Locum Consultant Emergency Physician

Torbay and South Devon NHS Foundation Trust

Torbay and South Devon NHS Foundation Trust has recently become one of the first vertically-integrated health and care organisations in the country. The development of an Integrated Care Organisation (ICO) through the acquisition of Torbay and Southern Devon Health and Care NHS Trust by South Devon Healthcare NHS Foundation Trust has now taken place and is one of the major enablers in the transformation of services, and developing a new approach to health and social care. The Trust runs Torbay Hospital as well as Community Hospitals and hubs across Devon, employing approximately 6,000 staff. We will develop and redesign services that meet the needs of our local population and that are coordinated and integrated in ways that benefit service users.

Main Duties of the Job

Clinical duties will be shared with present Consultants and will include all responsibilities normally expected in any major Emergency Department in the UK. The appointee will ensure that there is efficient and effective reception, resuscitation, diagnosis, and management of all emergencies attending the department. Emergency patients are promptly assessed and early decisions are made as to whether to admit to inpatient beds, operating theatres or specialist units, and to other hospitals when necessary, or to arrange early discharge. The appointee will ensure that there is good liaison with other specialities to provide the highest standard of care to patients attending the department.

• Maintain an overview of the flow of emergency patients through the Directorate.
• Work pro-actively with the re-enablement team (physio, OT, and social worker) within the Directorate to safely manage the early discharge of Emergency patients from the Emergency department.
• Ensure an excellent training environment is maintained for all clinical staff.
• Undertake routine daily clinical work alongside the junior medical staff, in order to monitor, audit, and improve standards of care of patients attending the department.

Job Responsibilities

The appointee will ensure:

• Emergency patients are promptly assessed and early decisions are made regarding admission or discharge.
• The ED Rapid Assessment team is fully staffed with senior doctor presence from 08:00-22:00, 7 days a week.
• Patients requiring follow-up are referred to the appropriate outpatient clinic or to their General Practitioner.
• Maintain an overview of the flow of emergency patients through the Directorate.
• Work pro-actively with the re-enablement team to safely manage early discharge.
• Maintain an excellent training environment for all clinical staff.

It is expected that the post holder will undertake routine daily clinical work alongside the junior medical staff, in order to monitor, audit, and improve standards of care of patients attending the department. Other responsibilities include:

Junior Staff: Recruitment, appointment, and educational supervision including educational contracts, regular appraisal, organization of study leave, annual leave, and rotas.

Budget: Co-operate with the Deputy Medical Director and Divisional General Manager on budget issues.

Communication: Arrange communication and liaison with all other medical and service departments within the Trust as well as other Trusts.

Teaching: Have an active role in the junior doctor training programme.

Weekly Timetable / Job Plan

Consultants work 10 PAs split into 7.5 DCC and 2.5 SPAs. Job plan allocations and details are as set out in the recommendations of the BMA and the RCEM.

On-Call Commitments

When on call, the Emergency Consultants are responsible for the patients within the department. The Consultant on call will be expected to return for any Trauma calls and to respond to the needs of the medical team as required. With the appointment of the successful applicant, the rota will be 1 in 10 on-call with 1 in 5 weekend on-call, split between 2 consultants.

Person Specification Qualifications

• Full GMC registration
• CCT or CESR specialist registration
• Graduate of UK medical school
• ATLS/APLS/ALS
• At least 3 years in higher training in Emergency Medicine

Experience

• Ability to offer expert clinical opinion on a range of problems
• Ability to take full independent responsibility for clinical care of patients

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975, and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Salary: £105,504 to £139,882 a year with an additional 5% for on-call activity.