Associate Specialist in Emergency Medicine
| Posting date: | 04 July 2025 |
|---|---|
| Salary: | £73,596.00 to £120,415.00 per year |
| Additional salary information: | £73596.00 - £120415.00 a year |
| Hours: | Full time |
| Closing date: | 30 July 2025 |
| Location: | Guernsey, GY4 6UU |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | K0005-25-0096 |
Summary
GUERNSEYS EMERGENCY DEPARTMENT (ED): The Islands acute & emergency service for all patients is based entirely at the PEH site. The Princess Elizabeth Hospital has 12 wards in total and facilitates 113 Adult beds, 23 Paediatric beds, 8 CCU beds. The Emergency Department has capacity for 9 patients. The ED operates on a 24 7 basis and offers emergency care for the entire population of Guernsey (circa 63,000). The department receives unfiltered emergency patients of all ages. The postholder will need to be proficient in all aspects of contemporary emergency medicine with a particular emphasis of independent assessment and early decision making. The department does not run to any waiting time initiatives and functions as an assessment unit as well as an emergency department. Key priorities are delivery of advanced emergency medicine with low rates of referral and admission. The emergency service is paid for by patients, either by means of insurance, States support or privately. There is a rate for charges according to time of day and type of clinical emergency. The same applies to the primary care services in Guernsey which are operated separately as private companies. The department functions as the assessment point for all acute admissions including GP referrals and ED presentations. The ED service, like all other services of the hospital, is provided entirely by consultants and specialists. There are NO trainee doctors. We are looking to develop an ANP service with a plan to supplement the medical rota with ANP cover 24 7. Both grades of medical staff, consultants and associate specialists, are rostered to provide 24 7 service. The hours between 0800 2200 are double manned. The Associate Specialist works solo on night shift (1 in 9) between 2200 0800, with the consultant on-call overnight. Modernisation of the ED is anticipated to be in 2030 or 2032. This will involve a new customised footprint, additional clinical space and a short stay ward. Funding for additional cover by ANPs on shift 24 7 is being sought. The ED operates TRAK-CARE as the hospital PAS system. This is due to be replaced by IMS MAXIM software in Q4 2024. This is a dedicated clinical information system (EPR), which will assist the migration to paperless working. DUTIES AND RESPONSIBILITIES: The main duties and responsibilities of the post-holder are set out below. To work with the consultants to provide an effective clinical service of emergency medicine for adults and children who present as unselected emergencies at all hours at the PEH. To undertake ALL relevant procedures needed for any emergency patient. To liaise with clinical and nursing staff in comprehensive service delivery both in Guernsey and other islands of the Bailiwick e.g. Alderney Mignot Memorial Hospital. To liaise with in-patient speciality consultants belonging to MSG for patient management, admission and referral for out-patient consultations. To provide an on-call service and be available for sickness/absence cover (2nd on call) according to duty roster. To help with professional development and education of advanced practitioners and other nursing staff in the ED as relevant. To adhere to all HSC and States policies for clinical governance, protection of children & vulnerable adults and all relevant safe practices. To keep up to date records, comply with data collection arrangements, use of IT systems as appropriate and communicate with external agencies for patient related activity whenever needed. To keep own professional development activities and revalidation portfolio complete and compliant with Royal College of Emergency Medicine standards. WORK PROGRAMME: The above list of duties is supported by a job plan and duty roster that includes a weekly timetable of fixed commitments. JOB PLAN REVIEW: This job plan is subject to annual review by the post-holder, the Clinical Lead and the Medical Director. For this purpose, the post-holder and Director should have a copy of the current job plan and job description, including an up-to-date work programme and any relevant departmental statistical information. Once agreed, job plans should be forwarded to the Director of Care Delivery for approval on behalf of the HSC. If it is not possible to agree a job plan, either initially or at an annual review, an appeal may be made in accordance with the agreed procedure. The weekend working is 1:3. The on-calls are sporadic and shared with consultants, who are 1st on-call at nights and weekends. There is a need to be available for sickness/absence cover on island. One day in the week is protected for SPA activities including audit, teaching and patient related administration. Unsocial hours worked will be balanced by time in lieu on an agreed job plan.