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Specialty Doctor in Palliative Medicine
| Dyddiad hysbysebu: | 24 Mawrth 2024 |
|---|---|
| Cyflog: | £52,530.00 bob blwyddyn |
| Gwybodaeth ychwanegol am y cyflog: | £52530.00 a year |
| Oriau: | Llawn Amser |
| Dyddiad cau: | 05 Ebrill 2024 |
| Lleoliad: | Romford, RM4 1QH |
| Cwmni: | NHS Jobs |
| Math o swydd: | Cytundeb |
| Cyfeirnod swydd: | B0483-086 |
Crynodeb
Title: Speciality Doctor Palliative Medicine Contract: Held by Barking Havering and Redbridge University Hospitals NHS Trust (BHRUT) with full secondment to Saint Francis Hospice. Full Time (40 hrs) + non-resident on call, remunerated in line with Specialty Doctor (2021 contract) national medical and dental terms and conditions terms of service. Workbase: Saint Francis Hospice Havering-atte-Bower Romford. The NHS contract will be held at BHRUT, allowing NHS Terms and Conditions, and the opportunity to visit BHRUT for CPD if needed. Annual and Study Leave: In line with Specialty Doctor (2021 contract) terms and conditions Duration: Fixed term, 4m Responsible professionally to: Consultant Supervisor Accountable operationally to: Medical Director Saint Francis Hospice The post is based at Saint Francis Hospice. This post arises due to a Registrar gap. It presents a real opportunity for anyone considering a career in palliative medicine or wanting to develop a portfolio career with palliative medicine as a developed skill or special interest. Previous specialty doctors have a 100% success rate in moving on into their training placement of choice. The JD introduces BHRUT as the host organisation, but the post is hospice based, on the hospice inpatient unit and into the community. The post holder will join a medical team of 2 Consultants, a permanent part time specialty doctor, a Specialist Registrar in Palliative Medicine and GP trainees from both the Romford and the Ilford schemes. The medical team works alongside a broad and skilled multi-disciplinary team which includes nurses, a pharmacist, physiotherapist, occupational and complementary therapists, and multi-faith pastoral care, family support, bereavement and education teams. SFH ROLE SUMMARY 1. To participate in providing a medical service to hospice inpatients including on call availability 2. To give support to, and support the training needs of our ST1/2 medical trainees (GP trainees) 3. To participate in providing medical care to outpatients and to people at home 4. To contribute to wider MDT education SFH KEY WORKING RELATIONSHIPS The medical team The multi-professional team in the Inpatient Unit The multi-professional team in the Community Services, including the Day Therapy Unit team and those who support people at home the Specialist Community Crisis and Support Team, the Hospice at Home team and allied health professionals The support staff and volunteers working across all hospice services The medical, health and care professionals providing on-going support and care outside of the hospice The BHRUT Hospital Macmillan Specialist Palliative Care Team MAIN RESPONSIBILITIES/DUTIES CLINICAL A INPATIENT UNIT To share in the provision of medical care for the inpatients, working closely with other members of the medical team. This will include contributing to the planning of admissions, clerking in of new patients, review of patients, construction of a management plan, planning of discharges and facilitating of advance care planning, with a key duty to support our more junior GP trainees in their day-to-day practice on the ward, and to contribute to the support of relatives and carers. To attend and support daily ward handover meetings, provide specialty doctor led ward round inpatient review/support for the GP trainees who provide day to day care, and to participate in the Consultant Ward Round. To be a core part of the Inpatient Unit Multi-professional Team Meetings, working closely with the rest of the multi-professional team to achieve the best of care for patients. To support good therapeutics practice, with a lead role in the weekly medicines review of all patients (the weekly therapeutics meeting). B COMMUNITY SUPPORT, IN THE OUTPATIENT UNIT AND AT HOME Dependant on experience; likely to be a component of the second 6m of post: to share in supporting the Specialist Community Crisis and Support Team of CNSs and other clinical specialists who provide front line support to people at home. C ON CALL DUTIES On calls consist of 2:9 weekends on call (9-5pm on site at standard rate, night cover non-resident low intensity), plus 1 in 5 weekday nights on call remunerated as standard rate until 7pm, then non-resident low intensity overnight. You will have Friday as a rest/lieu day preceding the weekend and the Tuesday following the weekend as a rest/lieu day. Must be able to attend the hospice within 1 hour during non-resident on call periods. IN SUPPORT OF THIS CLINICAL WORK D GENERAL DUTIES To work in partnership with and liaise closely with our Referrals team, General Practitioners, relevant hospital teams and relevant community specialist teams, providing written communications when necessary. To keep accurate, clear and up-to-date medical records, engaging with electronic palliative care systems. To keep senior medical staff informed of any clinical or management issues requiring Consultant advice or review. E TEACHING To support our junior (ST1, ST2) GP trainees with informal and bedside training/teaching and with tutorial teaching. To contribute to the educational programmes provided by the hospice for other health professionals. To support any healthcare professionals on placement at the hospice (e.g. Care of the Elderly clinicians, GP Registrars, medical students, nurses) to get the most out of their hospice visit. F EDUCATIONAL/SERVICE IMPROVEMENT/AUDIT To take an active part in identifying areas for service improvement or audit, supporting service improvement projects and audits in progress. Mentorship of more junior staff to develop their knowledge of audits, and completion of audit ideas. To attend and contribute to relevant in-house educational meetings, including journal club. To attend to your continuing professional development needs as agreed at appraisal with your Consultant supervisor for this post. 2. Relationships The post holder is expected to establish and maintain positive interpersonal relationships with other staff members characterised by trust, mutual respect, and open, honest communication. Internal Relationships The Current workforce establishment is: Medical Staff: Consultants 0.6 Whole Time equivalent (WTE) Dr Pippa Russell 0.5 WTE Dr Leena Russell 0.1 WTE Gap post Associate Specialist Dr Bob Chew 0.6 WTE Speciality Doctor Dr Penelope Evans 0.1WTE Speciality Doctor Dr Tim Rowell 0.2 WTE Nursing and AHP staff: Team leader: Heather Wright 1 WTE (band 8b) Advanced Nurse Practitioner 1 WTE (Band 8a) Clinical Nurse Specialists: 5.8 WTE (band 7) and 1.0 WTE Band 6 Specialist Palliative Care plus 2.0 WTE (Band 7) EOLC Occupational therapist 1 WTE (Band 7) Social Worker 1 WTE (Band 7) Discharge coordinator 1 WTE (B and 4) Administrative staff 3 WTE (2 Specialist Palliative care and 1 EOLC) Through the BHRUT wider workforce, the Palliative Care Service has access to and works in close partnership with: Physiotherapists Practitioners with spiritual care experience at level 3 or 4 Dietitians Speech and Language Therapists Pharmacists A specialist in interventional pain management The post holder will be very welcome to join the team/the Trust for CPD/learning opportunities by arrangement with their hospice Educational Supervisor. PROFESSIONAL SUPPORT AND DEVELOPMENT There will be appraisals to allow discussion of professional development and training needs, and ongoing supervision. Educational supervision will be provided by one of the medical consultants who is a trained and accredited educational supervisor. Saint Francis Hospice supports requirements for continuous professional development as laid down by the Royal College of Physicians and is committed to providing time and financial support for these activities. There is a study leave budget for the medical staff. Study leave will need to be approved by the hospice Medical Director. There is secretarial support at the hospice. There is a shared office for the medical team at the Hospice.