Morriston Hospital will become the centre of excellence for urgent and emergency care, specialist care and regional surgical services for Swansea Bay, including complex medical interventions,

As part of our vision for the future we have created exciting acute medicine opportunities within our newly constructed 3.5m 45-bed Acute Medical Unit (AMU) based on the Morriston Hospital site. This 21st Century Acute Medical Unit is a dedicated front of house facility with an integrated trolley-based Assessment Unit and a new Same Day Emergency Care (SDEC) unit. Supported by integrated diagnostics, therapies and pharmacy hubs.

The acute medical workforce is currently being expanded to meet the service redesign changes. The post holder will be expected to contribute to the running of the acute medical assessment unit, ambulatory emergency care clinics along with specialty sessions of their choice. Providing the post holder with opportunities for personal development, growth and a sense of belonging amongst the acute medical team.

The post holder will also be required to participate in the GIM on call rota (1 in 20) and will have responsibility for post on-call ward rounds. This will be a 10 session job plan (7 DCC; 3 SPA) as per the Welsh Consultant contract.

Main duties of the job

The ACP post focuses on assessing, diagnosing, and treating various medical conditions mainly on adult patients who needs urgent medical needs or are cases of emergencies. Admission rates to Medicine from the Emergency Department can be high and can vary quite significantly based on several factors. The Acute Unit operates 24/7 and is staffed by a multidisciplinary clinical team focused on acute medical care with the objective of providing early expert assessment and treatment of acute medical illnesses.

Consultants and Doctors working in Acute Medicine are responsible for the assessment, investigation, diagnosis, and management of patients who develop severe conditions quickly which also can be life-threatening. This will be a role to develop and improve the activity within acute medicine and also acute medicine within the Same Day Emergency Care (SDEC).

Specialty sessions in Diabetes/endocrine will also form part of the job plan as the Diabetes service combines to provide a Health board wide service for patients.

About us

Swansea Bay UHBcovers a population of around 390,000 in the Neath Port Talbot and Swansea areas and employs approximately 12,500 staff. We have three major hospitals: Morriston, Singleton, and Neath Port Talbot Hospitals and this job role will be based on the Acute Medical Unit (AMU) Morriston, Swansea.

We believe staff are our best asset and we want you to be happy and confident about starting your career here in Swansea Bay UHB. Being part of an extraordinary team and as one of the biggest healthcare groups in the UK, we provide various professional training and development opportunities in an innovative, forward-thinking organisation.

We are an inclusive employer and welcome applications from everyone whatever their sex; religion or belief; race; age; sexual orientation; gender identity or, whether they are pregnant or have recently been on maternity leave, married or are in a civil partnership; or, whether they are disabled.

Our values - Caring For Each Other, Working Together and Always Improving, show that our commitment to equality is at the heart of everything we do.

Job description
Job responsibilities

Provide a clinical service, with colleagues, which will include the responsibility for the prevention, diagnosis and treatment of illness.

Responsibility for coordinating the emergency medical assessment service in Morriston Hospital including:

Assessing & treating acutely ill medical patients including identifying and pulling through patients from A&E / Acute Hub departments.

Supervising the on call junior medical team.

Working closely with the A&E team to develop joint working practices to improve the emergency patient experience.

Working with consultant physician colleagues to develop alternatives to hospital admission such as ambulatory care, hot clinics and specialty urgent care pathways.

Participation in the out of hours service delivery of acute medical take during weekdays and weekends on a rota basis.

Undertaking about 3 subspecialty sessions. These will be agreed with individual appointee as appropriate and will be regularly reviewed in job plan meeting.

Full details can be found in the attached Job Description, Person Specification and Job Plan

Person Specification
Qualifications
Essential

• Full GMC Registration and Licence to Practise
• On the GMC Specialist Register (including via CESR/European Community Rights) or will have a CCT/CESR(CP) date within 6 months of interview
• MRCP or equivalent
• Valid Certified Basic Life Support Skills (or equivalent international qualification)

Desirable

• Relevant Higher Degree e.g. MD; PhD; MSc

Clinical Experience
Essential

• Broad based experience GIM and Diabetes & Endocrinology
• Training in acute or acute medical experience e.g.: experience in the management of acute medical patients/leading acute medical on calls/ managing patients in ambulatory emergency care
• Knowledge and participation in CPD -Able to apply knowledge
• Safe and effective written and verbal communication skills

Desirable

• Experience of NHS

Research
Essential

• Evidence of participation in clinical audit and understanding role of audit in improving medical practice
• Comprehension of core philosophy and building blocks of Clinical Governance

Desirable

• Knowledge of risk management

BMJRef: BMJ-108336/130-MSG9831S