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Locum Consultant in Critical Care with subspecialty interest

4 months ago


Crewe, United Kingdom Mid Cheshire Hospitals NHS Foundation Trust Full time

Locum Consultant in Critical Care (single or dual specialty applications welcome including those with a subspecialty interest).

Applications are invited to join our forward-thinking, friendly department in Critical Care, with the option of an associated specialty, at Mid-Cheshire Hospitals NHS Foundation Trust - a friendly medium sized district general hospital in Cheshire, within hours drive of Manchester, Liverpool, Stoke on Trent, and Wolverhampton.

The post will suit a motivated applicant who wishes to support the team to further develop the local critical care into a modern sustainable service meeting the needs of a district general hospital fit for the future. There is additional opportunity to pursue cross specialty links and engage in shared expertise to the benefit of patients and colleagues.

The successful candidate will join the existing team of substantive Critical Care Consultants and provide medical cover for a modern 11 bedded Critical Care Unit, with ability to flex to 18 beds in times of clinical need, in a trust that is in the early phases of an extensive estate renewal programme (part of the New Hospitals Programme).

The applicant must also be on the Specialist Register or be within six months of obtaining their Certificate of Completion of Training in Intensive Care Medicine (ICM), or a second specialty with a strong interest and experience in ICM.

This is a temporary post and is offered on a 12-month fixed term basis.

Main duties of the job

The successful candidate will join the existing team of substantive Critical Care Consultants providing medical cover for an eleven bedded Critical Care Unit.

There is opportunity for those with dual CCTs to have a substantial commitment to their partner specialty. For applicants with a single specialty CCT, the department will either support a full-time critical care job plan or offer clinical sessions in an area of subspecialty interest.

The post-holder will be responsible for providing comprehensive clinical management for critically ill patients in the critical care unit and beyond. They will work their daytime duties in critical care, and associated subspecialty where applicable, within their job plan.

The Consultant role requires interaction across multiple disciplines and collaborative working. The expectation of the role is that the appointed candidate can offer expert clinical opinion on a range of problems, both emergency and elective within Critical Care, and the associated subspecialty (if applicable).

The post is offered on a full-time basis (10 PAs) however, the Trust would welcome discussion with individuals looking for a more flexible working pattern to support a different work life balance

About us

Mid Cheshire Hospitals NHS Foundation Trust (MCHFT) provides good quality, safe and effective healthcare to the people of Cheshire and beyond. The Trust, which manages Leighton Hospital in Crewe, Victoria Infirmary in Northwich, and Elmhurst Intermediate Care Centre in Winsford, was established as an NHS Trust in April 1991 and became a Foundation Trust in April 2008.

We employ almost 5,000 members of staff, provide around 540 hospital beds, with a range of services including accident and emergency, maternity, outpatients, therapies, and children's health.

The Trust is also part of Central Cheshire Integrated Care Partnership (CCICP), a unique local health partnership that provides a range of community services for people across South Cheshire and Vale Royal.

During the Coronavirus pandemic, the Trust was recognised nationally for its Be Safe Be EquiPPEd campaign, which aimed to make the Trust as safe as possible for staff and patients, through supporting the correct use of PPE.

The results in the 2020 national NHS Staff Survey showed improvements in all elements of the safety culture theme, with 92% of respondents feeling their role made a difference to our patients. We were also recognised nationally for our workforce health and wellbeing initiatives.

At Mid Cheshire, we value our staff and appreciate that in order to give our patients the best quality, compassionate care, we also need to look after our colleagues.

Job description
Job responsibilities

The contract will be for 10 Programmed Activities (PAs), and it is envisaged that there will be a split on average of clinical duties into 6.5 PAs in Critical Care and 2.5 PAs in the associated specialty if applicable). However, there is some flexibility in this to accommodate specific clinical interests of the successful candidate.

A consultant of the week model (Mon-Fri 8am-6pm split as per job planned preference) is the current working pattern with ongoing amendments proposed to improve continuity of care and sustainability. Each morning the duty consultant is supported by a 2nd consultant intensivist (8am to 1pm) who also provides support to the outreach team this second consultant session is worked by all as part of their regular job plan.

CC1 (Critical Care 1) is currently split into a 3 day and a 2.5-day responsibility to critical care. There are plans in place to change this to a Monday-Thursday consultant of the week model to better improve continuity of care whilst maintaining sustainable working patterns. Other DCC (Direct Clinical Care) is split between CC2 (Critical Care 2) and the associated specialty (if applicable).

The current on call rota is on a 1 in 8 basis. There is one consultant on call (non-resident) after 18:00 every day of the week. Weekend on calls are split Fri/Sun and Sat with DCC cover varying depending on time of year.

Summer weekend working consists of a resident morning session (08:00-12:00) and a 3-hour flexible resident session whereby the consultant will reattend site to review the patients. During winter, consultants are job planned to be resident during the hours of 08:00-18:00. The on-call commitment between/ after these hours is non-resident.

There are plans in place to further recruit to additional critical care posts over time to reduce the frequency of on call commitments.

The annualised job plan consists of 9 PAs of Direct Clinical Care including on-call commitment and 1 PA of Supporting Professional Activity per week. This is an average over the rota period.

Person Specification
Qualifications
Essential

Full Registration with the GMC and a Licence to Practise. CCT (or equivalent) with entry on Specialist Registers for Intensive Care Medicine and the Associated Specialty or within six months of anticipated CCT date MBBS or equivalent Minimum of 1 year worked within NHS An appropriate higher qualification such as a post graduate qualification, for example, MRCP, FRCA, FFICM EDIC

Ability
Essential

Ability to offer expert clinical opinion on range of problems both emergency and elective within ICM specialty Ability to take full and independent responsibility for clinical care of patient

Audit and Research
Essential

Active consistent engagement with clinical audit

Desirable

Evidence of implementing change to improve patient care Significant involvement in clinical research Presentations at regional and national meetings Publication in peer reviewed journal (s)

Teaching and Education
Essential

Active regular participation in teaching and training of medical and para-medical colleagues

Desirable

Evidence to allow accreditation as a Consultant Educational Supervisor for trainee doctors with the GMC Experience in medical education including regional teaching Life support course instructor

Personal Attributes
Essential

Commitment to team working Leadership qualities Flexibility in a changing work environment

Desirable

Caring and responsible attitude to colleagues

Management
Essential

Understanding of management responsibilities of Consultants

Desirable

Attendance at recognised management courses

S&C5813