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Consultant - Acute Medicine Unit

Medical & Dental: Consultant

Main area
Urgent Care
Grade
Medical & Dental: Consultant
Contract
Permanent
Hours
Full time - 10 sessions per week (10 PA's)
Job ref
245-MEDCAMU-09-21
Site
Tameside Hospital
Town
Ashton-Under-Lyne
Salary
£84,559 - £114,003 per annum
Salary period
Yearly
Closing
18/12/2021 23:59

Job overview

ACUTE MEDICINE

Consultant

We are seeking to appoint Locum Acute Medicine Physicians to join our current team of seven Acute Physicians at Tameside Hospital. The successful candidates will help us to continue to develop acute medical services within the Trust which includes responsibility for not only the acute medical units but also ambulatory emergency care and our Integrated Assessment Unit. These are 10 PA posts with 7.5 DCC and 2.5 SPAs which includes a requirement to support the Acute Medical team over a seven day period.

 

Main duties of the job

This is an exciting opportunity for you to have a central role in the development of Acute Medical Services and to participate in our exciting transformational programme as an Integrated Care Organisation, whilst providing high quality acute care for our patients.

Successful candidate must be currently working at a speciality doctor or equivalent with experience of Acute medicine. The successful candidate will have the opportunity for further development and be supported by a clinical supervisor as part of their career progression

Working for our organisation

Tameside and Glossop Integrated Care NHS Foundation Trust serves a community of 250,000 people across Tameside & Glossop. We provide a range of quality services both within the hospital and across our community for both adults and children. Our vision is to improve health outcomes for our population and influence wider determinants of health through collaboration with our health & care partners.

We have a clear set of values & behaviours which we expect all of our staff to demonstrate & these are:

  • Safety
  • Care
  • Respect
  • Communication
  • Learning

We believe that the best organisations are those that reflect the communities they serve. We are therefore seeking to improve the diversity of our workforce to make it truly representative of our local population.

We actively encourage applications irrespective of race, age, disability, sex, gender reassignment, gender identity or expression, sexual orientation, religion or belief, marriage & civil partnership, or pregnancy or maternity. Recognising those communities that are underrepresented within our workforce, we would particularly welcome applications from Black, Asian & minority ethnic candidates, LGBTQ+ people & Disabled people.

We recognise that flexible working is important. We take requests for flexible working seriously, consider any request we receive and try to work with you, so we can explore if your request may fit with the needs of the service.

Detailed job description and main responsibilities

MAIN PURPOSE OF THE POST
This post will be the part of the Urgent Care Consultant body at
Tameside Hospital and will strengthen the team that manages the Acute Medical Unit, Integrated Assessment Unit and the Same Day Emergency Care Unit.
The post holder will require the ability to drive improvement in the unit that is required by patients, staff and the government and to promote best practice in the management of all cases that are admitted for medical emergencies and cared for within ambulatory care pathways.


The role will be required to provide high quality acute medical and multi-professional care, allowing for prompt and accurate diagnosis, appropriate treatment plans and timely discharges. This is to be undertaken in close relation to the cardiology and respiratory specialty teams to provide rapid input for those patients presenting with complex cardiac or respiratory conditions. Patients with other general medical problems will be requiring a longer inpatient stay will be transferred to the general medical teams.


The role will be required to facilitate high quality training to junior doctors by providing a supportive environment where best practice is promoted.
The post will also offer the opportunity to continue another interest such as Respiratory or Cardiology.
The candidate will be able to negotiate their sessions in line with their interest. The trust is prepared to be flexible in terms of how this is factored in to the job plan with a maximum of 2 Programmed Activities being allocated to a specialty interest.


4.0 THE MEDICINE AND URGENT CARE DIVISION
Management Structure
The Acute Medicine Physicians are part of the Medicine and Urgent Care directorate, which comprises of the Emergency Department, the Acute Medical Unit, Care of the Elderly and General Medicine whose sub specialties include; Gastroenterology, Diabetes/Endocrinology, Neurosciences, Nephrology,
Cardiology, Rheumatology, Respiratory Medicine, Dermatology, Haematology and Stroke services.

The Chief Executive of the Trust is Mrs Karen James and the Medical Director is Dr Brendan Ryan.

The Executive Director with ultimate responsibility for the Department of Acute Medicine is Trish Cavanagh, Chief Operating Officer and Deputy Chief Executive.
The management team for the Urgent Care/Acute Medicine Team include:
Interim Divisional Director of Urgent Care & Medicine Ema O’Neil Jones Alison Marsh Interim Directorate Manager Vacant
Clinical Director for Acute & General Medicine Vacant
Acute Medicine Consultant & Specialty Lead Dr Martin Pattrick
Acute Medicine Consultant Dr Haris Rathur
Locum Acute Medicine Consultant Dr Ayman El-Masri

Locum Acute Medicine Consultant Dr Mohammed Islam
Locum Acute Medicine Consultant Dr Begho Obele
Locum Acute Medicine Consultant Dr Richard Law
Locum Acute Medicine Consultant Dr Janaka Vithanage

The Acute Medical Unit
The AMU is located in the 1st Floor of the Hartshead Building and is a 70-bedded unit across two ward
areas ward which contains a Same Day Emergency Care Unit Ambulatory Care Service situated on the ground floor. The ward has access to an X-ray department, including CT and MRI facilities, and Endoscopy Unit.
There is a monthly departmental meeting to which the appointee will be expected to contribute.
Tameside Hospital prides itself in the good relationship that exists between the medical staff and management. The successful candidate will be expected to contribute positively to the development,
not only of the Acute Medical Unit in accordance with agreed plans, but to the hospital as a whole.

Staffing
The current staff establishment of the Acute Medical Unit is:
Medical Staff
2 WTE Consultants substantively employed by Tameside
5 WTE Locum Consultants
1 WTE Consultant/Locum Consultant vacancies (This post)
2 WTE Specialty Doctors
3 WTE GPST
3 WTE Trust Clinical Fellows
Nursing Staff
2 WTE Band 7 Unit Managers
10 WTE Band 6 Qualified Nurses
35 WTE Band 5 Qualified Nurses
37 WTE Band 2 Health Care Assistant
There is a Matron across Acute Medicine and 3 ANPs within the Same Day Emergency Care Unit. There is also a Head of Nursing over the Urgent Care Directorate.
Clerical Staff
The post holder will be provided with secretarial support and office accommodation. 
FACILITIES
The facilities provided within the Trust include a newly built Outpatient department, Endoscopy and Day
Care Unit, X-ray department, Paediatric Outpatients and ward along with the Surgical Wards. The
Medical wards are located in the Ladysmith and Charlesworth buildings with the Emergency
department, Acute Medical Unit, Intensive Care Unit, High Dependency Unit, Coronary Care Unit and
Orthopaedic Ward housed in the Hartshead building. All wards and supporting departments are linked
internally, which provides a hospital environment that promotes smooth patient pathways throughout
the patient journey. Other facilities include an extensive education and training building, which houses a
library, lecture theatre, clinical education rooms, IT training rooms and meeting rooms.
INFORMATION TECHNOLOGY
The department uses the Trust wide computer system Lorenzo.


MAIN AIMS AND OBJECTIVES OF THE POST
The post holder will provide clinical, administrative, supervisory, educational and training support for the
day to day functioning of the Acute Medical Unit. Active participation in the future development of the
unit and the hospital is essential.
The purpose of the post is to ensure that the highest quality of care is provided to each individual
patient who either is admitted into the care of the hospital or is cared for through the Same Day
Emergency Unit. This care will be provided by professional staff, both medical and nursing, which have
received suitable training and have appropriate facilities and equipment. The post holder will promote
best practice in the management of patients on emergency medical pathways.
The post holder is expected to work alongside the existing Acute Physicians Consultants and
Consultant Physicians in the Division of Medicine.
 The post holder will be required to undertake the supervision, education and development of junior
doctors.
 Developing existing clinical protocols and pathways to maximise the efficiency and effectiveness
of diagnosis, treatment and discharge.
 Develop and promote the Same Day Emergency Care Unit. This is a major feature of this post.
 Working closely with the Diagnostic Clinical Support service departments to maximise the
effective and efficient use of the beds in the Acute Medical Unit.
 Organising training and development opportunities in Acute Medical Unit for medical, nursing,
therapy and other staff associated with the unit.
 Promoting effective communication within the department and with the wider hospital by regular
liaison with specialist medical and service departments within the hospital
 Investigating and implementing new ways of managing emergency medical admissions and
assessing the feasibility of speciality triage.
 Take part in the professional supervision and development of all the junior and middle grade doctors
within the Acute Medical Unit including appraisal and personal development planning.
 Demonstrate commitment to, and participation in, Clinical Governance, Risk Management and
Clinical Audit.
 The post holder will participate in the day-to-day running of the Division.
 The post holder will be expected to contribute to a fully clinically integrated service across Adult
Medicine.
PROPOSED JOB PLAN
A job plan for the post, prepared in accordance with the Terms and Conditions of Service for Hospital
Medical and Dental Staff, will be agreed with the consultant after appointment.
An indicative job plan will include 7.5 for Direct Clinical Care and up to 2.5 PA for Supporting
Professional Activity. The post holder will be supported in developing their specialty interest.
The timings provided on the indicative Job Plan summary are average times for the activities indicated.
Given the variable nature of clinical work, it is accepted that some activities may both over and under
run. If, however, an activity regularly over or under runs, then if may be appropriate to review this job
plan and/or the support provided.
Indicative hours will be agreed with the post holder between the hours if 08:00-16:00 weekdays and
08:00-16:00 hours weekends on a rotational basis.
A morning ward round will involve seeing 12 or less patients, mostly newly admitted and an afternoon
session will consist of being the senior consultant responsible for the Acute Medical Unit and the
Integrated Assessment Unit. The post holder will have days assigned to them to work on the Same
Day Emergency Care Unit.
Clinical administration is part of the 2.5 SPA allocation and is not additional.
1.5 SPA will be allocated for core requirements (continuing professional development, participation in
Job Planning, appraisal, mandatory training, essential audit and clinical governance activity relating to
their clinical role and clinical supervision during DCC work).

Person specification

Qualifications

Essential criteria
  • MRCP or equivalent
  • Will be required to maintain full registration with the general medical council
  • Applicants must be on the specialist register or be within 6 months of CCT
  • Advanced life support provider
Desirable criteria
  • Other tertiary qualifications
  • Membership of Society for Acute medicine

Experience/ Training

Essential criteria
  • Minimum 7 years postgraduate experience including higher medical training
  • 5 years as a specialist registrar. Part of this period may be in a post of equivalent responsibility and training potential.
  • Recent experience in Acute Medicine & Respiratory Medicine experience.
  • Major management training
  • Research and audit
Desirable criteria
  • Broad professional experience
  • Overseas experience

Knowledge

Essential criteria
  • Appropriate level of clinical knowledge and application of up to date evidence based practice
Desirable criteria
  • IT skills
  • Breadth of experience within and outside of specialty

Clinical Skills

Essential criteria
  • Experience in leading the multidisciplinary management of Acute medicine patients
  • Understanding of clinical risk management
Desirable criteria
  • Ultrasound scanning

Communication Skills and Teaching

Essential criteria
  • Excellent written and verbal communication skills
  • Evidence of the ability to communicate with patients, colleagues and staff at all levels
  • Evidence of teaching experience at undergraduate and postgraduate levels
  • Ability to work constructively in an team environment
Desirable criteria
  • Postgraduate qualifications in medical education

leadership skills

Essential criteria
  • To motivate and develop both medical staff and non-medical staff
Desirable criteria
  • Interest in medical management

Other

Essential criteria
  • Ability to work independently as well as part of the AMU
  • To balance individual requirements against those of the division and the Trust as a whole
  • Ability to gain the trust and confidence of colleagues and patients
  • Commitments to developing new services
  • Ability and desire to take part in departmental management
  • IT and computer skills
  • Must be able, when on-call, to return  to the hospital if required within 30 minutes if working a on call duty
Desirable criteria
  • Car driver
Armed Forces CovenantApprenticeships logoNo smoking policyMindful employer.  Being positive about mental health.Improving working livesAge positiveCare quality commission - GoodDisability confident committedStep into health

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Martin Pattrick
Job title
Speciality Lead, Acute Medicine
Email address
martin.pattrick@tgh.nhs.uk
Additional information

For a tour of the department or informal chat, please contact:

Martin Pattrick, Speciality Lead, Acute Medicine - 0161 922 6486

Samantha Ledwith, Directorate Manager, Urgent Care  - Samantha.ledwith@tgh.nhs.uk