Whittington Health

Job description for the post of

CONSULTANT IN INTENSIVE CARE

Nov 2019

Summary

Applications are invited for the post of Consultant in Intensive Care at the Whittington Health (http://www.whittington.nhs.uk). This is a permanent post to replace a consultant who has retired.

This post has clinical duties primarily in the Critical Care Unit. Applicants from backgrounds other than anaesthetics with the necessary Critical Care training & experience will be encouraged. The post holder will join a well-structured Critical Care department that is renowned for providing high quality training for junior staff and delivering a multi-professional service to patients with excellent clinical outcomes. The post holder will be required to contribute to the ongoing activities of the department, including undergraduate and postgraduate education and audit data collection.

Candidates must have appropriate clinical training and expertise in the management of the critically ill adult to the standards specified by the Faculty of Intensive Care Medicine. Extensive experience of organ support techniques is expected. Candidates must be on the GMC’s Specialist Register for Intensive Care Medicine, or within three months of being admitted to the Specialist Register.

There will be office accommodation for the successful candidate in a shared office with the other ICU consultants, with support from the unit administrator.

The department The ICU at the Whittington has 10 critical care beds for level 2 or level 3 patients. This unit opened in 2006 and is located close to the Emergency Dept, Acute Admissions Unit, Operating Theatre and Imaging Suites. The ICU currently admits about 800 patients per year from a mix of medical and surgical referrals, predominantly emergencies originating via the emergency department. There is also a significant component of elective major surgery as part of the enhanced recovery programme for colorectal surgery and bariatric surgical cases. Approx. 35% of our admissions are ventilated. The unit is provided with standard equipment expected in a general ICU, including ventilators for invasive and NIV modality, monitors, haemofilters, oesophageal Doppler and LIDDCO cardiac output monitoring, ultrasound machine, blood gas machine etc. We possess the necessary bariatric equipment as a designated centre for this type of surgery. The unit complies with most of the Guidelines for Provision of Intensive Care Services (GPICS 2015) as well as the NHS London Critical Care Quality Standards and proposed D16 NHS England Commissioning standards. Clinical activity data is collected using ‘Wardwatcher’ database and we participate in the ICNARC ‘Casemix’ national critical care audit programme. The unit is ‘research active’, participating in a number of multicentre trials and recruiting patients for research studies led by Prof. Montgomery and Dr Magda Cepkova. Critical Care staffing includes a designated consultant rota operating on a block system of continuous cover, a middle grade resident rota comprising a mix of anaesthesia and

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medicine based doctors and research fellows as well as a resident rota at CT 1-2 level with trainees from Anaesthesia, Medicine and ED. The unit also has a dedicated Dietician and Pharmacist as well as Speech & Language Therapist support. Microbiology provide a daily ward-round advice. Our medical physics department provides technical support and equipment maintenance. The Critical Care Outreach Nurses provide day-time cover 12 hours per day 7 days a week. On some weekdays, a CT1/2 ICU doctor is also assigned to the team. An ICU follow-up clinic is run by Dr Badacsonyi, and the Practice Development Nurses. The Unit is in the North East & North Central London Critical Care Operational Delivery Network. There is a shared office hub within critical care for the critical care consultants, which has 4 computers and desks alongside filing cabinets which are shared. Consultant Staff

1) Dr Andrew Badacsonyi Consultant in ICU & anaesthesia. Infection control lead. FICM Tutor 2) Dr Magda Cepkova Consultant in ICU and Outreach lead. Organ Donation Lead. 3) Dr Sarah Gillis (Acting)Clinical Lead for ITU Consultant in ICU and lead clinician for Sepsis. 4) vacant Consultant in ICU 5) Dr Nick Harper Consultant in ICU. (50% wte) Director Surgery ICSU (Integrated Care Specialist Unit) Orthopaedic anaesthesia interest 6) Prof. Hugh Montgomery Professor of ICM, Director of Institute for Human Health & (50% wte) Performance at UCL 7) Dr Petr Dlouhy Consultant in ICU

Middle Grades 6 posts in total. 1 Rotating ST3+ from acute medicine 3 Trust Doctors in Intensive Care 2 ICM ST3+ training post (London Deanery) - currently 1 of these posts is vacant

ST1/2 cover 6 doctors rotating from medicine, anaesthetics and ACCS (ED) at 3, 4 or 6 monthly intervals, and 1 F2 trainee linked with microbiology.

Foundation Trainees 1 F1 doctor (day-time supernumerary) 4 month placements

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Duties of the post Outline Job Plans are below:

Sample JD for ICU post

5. Detailed weekly timetable of activities Day Time Location Description of work Category* No. of PAs 8am-8pm ICU ICU clinical Cover as Unit Consultant NHS-DCC 1PA Monday On Site Week 1 & 2 8am-8pm ICU ICU clinical Cover as Unit Consultant NHS-DCC 1PA Tuesday On Site s Week 1 & 2 2-4 ICU MDT NHS-DCC 0.083 PA Wednesday Week 4 9am-1pm ICU Flexible/Outreach Clinical ICU NHS-DCC 1.0 PA Thursday

8am-8pm ICU ICU clinical Cover as Unit Consultant On Site DCC 0.5 PA Friday Week 2

8am-8pm ICU clinical Cover as Unit Consultant NHS-DCC 0.66 PA Saturday Week 2 ICU On Site

8am-8pm ICU clinical Cover as Unit Consultant NHS-DCC 0.66 PA Sunday Week 2 ICU On Site

8pm-9pm ICU Sunday Week 5 ICU On-Call Handover (Cons-Cons) DCC 0.083 PA Wed Week 1&2 9am-930am Predictable ICU On-Call late evening NHS-DCC 0.39 PA emergency On- 7hrs/6 weeks ICU telephone ward round call work Unpredictable 0.58 PA emergency 10.5hrs / ICU ICU On-Call night phone calls/attending NHS-DCC On-call work 6 weeks TOTAL 5.9 PA PROGRAMME D ACTIVITIES

Clinical PAs 6 PA ICU – day and night shifts including weekend on call 1/6. 61X 24 hour shifts per year covering ITU with prospective cover. 4 x 4hr coroners work, 6 x M and M meetings per year at 2 hrs each. Please see above job plan calculations.

AND

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1.75 PA Anaesthetics (2.63 PA per all day Theatre list) or 1.75 PA Acute Medicine 1.75 PAs in anaesthetics would be working Fridays. In a 6 week block 4 of these would be all day lists, one half day list, and not in theatres when working Fridays when on call for Intensive Care. There will be no on call or clinics for anaesthetics.

OR

1.75 PAs in Acute Medicine. This will be that every 9 weeks, which may need some swaps to accommodate the ICM rota or vice versa, the appointee would supervise one of the 2 acute medical wards alternating between short days (8-2) or long days (8-8). There will be no on call or clinics for acute medicine.

SPAs 2.25 SPA 1.5 SPAs for critical care for meeting revalidation requirements including CPD e.g. for intensive care includes monthly meeting, M and M, teaching, CPD, Audit/QI 0.5 SPAs for either anaesthetics or acute medicine- reflecting specialist expertise in this second speciality 0.25 SPA Educational supervision

Template is a representation of workload and PA distribution but actual hours will vary week by week Actual days on-call vary according to individual rota slots but are in blocks of consecutive days.

The main clinical focus of the job is critical care. The ICU rota runs on a block arrangement of continuous cover on a six week cycle with internal cover for annual leave, as outlined in the above table. There will be four weekdays (usually 2x Mon/Tues) and 1 in 6 weekends (Friday, Saturday, Sunday) of ICU duty consultant cover. For annual leave and study leave organising cross cover is required. This rota commitment is currently reckoned at 6 DCC PAs. When on clinical duty, the post holder will have the following responsibilities: 1 Overseeing and co-ordinating care of the patients in the ICU including guidance and supervision of the resident junior doctors

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2 Communication and liaison with other teams and professional groups involved in the care of the patients to optimise progress and rehabilitation aims (Including MDT reviews) 3 ‘Gate-keeping’ role: overseeing appropriateness of referrals for admission and suitability for discharge. All potential admissions are discussed with the ‘Attending’ duty consultant.

The clinical role of this post has scope for development and accommodation of a specific relevant clinical interest.

The appointee will also be expected to play a role in educating postgraduate doctors and nurses in all specialties. The successful candidate for this consultant post will be eligible to become an Honorary Senior Lecturer at RFUCMS on the understanding that he/she will participate in undergraduate teaching, including acting as an examiner, and support and facilitate research activities in their Academic Division or Research Department.

We expect all Consultants at the Whittington to get thoroughly immersed in undergraduate teaching and assessment. There are many pathways to further the medical education training and scholarship for those committed and interested.

Consultants have continuing responsibility for the care of patients in their charge and for the proper functioning of their department. They are expected to undertake administrative duties associated with the care of their patients and the running of their clinical department. The appointee will be expected to take responsibility for maintaining his/her continuing medical education to the standard set by the relevant Royal College, and to plan their continuing professional development jointly with the Trust to develop the clinical service. All consultants are expected to take part in annual appraisal and job planning, and to agree a personal development plan each year which reflects the developmental needs of both the individual and the service.

Consultants are expected to assume responsibility, both singly and corporately, for the management of junior medical staff. In particular, they are expected to be responsible for approving and monitoring junior staff rotas, leave and locum arrangements. Consultants are expected to concern themselves with the professional development, both clinical and personal, of their trainees. In this respect each Consultant acts as a personal educational adviser to usually 2 or 3 trainees. Consultants are required to participate in setting learning agreements and formally appraising junior staff and will themselves be appraised in accordance with the policies of the Trust.

The Consultant is a member of the clinical support services and is responsible to the Chief Executive via the Chief Operating Officer and Medical Director through the Director of Operations and Divisional Directors for the satisfactory conduct of his/her professional duties.

Medical administration

The appointee will be expected to take part in the administration of the department and work with clinical and managerial colleagues on matters relating to the clinical service. The

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appointee will also be encouraged to take part in management concerning Whittington Health as a whole.

Audit

The appointee will be required as part of their duties to participate in the audit and clinical effectiveness activities overseen by the audit and effectiveness department; to attend the Training and Audit half days and to ensure that trainees within the department also take part in these activities.

Research and development

The Whittington is a University College London partner hospital. The appointee will be expected to play an active role in delivering the research strategy for the combined Whittington/University College Hospital Research and Development department. The Trust is currently applying to become a National Institute of Health Research Biomedical Research Unit and a number of clinicians are principal investigators in the UCLH/UCL Comprehensive Biomedical Research Centre. Support for research is provided by the Research and Development department located in the undergraduate department in the main hospital building. Protected time for conducting funded research can be negotiated as part of the annual job planning process.

Honorary senior lecturer

The successful candidate for this consultant post will be eligible to apply for Honorary Senior Lecturer or Honorary Clinical Senior Lecturer as applicable at UCL on the understanding that he/ she will participate in undergraduate teaching, including acting as an examiner, and/or support and facilitate research activities. Criteria and application forms can be obtained at https://www.ucl.ac.uk/slms/vacancies.

The annual consultant appraisal procedure will include review of teaching performance, and consideration will be given to joint academic appraisal of the consultant staff/honorary senior lecturers, in the same way as for the clinical academics/honorary consultants.

The Consultant is responsible to the Chief Executive and Medical Director through the Director of Operations for the satisfactory conduct of his/her professional duties. All doctors are expected to be familiar with the GMC’s “Good Medical Practice” and to work at all times within its guidance.

Candidates will be advised of the outcome within three weeks of the closing date.

Senior team

Siobhan Harrington Chief Executive Claire Dollery Medical Director 020 7288 5906

Informal visits

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Applicants for the post are welcome to visit or call for further information. Shortlisted candidates may wish to arrange to meet with the following:-

Divisional Director Dr Nick Harper 02072885470 ICU Matron Albert Bondoc 02072885470 Theatre & ITU General Manager 02072883506

The history of The Whittington

Medical services have been delivered on the Whittington Hospital site for over 500 years. In 1473 a leper hospital was founded, which later cared for the poor chronic sick transferred from in the centre of London. In 1848 a smallpox and vaccination hospital was built on the St Mary’s site and independently managed hospitals were opened on the Highgate site in 1866 and the Archway site in 1877. In 1900, the Highgate Hill Infirmary opened adjacent to the smallpox hospital and the two soon merged, with the smallpox hospital becoming a nurses’ home. In 1946, the hospitals on all three sites were brought together with a total of almost 2000 beds. Following the introduction of the NHS in 1948, they jointly became the Whittington Hospital.

The organisation today

Whittington Health was launched on 1 April 2011 as a new organisation comprising The Whittington Hospital NHS Trust and NHS Islington and NHS Haringey.

The Whittington Hospital and the community health services in Islington and Haringey are award winning organisations, delivering acute and community based health services to a population of 443,000 people. The new organisation is the biggest employer in the area, with over 4,000 staff. The new organisation delivers healthcare not only on the acute hospital site which has 420 beds, but also from a variety of other venues and through visits to people’s homes. We want to ensure that all our patients and service users receive treatment and care in the most appropriate environment for their health needs.

The high quality health services are provided in a caring, friendly and efficient way – we want you to be proud of your local healthcare and recommend it to your family and friends.

Whittington Health as an Integrated Care Organisation (ICO) offers greater opportunities to work across the boroughs to address the health needs of the local population. By integrating our hospital and community teams, we aim to improve the quality of care to our patients and service users whilst reducing costs by working closely together.

Whittington Health also works with other health, social care and voluntary sector partners to support patients and service users from their initial appointment whether it be with a

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community health team or at the hospital, all the way through to treatment and tailored after care. In May 2011, Haringey’s children’s services also joined Whittington Health.

Whittington Health is one of the three main teaching campuses for the Royal Free and University College Medical School.

The UCL Whittington Campus

University College London (UCL)

University College London (http://www.ucl.ac.uk ) is one of the UK’s premier universities. It is a world class research and teaching institution; its staff and former students include 19 Nobel Prize winners. It was founded in 1826 as the original and is now the oldest and largest College of the University of London. It was the first University to admit students regardless of race, class or religion and the first to admit women on equal terms with men. It was also the first University in England to offer the systematic teaching of medicine and law. It has 70+ Academic Departments in 10 Faculties together with numerous specialist and inter-disciplinary centers. The School of Life and Medical Sciences (SLMS) brings together 4 UCL Faculties in a major biomedical research center which is a leader in medical and health research with one of the largest and most renowned groupings of academics in biomedical, life and population health sciences. The Whittington Health is closely associated with University College London (UCL), London’s Global, multi-faculty university.

UCL Medical School (UCLMS), in the Faculty of Medical Sciences, is one of the most highly rated medical schools in the country whose goal is to produce the UCL Doctor: a highly competent and scientifically literate clinician, equipped to practice patient-centered medicine in a constantly changing modern world, with a foundation in the basic medical and social sciences. The School has an internationally acknowledged faculty of education and research leaders, a committed team of NHS based teachers and a distinguished cadre of academic staff who are at the forefront of international research in biomedical sciences, medical education and clinical medicine. The School is committed to excellence in undergraduate and postgraduate education and has a strong reputation for teaching informed by cutting-edge research and for promoting scholarship and excellence in medical education delivery and research. Whittington Health is a Main University NHS Provider Trust for undergraduate medical teaching for which purpose it receives NHS funds from the Department of Health. Professor Sir John Tooke is the Vice Provost (Health) for the School of Life and Medical Sciences, Professor David Lomas is the Dean of the Faculty of Medical Sciences and Head of UCLMS and Dr Deborah Gill is the Interim UCLMS Divisional Director.

UCL at the Whittington Hospital Campus

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For several decades the Whittington has taught undergraduate medical students and has always been highly regarded for the educational experience it offers. We are now teaching over 200 students on this Campus with the support of an undergraduate office situated within a newly opened student hub. The undergraduate medical curriculum is a six year course with an intercalated BSc for all non-graduates. It has several characteristics:  Experiencing research-led teaching from current leaders in basic medical science and clinical medicine  Opportunity to learn anatomy through dissection, in addition to prosection, computer simulation imaging and other modern methods  Clinical teaching in some of London’s world famous hospitals, by leading healthcare professionals  Opportunity to practice clinical skills in our fully equipped clinical skills centers  A medical school truly integrated into the multi-faculty institution of UCL with all the associated benefits in terms of sporting, cultural and social facilities  The widest range of integrated BSc opportunities in the UK  Strongly supportive environment with welfare clinics to address medical students’ concerns  For highly motivated and especially able students there is the opportunity to obtain a PhD in addition to the BSc and MBBS degrees. The UCL academic strategy on The Whittington Campus is to develop a research programme that is complementary to the Whittington Health research strategy and to other UCL Campuses as well as to Primary Care.

The research activities are enhanced by links with UCLH and UCL Partners and the Research Academic Centers with a presence on this Campus include:  Research Department of the Centre for Health Informatics and Multi-Professional Education (CHIME) (http://www.chime.ucl.ac.uk/ )  Research Department of Primary care (http://www.ucl.ac.uk/pcps )  Research Department of Surgery (http://www.ucl.ac.uk/surgery )  Research Department of Clinical Physiology within Division of Medicine.

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Facilities on the Whittington Hospital Campus

The Undergraduate Centre sited on the first floor of the hospital consists of a 150- seated lecture theatre, two seminar rooms, a computer cluster room, a common room for the undergraduates, and accommodation for UCLMS staff. The Centre has sophisticated teleconferencing facilities including access grid (http://www.ucl.ac.uk/medicalschool/campuses/archway/index.htm )

The Skills Centre (http://www.ucl.ac.uk/acme/clinical/Archway.htm) provides a positive environment which actively fosters multidisciplinary learning, research and educational innovation.

The Archway Healthcare Library (http://www.archway.ac.uk/AHL) is part of a coordinated and integrated Information, Library and Media Services appropriate to changing healthcare environment serving the needs of students, researchers, educationalists, health service staff wherever sited. It was highly commended by the Strategic Health Authority gaining a maximum level 3 at its accreditation in 2004.

UCLMS management at the Whittington Campus consists of:

Dr Caroline Fertleman, Site Sub Dean

Stephanie Woods, UG Centre Manager

Middlesex University (http://www.mdx.ac.uk ) is one of Britain’s newest Universities, yet one with a long record of achievement in the Arts and Humanities, Technology, Business, Social Sciences, Teacher Education and in the Performing Arts. The Vice Chancellor is Professor Michael Driscoll.

Mentoring Scheme

We offer an introduction to the consultant mentoring service. This is run by Dr Sarah Howling. Please contact Dr Howling by e-mail ([email protected]) to get more information. Participation in the mentoring scheme is optional but recommended.

Terms and conditions of service

This post is subject to the Terms and Conditions of Whittington Health and in particular to the Pay and Conditions of Service relating to Consultants. Copies of these may be seen in the Human Resources Department. The appointment is superannuable, unless you choose to opt out of the National Health Service Superannuation Scheme.

The salary scale of Consultants is £76,761 - £103,490 per annum plus £2,162 London Weighting Allowance. This is exclusive of any Additional Programmed Activities, On-Call

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Availability Supplement, Distinction Awards or Clinical Excellence Awards that may be payable. Part time staff will be paid pro rata.

Offers of employment are subject to the Occupational Health Service clearing you as fit for the post. If successful you will be given a health questionnaire which should be completed fully and mailed to the Occupational Health Service by return of post; you will not be able to take up employment with the Trust until clearance has been given.

Because of the nature of the work of this post, it is exempt from the Section 4(2) of the Rehabilitation of Offenders Act (1974) by virtue of the Rehabilitation of Offenders Act (Exemption Order 1975). Applicants are therefore not entitled to withhold information about convictions including those which for other purposes are “spent” under the provisions of the Act and in the event of employment any failure to disclose such convictions could result in dismissal or disciplinary action by the Trust. Any information given will be completely confidential and will be considered only in relation to application for positions to which the order applies.

The successful candidate cannot carry out fee paying services during their programmed activities except where this has been agreed by the clinical manager. In such a case, fees must be remitted to us, unless it has been agreed with the clinical manager that providing such services involves minimal disruption to NHS duties. Private professional services must not be carried out during programmed activities. The successful candidate will be responsible for ensuring that any provision of Private Professional Services or Fee Paying Services for other organisations does not result in detriment of NHS patients or service or diminish public resources available for the NHS. Please refer to the Code of Conduct for Private Practice (http://www.doh.gov.uk/consultantframework/privatepracticecode.pdf) for full guidelines surrounding this area.

The successful candidate will be required to live within 30 minutes by road from the hospital, unless the Trust determines that residence at a greater distance is acceptable. The private residence must be maintained in contact with the public telephone service. Assistance may be given with the cost of installation and rental charges.

Assistance may also be given to a newly appointed whole time consultant with part of the cost of their removal expenses provided, if this is their first appointment to consultant grade post within the National Health Service, and the removal is necessary to comply with the Trust’s requirements concerning the place of residence.

Applicants are therefore advised to study the Trust’s Terms and Conditions of Service for Consultants and the Trust’s Removal Expenses Agreement.

Annual Leave

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Annual leave is given in accordance with the Terms and Conditions of Service relating to Medical and Dental staff. Full time consultants are entitled to six weeks and two days leave a year. Annual leave for part time staff is given on a pro rata basis.

Consultants are expected to plan their annual leave well in advance so that their absence is not detrimental to the service. Consultants are required to give no less than 6 weeks notice of intention to take leave. All leave has to be requested electronically from the General Manager of the Division, using the form at http://whittnet/mini- apps/Consultant_leave/default.aspx. Leave requests with less than 4 weeks notice must be made electronically to the Director of Operations who will only grant such requests in exceptional circumstances.

Study Leave

Study leave is given in accordance with the Terms and Conditions of Service relating to Medical and Dental Staff. Consultants are currently entitled to assistance with expenses associated with approved study leave. It is the current policy of the Trust to assist consultants with reasonable fees and expenses associated with approved continuing medical education.

Continuing Professional Development

Whittington Health values and supports the continuing professional development of its consultant staff. As part of this, all consultants employed by the Trust are expected to comply with their Royal College or specialty association requirements for continuing medical education, and to provide the Trust with information to demonstrate this compliance

Postgraduate Medical Education

Consultants are expected to act as educational supervisors for training grade doctors working with them. This includes day-to-day supervision and teaching as well as active participation in objective setting, appraisal and assessment of junior medical staff. Consultants are encouraged to participate in the range of courses for training grade doctors and for general practitioners which are run in the new Whittington Postgraduate Centre.

Clinical Governance

All staff with clinical responsibilities are expected to work within the clinical governance arrangements agreed by the Trust. This is through an established framework through which clinical staff are continuously accountable for improving the quality of services and safeguarding high standards of care by creating an environment in which excellent care will flourish. All clinical staff are expected to maintain appropriate knowledge about, and involvement in, agreed strategies and programmes to continually improve their standards of clinical care through:

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 Patient and user involvement  Risk and complaints management  Clinical effectiveness and audit programmes  Continuous Professional Development  Clinical research in accordance with DOH Governance requirements

Personal Conduct

All staff within the Trust are expected to treat other members of Whittington Health staff with courtesy and respect. The Trust’s rules and policies including the disciplinary procedure apply to all staff without exception. The attention of consultant medical staff is drawn to the GMC document, ‘The Duties of the Doctor’ and the hospital’s policy on ‘Maintaining Medical Excellence’. The Trust will take this into account when considering the conduct of medical staff in relation to any incident.

Revalidation and Registration

It is the responsibility of all staff registered with a professional body to:  Act within the Professional Bodies Code of Practice  Maintain their own work profile to ensure revalidation standards are met, and assist junior registered staff in achieving revalidation.  Contribute and participate in the development of nurses and nursing practice across the trust through leading ward projects, and supporting training.  Ensure optimum use is made of working time.

Equal Opportunities

Our latest policy known as “Promoting Equality, Diversity and Human Rights” outlines the Trust’s commitment to ensuring that no job applicant or employee receives less than favourable treatment on grounds of sex, marital and civil partnership status, gender reassignment, pregnancy and maternity, race, colour, creed, religion or belief, physical disability, mental health, learning difficulty, age or sexual orientation and is not placed at a disadvantage by conditions or requirements that cannot be shown to be justifiable.

For more information about our policy and commitment to equality, click: http://www.whittington.nhs.uk/default.asp?c=10505&q=equality ”

Infection Control

All staff have a responsibility to prevent and control infections within the Whittington. This includes ensuring personal and team compliance with all relevant policies, especially hand hygiene, the trust dress code, and MRSA screening policies.

Working Patterns

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The Trust is currently exploring ways in which patients can be given more choice about when they can attend appointments at the hospital. In order to make this possible there may be a future requirement for administrative staff scheduling appointments for patients to contact them by telephone in the evenings or at weekends. This means that administrative staff may be required to work a shift pattern in future. Shifts will not normally operate beyond 9 pm in the evenings and appropriate pay enhancements will apply. Staff will be consulted about the introduction of / changes to shift systems.

Staff working in any department where an on 'call rota' operates will be required to participate in the rota. Managers will discuss with staff the level of 'on call' cover required taking into account their individual circumstances.

Staff in nursing posts may be requested to work in any area throughout the Trust by the matron or the site manager.

Health & Safety Policy

Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act 1974, to ensure that the agreed safety procedures are carried out to maintain a safe environment for employees and visitors.

Safeguarding

To comply with the Trust’s Safeguarding Children and Adults policies, procedures and protocols. All individual members of staff (paid or unpaid) have a duty to safeguard and promote the welfare of children, young people and vulnerable adults This will require you to:  Ensure you are familiar with and comply with the London Child Protection Procedures and protocols for promoting and safeguarding the welfare of children and young people.  Ensure you are familiar and comply with the Croydon Multi Agency Safeguarding Vulnerable Adults Pan London Procedures.  Ensure you are familiar and comply with local protocols and systems for information sharing.  Know the appropriate contact numbers and required reporting lines.  Participate in required training and supervision.  Comply with required professional boundaries and codes of conduct

Whittington Health is committed to safeguarding all children and vulnerable adults and expects all staff and volunteers to share this commitment.

Data Protection

This post has a confidential aspect. If you are required to obtain, process and/or use information held on a computer or word processor you should do it in a fair and lawful way. You should hold data only for the specific registered purpose and not use or disclose it in any

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way incompatible with such a purpose and ought to disclose data only to authorised persons or organisations as instructed. Breaches of confidence in relation to data will result in disciplinary action, which may result in dismissal.

Confidentiality

You are required to maintain confidentiality of any information concerning patients or staff which you have access to or may be given in the course of your work, in accordance with current policy on confidentiality at Whittington Health.

Whittington Mission, Vision and Goals

We have an excellent reputation for being innovative, responsive and flexible to the changing clinical needs of the local population. We are treating more patients than ever before and are dedicated to improving services to deliver the best for our patients.

Our mission Helping local people live longer, healthier lives.

Our vision Provide safe, personal, co-ordinated care for the community we serve.

Our goals We have developed six key strategic goals to make sure we continue to support people to live longer, healthier lives.

 To secure the best possible health and wellbeing for all our community

 To integrate and coordinate care in person-centred teams

 To deliver consistent, high quality, safe services

 To support our patients and users in being active partners in their care

 To be recognised as a leader in the fields of medical and multi-professional education, and population-based clinical research

 To innovate and continuously improve the quality of our services to deliver the best outcomes for our local population

Whittington Values

Our values underpin everything we do. Our staff are committed to delivering the following values in everything they do.

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Our ICARE values have been created by our staff and are embedded in our appraisal and planning processes and form part of our staff excellence awards.

Carbon Reduction

All staff have a responsibility to contribute to a reduction in the organisation's carbon footprint. You should actively encourage others through your own actions to reduce their contribution to carbon emissions. This includes switching off electrical appliances that are not in use, turning down heating, closing windows, switching off lights and reporting carbon waste.

Security

It is the responsibility of all employees to work within the security policies and procedures of the Whittington Health NHS Trust to protect the patients, staff and visitors and the property of the Trust. This duty applies to the specific work area of the individual and the Hospital in general. All staff are required to wear official identification badges.

No Smoking

Whittington Health promotes a No Smoking Policy as part of employee’s healthy living style. You will be required to work within the framework of this policy. Smoking is not permitted within Whittington Health premises.

Method of Payment

Payment of salaries is made into your bank account/building society account by direct bank system. Details of a bank account or building society account will be required on the first day at work. There is no facility for any other form of payment.

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PERSON SPECIFICATION FOR ICU CONSULTANT

Requirement Essential Desirable Qualifications  Full GMC Registration Higher qualification in critical care medicine  Entry on the GMC FFICM or European Diploma in ICM Specialist Register via

o CCT in ICM or equivalent parent speciality (proposed CCT date must be within 6 months of interview)

Special interest Experience and training in Knowledge and clinical intensive care medicine to the experience of treatment levels set for CCT (or equivalent escalation planning. training) by FICM Experience of ICU Outreach working Teaching Evidence of effective teaching & Teaching qualification training skills Research Ability to appraise evidence and An interest in research as to undertake relevant research evidenced by publications relevant to critical care Communication Knowledge and skills in various skills techniques and procedures appropriate for intensive care and the critically-ill patient

Ability to communicate effectively with all levels of staff and patients Aware of national Familiarity with UK Critical Care Familiarity with Critical Care policies, quality Standards as outlined in GPICS Networks initiatives Flexible thinking A willingness to accept that flexibility is required to meet the changing needs of the NHS Management ability Knowledge of NHS Experience of ICU budgeting. developments around critical care including Commissioning. Evidence of the ability to lead a team Commitment to effective departmental management Audit Evidence of completion of audit Familiarity with ICNARC data projects leading to improved collection & reporting clinical care Computer literacy & Able to use clinical IT systems in IT Skills patient care

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