East Lancashire Teaching Hospitals Trust is looking to employ two permanent Consultants in Emergency Medicine.
The role of a Consultant in EM is challenging yet rewarding. We are one of the busiest Emergency Departments in the country and see the highest number of Ambulance arrivals in the North West. We run three sites including the main Emergency Department, Paediatric Emergency Department and Urgent Treatment Centre at the Royal Blackburn site, the Urgent Treatment Centre at the Burnley General Hospital site and an Emergency Nurse Practitioner lead Minor Injuries Unit at Accrington Victoria Hospital.
You would be joining a 15 person EM Consultant Team working a 15 week rota which includes 6 on-call shifts over the 15 week rota. The rest of the shifts are varied to cover ED, Resus and the two Urgent Treatment Centres.
The successful candidates will need to have been trained in Emergency Medicine and have FRCEM, CESR or CCT and be on the Specialist Register for Emergency Medicine
Clinical duties include duties normally expected of a consultant working in any ED in the UK
· Leadership whilst running the shift and taking the role of Trauma or Resuscitation Team Leader
· Reception, resuscitation, diagnosis and initial treatment of all emergencies
· Onward referral of patients as appropriate
· Providing supervision, teaching and support to trainees, students and other staff in the ED and UTC
· Ensuring the timely assessment of patients, that safety is maintained at all times and where possible flow through the department continues
The role has a split of 7 DCC PA and 3 SPA PA as standard with admin time for DCC planned into the rota. Consultants have Clinical Educator shifts and go onto the shop floor during these shifts to directly supervise trainees. During your SPA time you will undertake the role of being an Educational Supervisor and there are opportunities to take on lead roles in trauma, research, audit, governance, resus and education.
Established in 2003 ELHT is a large integrated health care organisation providing high quality acute secondary healthcare to the people of East Lancashire and Blackburn with Darwen.
Our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 700,000 patients a year from the most serious of emergencies to planned operations and procedures. We employ over 8,000 staff.
This post is subject to the New Consultant Contract 2003.
We wish to appoint additional consultants in Emergency Medicine to our Trust, representing a combination of existing vacancies and a planned expansion of consultant numbers. These posts are substantive appointments. A specialist interest would be welcomed.
The post is based at Royal Blackburn Hospital but the post holder may be required to work at other sites. If a consultant wishes to carry out on-call work from home, there is a requirement to live within 30 minutes of the Royal Blackburn Hospital.
The post holder would be expected to provide clinical leadership within the department, as well as specialist emergency medicine expertise. The department prides itself on good governance and a philosophy of continuous improvement to which consultants are expected to contribute.
Applicants should have completed higher training in Emergency Medicine and would either be on the specialist register or within 6 months of entry.
The Emergency Department itself was commissioned in 2006, and became operational in July 2006. There has been substantial ongoing capital investment into the Emergency Department, including a £1.5 million refurbishment in 2012 to develop a dedicated paediatric area and expanded 8-bed resuscitation facility on the Royal Blackburn site. There has been a multi-million pound redevelopment of the Urgent Care Centre at Burnley, which is a new building completed in 2014. Most recently, there has been capital investment in new monitoring within the main Emergency Department.
The principal location for the department is the Royal Blackburn Hospital, at which there is the main Emergency Department, and an associated Urgent Treatment Centre – the latter effectively representing the ambulatory area of the department.
Additionally, there is an Urgent Treatment Centre at the Burnley Hospital site. This is staffed by doctors and practitioners from the department. The department supports the Minor Injuries Unit at Accrington Victoria Hospital, which is nurse-practitioner-led.
The Emergency Department has an 8 bedded resuscitation area (with 1 bed designated for Paediatric patients) and 23 majors cubicles. In addition, there are seven cubicles assigned to a Rapid Assessment area, which is nurse-led but to which the consultants provide close support.
The two Urgent Treatment Centres have examination cubicles, staff base, separate adult and paediatric waiting areas, reception and GP Consultation Rooms – all facilities to see minor injury and illness.
The Trust has close links with Tertiary Centres. Of interest to Emergency Medicine are Neurosurgery and Plastic Surgery at Royal Preston Hospital, Cardiothoracic Surgery at Blackpool Victoria Hospital, and specialist services for Children at Royal Manchester Childrens Hospital.
The Emergency Department has annual attendances of approximately 180,000 patients per year, with a substantial proportion of ambulance attendances. The Burnley Urgent Care Centre sees a further 50,000 patients.
Clinical duties will be shared with the other consultants and will include all duties normally expected of a consultant working in any major Emergency Department in the United Kingdom.
These will include:-
- Reception, resuscitation, diagnosis and initial treatment of all emergencies as
- Referral of patients to other specialties and transfer of patients for admission
- into hospital beds, to special units, to other hospitals within or outside the
- Trust, as out-patients or back to the Community. Normally GP admissions go
- directly to the appropriate assessment unit.
- Providing supervision, teaching and support to trainees, students and other
- staff in the Emergency Department and Urgent Care Centres.
During periods as lead consultant in the Emergency Department to coordinate all aspects of medical care provided from the Emergency Department and Urgent Care Centres.
On Call Commitment
At present the on-call commitment is 1 in 14 on call with a 1 in 7.5 weekend working.
Rota / job plan
Rotas are individualised, based on departmental and individual needs. Currently the rota is based on a 15 week cycle. A whole time post averages 10 PAs / week. Applicants wishing to work less than full time are welcome to apply.
Current shifts worked are at either 08:00-16:00 ED or Burnley UTC, 09:30-17:30 at Blackburn UTC, 11:00 – 19:00 in resus, 15:00-22:00 in ED and a 17:00 – 01:30 shift in ED associated with the on-call. The daytime shifts represent 2 PAs each and the on-call shift is currently considered as 4 PAs. Weekend shifts are currently 3 PAs (08:00-17:00) or 4 PAs (17:00-01:30 + o/c).
Clinical administration time is provided, usually 0.5 PA / wk.
Annual leave is taken sessionally.
Please contact the department to discuss how we can design a rota to fit with your needs. We are committed to ensuring a fair work-life balance for our ED consultants.
Supporting Professional Activities
These will include audit, teaching, appraisal, job planning, clinical management. The usual minimum SPA allocation is 3 within the department for a full time post.
We have a very active learning and development centre and we teach an increasing number of medical students and all grades of medical trainees. We actively encourage all relevant consultant staff to undertake teaching and educational supervision roles, following the appropriate training. Teaching is a fundamental part of our continuing improvement culture. The post holder will be expected to keep up to date with developments within medical education and his/her own specialty by attending appropriate conferences and study courses.
There are ample opportunities and facilities for research, which is supported locally through the Research and Development Committee. There is also active support from the Universities of Lancaster, Central Lancashire and Manchester, with which there are collaborative projects.
The appointee will be responsible for the continuing care of patients in his/her charge and for the proper functioning of his/her department.
Secretarial support will be available for this post.
Office accommodation will be provided for the appointee.
All Consultants are required to attend the monthly departmental and Directorate Meetings. Post holders will be expected to share in administrative duties allocated by mutual agreement within the Directorate.