Trust grade doctor in Same Day Emergency Care

Job summary

Same Day Emergency care (SDEC) is an expanding area of healthcare with exciting opportunities to innovate and develop quality patient pathways. Imperial College Healthcare has two SDEC units on the St Mary's and Charing Cross sites which are overseen by Emergency Medicine consultants working with a team of doctors and advanced clinical practitioners. Whilst the units are Emergency medicine run, we work in close collaboration with acute medicine and other inpatient specialties, seeing up to 200 patients a day across the sites.

We are seeking colleagues who want to develop their emergency and acute care skills and who are committed to continuous improvement and innovation. You must have excellent communication skills and be enthusiastic about being part of a multidisciplinary team.

We are seeking doctors with a minimum experience of six months in the NHS and specifically of urgent and emergency care. The roles would suit doctors planning a career in emergency medicine or acute medicine, or who are looking to consolidate previous experience whilst considering long term options. We would welcome applications from GPs with experience in urgent care and from those seeking flexible working hours. We have posts at the equivalent of core and higher training levels and support career development by offering management time within the contracted hours.

Main duties of the job

Our units function as part of the Urgent and emergency care service and are essentially ambulatory emergency department with associated acuity and complexity. We accept patients referred from GPs on these pathways and are trailblazers in accepting patients from 111 and the London Ambulance service directly.

The Same Day Emergency Care doctor will work alongside the SDEC team to co-ordinate the assessment, investigation and appropriate clinical review for patients who are referred to the service. It is expected that the SDEC doctors will develop new pathways and work to expand and improve the service. The service runs Monday to Friday and Saturday to Sunday -

The SDEC team are flexible and supportive of each other, and opportunities are available for doctors to develop their skills or undertake educational projects.

The post holder accepts that he/she will also perform duties in occasional emergencies and unforeseen circumstances at the request of the appropriate Consultant in consultation where practical and with his/her colleagues, both senior and junior. Whilst juniors must accept that they will perform such duties, such additional commitments arising would be exceptional and short lived.

About us

At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care. Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You'll get an experience like no other and will fast forward your career. Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.

The statutory requirement to be fully Covid-19 vaccinated as a condition of employment from April 2022 is subject to legislative review. At Imperial College Healthcare NHS Trust, we strongly encourage and support vaccination uptake as this remains the best line of defence against COVID19. The successful applicant may have contact with patients and service users and as part of our pre-employment checks and risk assessments, we will ask all candidates to confirm whether or not they have been fully vaccinated or have a medical exemption.

As part of our continued response to Covid19 we are still conducting the majority of our interviews virtually.

We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part-time or job share. Please talk to us at interview.

Job description

Job responsibilities

Background to the post

This is an innovative post working in one of our established Same Day Emergency Care units within the Medicine & Integrated Care Division at Imperial College Healthcare NHS Trust. The job is available at St Marys Hospital. The role will involve taking a lead in the assessment and treatment of patients allocated to Same Day Emergency Care. These patients are streamed primarily from the Emergency Department, our Urgent Treatment Centres, Acute Medicine or via GP referrals. This role will be an opportunity for a post core training equivalent doctor to be involved in seeing and treating our patient while also being given the opportunity to support the clinical lead to develop and expand the service.

The post holder will benefit from strong clinical Consultant support and mentorship to aide career progression and membership exams where necessary. It is hoped that this support and clinical exposure will enable candidates to successfully apply for a Deanery training post or prepare for a CESR programme for equivalence of training. There are additional opportunities at Imperial College Healthcare NHS Trust including leadership, academic and educational support.

The post holder may wish to combine shifts in the emergency department (adult or childrens) with the SDEC experience, depending on previous experience and career ambition. These discussions and arrangements are on an individual basis after starting.

The work of the department

The SDEC hub is based in a newly developed area on the ground floor of the Paterson building at St Marys Hospital. It has a separate waiting and reception areas with multiple consulting and assessment rooms, a procedure room, 8 reclining chairs and a bay containing 3 trolleys.

The SDEC unit is run by the directorate of urgent and emergency medicine. There is a ED consultant 5 days a week 8-1700 who supports the clinical staff in SDEC. Acute medicine, Neurology and other specialties are also present in the SDEC during the day.

The Emergency department is in the adjacent building and the two services are run in conjunction with each other and the Urgent Treatment Centre to provide optimal patient experience and flow through the Urgent and Emergency Care pathways.

The Same Day Emergency Care doctor will work alongside the SDEC team to co-ordinate the assessment, investigation and appropriate clinical review for patients who are referred to the service. It is expected that the SDEC doctors will develop new pathways and work to expand and improve the service. The service runs Monday to Friday and Saturday to Sunday

The post holder accepts that he/she will also perform duties in occasional emergencies and unforeseen circumstances at the request of the appropriate Consultant in consultation where practical and with his/her colleagues, both senior and junior. Whilst juniors must accept that they will perform such duties, such additional commitments arising would be exceptional and short lived.

Study, Teaching and Training at Imperial College Healthcare NHS Trust

The Trust encourages all medical staff to participate fully in continuing professional development to ensure that skills are updated in line with relevant medical developments. The Trust has excellent library facilities offering a full range of electronic and paper based media including access to Imperial College library resources at any Imperial College library site. There is a weekly teaching programme for staff in SDEC and opportunities for study leave are included with some funding

Research Opportunities

Excellent research opportunities are available throughout the Trust and with Imperial College. A number of funding opportunities are available from the Hammersmith Hospitals Trust Research Committee (HHTRC) and the Trust has experience in obtaining funds from among others the Department of Health, Medical Research Council, BBSRC, and the Welcome Trust.

Person Specification

Qualifications

Essential

GMC Registration with a licence to practice or confirmed eligibility for entry ALS

Language

Essential

Are able to speak and write English to the appropriate standard necessary to fulfill the job requirements

Relevant experience in specialty/sub specialty

Essential

Experience in Emergency Medicine and acute medicine at FY2/ST1/2 level with a minimum of one year post Foundation training

Desirable

six months UK experience

Clinical skills

Essential

Can demonstrate previous experience in clinical assessment and management of those conditions amenable to ambulatory care pathways and the necessary practical skills required for those conditions

IT skills and computer literacy

Essential

Must be conversant with all usual programs and capable of learning ones specific to the role Demonstrates an awareness of the importance of IT in patient care

Management skills/Teaching and training /Audit and research

Essential

Knowledge of NHS processes and pressures Experience of teaching students and junior medical staff Understanding of principles of clinical audit

Desirable

Clinical service development and research experience

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