This is a substantive post for a Consultant in Critical Care. It is a full time post to cover sessions made available as a result of job plan changes in the department.
It is based around a 1 in 8 on call with daytime sessions in critical care and paired specialty making a 10PA contract. We would welcome applications from single ICM or appropriate paired specialty. Sessions will be decided upon consultation with the speciality director.
The successful applicant will join the existing team of 65 consultants working for the trust in the two main sites of Gloucester and Cheltenham, and peripheral community hospitals.
As a senior employee of the Trust the post-holder will work in close co-operation with, and support other, clinical, medical professional and managerial colleagues in providing high quality healthcare to the Trust's patients.
Main duties of the job
The successful applicants will join a cohesive and enthusiastic department of over 68 Consultants, 50 junior doctors and 20 SAS doctors providing a full range of elective and emergency anaesthetic services delivered across the Trust's two acute sites (Gloucestershire Royal and Cheltenham General Hospitals) as well as the county's smaller peripheral hospitals.
Gloucestershire Royal Hospital provides specialist services including upper & lower GI surgery, vascular surgery, trauma, renal medicine/haemodialysis, obstetrics, gynaecology, paediatrics, paediatric oncology, neurology, rheumatology, dermatology, maxillo-facial surgery and ENT.
Cheltenham General Hospital specialises in lower GI surgery, gastroenterology, urology (incl robotic surgery), ophthalmology, gynaecological cancer surgery as well as interventional radiology and cardiology. It is the haematology/oncology cancer centre for three counties.
We are a large organisation providing acute services from Gloucestershire Royal Hospital in Gloucester and Cheltenham General Hospital to a population of 652,475 in Gloucestershire as well as caring for patients from surrounding counties and beyond.
Our workforce is almost 8,000 strong and our caring and dedicated staff are recognised as providing good and outstanding patient-centred, high quality emergency, elective and specialist care across a range of clinical areas.
The anaesthetic department is an integral part of the hospital involved in many aspects of clinical care.
The post holder will provide:
- Undertake consultant cover for weekdays, nights and weekends for critical care as part of the 1 in 8 rota.
- If dual application - additional sessions in supporting dual CCT specialty, sharing responsibility for the delivery of high quality care to patients presenting to our hospitals.
- On call duties will have to be undertaken on both the Gloucester or Cheltenham sites.
- Support for the clinical decision making of junior medical and nursing staff.
Teaching and training
- As part of the Severn deanery, we have a large number of trainees working within the department at from novices to ST7s. we have an active local and regional teaching programme.
- To participate in the undergraduate teaching programme. The Department is involved in teaching medical students from Bristol, as the Trust achieved Academy status in 2004. Fourth year students are placed in the Department and participate in a structured teaching program.
- The anaesthetic department has a close relationship with the Paramedic Training School and the local ambulance service and paramedics regularly undertake attachments.
Where agreed, to act as Educational Supervisor to junior and SAS medical staff, being responsible for their appraisal and personal development planning.
Continuing professional development
- We recognise the importance of continuing medical education and actively encourage our consultant team to prioritise professional development. You will undertake CME / CPD as per College recommendations. A mentoring scheme for new consultant staff is well established and each new appointee will be appointed a mentor shortly after appointment.
- You will be encouraged to be active in clinical research.
- We have a well-established framework for clinical governance that incorporates the clinical audit program. A wide variety of audits are undertaken within the Department. Clinical Governance meetings are regular. The post-holder will be expected to take part in developing clinical audit activities within the department and achieving clinical governance objectives in accordance with the agreed Divisional and Trust clinical governance programs.
- Our Trust has a well-established framework for clinical governance that incorporates our clinical audit program. We are all expected to take part in developing clinical audit activities within the department to achieve clinical governance objectives in our agreed Divisional and Trust clinical governance programs.
- To undertake all work in accordance with GHNHSFT policies and procedures
- To maintain CPD requirements for appraisal and revalidation
- To participate in our annual Job Planning review process
- To participate in annual appraisal including 5 yearly multi-source feedback
- To adhere to our Adverse Clinical Incident policy
- Full General Medical Council registration.
- Fellowship of the Faculty of Intensive Care Medicine
- Fellowship of a paired CCT if dual CCT application
- MBBS or equivalent On Specialist Register via CCT or CESR-CP (Combined Programme) (proposed CCT/CESR-CP date must be within 6 months of interview)
- CESR or European Community Rights
- FICE/FUSIC/equivalent echo/US qualification
- PALS or APLS
- General training leading to CCT in critical care (plus joint CCT specialty if appropriate)
- Experience in a range of critical care sub-specialities
Motivation and Attitude
- Enthusiasm for the specialty.
- Attitudes compatible with the aims and objectives of the existing team and the Trust.
- Communication skills, written and verbal.
- Ability to work in multi-disciplinary team.
- Ability to show initiative and enthusiasm and to work under stress; flexibility, able to adapt to changing circumstances.
- Ability to take part in and respond to appraisal.
- Ability to manage risk.
- Ability to manage change.
- Ability to deal with complaints from the public.
- Experience in audit.
- Working knowledge of evidence-based practice.
- Experience of Quality Improvement projects
- Ability to appraise research critically.
- Ability to supervise junior staff undertaking research projects.
- Publications and presentations relevant to specialty in peer reviewed journals
- Flexibility and willingness to share clinical responsibility for patients
- Conscientiousness to ensure careful transfer of care
- Excellent interpersonal skills
- Ability to communicate effectively with clinical, academic and managerial colleagues
- Able to work co-operatively as a team member
- Ability to self-motivate
- Ability to think laterally