CONSULTANT IN ACUTE MEDICINE
London North West Healthcare NHS Trust is seeking to appoint enthusiastic and passionate Consultants in Acute Medicine to join our dynamic and innovative team. This is an exciting and unique opportunity to work in a fast-paced and well-supported environment where delivering excellent patient care is at the heart of our service. We are seeking at least three colleagues to join the team. We encourage applicants from diverse backgrounds and can offer both whole-time or part-time roles.
Main duties of the job
These posts will contribute pro rata to the Acute Medicine Rotas in operation at the time of appointment and as they change with service reconfiguration. The medical team at Northwick Park takes around 90 to 120 referrals per day, and the team at Ealing takes around 30 to 50 referrals. Around 1/3 of these are streamed via the Same Day Emergency Care pathways, seen on the Ambulatory Care Units. Staffing of take, Ambulatory Care, AMU wards and HDU is being brought in line with RCP recommended staffing ratios with these new appointments.
London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.
Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.
We run major acute services at:
- Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
- St Mark's Hospital: an internationally renowned specialist centre for bowel disease
- Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
- Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.
We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.
Posts will be based predominantly at Northwick Park Hospital but there is the option of cross site working at Ealing Hospital as well.
Northwick Park Hospital:
Northwick Park is a Major Acute Hospital with a busy medical take and an established reputation for patients presenting with a very wide range of medical conditions with a high degree of acuity. Recognition of the vital role that is played by Acute Medicine has seen the Trust make a substantial investment in the service. This will enable the department to develop three Acute Medical Unit wards (on a phased approach) with patients remaining under the care of the acute team for their duration on the unit. In addition the team runs the award-winning Ambulatory Emergency Care Unit and the well-established Medical High Dependency Unit. Participation in HDU will be optional dependent on previous experience and competencies.
The post holders will join six acute medicine consultants, fourteen acute/specialty consultants and thirty-three specialty medical consultants who together are responsible for providing the acute and general internal medicine service at Northwick Park Hospital.
The Acute Medicine service is thriving at Ealing hospital. After an uncertain period during which the Emergency Department faced closure with unclear implications for acute services on the site we can now plan with confidence for the future. The department has a well-deserved reputation for excellence in teaching and training.
The Acute Medical Unit is a 33-bedded ward through which all acute medical admissions are streamed. The department is in the process of expanding the Ambulatory Service. A new unit has recently been opened, co-located with the Acute Frailty Service. The team has pioneered ambulatory care for patients with Heart Failure, winning multiple awards. The challenge now is to stream a larger proportion of medical referrals through the Ambulatory Service.
Interview date - TBC
- CCT in General Internal Medicine (or expected within six months of interview)
- MRCP or equivalent
- ALS certificate (active)
- CCT in Acute Medicine (or expected within six months of interview)
- Experience of High Dependency and Intensive Care Medicine
- Entry on Specialist Register in General Internal Medicine and Acute Medicine (or entry expected within six months of interview)
Knowledge & Expertise
- Clinical training and experience equivalent to that required for gaining UK CCT in Acute and General Internal Medicine.
- Clinical training, experience and leadership in High Dependency Unit environment
- Ability to take full and independent responsibility for clinical care of complex acute medicine patients
- Experience of working in a Medical/Acute Assessment Unit
- Ability to take full and independent responsibility for the management of acute medical emergencies
- Experience of working in a multi-cultural environment
- Clinical training and experience in intensive care medicine
- Experience in undergraduate clinical teaching
- Ability to teach clinical skills to medical and nursing staff and other disciplines
- Training in medical education including work based assessments, educational supervision and appraisal
Management and Audit
- An understanding of the current NHS environment, particularly in relation to reforms, initiatives and issues
- An understanding of challenges to LNWH NHS Trust and strategic objectives
- Understanding of the importance of audit
- Management course
- Record of relevant audits
Research & publications
- Experience in research and potential to develop and execute clinical research projects
- Relevant research publications in peer-reviewed journals
- Enjoys busy working environment and working in a team
- Ability to communicate fluently in English.
- A compassionate approach to patients
- Ability to organise and prioritise workload effectively
- Ability to plan strategically, execute tasks and to exercise sound judgment when faced with conflicting pressures
- Ability to motivate and develop the multi-disciplinary team, balancing departmental and personal objectives
- Ability to engage in and lead change management.
- Has demonstrated qualities of team leadership
- Proven ability to lead a team in an acute assessment/high dependency unit setting