Senior Clinical Fellow
1 month ago
The Respiratory Department has been providing a Needs Based Care (NBC) service since Jan 2018 and this has been implemented in other Medical specialities where timely allocation is predicated on a patient's clinical need & not on age. Early allocation of patients to a speciality team according to their clinical need, improved continuity of care across seven days, with minimal handovers and an identified single responsible consultant is associated with safer practice, improved clinical outcomes and higher levels of patient and workforce satisfaction.
The consultants share the inpatient respiratory service duties, including consultant cover for the respiratory base ward, respiratory HDU, medical outliers, the reporting of GP X-rays and review of medical patients by consultation request from non-respiratory wards, ITU and HDU. In line with the Needs Based Care Model the consultant will also contribute to the speciality take and 'front door' in-reach. These activities are rostered equitably among 9 consultants across the year.
The department has a dedicated respiratory HDU within the main respiratory ward (ward 10). There is also a respiratory step down ward for female patients adjacent to this (ward 3)
Main duties of the job
The appointee will work as part of the Respiratory Multi-Disciplinary Team across inpatient and elective pathways mainly focusing in the respiratory wards, including High Dependency Unit (HDU) and NIV (Non Invasive Ventilation) service.
The pattern of work may change in the future to meet local changing needs and annual review meetings will take place in line with the trust's job planning and appraisal arrangements.
The post holder will work 9 am to 5 pm on a daily basis with occasional early starts and out-of-hours commitment. This is based on a 40 hour week.
The work consists of daily ward round with the consultants and day to day management of all the patients on the Respiratory unit and the Respiratory HDU.
Other duties of the post will include reviewing patients on other medical wards and the emergency department for Respiratory HDU admissions and NIV support.
Opportunities could be available to rotate into other Respiratory registrars' duties including Respiratory ward cover, US pleural procedures, bronchoscopic examinations and out patient clinic duties.
In case of difficulties of any kind, the post holder will seek the advice of the appropriate Consultant. The post holder is not expected to participate in any work beyond his/her level of expertise.
The proposed timetable is detailed below. This may be subject to change in response to service demands and developments.
About us
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.
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.
Job description
Job responsibilities
The consultants share the inpatient respiratory service duties, including consultant cover for the respiratory base ward, respiratory HDU, medical outliers, the reporting of GP X-rays and review of medical patients by consultation request from non-respiratory wards, ITU and HDU. In line with the Needs Based Care Model the consultant will also contribute to the speciality take and front door in-reach. These activities are rostered equitably among 9 consultants across the year.
The department has a dedicated respiratory HDU within the main respiratory ward (ward 10). There is also a respiratory step down ward for female patients adjacent to this (ward 3).
Both in-patient and out-patient services are based at the Luton and Dunstable Hospital. Currently just over 140 beds are allocated for use by General Medicine and related specialties.
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.
The Hospital has excellent access to the surrounding areas with easy access to central London and the rural Chilterns. The rural areas include many attractive villages and towns within easy reach of the Hospital including St Albans and Harpenden. Excellent schools are found nearby. There is also very good access to the Midlands and North by road using the M1 or A1, or by rail to one of the Lutons three stations. A direct link using the new Busway takes passengers from Luton Train station just 7 minutes to reach a stop that is within a short walking distance of the hospital. London Luton Airport is within fifteen minutes of the hospital.
Applicants must be fully registered with the UK General Medical Council, and have a minimum of 2 years clinical experience in Elderly Medicine.
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 refer to the Job Description for full details of the post.
Person Specification
Qualifications
Essential
MBBS or equivalent medical qualification MRCP or equivalent Eligibility
Essential
Eligible for full registration with the GMC at the time of appointment. Evidence of achievement of Foundation competencies by time of appointment in line with GMC standards in Good Medical Practice including: oGood clinical care oMaintaining good medical practice o Good relationships and communication with patients o Good working relationships with colleagues o Good teaching and training o Professional behaviour and probity o Delivery of good acute clinical care Evidence of achievement of ST1/CT1 competences in a relevant specialty at time of application and likelihood of achieving ST2/CT2 competences in a relevant specialty by the start date of the post. Eligibility to work in the UK. Desirable
NHS experience (EXCLUDING clinical attachment) Application Completion
Essential
ALL sections of application form FULLY completed Clinical Skills
Essential
Acute Care Safe: ALS (or equivalent life support course) provider, Hospital at night team working/experience. Out of hours experience relevant to the job. Relevant Specialty clinical knowledge capacity to apply sound clinical knowledge relevant to the job, specialty knowledge exam. Clinical judgement: experience in making clinical decisions and managing risk. Knows when to seek help, able to prioritise clinical need. Practical skills: shows aptitude for practical skills, required for the job. Proven ability to work effectively in different clinical settings required in the job Desirable
ALS Intructors Certificate Specialty specific skills related to the post
Essential
Ability to assess and manage all acute respiratory emergencies. Desirable
Experience in managing patients on NIV and CPAP machines. Experience in working in HDU or ITU Experience in Experience in Pleural ultrasound and Pleural procedures Clinical Governance
Essential
Clinical Governance: Capacity to be alert to dangers or problems. Demonstrates awareness of good decision making. Aware of own limitations. Track record of engaging in clinical governance, reporting errors, learning from errors. Audit: Evidence of active participation in audit. Teaching: Evidence of interest and experience in teaching where required in the job. Desirable
Evidence of relevant academic achievements and research experience. e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements. Teaching: Evidence of experience in teaching where required in the job. Fitness to Practise
Essential
Applicant's knowledge is up to date and fit to practise safely Language Skills
Essential
All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues, which could be demonstrated by a) having undertaken undergraduate medical training in English b) having scores in the academic International English Language Testing System (IELTS) or equivalent to those required for recruitment to MMC specialty training programmes. If applicants believe that they have adequate communication skills but do not fit into one of the examples they need to provide evidence. Health
Essential
Meets professional health requirements (in line with GMC standards in Good Medical Practice) Communication Skills
Essential
Effective communication skills: demonstrates clarity in written/spoken communication and capacity to adapt language as appropriate to the situation. Empathy and sensitivity: capacity to listen and take in others' perspectives. Works in partnership with patients: always considers patients preferences when discussing treatment options. Always considers the full impact of clinical decisions on the patients, Practice shared decision making. Directs and supports patients to access the information they need to support decision making. Desirable
360 feedback Patient survey feedback and reflections. Personal Skills
Essential
Team working: demonstrated experience working in a team, values the input of other professional in the team. Managing others and team involvement: capacity to work co-operatively with others and demonstrate leadership when appropriate. Capacity to work effectively in multi-professional teams. Coping with pressure: capacity to operate under pressure. Demonstrates initiative and resilience to cope with the setbacks & adapt to rapidly changing circumstances. Problem solving & decision making: capacity to use logical /lateral thinking to solve problems & make decisions. Organisation and planning: capacity to organise oneself and prioritise own work. Demonstrates punctuality, preparation and self-discipline. Understands importance of information technology. Flexible approach to work: able to adapt and work with employers to deliver improved patient care. Equality and diversity: promotes equality and values diversity. Desirable
Able to adapt to work with employers to deliver Leadership skills: experience in leadership Demonstrates skills needed for effective delegation within the team: 360 feedback Driver with a valid license. Probity
Essential
Professional integrity and respect for others: capacity to take responsibility for own actions and demonstrate a non-judgmental approach towards others. Displays honesty, integrity, awareness of confidentiality and ethical issues. Committment to on-going professional development
Essential
Learning and personal development: demonstrates interest in the specialty required for the job. Demonstrates a commitment to maintaining professional skills and knowledge relevant to the job. Demonstrates a willingness to fully engage in appraisal. Self-awareness and ability to accept and learn from feedback. Desirable
Extracurricular activities / achievements relevant to the job. Specialty exams.
Employer details
Employer name
Bedfordshire Hospitals NHS Foundation Trust
Address
Luton and Dunstable Hospital
Luton
LU4 0DZ
Any attachments will be accessible after you click to apply.
418-M-GM-620
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