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Specialty Doctor in Palliative Medicine
| Posting date: | 01 October 2024 |
|---|---|
| Salary: | £41,436.50 to £66,780.00 per year |
| Additional salary information: | £41436.50 - £66780.00 a year |
| Hours: | Full time |
| Closing date: | 31 December 2024 |
| Location: | Maidenhead, SL6 2DN |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | B0488-24-0019 |
Summary
To be a member of a multidisciplinary team providing high quality, holistic care under the supervision of the medical consultants. It is expected that the post holder will work flexibly alongside colleagues to provide the best possible service for patients and those close to them. 1. To provide a medical service to hospice inpatients 2. To provide medical care to outpatients and patients at home on an ad hoc basis (dependent on experience) 3. To provide clinical and educational support to junior medical staff 4. To contribute to wider MDT education Key Working Relationships The consultant-led medical team comprising 5 consultants (3.5 WTE across hospice, community and hospital settings), 4 specialty doctors (2.0 WTE), GP VTS ST1/ST2 and FY2 doctors, 1 Clinical Fellow. The multi-professional team in the Inpatient Services The multi-professional team in the Hospice Outpatient Services The multi-professional Hospice at Home Service The support staff and volunteers across the hospice services The hospital Palliative Care Teams of Frimley Health NHS Foundation Trust and Royal Berkshire NHS Foundation Trust, as well as other hospital-based clinicians Primary care colleagues, including GPs, District Nurses and Community Matrons Disease-specific teams such as the AIR, Heart Failure and neurological teams Main Responsibilities and Duties CLINICAL - INPATIENT 1. To share in the provision of holistic medical care, working closely with other members of the medical and wider multi-professional team. This will include: contributing to the planning of admissions clerking in of new patients review of patients constructing a management plan, seeking advice appropriately planning discharges facilitating advance care planning 2. To attend and support daily ward handover meetings, provide specialty doctor led ward rounds/patient reviews and to participate in consultant ward round 3. To support and supervise more junior medical staff (1 Clinical Fellow, GP trainees and FY2 doctors) in their day to day practice on the units 4. To undertake interventions such as venepuncture, cannulation and urinary catheterisation 5. To be a core member of the multi-disciplinary team (MDT) meetings 6. To support and meet with relatives and carers 7. To liaise with primary and secondary care colleagues, community palliative care nurses and other community services as appropriate September 2024 CLINICAL - OUTPATIENT AND AT HOME 1. To provide ad hoc medical outpatient support to patients attending the Hospice Outpatients or medical outpatient clinic 2. To provide ad hoc medical support to patients at home, in conjunction with the Hospice at Home team (dependent on experience) 3. To share in providing medical advice and support to the 24/7 advice line, CNS and Rapid Response team, along with consultants during normal working hours (out-of-hours support provided by consultants) CLINICAL - GENERAL DUTIES 1. To keep accurate, clear and up-to-date medical records 2. To support and engage with the implementation of a new hospice electronic health record and other electronic palliative care systems 3. To complete discharge summaries for primary care within 24 hours of discharge, and provide other written communications to relevant teams as required 4. To use electronic record systems to keep accurate, clear and up-to-date medical records 5. To use the electronic prescribing system to safely prescribe required medications; full training will be provided 6. To inform senior medical staff of any clinical or management issues requiring consultant review or advice TEACHING 1. To support hospice junior medical staff (Clinical Fellow, FY2 and GP trainees) with informal and bedside teaching/training 2. To devise and deliver regular tutorials for our junior medical staff (Clinical Fellow, FY2 and GP trainees) 3. To contribute to the educational programmes provided by the hospice for multidisciplinary health professionals 4. To support any visiting health professionals (e.g. GP registrars; medical, nursing or paramedic students) to benefit their hospice visit or placement EDUCATIONAL / QUALITY IMPROVEMENT 1. To participate in regular team meetings, clinical and audit meetings 2. To contribute to the weekly medical education meeting 3. To support service improvement projects and audits in progress, including mentorship of junior doctors in this area 4. To actively identify areas for service improvement and audit 5. To attend and contribute to relevant in-house educational meetings September 2024 6. To participate in continuing professional development activity as agreed at appraisal with your consultant supervisor OUT OF HOURS (OOH) SERVICE The on call commitment is non-residential, covering the inpatient unit on a 1st on-call rota This is currently a 1 in 6 rota with prospective cover, involving one weekday night per week and one in five weekends (Fri pm to Mon am) OOH work includes inpatient ward reviews and clerking new admissions, and it is expected that the doctor will be on-site on both Saturdays and Sundays (9am-5pm, or until the jobs are completed) Bank holidays are shared amongst the rota participants This on call work attracts an on-call supplement as per the NHS SAS contract, as well as rostered TOIL (time-off-in-lieu) The 1st on call doctor is supported by a 2nd on call consultant PROFESSIONAL SUPPORT AND DEVELOPMENT It is essential that the candidate participates in annual appraisal, which will allow discussion of professional development and training needs Mandatory training must be completed and kept up to date as per the hospice requirements All medical staff will have regular one-to-one meetings with their line manager The medical team is supported by a visiting Clinical Psychologist who offers individual sessions The hospice runs quarterly Regroup sessions for all staff, and reflective sessions for clinical staff Clinical supervision is scheduled and run by trained facilitators for all staff CONDITIONS OF SERVICE The post holder will have a Thames Hospice contract of employment. This will mean loss of NHS continuity of service. 1. The post holder must be fully registered with the General Medical Council 2. The post holder must have adequate and appropriate medical indemnity cover the hospice will contribute to a proportion of any medical defence/protection costs for the period of employment 3. The salary will be guided by the NHS staff grade/specialty doctor salary scales 4. The post holder may be able to continue with the NHS superannuation scheme 5. Annual leave entitlement is 6 weeks per year plus bank holidays pro rata 6. Study leave and a study budget is provided 7. Thames Hospice is committed to being an equal opportunities organisation. It is committed to promoting equal opportunities and preventing discrimination. This policy applies to both its service delivery and to its own employment practices. You will be willing and able to demonstrate commitment to Thames Hospice Equal Opportunities Policy Please note this job description is intended as an outline of the duties of the post other duties may be required according to the needs of the service. The job description may be subject to agreed amendment depending on the experience or training needs of the post holder. Job planning will take place with the Medical Director and Consultant Team at the start of the post, taking into account both the post holders developmental and service needs.