doctor, who has experience in leading a shift in the Emergency Department. We offer support for a portfolio pathway and offer secondments to allied specialities for completion of the required competencies for CESR.
The Department covers a large geographic area and sees over 48,000 new patients per year. It receives the full range of Emergency patients, with Paediatric patients making up approximately 25% of the total. Salisbury is a designated Trauma Unit linked to UHS as our nearest MTC. There is a large military population utilising the Salisbury Plain Training Area and living in the area with their young families and this is set to grow over the next 2 years with a new military town being developed.
The hospital has all DGH specialities including acute medicine based on AMU, paediatrics and daytime interventional cardiology. Overnight surgical work is covered by a pooled junior doctor rota supported by critical care outreach. Anaesthetics, medicine, O&G and paediatrics all have registrar presence overnight.
Salisbury ED is recognised as one of the top performing ED's in the region and benchmark in the top 10 nationally against a number of clinical and non-clinical standards. In 2012 Salisbury ED was rated equal first in the country in the CQC national patient survey and in 2014 we came 2nd nationally. Our monthly 'friends & family' feedback continues to remain excellent.
Main duties of the job
The new appointee will be expected to work with and be supported by the existing ED Consultants to undertake clinical work within the department with an emphasis on the more unwell patients or those requiring more complex procedures. This will involve supervising the junior medical staff and assisting ENPs and providing shop floor teaching where appropriate. Overnight the ED Middle grade doctors will be expected to run the department independently with the ED Consultant on call from home and assist with juniors' decision making and to offer advice and support to the Hospital at Night Team (H@NT) when accepting ED referrals. The Trust has Adult/Paediatric Arrest and Trauma Teams. The Consultants and middle grades will be expected to play the leading role when these teams are called to the ED.
About us
Salisbury NHS Foundation Trust (SFT) is an innovative hospital with a proud heritage and over 250 years of experience behind us. Here we're driven to deliver an outstanding experience for everyone and have been well regarded for the quality of care and treatment we continue to provide for our patients and also our staff.
We are an acute Trust, rated "Good" by the CQC, with a track record of high performance providing regional and super regional specialist services such as: Burns, Plastics & Reconstructive Surgery, Wessex Regional Genetics Laboratory, Wessex Rehabilitation, Spires Cleft Centre and the Duke of Cornwall Spinal Treatment Centre. We have about 470 beds and employ over 4000 staff.
We support flexible working and will consider requests taking into account the needs of the service. We think working here is pretty rewarding. You can access a range of NHS discounts, receive a minimum of 35 days paid holiday (pro rata), and we offer a generous pension scheme. On-site benefits include car parking (fee applies), leisure centre, day nursery and holiday play scheme.
Salisbury is an attractive place to live and work and really gives you the best of everything. With easy access to London and local airports, the city of Southampton is only a short train or car journey away or if you prefer the sea, Bournemouth is also accessible. Don't just take our word for it, why not explore what Salisbury has to offer by visiting www.experiencesalisbury.co.uk
Job responsibilities
THE ROLE
The new appointee will be expected to work with and be supported by the existing ED Consultants to undertake clinical work within the department with an emphasis on the more unwell patients or those requiring more complex procedures. This will involve supervising the junior medical staff and assisting ENPs and providing shop floor teaching where appropriate. Overnight the ED Middle grade doctors will be expected to run the department independently with the ED Consultant on call from home and assist with juniors decision making and to offer advice and support to the Hospital at Night Team (H@NT) when accepting ED referrals. The Trust has Adult/Paediatric Arrest and Trauma Teams. The Consultants and middle grades will be expected to play the leading role when these teams are called to the ED.
EDUCATION AND TRAINING
The appointee will be entitled to the equivalent of a maximum of 10 days study leave per year. They will be allocated an ED Consultant Clinical Supervisor who will be able to offer advice on how best to use this allowance in terms of continuing professional development, individual training requirements, MLE and clinical audit etc. Education, training and development is made available to all staff and is actively encouraged.
We actively support the portfolio pathway and can offer secondments to allied specialities to gain the required experience.
Medical students are intermittently allocated to the ED and it is the responsibility of all ED staff to support them during their rotations. The appointee will also be encouraged to participate in formal and informal teaching of the junior medical and nursing staff via the ED induction programme, the H@NT training programme and simulation training.
There is a good library in the Education Centre at Salisbury District Hospital.
The post is educational. Seminars, CPCs and other postgraduate activities are provided. The post holder would be expected to attend educational sessions and in particular the specifically designed course for Junior Medical Staff, with protected time for education.
CLINICAL GOVERNANCE
The new appointment will be expected to be involved in audit, risk management, multi-professional working and service development where appropriate. Adherence to the principles of evidence based medicine in accordance with agreed protocols and guidelines developed in the speciality would also be expected. Annual appraisal and involvement in CPD is a mandatory part of the post.
The Clinical Governance framework in the Trust is focused around quality of care, including patient safety, clinical effectiveness and patient experience. This is designed to help individuals and teams to continually monitor and improve standards of care. It forms a central part of appraisal and revalidation of doctors. The framework includes the provision of six clinical governance half days, which aim to promote multi-professional working, and enable shared learning. There is no scheduled elective activity undertaken during these sessions and all doctors are expected to take part in the arranged activities. Each half day session is made up of a core and department agenda which cover all aspects of clinical governance patient safety, clinical audit, patient and public involvement, evidence based practice, clinical information / outcomes etc. A bimonthly clinical governance newsletter is also published. CONTINUING PROFESSIONAL AND PERSONAL DEVELOPMENT The Trust has an Education Centre close to the clinical areas and a library. Educational activities include weekly hospital rounds and regular meetings of the Salisbury Medical Society. Rooms are available for clinical departmental meetings. The Trust is committed to multi-professional education and to continuing professional development for all staff. A full range of additional training and development courses and opportunities are available both within the Trust and externally. RESEARCH AND DEVELOPMENT The Trust is committed to David Camerons (2011) pledge that every patient should be a research patient to help in the fight against disease. The Trust encourages all clinical staff to recruit patients to or host National Institutefor Health Research (NIHR) portfolio research and can provide infrastructure support. The Trust also hosts the Research Design Service South West, providing grant application support to consultants wishing to initiate their own research. INFECTION CONTROL AND PATIENT SAFETY The Trust has an excellent track record in maintaining patient safety through rigorous and consistent application of Trust policies for the prevention and control of infection, including hand hygiene. All staff are required to undertake mandatory annual training/updates in infection prevention and control and to take personal responsibility for the prevention and control of infection in accordance with the legislative framework (Health and Social Care Act 2008; Hygiene Code). SAFEGUARDING The Trust is committed to developing local robust arrangements to ensure that safeguarding becomes fully integrated into our systems. This will result in greater openness and transparency about clinical incidents, learning from safeguarding concerns that occur within and outside the Trust, clarity on reporting, and more positive partnership working. All staff are required to promote the welfare of children, young people and vulnerable adults in compliance with the Trusts safeguarding policies and national legislation. This will include the need to undertake appropriate mandatory training and updates in safeguarding.ROTA
The best bit. The department in committed to sustainable flexible working and has recently written new rotas to reflect this. The rota is ...
