Trust Junior Doctor

Trust Junior Doctor (SHO) in Acute Medicine

Northwick Park is pleased to announce we are building a brand-new 32 bedded Acute Medical Unit (opening early 2024) and we would love for you to join us on this amazing journey.

Northwick Park is a Major Acute Hospital with a busy medical take and an established reputation for patients presenting with a very wide range of medical conditions with a high degree of acuity. We currently run two Acute Medical Units, a Same Day Emergency Care Unit, and a Medical High Dependency Unit.

At London North West Healthcare University NHS Trust, you will become part of a highly skilled and dynamic team located on the borough border of sporty Brent and historic Harrow. With Wembley Stadium to the southeast and Harrow on the hill countryside to the west, our wards offer exceptional views of the area. Not to mention, the fantastic variety of tea shops, cafes, and restaurants. We're also a short walk from Northwick Park Station, on the Metropolitan line, or Kenton Station, on the Bakerloo and Overground lines.

We are a values-based employer and live by our HEART values. We understand the importance of providing excellent care and are continuously finding new and innovative ways to improve the services our patients receive, by ensuring our staff are highly trained and encouraging research which allows us to provide the latest methods, treatments, and technologies.

Main duties of the job

This is an exciting opportunity to join one of the largest and most successful integrated care NHS Trusts in the UK, with a team of 9,000 dedicated staff. We serve a wonderfully diverse population of over a million people in North West London and across the boroughs of Brent, Harrow, and Ealing.

The Acute Medicine team have a strong multi-disciplinary ethos supported by our excellent Matrons, dedicated administrative staff and seven-day therapy service. Additionally, our units are supported by training and trust grade registrars and junior doctors.

We are looking for a number of enthusiastic, forward thinking, and passionate doctors to join our team from February 2024. You must be a team player and hold excellent communication skills.

You will gain valuable experience whilst working across the acute medical department including the medical take, AMU, medical SDEC and medical HDU.

You will be on a rota that includes a number of different shifts including standard days, twilights, long days, nights and weekends.

Contract type: Permanent, although fixed term contracts will be considered.

About us

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.

Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

We run major acute services at:

We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.

Job description
Job responsibilities

JOB SUMMARY

Northwick Park is a Major Acute Hospital with a busy medical take and an established reputation for patients presenting with a very wide range of medical conditions with a high degree of acuity.

Successful candidates will join our Acute Medicine team and will rotate between AMU, Medical Same Day Emergency Care, Medical High Dependency Unit and the medical take based in the Emergency Department.

You will work as part of a rota that will include a number of different shifts including standard days, twilights, long days, weekends and nights.

These posts will have full educational and clinical supervision and will been rolled onto the Royal College of Physicians e-portfolio and be entitled to study leave. The Trusts PACES teaching, medical SHO procedures course and Reg Ready sim will be available.

ACUTE MEDICINE DEPARTMENT

The Acute Medicine service at Northwick Park University Healthcare NHS Trust has seen an exponential rise in demand over the last two decades, including increase in the medical take and Same Day Emergency Care(SDEC) services.

The Acute Medicine service is an integral part of the Urgent & Emergency Medicine Division. The service cares for a range of patients across SDEC, the Acute Medical Unit and the Medical High Dependency Unit.

Medical take

Northwick Park is a major acute hospital with a busy medical take and an established reputation for patients presenting with a very wide range or medical conditions with a high degree of acuity. The successful candidates will work as part of the admissions team, supported by 24/7 registrar supervision and 12 hour a day, seven day a week, consultant oversight.

Acute Medical Unit

Currently there is a 56-bedded Acute Medical Unit based over two wards(Crick and Darwin) next to the Emergency Department, which has been extensively developed within the last five years to provide a state of the art environment. In early 2024 there will be a further 32 bedded AMU opening.

The appointees will work as a member of the Acute Medical team with F1trainees, IMTs, F2s, GPVTSs and SpRs. There is seven-day consultant cover across the acute floor.

Same Day Emergency Care Unit (SDEC)

Northwick Park SDEC currently reviews up to 500 patients per week (40-50% of the acute medical take). A variety of conditions are treated on the unit, which is manned by acute physicians as per rota, supervising a dedicated team of advanced nurse practitioners, medical registrars and core trainees, seven days per week. The SDEC is open seven days a week and is comprehensively equipped with diagnostics including ultrasound, ECHO and access to CT with specialist team input. The unit is continuing to grow and develop novel means of treating acute medical disease.

As part of this development there is a Single Point of Access (SPA) that receives all external medical referrals to acute medicine. Staffed by trained ANPs, they triage the call to SDEC, medical take for admission or to other services within the Trust.

Medical High Dependency Unit

The Medical HDU is located within Dryden ward. Patients with critical care needs including nasal high flow oxygen, CPAP, NIV and Vasopressors support can be cared for in the unit, which has up to 10 level 2 beds, and an additional 12 level 1 beds. mHDU is run by a combination of respiratory and acute physicians.

Key responsibilities

Clinical The post holder will be responsible for the regular clinical assessment and management of all patients, in conjunction with consultants and SPRs. Close supervision will be available at all times but incumbents of the posts will be trained and encouraged to develop initiative in clinical assessment, diagnosis and active management of their patients, rather than being limited to carrying out a daily list of tasks. This clinical commitment extends beyond the unit to support that Critical Care Outreach nurses and the care of critically ill patients throughout the hospital.

Administrative The post holder will have a prime responsibility for the regular and accurate documentation of history, examination, clinical progress, and results of investigations. This will include computerised record keeping, and an ability to cope with basic computer text entry will be expected. This role will also include the day-to-day audit of practice and standards of care.

Communication The post holder will work closely with nursing staff, physiotherapists and other associated health professionals, and act as a primary point of contact and referral with other medical teams and diagnostic services. Intensive care is a potentially stressful environment and much of the activity occurs out of hours. Appointees will be expected to communicate effectively and professionally at all times, both with members of the public and with fellow staff of all ranks and disciplines.

Please see attached job description for this vacancy for more information on the requirements of this role.

Person Specification
Qualification
Essential

Knowledge & Experience
Essential

Desirable

Skills, Abilities & Attributes
Essential

Desirable

337-MS-1401-NP-D