Locum Consultant in Acute Medicine

3 months ago

London, United Kingdom London North West University Healthcare NHS Trust Full time

Job summary

Northwick Park is happy to announce, we are building a brand-new 32 Acute Medical Unit (AMU) to supplement our two acute wards (Crick Assessment Unit and Darwin Acute Unit) and we would love for you to join us on this amazing journey.

We are looking for enthusiastic, forward thinking, and passionate Consultants, to help shape and deliver our vision in providing outstanding care to our patients and community. You must be a team player and hold excellent communication skills to join our acute team and further put our medical services on the map.

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. Recognition of the vital role that is played by Acute Medicine. has seen the Trust make a substantial investment in the service. This will enable the department to develop three Acute Medical Unit wards (the third opening in early 2024) with patients remaining under the care of the acute team for their duration on the unit. In addition the team runs the Same Day Emergency Care Unit and the well-established Medical High Dependency Unit. Participation in HDU will be optional dependent on previous experience and competencies.

Main duties of the job

These posts will contribute pro rata to the Acute Medicine Rotas in operation at the time of appointment. The medical team at Northwick Park takes around 90 to 120 referrals per day. Around 1/3 of these are streamed via the Same Day Emergency Care pathways, seen on the SDEC. Staffing of take, SDEC, AMUs and HDU is being brought in line with RCP recommended staffing ratios with these new appointments.

The job plans at Northwick Park are annualised such that commitments are delivered over weeks of the year (ie 318 DCC and 106 SPA per year).

More details avaialable in the Job Description

About us

This is an exciting opportunity to join one of the largest and most successful integrated care NHS Trust's 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.

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 run two Acute Medical Units (56 beds) and a third 32 bedded AMU opening soon, where patients remain under the care of the acute team for the duration of their admission on the unit, 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 wonderful variety of tea shops, cafes, and restaurants.

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.

Job description

Job responsibilities

Acute Medical Unit

The acute units will comprise of 84 assessment beds across three wards where patients remain under the care of the acute team for the duration of their stay on the unit.

We provide direct hands-on consultant cover for the Assessment Service thirteen hours per day, seven days per week and has a strong multi-disciplinary ethos supported by our excellent Matrons, dedicated administrative staff and a seven day therapy service.

The Acute Medical units on both sites are supported by training and trust grade registrars and junior doctors. We have an award winning scheme for recruitment of Trust Grade Rotation SHOs.

Same Day Emergency Care Unit (SDEC) The unit currently receives up to 450 patients per week removing up to 45% of the acute medical take from in-patient areas. A variety of pathway and non-pathway 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. The unit open seven days a week and is comprehensively equipped with diagnostics including ultrasound, ECHO and access to CT with specialist team input.

Medical High Dependency Unit The Medical HDU (MHDU) is a ten-bedded unit. Patients with critical care level 2 needs including NHF (Nasal high flow), CPAP (Continuous Positive Airway Pressure), NIV (Non-Invasive Ventilation) and vasopressor support can be cared for in the unit. MHDU cover is provided by acute and respiratory medicine. Our critical care team also provide additional support. Participation in MHDU cover is optional depending on previous critical care experience.

As an Acute Consultant you will be expected to participate fully in the provision of acute medicine services, including clinical governance, service development, teaching, and research. You should have experience in Acute/General Medicine and are required to be on the Specialist Register (AIM or GIM) within 6 months of confirmed entry from the date of interview.

Candidates who are interested in sessions in other Medical Specialties are also encouraged.

This is a full-time 10 PA post, however applications from candidates wishing to work less than full time are also welcomed. The post is predominately based at NPH with cross site working at Ealing as part of the role at a future date. Participation in HDU will be optional dependent on previous experience and competencies.

All newly appointed consultants will be offered to join the Trusts consultant induction programme.

Person Specification

Qualifications

Essential

CCT in General Internal Medicine (or expected within six months of interview) MRCP or equivalent ALS certificate (active)

Desirable

CCT in Acute Medicine (or expected within six months of interview) Experience of High Dependency and Intensive Care Medicine

Registration

Essential

Entry on Specialist Register in General Internal Medicine and Acute Medicine (or entry expected within six months of interview)

Knowledge & Expertise

Essential

Clinical training and experience equivalent to that required for gaining UK CCT in Acute and General Internal Medicine. Clinical training, experience and leadership in High Dependency Unit environment Ability to take full and independent responsibility for clinical care of complex acute medicine patients Experience of working in a Medical/Acute Assessment Unit Ability to take full and independent responsibility for the management of acute medical emergencies Experience of working in a multi-cultural environment

Desirable

Clinical training and experience in intensive care medicine

Teaching

Essential

Experience in undergraduate clinical teaching Ability to teach clinical skills to medical and nursing staff and other disciplines

Desirable

Training in medical education including work based assessments, educational supervision and appraisal

Management and Audit

Essential

An understanding of the current NHS environment, particularly in relation to reforms, initiatives and issues An understanding of challenges to LNWH NHS Trust and strategic objectives Understanding of the importance of audit Management course Record of relevant audits

Research & publications

Essential

Experience in research and potential to develop and execute clinical research projects

Desirable

Relevant research publications in peer-reviewed journals

Personal skills

Essential

Enjoys busy working environment and working in a team Ability to communicate fluently in English. A compassionate approach to patients Ability to organise and prioritise workload effectively Ability to plan strategically, execute tasks and to exercise sound judgment when faced with conflicting pressures Ability to motivate and develop the multi-disciplinary team, balancing departmental and personal objectives Ability to engage in and lead change management.

Desirable

Has demonstrated qualities of team leadership Proven ability to lead a team in an acute assessment/high dependency unit setting

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