Consultant in Emergency Medicine

Leadership & Management Take part in management and audit activities to support the Care Group Leadership team & Public Health in planning for services and ensuring the service meets key performance indications including excellent patient care. The post holder will be expected to take part in management and audit activities and represent the service at Hospital meetings, as agreed with colleagues. The post holder will be expected to be fully involved in a Risk Management program and support the Governance agenda. Provide clinical leadership and support to the departmental nurse specialists Represent the service at Hospital meetings, as agreed with colleagues.

Opportunities for participating in research are supported when appropriate. The Health & Community Services has a policy for professional leave and is supportive of external duties for the good of the wider profession. On call rota The appointee will take part in the Emergency Medicine on-call rota of one in five. Departmental Statistics (2022-23) 45,000 Attendances including 9,000 children.

Emergency Department in Jersey General Hospital is a Trauma Unit, part of the Wessex Trauma Network. Our Major Trauma Centre is Southampton General Hospital. Our link cardiology centre is John Radcliff Hospital in Oxford. Transfer of patients from the island to the mainland centres is on JETS (fixed-wing Jersey Emergency Transfer Service).

The department has a 3 bedded resus (including a fully equipped paediatric resus cubicle), 8 bedded Majors area (half of these are isolation rooms), and there is a paediatric examination room as well as a separate paediatric waiting room. There is a separate Minors area with 4 examination cubicles and a separate Eye examination cubicle. Medical Services Care Group Medicine in Jersey is fully age and specialty integrated. There are 3 medical wards, Bartlett, Rozel and Corbiere.

A 5-bedded Enhanced Care Area is sited on EAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit on EAU led by a SAS doctor with consultant support. There is a 16 bed Emergency Assessment Unit. Currently there are 11 consultants, 8 SAS doctors, 7 FY1 and 2 FY2 doctors who between them comprise 8 medical teams and the EAU team.

6 Clinical Fellows offer further support to the teams. SAS doctors are responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, FY1 or FY2 doctor whom they closely supervise. On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the EAU by GPs in conjunction with the EAU team. A core responsibility of the Division of Medicine is the provision of a safe acute medical service.

The Division provides named Consultant supervision for non-Consultants at all times and ensures that prompt review and treatment is provided for acute medical emergencies referred by General Practitioners or the Emergency Department. The Medical Consultants share on-call cover for the general medical take on a rolling 24hr rota, 8am-8am. Consultant-led post take ward rounds take place at 5pm and 8am. Being on an Island, the physicians need to be able to cover the full range of medical emergencies while on call.

The Medical Consultants share responsibility for ongoing management of patients admitted acutely to the wards. At present, the Medical Consultants have responsibilities for ongoing management of inpatients for a 4-week period of each 8-week rota cycle. Leave is by preference taken during the remaining 4 weeks with the remainder of the time allocated to an increased intensity of specialist elective work. Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area.

Care Group Statistics There are 63 medical beds. 12-20 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24.