Job Description

The Emergency Department at our clients County Hospital currently has approximately 70,000 attendances per year, of which 20% are paediatric.

It is a Major Trauma Unit and incorporates a Children & Young Peoples’ Emergency Department, which is a self-contained area within the main ED footprint, adjacent to our resuscitation area.  

The Emergency team currently consists of a dynamic team of 5 Consultants who are supported by regular input from the Acute Medicine Consultants.  The appointed candidate will join our team of ED Consultants to support the department in developing our Children & Young People’s ED. 

The Consultants are based at the Hereford County Hospital site and provide Emergency Services for patients attending the Emergency Department. This service will include the reception, resuscitation and initial diagnosis of patients, together with the provision of treatment, appropriate referral and discharge of the patient - either back to the community, General Practitioner, outpatients, or admission. As a Senior Leader within the Trust we are looking for motivated and forward thinking engaged Clinical staff to work within the teams to develop and encourage this way of working. A key role of the shop floor Consultant is to support the non-consultant grade clinicians and to support flow. 

Together with the other EM Consultants, the post holder will be required to provide 24hr out of hours cover for the Emergency Department. This is currently provided by mutual arrangement on a flexible rota of 1:6, although increasing recruitment will allow this frequency to be reduced.

The post holder will be the departmental lead for Paediatric Emergency Medicine.

Detailed job description and main responsibilities
Principle Duties

●      Lead for Paediatric Emergency Medicine

●      In conjunction with the other Consultants, the provision of Emergency Services for patients attending the Emergency Department at Hereford County Hospital

●      To provide clinical leadership for development and delivery of a “Blended Model” of Emergency and Acute Physicians across teams sharing tasks, reducing duplication and improving the patient experience

Clinical

●      To share responsibility for the organisation and delivery of high quality care to the people of Herefordshire and to work with other healthcare providers in this delivery

●      To ensure timely and effective communication with all colleagues, including using the Trust’s electronic discharge summary system

●      The diagnosis, management and treatment of patients within the Emergency Department

●      To work in partnership with the wider medicine team

●      To contribute to the effective use of the inpatient beds including engaging in consultations regarding the admission and discharge processes of patients

●      Special clinical interests: The post holder may in conjunction with the agreement of the Clinical Lead develop any other services or aspects of a service.

The post-holder will also demonstrate a firm commitment to the principles of clinical governance, including:

·       Developing and maintaining appropriate systems and practice to ensure effective clinical audit in Emergency Medicine

·       Attending and contributing to the Trust's Clinical Effectiveness Programme

·       Participating in the Trust's Clinical Incident Reporting system

·       Support Quality Improvement Projects and the introduction of new technology/advances in clinical practice

·       Developing a programme of personal continuing professional education, development and, if appropriate, research within available resources and within the workload and priorities of the service as agreed with Consultant colleagues and senior managers. 

Person specification - Qualifications
Essential criteria

- Full GMC registration with Licence to Practice
- Entry on the Specialist Register in Emergency Medicine via: CCT or CESR.

- Alternatively CCT or CESR proposed date within six months of interview or European Community Right
- MBBS or equivalent
- FRCEM or equivalent
- PEM sub specialist qualification through RCEM or RCPCH

Desirable criteria
- Additional degrees, diplomas or postgraduate thesis relevant to the specialty

Essential criteria
- General training leading towards CCT or equivalent in Emergency Medicine
- Current ALS certificate or equivalent
- Current ATLS certificate or equivalent
- Current APLS certificate or equivalent

Desirable criteria
- Level 1 Ultrasound competency
- Experience in a specialist interest that will complement those of other staff
- A dedicated period of training working in a community setting, including leadership and organisation