Consultant in Emergency Medicine Recruitment briefing 2 / Consultant in Emergency Medicine

Introduction

Thank you for your interest in the post of Consultant in Emergency Medicine at Aintree University Hospital.

This role is pivotal to the delivery and expansion of high-quality care at Aintree and is a rare opportunity for an inspiring individual to be instrumental in shaping the future of our service.

The Trust is in the midst of an immensely exciting and challenging time and in order to achieve our strategic ambitions we seek an individual capable of grasping the challenge of delivering outstanding and responsive care to all of our patients and families, while continuing to build on an exceptional team motivated by the goal of getting it right for every patient, every time.

As a Consultant in Emergency Medicine you will play a crucial role in ensuring the success of Emergency Medicine. The service model is strongly supported by the Trust, and these appointments represent the starting point of an on- going programme of Improvement and development.

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Steve Evans Medical Director 3 / Consultant in Emergency Medicine

Local area

Already boasting a worldwide reputation thanks to The city is well-served by air ( John Lennon football and music, Liverpool’s time as European Airport and Manchester Airport, offering both budget Capital of Culture in 2008 has led to a new and long-haul flights), rail, coach, ferry and excellent sense of confidence. Building on this success, motorway links. There is easy access to the national this cosmopolitan city is attracting investment parks, North Wales, the Peak District, the Lake and offering a bright, positive outlook. Recent District, as well as to the coasts of developments include the Liverpool One retail and North Wales. For information on travel please area and a 11,000-seater arena which has brought contact the Liverpool City Tourist Information Centre international entertainment names back to the city. on 0151 233 2008 or www.visitliverpool.com

From the wide, flowing Mersey to the countryside and There are excellent schools for both sexes, including beaches beyond the suburbs, Liverpool sits at the centre a variety of denominational schools in the private of a vast area of beauty, culture and entertainment. and state sector.

Liverpool’s waterfront, home to the iconic Three Excellent housing in pleasant suburbs near the sea Graces, Albert Dock and Pier Head, has UNESCO and in rural areas is easily available, the cost of World Heritage Site status. The architecture is which is rather less than the national average. world-class, with more listed buildings than any city outside London, and two cathedrals which are major The University Medical School and the Liverpool attractions in their own right - the Anglican Cathedral Medical Institution are within 20 minutes and the Metropolitan Cathedral. Tate Liverpool offers drive, making the Trust easily accessible for displays of international and contemporary modern undergraduate and postgraduate rotations. The city art, while the city has eight national museums. The has a good transport infrastructure, and University new waterfront Museum of Liverpool opened in 2010. Hospital Aintree is just yards from Four theatres offer a range of contemporary, classic Railway Station. and touring productions, and the city’s Philharmonic Orchestra is nationally-acclaimed. 4 / Consultant in Emergency Medicine

Trust Aintree University Hospital in Liverpool provides respiratory medicine, rheumatology, ophthalmology general acute services to a population of 330,000 and alcohol services. The Sefton Suite is Aintree’s in North Liverpool, South Sefton and and Private Patient Unit. specialist services to a population of 1.5 million across the North West and North Wales. Aintree is a recognised centre for multidisciplinary health research and education, and is a founder Employing more than 4,000 staff, Aintree was member of Liverpool Health Partners and a member authorised as a Foundation Trust on 1 August 2006, of the North West Coast Clinical Research Network. and has more than 13,000 public and staff members. Aintree collaborates closely with the University of Since becoming a Foundation Trust more than Liverpool, Edge Hill University, Liverpool John Moores £100m has been invested in Aintree’s site. It was University, the University of Chester and other NHS the first hospital in Liverpool to be rated Good by the organisations. The hospital hosts the Staff College Care Quality Commission (CQC). at Aintree, which supports leadership development for senior NHS staff. The training and education Aintree provides high quality emergency and of Aintree’s staff, combined with clinical research, planned care to meet the needs of the local benefits patients by attracting the very best staff. community. Aintree has dedicated assessment services including an Acute Medicine Unit, Aintree is recognised for its support for staff through Ambulatory Emergency Care Unit, Acute Frailty Unit training, including an award winning apprenticeship and a Surgical Assessment Unit. In addition to this, programme which has benefitted more than 600 Aintree provides specialist services for , staff, and its engagement and staff development Cheshire, and North Wales. programmes. Aintree has the largest volunteers These include major trauma, complex obesity care programme in the NHS, with more than 800 (including bariatric surgery), head and neck surgery, volunteers giving their time to the hospital. upper GI cancer, hepatobilliary, endocrine services, 5 / Consultant in Emergency Medicine

Strategic framework

Delivering high quality, patient centered healthcare This statement expresses the desire of our entire continues to be the priority for Aintree in tandem workforce to provide high quality care for all patients with maintaining an acceptable financial position, and is underpinned by six clear values: allowing us to invest in improving our services for the benefit of our patients. • Deliver safe, compassionate care • Improve through learning and innovation Aintree University Hospital NHS Foundation • Communicate honestly and openly Trust’s vision was agreed in 2013 after extensive • Work as a team consultation with colleagues in the Trust: • Use resources wisely, and • Value each other. “to provide world class services for all our patients” and our four strategic objectives to:

Underpinning this is the Trust’s mission, • Deliver high quality safe patient care our common purpose: • Develop staff’s potential • Deliver our service commitments “getting it right for every patient, every time” • Develop effective external partnerships. 6 / Consultant in Emergency Medicine

Emergency Medicine at Aintree

Aintree is currently in the middle of a Also located within UCAT are the following services: comprehensive transformational change • Acute Frailty Unit programme designed to improve the way we • Urgent Care 24 (OOH GP) manage non-elective patients attending the

Accident and Emergency Department. This post forms one of a team of 16 Consultants in Emergency Medicine. The existing members of the A key driver behind this model is the Trust’s team are as follows: commitment to optimising consultant-led care during peak demand hours to ensure rapid assessment Mr. Chris Stevenson (Clinical Director) and treatment and enable patients to receive the Dr. Libby Wilson (Deputy Clinical Director) most appropriate care and treatment at the earliest Mr. Mike Hickey possible time in their journey. Mr. John Hollingsworth Dr. Richard Hughes The Accident and Emergency Department is Mr. Rob Jones located within our purpose built, state of the art Dr. Lizzy MacCallum Urgent Care and Trauma Centre (UCAT) and Dr. Nina Maryanji comprises the following: Dr. Justin Newstone Mr. Abdo Sattout • Ambulance handover area Dr. Karen Squires Dr. Zeeshan Syed • 3 major trauma resuscitation rooms with Dr. Tim Wharton dedicated high performance CT scanner • 3 high dependency resuscitation rooms The senior medical team is supported by one • Majors assessment and treatment area Associate Specialist, six StRs, three Staff Grades, two part-time Clinical Assistants and twelve SHO • Minors area comprising a number of consult equivalents and seven FY1. There are also two exam rooms Advanced Nurse Practitioners and seven Emergency • Observation Ward Nurse Practitioners who assist in the management of acutely ill medical patients presenting to the Trust. • Dedicated X-ray department • Mobile decontamination unit This service is also supported by:

• Link-bridge to The Walton Centre for Neurology Leah Pickering – Clinical Business Manager for transfer or major trauma patients. Angela Slade – Matron 7 / Consultant in Emergency Medicine

Job plan

This post attracts 10 programmed activities per The post holder will be expected to contribute to the week. There may be the opportunity to increase Major Trauma Team Leader rota Monday to Friday this by negotiation and any special interests will however the following shifts will be covered by the be considered. Cheshire and Merseyside Trauma Network:

At present the on call commitment is 1 in 16 Monday to Thursday: 23:00 – 08:00 (non-resident) with 1 in 5 weekend working. Friday to Sunday: 21:00 – 09:00 Saturday & Sunday: 09:00 – 21:00 The job plan for the first three months will be based on a provisional/indicative timetable. A formal job There will be the opportunity to contribute to plan will be agreed between the appointee and additional trauma shifts if desired. the Clinical Director within three months of the commencement date of the appointee. All out of hours duty after 22:00 is recognised at an enhanced rate (this will be reviewed in March 2017). The supporting professional activities (SPAs) allocation within the provisional job plan is an illustrative guide only and will be finalised following individual agreement with successful candidates. Approximately 1.5 SPAs will be provided as standard within a full-time contract.

Regular job planning meetings will be undertaken with the post holder to ensure that the appointee is remunerated for any additional activities undertaken and that the job plan accurately reflects the overall workload undertaken by the post holder.

Rota A self-rostered annualised rota is currently in operation.

The standard shifts for Consultants in Emergency Medicine are as follows:

Monday to Friday: 08:00 - 16:00 09:00 – 17:00 11:00 – 19:00 16:00 – 00:00 (with on-call after midnight) 19:00 – 02:00

Saturday & Sunday: 08:00 – 17:00 12:00 – 21:00 16:00 – 00:00 (with on-call after midnight) 8 / Consultant in Emergency Medicine

Duties Other duties include: • Provide Consultant input to Emergency Medicine and Specific duties of the role include: oversee and support junior medical staff in this area • Reception, resuscitation, diagnosis and initial • Maintain the knowledge and skills essential treatment of all emergencies as appropriate. for fulfilling the job plan. The Trust supports • Referral of patients to other specialties, transfer of the requirements for continuing professional patients for admission to assessment units, to other development as laid down by the Royal College of hospitals within or outside the Trust, referral as out- Emergency Medicine and is committed to providing patients or back to the community. time and financial support of these activities. There • Provide high quality consultant delivered care is a strong programme of continuing medical to patients including clinical leadership and education, including a monthly Grand Round supervision of junior medical staff, ensuring the programme in the Trust. Study leave can be taken highest standards of clinical care are provided to subject to the Terms and Conditions of Service. all patients. If the appointee is a new consultant, a named • Be proactive in ensuring that all patients receive consultant mentor will be provided. rapid assessment, treatment and clinical decision • Teaching is strongly encouraged both within the making, whilst ensuring that the Clinical Quality Trust and Emergency Medicine. Emergency Indicators to deliver safe quality and performance Medicine has an unparalleled selection of acutely ill are delivered and sustained. patients with evolving medical problems that provide • Work in conjunction with the nurse coordinator a rich learning environment for medical students, to ensure that there is effective and timely junior doctors and allied professionals. The post communication between the clinical team; timely holder will be expected to actively participate in intervention and safe care to maintain optimal undergraduate and postgraduate teaching. patient flow. • Actively develop clinical research interests, • When colleagues are absent alternative clinical duties particularly in the areas of the primary/secondary may be arranged to provide appropriate cover. care interface and clinical audit. • Provide teaching and training at undergraduate • Undertake revalidation as prescribed by the and postgraduate level and supervise and train General Medical Council, and will be required to the junior and specialty doctors in Emergency undergo multisource feedback and participate in Medicine, advanced nurse practitioners and reflective practice. emergency nurse practitioners. • The Trust is committed to providing a high quality • Be proactive in the clinical governance agenda clinical service and is strongly involved in both audit and take on leadership roles to support and clinical governance. It is expected that the continuous learning and improvement, thereby post holder will make an active contribution to both abiding by the clinical and corporate governance of these areas. There is an active post graduate policies of the Trust. education programme in the Trust with ample • Liaise with clinicians and managers within and opportunity to obtain internal CME. outside the department to address issues arising • Adhere to all Trust Policies and Procedures. that affect the service. • Participate in relevant audit and quality assurance The post holder will be based primarily in the processes. Accident and Emergency Department.

Office space and secretarial support will be provided for the post holder. An up to date computer system will also be provided which will be equipped with internet access and e-mail capability. Appropriate training for the use of this equipment will be available if necessary. 9 / Consultant in Emergency Medicine Person specification Person specification 10 / Consultant in Emergency Medicine

Essential How measured Desirable How measured

Qualifications • MB ChB (or equivalent). Application form. ETC provider Application form. • MBBS (or equivalent). Instructor status. • FCEM or equivalent. • APLS/ATLS/ALS provider. • CCT Holder. • (Or equivalent training) or within 6 months of attaining one at time of interview.

Registration • Full registration with the Application form. – GMC and license to practice. • Eligible for specialist register Application form – in Emergency Medicine within and interview. 6 months of interview.

Clinical • Clinical experience and Application form Level 1 or above training – Experience training equivalent to that and interview. and experience in ultrasound required for gaining CCT in scanning. Emergency Medicine. • Evidence of continuing Application form medical education. and interview. • Ability to take full and independent responsibility for the management of all emergency department presentations. • Ability to take full and independent responsibility for clinical care of patients.

Teaching Evidence of teaching Medical Application form Organisation of (undergraduate – & Training students, junior doctors, and and interview. and/or postgraduate) teaching Experience or Advanced/Emergency Nurse programmes. Practitioners. Experience in training in • Commitment to continuing simulation events. Medical Education and Relevant recognised teaching Professional Development. qualification. • Extensive experience and Level 1 trainer in ultrasound interest in teaching. scanning. Person specification 11 / Consultant in Emergency Medicine

Essential How measured Desirable How measured

Clinical • Understanding of NHS Application form Able to arrange clinical – Governance management structures and interview. governance events and Experience and the principles of Clinical monitor there effectiveness. Governance. • Awareness of Clinical Governance and its importance in the management of the emergency department. • Understanding and knowledge of the CQC five areas of care and its relevance to clinical governance.

Management • Willingness to participate in Application form Evidence of management training. Experience management activities. and interview. • Understanding of financial Interview. Experience of managing change. arrangements in the NHS. • Ability to plan strategically and Interview. to exercise sound judgements when faced with conflicting pressures. • Ability to motivate and develop the multi-disciplinary team, balancing departmental and personal objectives. • Ability to take a whole systems approach to Emergency Department working. • Ability to organise and prioritise workload.

Audit • Thorough understanding of the Application form Publication of audit results. Experience principles of clinical audit. and interview. • Publication of audit results. Application form and interview.

Research • Understanding principles Application form Success in obtaining funding Experience of research. and interview. for research. • Proven track record in Application form research. and interview. • Publication of research. Application form and interview. Person specification 12 / Consultant in Emergency Medicine

Essential How measured Desirable How measured

IT Skills • Ability to use Microsoft Office Application form. – – packages, e.g. Word, Excel, Access & Powerpoint. • Ability to use patient Application form. information systems.

Motivation • Ability to organise own time. Interview. Motivated to develop new Application form Punctuality, Initiative. services. and interview.

Personal • Ability to cope with stressful Application form Attributes situations and undertake and interview responsibility / able to work under pressure. • Demonstration of good Application form communication skills and and interview. leadership qualities. • Ability to work as part of a Application form multi professional team and interview. • Flexible approach. 13 / Consultant in Emergency Medicine

General provisions, summary of main conditions of service and general statement & obligations

The appointment is subject to the Terms and (e) Therefore, successful candidates are advised The postholder must: Conditions for Consultants () 2003. not to enter into contractual arrangements for the removal of their home until such time as the formal • Take all reasonable care to minimise the likelihood 1. General provisions approval of the Trust is received in writing. of healthcare-associated infections occurring to patients, visitors and staff (including you) as a (a) The Appointee will be expected to work with 3. Disclosure & Barring Service (previously consequence of actions and/or omissions at work; local managers and professional colleagues in the Criminal Records Bureau) efficient running of services and will share with • Co-operate with the Trust in ensuring that all consultant colleagues in the medical contribution The successful applicant will be required to statutory and other requirements are complied to management. Subject to the provision of undertake an enhanced DBS Disclosure check. with – in particular, compliance with the Health the Terms and Conditions of Service, he/she is Further information on the DBS is available on their Act 2006: Code of Practice for the prevention expected to observe the Trust’s agreed policies website at http://www.dbs.gov.uk. The Appointee and control of healthcare – associated infections, and procedures, including Infection Prevention will be required to pay for the DBS Enhanced this includes undertaking mandatory training in and Control, drawn up in consultation with the Disclosure. infection control and compliance with all Trust profession on clinical matters, and to follow the Infection Control policies relevant to the post, standing orders and financial instructions of the 4. General Statement & Obligations particularly with regard to the hand hygiene policy. Trust. The Appointee will be expected to follow the local and national employment and personnel a) Duties of the Post • Be knowledgeable and compliant with the Trust’s policies and procedures. He/she will be expected to The duties above indicate the postholder’s main infection control policies and procedures, which make sure that there are adequate arrangements responsibilities but are not exhaustive. They may includes attendance at mandatory training. for hospital staff involved in the care of their be jointly reviewed with the postholder according to patients to be able to contact a Consultant when experience and to support service development. Health and Safety/Risk Management necessary. Employees must take reasonable care of the b) Business Continuity Plan health, safety and welfare of themselves and (b) All medical and dental staff are expected to The Trust is required to have robust emergency others. Employees must report promptly any risks, comply with appropriate Trust Health and Safety preparedness plans in place, to ensure the including all incidents, near misses and hazards. policies and Infection Control policies. continuity of service in certain circumstances, e.g. major civilian disaster, business continuity Confidentiality of Information & Data Security (c) The Appointee will have responsibility for the incident. The Trust expects the post holder to be Strict confidentiality rules apply to patients, training and supervision of junior medical staff aware of their role in the event of such a significant colleagues and Trust business. Confidentiality for who work with him/her and will devote time to this disruption to Trust services. As a consequence patients lasts indefinitely and continues even if you activity on a regular basis. If appropriate, he/she of such circumstances the post holder may leave the employment of the Trust. will be named in the contracts of doctors in training (within their scope of competence) be required to grades as the person responsible for overseeing undertake a variation to their normal duties, normal Equality & Diversity their training and as a main source of advice to base and / or hours of work as are reasonable and The Trust is pro-diversity and anti-discriminatory. such doctors on their careers. appropriate to maintain essential service provision. Trust policies prohibit discrimination, victimisation, bullying or harassment. The Trust is committed to (d) As part of the NHSLA accreditation of the Trust c) Policies & Procedures treating people equally, whether they are patients, it is mandatory for the appointee to attend the All employees must follow the Trust’s policies and colleagues, suppliers or other customers. Trust Welcome Event and the Basic/Advanced Life procedures. These cover all areas of work, both Support Course. clinical and non-clinical. Some important areas Valuing People/ applying to all employees are highlighted below. Standards of Conduct and Behaviour 2. Residence Your induction will cover key post-related policies. Employees are personally accountable for their All Trust policies are available on the intranet. actions at work, and must promote high standards (a) The successful candidate will normally be of care and behaviour in line with our Trust Values. required to live within 15 miles/30 minutes of his/ All employees of Aintree University Hospitals NHS All employees must deliver reliable and effective her base hospital (the hospital where the principal Foundation Trust are required to act in such a customer care. duties lie) and in a location offering easy access to way that at all times safeguards the health and the other hospitals as required. wellbeing of children and vulnerable adults. Non-Smoking Policy Safeguarding Children and Vulnerable Adults No employee is allowed to smoke while on duty. (b) Where, however, the successful candidate If you wish to stop smoking then the Trust can already resides within 15 miles by road of his/her All employees of Aintree University Hospitals provide free help. Please ask your manager base hospital, he/she will not be required to remove NHS Foundation Trust are required to act in such about this. his/her home nearer the hospitals. a way that at all times safeguards the health and wellbeing of children and vulnerable adults. Probationary Period (c) Where the successful candidate’s present Familiarisation with and adherence to the Trust’s The successful candidate will be subject to the residence is more than 15 miles by road from the Safeguarding policies is an essential requirement Trust’s Probationary Period policy, which is nine hospital he/she will be required to remove his/ of all employees as is participation in related months for Consultant appointees. her home to meet the residential clause of his/her mandatory/statutory training contract, unless he/she has the written consent of the Trust to the contrary. Infection Control All staff have both duty and responsibility to prevent (d) The Terms and Conditions of Service states the spread of infection within the hospitals. the “removal expenses shall be reimbursed and grants paid only when the Trust is satisfied that the removal of the practitioner’s home is required and that the arrangements proposed are reasonable”. 14 / Consultant in Emergency Medicine

Application process

To apply for this vacancy please visit www.jobs.nhs.uk

Prospective applicants are encouraged to Travel and subsistence expenses can be reimbursed visit the Hospital and meet the team. for such visits only to those candidates selected for interview. Reimbursement is restricted to two visits Arrangements for visiting may be made with: whether they are made before or after a decision Mr. Chris Stevenson being reached on a shortlist. Clinical Director – Emergency Medicine Tel: 0151 529 2528 In the case of candidates travelling from abroad, [email protected] travelling expenses are payable in certain circumstances and then only from the point of entry Dr. Chris Warburton to the . Divisional Medical Director (Medicine) Tel:0151 529 2077 For further information on why you should [email protected] join Team Aintree, visit our website and follow us on social media: Dr. Steve Evans Trust Medical Director www.aintreehospital.nhs.uk Tel: 0151 529 2231 AUHNHS @AintreeHospital [email protected]