Consultant in Paediatric Emergency Medicine

Consultant in Paediatric Emergency Medicine University Hospitals of Leicester NHS Trust Consultant in Paediatric Emergency Medicine

Fancy a new challenge in a purpose-built Emergency Department? Ready to test your paediatric emergency medicine skills in one of the busiest Emergency Departments in the country? Then Leicester could be for you

UHL is one of the largest teaching hospital trusts in the UK. The Emergency Department (ED) is based at Leicester Royal Infirmary where we see over 240,000 patients a year and over 60,000 children.

The new emergency department was completed in April 2017. The new build incorporates a 32 cubicle majors department, a 12 cubicle Emergency Room and a separate Children's ED with a 12 bedded Short Stay Paediatric Unit for children who are expected to stay less than 18 hours.

The ED in Leicester has pioneered an annualised consultant rota which is increasingly being adopted in other centres. This offers personal flexibility, within a large committed team, time for sub-specialty interests in existing Consultants and support for others.

Despite the clinical work pressures and challenges, our ED is a leading light nationally in Paediatric EM, EM Research, EM education and Geriatric EM and is actively developing a program in Pre-Hospital EM.

Leicester offers the option of rural or city living, excellent state and private education, easy access to London by train (55min) and East Midlands airport (30min).

Main duties of the job Principle Elements of the Post:

• Participate in the delivery of high quality Consultant led 'shop floor' clinical care for the Children's Emergency Department.
• Ensure high clinical standards are met through structured supervision of Specialist Registrars, Junior Doctors, Emergency Care Practitioners and Advanced Nurse Practitioners.
• To deliver and promote excellence in teaching of medical students, paramedics, doctors, nurses and Emergency Nurse Practitioners.
• To actively support and promote a culture of high quality patient care through multi-disciplinary Clinical Governance, audit activities and quality improvement projects.
• Actively engage in the non-clinical and administrative work that underpins excellence in clinical care.
• To act in a way that is consistent with UHL's five values.
• To work with the Clinical Governance team to enhance patient safety.

About us Our new strategy, 'Leading in healthcare, trusted in communities' was developed with the support and feedback of colleagues, patients, and partners and is our compass for the next seven years ().

We have four primary goals:

• high-quality care for all,
• being a great place to work,
• partnerships for impact, and
• research and education excellence.

And we will embed health equality in all we do - taking active steps to reduce the avoidable differences in healthcare that some people face, working in partnership with communities.

Job responsibilities Background

This post is part of a strategy to provide increased consultant cover from 08:00 to 01:30 in the Emergency Department.

Principle Elements of the Post

• Participate in the delivery of high quality Consultant led shop floor clinical care for the Emergency Department.
• To provide on-call cover and cover for Major Incidents.
• Ensure high clinical standards are met through structured supervision of Specialist Registrars, Junior Doctors, Emergency Care Practitioners and Advanced Nurse Practitioners.
• To deliver and promote excellence in teaching of medical students, paramedics, doctors, nurses and Emergency Nurse Practitioners.
• To actively support and promote a culture of high quality patient care through multi-disciplinary Clinical Governance, audit activities and quality improvement projects.
• Actively engage in the non-clinical and administrative work that underpins excellence in clinical care.
• To act in a way that is consistent with UHL's five values.
• To work with the Clinical Governance team to enhance patient safety.
• To support and oversee the placement of students in the department and act as a clinical teacher.
• To facilitate delivery of undergraduate teaching as directed by the departmental undergraduate education lead.

Job Plan

The job plan will be subject to annual review, with any revisions sought by mutual agreement but it is expected that the successful candidate will work with the ED management team to ensure that services are delivered efficiently and reflect best practice with processes and governance to match - this may require new and flexible ways of working in the future.

The Emergency Department rota is annualised therefore there is not a weekly pattern. Annual, professional and study leave is allocated as per new Consultant contract, and generates a shift total over rota cycles of 16 weeks. On call duties will be roughly 1:16 depending on vacancy factor and the number of consultants working more than 10 PAs. The rota is based on our funded establishment of 42 WTE Consultants.

Flexible working will be considered. The department works on an annualised rota providing flexibility.

The appointment will be whole time. Any Consultant who is unable for personal reasons to work whole time will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis in consultation with Consultant colleagues.

Education: Teaching and Training

All Consultants are expected to contribute to teaching and training of undergraduate students and postgraduate trainees as part of their role as a Consultant in UHL.

Consultants will normally have undergraduate medical students placed with them during clinical duties and are expected to teach alongside clinical service work. Similarly, Consultants will normally be involved in clinical supervision of postgraduate trainees working within UHL.

Medical students based at the University of Leicester follow a standard 5 year programme. The teaching of undergraduate students in UHL reflects the Divisional structure of the Trust. Undergraduate medical students are taught by UHL throughout the medical course from years 1 to 5. Both ward and outpatient based clinical teaching, as well as tutorial and lecture style teaching is undertaken.

Some Consultants will choose to take on additional undergraduate and/or postgraduate education and training responsibilities. This activity will be specific, identifiable, evidenced, recognised and appraised. Such additional teaching and training activity will be recognised within their SPA allowance.

Those undertaking specifically agreed additional undergraduate teaching duties recognised as part of the SPA allowance (up to 0.5 SPA) within their job plan may be recognised as Clinical Teachers. This teaching can occur in different settings. The clinical teacher will be expected to show evidence of satisfactory performance in this role at appraisal.

Enhanced undergraduate duties will include acting as examiners in medical school assessments, providing occasional seminar and small group teaching, lecturing and other Phase 1 teaching within the medical curricula, in addition to individual supervision of clinical students attached to them.

Those who have an additional significant responsibility as a block or clinical education lead within their DCC time are also considered for the award of the title of honorary senior lecturer.

Enhanced postgraduate duties will include acting as an Educational supervisor for Foundation or Specialty trainee, UHL Divisional Education governance lead, contributing to recognised postgraduate-teaching courses in UHL, e.g., Specialty Training programmes or involvement in recruitment of trainees, e.g., interviews for Specialty training, recruitment to Foundation programmes.

Person Specification Qualifications

• Completed or within 6 months of CCT.
• GMC registered.
• MB BS or Equivalent.
• MRCPCH or RCEM or equivalent, provider status for life support courses e.g., APLS, ALS, ATLS.
• Subspecialty registration for Paediatric Emergency Medicine (PEM) - having completed grid training or equivalent.
• On UK GMC Specialist Register for Paediatrics (RCPCH) or Emergency Medicine (RCEM).

Management

• Willingness to work in a cohesive manner as a member of the team and shared philosophy.
• Evidence of completed projects led by the applicant.
• Capacity to manage/prioritise time and information effectively; capacity to organise own workload.
• Knowledge of clinical governance issues.
• Demonstration of previous successful leadership at senior level.
• Management training on an accredited course.

Communication Skills

• Clear, fluent and articulate in Written English.
• To be empathic and sensitive; capacity to take others perspectives and treat others with understanding.

Teaching

• Demonstrate enthusiasm and commitment to teaching.
• Interest in clinical education.
• Experience of, and commitment to teaching postgraduates.
• Enthusiastic and ability to inspire others.
• Past experience of medical education.
• Willingness to develop new approaches to teaching.
• Higher qualification in medical education.
• Ability to lead others and deliver change.

Experience

• Experience of working as part of a large, multidisciplinary team including those involved in caring for older people.
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