Trust Doctor in Emergency Medicine (ST1) William Harvey Hospital, Ashford
Dear candidate,
Welcome to East Kent Hospitals University NHS Foundation Trust.
We are a pioneering Trust, on an exciting journey of healthcare transformation, with award- winning research and innovation, and a strong team ethos. We’re looking for positive clinical leaders who want to help us deliver first-class patient care to a fascinating and complex population and be part of something special.
As you would expect from a large teaching Trust, we prize training doctors, nurses and other health professionals and we already work closely with local universities and King’s College, University of London. We now have the exciting new opportunity of working with Kent and Medway’s new Medical School, jointly provided by the University of Kent and Canterbury Christchurch University, which opens in September 2020.
The Trust has five hospitals providing a wide range of high quality services and opportunities for innovation. The William Harvey Hospital in Ashford has the full range of district general hospital services, as well as regional specialities, including the country’s best performing trauma unit. The Queen Elizabeth, The Queen Mother Hospital in Margate, also provides district general hospital services, while Kent & Canterbury Hospital in Canterbury is a specialist services hub which provides adult medical care, inpatient renal, urology and vascular services and robotic surgery.
Our new hospital in Dover, the Buckland, and Royal Victoria Hospital, Folkestone, provide a variety of outpatient, diagnostic and minor injury services, alongside a range of services throughout the local area.
We have a clear clinically-led strategy to transform secondary care in east Kent to deliver outstanding standards across all specialties which build services around the characteristics of our patients and a commitment to refreshing our estate and facilities. We support clinicians who see opportunities to make tertiary care available locally for our population, and we have a strong research ethic as a high recruiter to research studies.
Our vision is to provide ‘great healthcare from great people’, and we are proud of what we have achieved to date for our population and are excited about what’s to come. If you would like to be part of this exciting journey, your rewarding work-life will be complemented by the advantages of living in the Garden of England, with a choice of rural, seaside and picturesque places to enjoy and live in, alongside the essentials like excellent schools and easy access to London – and Europe.
In March 2018 the Government and Health Education England announced that a joint bid by Canterbury Christ Church University and the University of Kent to establish a medical school was successful.
The medical school opens its doors in September 2020, offering 100 undergraduate medical places on a yearly basis. The five year programme will be taught at the Canterbury campuses of both universities with medical placements within Primary, Community and Secondary Care across Kent and Medway.
The Kent & Medway Medical School (KMMS) will be Kent and Medway’s first ever medical school, bringing together the existing centres of excellence in health and medical education provided by the two universities, and local healthcare organisations such as East Kent Hospitals University Foundation Trust. It will offer a new model of patient-focused medical education.
The KMMS will also play a key part of the solution to the challenges of recruiting and retaining medical professionals for this region. You will have the chance to be there at the start of what is expected to be an exciting and productive relationship and help to shape the Drs of the future.
One of the largest acute trusts in England, we have a predicted turnover of almost £600 million. We serve a population of 695,000 people in East Kent and over a million through our regional services, employ 7,950 staff and have 1,000 beds across three main hospital sites.
If you have a disability or long-term health problem, we are committed to offering reasonable adjustments throughout the recruitment process and employment. If you would like more information or support, please contact the Resourcing Team on 01227 866450 or [email protected], who will be happy to help.
Yours faithfully, Susan Acott, Chief Executive
Our Mission, Vision and Values
Our mission is "Improving health and wellbeing"
Our vision is "Great healthcare from great people"
Our values are
People feel cared for as individuals People feel safe, reassured and involved People feel teamwork, trust and respect sit at the heart of everything we do People feel confident we are making a difference
Our strategic objectives
Our strategic objectives aim to lead us to: a Good and then Outstanding CQC rating; to drive performance, particularly in the key access standards; to make the Trust a great place to work; deliver integration and a more sustainable future for our services across east Kent; develop our staff and teams and improve our finances. You can find out more about what we do on our website at www.ekhuft.nhs.uk and view our organisational structure charts here.
Job Description
URGENT & EMERGENCY CARE/ CARE GROUP
Care Group Director: Andrew Mortimer
Operations Director: Matthew Pomeroy
Head Of Nursing Zoe Newman
The Emergency Department
Our vibrant Emergency Departments at William Harvey Hospital, Ashford, and Queen Elizabeth The Queen Mother Hospital, Margate, offer an exciting and supportive environment for ambitious professionals who are passionate about emergency care and want to work at the top of their game.
The Emergency Departments (EDs); one at the William Harvey Hospital (WHH), Ashford and the other at the Queen Elizabeth the Queen Mother Hospital (QEQMH), Margate, each offer a full 24 hour emergency service. The Emergency Care Centre (ECC) at the Kent and Canterbury Hospital, Canterbury, has a 24 hour nurse-led minor injuries unit and GP led minor illness service.
Our Emergency Departments provide innovative and fast paced integrated emergency care to a wide range of patients from East Kent. It is our inspiration to develop into an academic and research unit in emergency medicine for Kent.
This is an exciting and opportune time to join the Trust as we are implementing a consultant and specialty doctor expansion programme, which will further support the emergency floor model of care and also recognises the increasing number of Emergency Department (ED) attendances annually. The Care Group has been funded for an establishment of 10 Emergency Medicine Consultants in the William Harvey Hospital (WHH) and also 10 Emergency Medicine Consultants at the Queen Elizabeth, the Queen Mother Hospital (QE).
A 25 doctor middle grade and 8 junior doctor rota has been developed, which will have junior and senior speciality doctors. This will provide a consistent level of cover across the seven days with improved handover and cover in the evenings and overnight.
The emergency care model will reinforce collaborative working between emergency and acute physicians. Pathways for all specialties are being reviewed and developed so that patients are able to flow through the ED.
The Trauma unit at WHH is one of the highest performing units in the UK (TARN data) and is part of the South East London, Kent and Medway (SELKaM) Trauma Network. Both the QEQMH and WHH use the SELKaM Trauma Unit protocols and have newly refurbished Resuscitation Rooms which enable continuity for clinicians to work safely between sites.
These are highly motivated and focused departments, which prides themselves on delivering the highest standards of safe patient care. Clinical governance is central to all that we do; ensuring that patient care, safety and quality are the highest priority.
WHH also provides the primary percutaneous coronary intervention (PCI) service for Kent and receives all the out-of-hospital-cardiac-arrests (OOHCA). It has excellent links with the helicopter emergency medical service (HEMS). We are currently developing the research activities of the departments and are involved in NIHR projects.
The departments are in the second year of a 3 year programme to implement the Advanced Clinical Practitioner role and our Consultants are a pivotal part of that development, providing clinical supervision and mentorship to the trainees. Additionally we offer a development programme for aspiring Consultants and would welcome applications from candidates with experience of supervising developing doctors and/or are looking to become FRCEM/MRCEM Examiners.
A specialty doctor teaching and development programme has been developed to enable specialty doctors to progress to consultant posts via Article 14 which includes secondments to Intensive Care, Paediatrics and Acute medicine. All consultants are involved in this programme, providing mentorship, supervision and support.
In total approximately 220,000 patients are seen annually across the Emergency Departments with a seasonal increase due to tourist influx, of up to approximately 270 patients per day in the summer months. There is an established service to enable the majority of minor injuries to be seen and treated by nurse practitioners.
This is a highly motivated and focused department, which prides itself on delivering the highest standards of safe patient care. Clinical governance is central to all that we do; ensuring that patient care, safety and quality are the highest priority.
We would like to invest in you and in our service by supporting you with:
• Flexible job planning • Sessions for sub-speciality interests in other departments or Trusts (e.g. simulation, HEMS, Paediatric, Acute medicine, etc.) • Time for internal and external research • Time for internal and external teaching (especially ALS, APLS, ATLS) • Supporting your individual clinical interests
If you are a dynamic and innovative consultant who can play your part in shaping our reputation for excellence in emergency medicine, we want you on our team.
We are a flexible Trust that offers post holders the opportunity to join our existing consultant body on either the William Harvey Hospital (WHH) or Queen Elizabeth, the Queen Mother Hospital (QEQMH), or work across both sites.
Our Consultants currently work a rota that is based on a 12 PA job plan, encompassing rotating shifts through the week to ensure on site Consultant cover between 8am to 10.00pm on weekdays and a one in seven weekend commitment ensuring 8 hours of onsite Consultant cover at the weekends. The job plan agreed with existing consultants has a very favourable working pattern with shifts varying between 7 and 9 hours each day. PA’s are calculated at 3hrs per PA for hours worked by Consultant during 1900-2200 weekdays and all weekend hours. Weekly rota includes a day off during the week (Mon-Fri)
The standard 10 PA job plan would include 7.5 DCC and 2.5 SPA as per National terms and conditions. Consultants opting to work as 12 PA job plan are provided with a total of 3 SPA and 9 DCC sessions per week. 1 of the SPA’s are allocated for special interest development off site.
Staff
Consultant Staff
Dr W Kissoon (Site Lead) QEQM
Dr G Scarlat QEQM
Mr H Tabbakh QEQM
Dr W Cupo QEQM
Dr A Mortimer (Site Lead) WHH
Dr S Gilani WHH
Dr J Joy WHH
Dr T Boon WHH
Dr A Goel WHH
Dr J Leung WHH
Non-Consultant Staff
Grade Site
26 Specialty Doctors QEQM and WHH
2 Specialist Registrars WHH
4 GPST Trainees WHH and QEQM
2 ACCS Trainees WHH
4 F2 Trainees WHH and QEQM
Nursing/Support Staff
Name Role and Site
Louise Harmes Senior Matron for Emergency Medicine
Jason Watson Senior Matron WHH
Joanna Williams Senior Matron QEQM
Louise Hughes General Manager – WHH
Paul McCulloch-Underwood General Manager – QEQM
DUTIES OF THE POST
The role will include the initial assessment, investigation and management of patients attending the ED. You will be assigned to work in different areas of the department including Resus, Majors, Paediatrics and the ED Observation bay. You will also be responsible for arranging admissions and preparation of electronic discharge summaries as appropriate. Ensure that records of patients in your care are accurate, up to date and legible and signed.
Supervision will be provided at all times by either Consultants or Specialty Doctors in Emergency Medicine.
It is expected that you will attend the weekly departmental teaching sessions, as the rota allows and participate in the audit, governance and research activities of the department. We encourage all of our doctors to develop their portfolio whilst in our department and our former doctors have a high success rate in gaining formal training posts in Emergency Medicine.
The current rota is fully compliant with the 2020 junior doctor contract.
The appointee will be expected to cover for absence of colleagues (including on call cover) at short notice, e.g. sickness.
The duties and responsibilities in this job description may need further discussion in the future to ensure that they continue to meet the needs of the service, future service developments and the post holder.
SUMMARY TERMS AND CONDITIONS OF APPOINTMENT
The post will be appointed to under the Terms and Conditions of Service for Hospital Medical and Dental Staff as amended from time to time. The post-holder is required to be fully registered with the General Medical Council.
Salary
Nodal Point 3 - £38,694 basic per annum (pro rata where applicable).
Annual leave
27 Days plus 8 days bank holiday per annum (pro rata where applicable)
Study leave
Study leave is available according to local agreements. All clinical staff are required to give eight weeks’ notice.
Removal Expenses
Where a practitioner intends to claim reimbursement of removal or associated expenses, it is important that he/she first obtains a copy of the Trust's policy on removal expenses and should discuss the proposals with the Personnel department prior to taking up duty.
Person Specification
Essential Desirable Measurement/ Testing method Greater than 6 months Previous Emergency Application Experience employment in an acute Medicine employment Interview care specialty at Foundation Level or Questioning Demonstration of above. Reference completion of Foundation Competencies
Ability to work well with Audit projects every 6 Application Skills/ colleagues and within – 12 months Interview Knowledge a team Research Questioning Ability to use the BSc/further Reference evidence base and postgraduate degree clinical audit to support decision-making An ability to organise and prioritise work effectively Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses, other staff and agencies. Commitment to Continuing Medical Education and Professional Development Basic Medical FRCEM Primary Application Form Qualifications Qualification (eg MBBS ALS or MB ChB) ATLS APLS Other Full GMC registration Application Form Eligibility to work in the UK as this post is unlikely to attract a Work Permit
Application Interview To be aware of and Questioning adhere to the Trust’s Vision, Mission and Values.
Additional Terms and Conditions Summary
The Post holder must maintain the confidentiality of information Confidentiality about patients, staff and other health service business in accordance with Trust Policy. The postholder, for the purposes of the Data Protection Act 1998, consents to the processing of all or any personal data including sensitive personal data as defined under the Data Protection Act Data 1998 (in manual, electronic or any other form) relevant to their Protection employment, by the Trust and/or any public body or any other third party as nominated by the Trust for the purposes of audit and bound by a duty of confidentiality. The post holder will ensure compliance with the Trust’s risk management policies and procedures. These describe the Trust’s Risk commitment to risk management, the recognition that our aim is to Management protect patients, staff and visitors from harm, and stress that all staff have a responsibility to minimise risk. In accordance with the Health Act (2006) all staff are expected to comply with National and local Infection Control policies and Infection procedures and any other related infection prevention policies or Control procedures. In addition all staff who‘s normal duties are directly or indirectly concerned with patient care should ensure they have received annual mandatory training (including hand hygiene). The post holder will treat all colleagues, service users and members of the public with respect and dignity regardless of their gender, age, race, colour, religious beliefs, religion, nationality, Equal ethnic origin, social background, sexual orientation, marital status, Opportunities disability, real or suspected HIV/Aids status, criminal background and Trade Union status. The Trust has Policy for Equality and it is the responsibility of all staff to ensure that this is implemented. All staff must be aware of the responsibilities placed on them by Health & the Health & Safety at Work Act (1974) to ensure that the agreed Safety safety procedures are carried out to maintain a safe condition for employees, patients and visitors. Everyone employed by the Trust regardless of the work they do has a statutory duty to safeguard and promote the welfare of children. When children and/or their carers use our services it is essential that all concerns for the safety and welfare of children and young people are both recognised and acted on appropriately. You have a responsibility to ensure you are familiar with and follow the Safeguarding Children procedures and the Trust’s Safeguarding supplementary Safeguarding Children Policy which is accessed Children electronically on the Trust's Intranet site. You have a responsibility to support appropriate investigations either internally or externally. To ensure you are equipped to carry out your duties effectively, you must also attend Safeguarding Children training and updates at the competency level appropriate to the work you do and in accordance with the Trust's Safeguarding Children Strategy. Safeguarding Everyone employed by the Trust regardless of the work they do Adults has a duty to safeguard and promote the welfare of vulnerable adults. When patients and/or their carers use our services it is essential that all protection concerns are both recognised and acted on appropriately. You have a responsibility to ensure you are familiar with and follow Trust policies in relation to safeguarding vulnerable adults. You have a responsibility to support appropriate investigations either internally or externally. To ensure you are equipped to carry out your duties effectively, you must also attend vulnerable adult protection training and updates at the competency level appropriate to the work you do and in accordance with the Trust's vulnerable adult protection training guidance Professional You are required to act at all times in accordance with the relevant and NHS professional Codes of Conduct and Accountability (including, Codes of where applicable, those for Board Members). In addition, all Conduct management staff must comply with the ‘Code of Conduct for NHS Managers’ and ‘Standards of Business Conduct for NHS staff’. All staff are responsible for the security and the property of the Financial Trust, avoiding loss or damage, and being economical and efficient Management in the use of resources. Staff are required to act in accordance with and Control of the rules and regulations as described in the Trust’s ‘Policy Resources Relating to the Financial Management and Control of Resources’. Mandatory All staff are required to attend mandatory training as designated by Training the Trust. East Kent Hospitals University NHS Foundation Trust has a no No Smoking smoking policy. Staff are not permitted to smoke within or on Trust
premises
Please note that these terms and conditions are subject to change and may differ from your proposed contract should you be successful in your application.