Job summary
- Main area
- Emergency department
- Grade
- NHS Medical & Dental: Consultant
- Contract
- Permanent: 10 PA's - Full Time
- Hours
- Full time - 10 sessions per week (10 PA)
- Job ref
- 393-NMUH-5098
- Employer
- North Middlesex University Hospital NHS Trust
- Employer type
- NHS
- Site
- NMUH NHS Trust
- Town
- London
- Salary
- £101,694 - £134,126 per annum inclusive (basic salary + london weighting)
- Salary period
- Yearly
- Closing
- 06/05/2024 23:59
Employer heading
Consultant in Emergency Medicine
NHS Medical & Dental: Consultant
The North Middlesex University Hospital NHS Trust is a medium-sized acute and community trust with over 525 beds and over 600 community staff, serving more than 600,000 people living across Enfield and Haringey and the surrounding areas, including Barnet and Waltham Forest.
The hospital has been on its present site for over 100 years and was established as an NHS trust by statute in December 1990. The Trust’s services are provided on the North Middlesex University Hospital site as well as a range of community sites across the London Borough of Enfield, including at partner hospitals. They provide services in collaboration with a range of partners, including local GPs, acute, mental health and other community health service providers across North Central London.
In the year ending 31 March 2022, the Trust reported a turnover of £419.7m and employed almost 4,000 staff. Following the transfer of Enfield Community Services on 1st April 2023, this has increased as we have welcomed over 600 new staff including District Nurses, Community Matrons, Community Physiotherapists, Psychologists and many more across a wide range of adult and children’s community services in Enfield. It is an exciting time to join North Mid as we continue our journey to become an integrated care organisation to deliver high quality, seamless care in our local communities, with a focus on tackling health inequalities.
Job overview
Direct Clinical Care (DCCs):
Shop floor presence – This job plan provides a physical consultant presence out in the clinical arena
of the Emergency Department. Each consultant will ensure clinical leadership and support to the
department and other specialty staff as well as taking on their own patient workload. They will
maintain and improve quality of care delivered to patients and guarantee the efficiency of the
department.
There will be a consultant present on the shop floor from 0800 hours until 00:00 hours seven days a
week.
Sessions are allocated to Clinical administration and shop floor back up – each consultant requires
clinical time to undertake clinical administration and to ensure a quality clinical service in times of
need.
Overall weekend frequency equals 1 in 7 therefore attracts 5% on call allowance; however, this
could be changed by an individual as we are running a self-rostering rota. Doctors are able to have a
greater input of the number and type of shift that they are able to work
Core Shop Floor DCC Roles:
(i) Medical Controller
(ii) Resuscitation Room supervision – to include oversight of the paediatric area
(iii) Assessment Hub Medical Lead – to ensure early senior medical input for ambulance
(iiii) Peads Lead
Main duties of the job
Emergency Medicine Consultant
North Middlesex University Hospital is one of London’s busiest acute hospitals, serving more than 350,000 people living in Enfield and Haringey and the surrounding areas, including Barnet and Waltham Forest.
We work within a multi-ethnic population with a high index of deprivation. This is both a challenging and a fascinating hospital to work in.
These are exciting times with excellent opportunities to develop and enhance our clinical services with a clinical partnership with the Royal Free Hospital.
Applications are invited for a consultant position in Emergency Medicine at North Middlesex University Hospital. there are 2 posts available. It is feasible that one of these could be a joint adult/PEM position
Applicants must hold, or be within 6 months of obtaining their CCT in Emergency Medicine.
The Emergency Department at NMUH is one of the busiest in London, with an average of 550 patient attendances a day, and 100 ambulance conveyances. There is potential to support and develop individual interests and to support suitable candidates wishing to take their career to the next level.
Candidates will be fully supported to develop their clinical, leadership and improvement skills and there are a range of opportunities to be involved in pathway development and redesign of educational structures and programmes.
Working for our organisation
North Middlesex University Hospital NHS Trust is a medium sized District General Hospital
based in Edmonton in Enfield, North London. We serve a diverse multicultural population
largely from the London boroughs of Enfield and Haringey. Many of our patients live in wards
that are within the 5% most deprived in the UK and a large proportion of our patients were
born abroad. This makes it both a fascinating and a challenging hospital to work in.
Over the last decade we have rebuilt almost all of the hospital and now have facilities that
we are proud to work in. We employ over 3,500 staff, more than half of whom live locally.
We encourage apprenticeships from the local community and work closely with our local
HealthWatch.
We are primarily an emergency led hospital with more than 90% of our bed days being used
for patients admitted via our emergency and ambulatory units. As well as offering everything
you would expect from a major acute hospital we have a number of tertiary services treating
patients with HIV and Sickle Cell Disease and a large cancer and radiotherapy service. We also
run our local community Sexual Health Clinics.
We are proud of our staff and want to ensure their training allows them to provide excellent
clinical care. We are also a training unit for medical students from UCL and St George’s
University Grenada, and for nursing and midwifery students from Middlesex and City
Universities.
Detailed job description and main responsibilities
General Responsibilities as Consultant in Emergency Medicine
The following is not an exhaustive or exclusive list of the duties of a consultant. The appointee is
expected to:
• Provide senior clinician services to the Emergency Department as per job plan or as agreed
within the Trust, and as required when on call.
• Provide clinical leadership to the department when undertaking clinical care, taking lead clinical
responsibility as rostered on a day-to-day basis. Facilitate safe and effective clinical care
• Lead on service design and development to help with establishing pre-operative patient
assessment
• Work with consultant colleagues and nursing staff to ensure efficient use of Trust’s resources
and contribute actively to clinical governance in the department and to development of quality
enhancement projects in the unit.
• Show flexibility and undertake different appropriate clinical tasks within allocated DCC sessions
after discussion with the clinical manager, as the need arises.
• Actively participate in the Unit’s Teaching Programme and undertake supervision, teaching and
training of medical trainees and other multi-professional staff, in line with guidance from the
relevant Royal Colleges or specialty bodies.
• Actively participate in clinical guidelines development, audit and CPD.
Indicative Job Plan/Timetable
An indicative job plan/timetable for this post with indicative Programmed Activities (PAs) is provided
below, but this will normally be re-assessed after 3 months of appointment to ensure it meets the
needs of the service.
For a whole-time 10 PA contract: the normal split is
• Direct Clinical Care: 8 PAs on average per week
(Clinical activity, clinically related activity, predictable & unpredictable emergency work)
• Supporting Professional Activities: 2 PAS on average per week (CPD, audit, teaching &
research ) **
** An additional 0.5 SPA is available to all Consultant Staff subject to review and
agreement by job plan which must be approved prospectively by the Clinical Director.
After this review the substantive doctor will be on a 7.5 DCCs /2.5 SpAs
Additional (APA) clinical PAs may be offered to consultants up to 1.5 extra DCCs that if agreed can be
taken by the individual.
Job plans are reviewed annually, and applicants are encouraged to study the provisions of the
Consultant Contract for England 2003 under which this post is offered.
Total Hours, Monitoring and Future Working:
Last reviewed: March 2024
Based on the above working pattern each new consultant post will attract 10 PAs per week and a
band A supplement (5%).
On Call and Internal Cover:
Each consultant will be expected to provide an on-call commitment to the department. Whilst on
call the consultant must remain contactable at all times and be prepared to give advice on clinical
and managerial issues as required by the hospital staff. The consultants must always be prepared to
return to the department whilst on call for pressing clinical issues in accordance with escalation
policy. The request for a consultant to return to the department should only be made for clinical
reasons and is in line with the College of Emergency Medicine recommendations. There will be
continuous on call cover from 0000 hours to 0800 hours Monday to Sunday
Prospective cover is included in the self-rostering rota for weekend shifts, evening shifts, on-call
shifts. There are sufficient clinical PAs in the Team job plan to guarantee the core DCC shop floor
shifts all year round.
The department must always be able to access the services of one of the emergency consultants.
Each successful applicant will share an office with fellow consultants and be supported by the
secretarial pool based in the department.
Other Roles and Responsibilities
The post holder will work with colleagues and the Clinical Audit and Effectiveness department
to ensure that relevant clinical audit is carried out.
Consultants have continuing responsibility for the care of patients in their charge and for the
proper functioning of their department. They are expected to undertake administrative duties
associated with the care of their patients and the running of their clinical departments. The
appointee will be expected to take responsibility for maintaining their continuing medical
education to the standard set by the relevant Royal College.
All consultants are expected to participate in the management of their own department and
the hospital as a whole and will be encouraged to develop their management and leadership
skills. Therefore, it is expected the post holder will make efforts to attend their specialties
management meetings where possible.
Person specification
Qulaifications
Essential criteria
- MBBS or equivalent medical degree
- Full GMC Registration CCT or within 6 months of obtaining CCT or CESR ALS, ATLS, APLS/PALS provider status FRCEM or equivalent
Experince
Essential criteria
- trained in UK Emergency Medicine
- Ability to take full and independent responsibility for clinical care of patients within the ED
- Operational experience of a Clinical Decision Unit
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Mr Anmar Alkhamesi
- Job title
- Emergency Department Clinical Director
- Email address
- [email protected]
- Additional information
Potential applicants are encouraged to visit the department and speak to the Clinical Director, Mr Anmar Alkhamesi
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