The Cardiology Department at MCHFT is made up of an innovative and dynamic team who are keen in developing and expanding service provision. An exciting opportunity has now arisen for a Consultant Cardiologist to join the team and applications are invited from those who have an interest in cardiac imaging or heart failure.
The successful candidate will be based at Leighton Hospital, in the Cardiology Department, Division of Medicine and Emergency Care. Out-patient clinics may also take place at the Victoria Infirmary, Northwich.
Main duties of the job
The Cardiology Department is part of the Division of Medicine and Emergency Care and is responsible for the investigation and treatment of all forms of adult cardiac disorders. It supports the in-patient population, a large out-patient service, including a Rapid Access Chest Pain Clinic, a Heart Failure Clinic, Atrial Fibrillation Clinic, Heart Valve Surveillance Clinic and Cardiac Rehabilitation.
MCHFT has an active Cardiac Imaging Department and offers 3D TOE and stress echo. There is an excellent relationship with the Radiology Department with in house CT coronary angiography and cardiac MRI performed jointly by Cardiology and Radiology Consultants.
The Cardiology service is Consultant led and is committed to delivering the highest possible standards of clinical care.
The Cardiology Department is currently staffed by seven Consultants, one Specialist Doctor, four middle grade equivalents (two Cardiology Specialty Trainees, one Acute Medicine Specialty Trainee and one Specialty Doctor -this vacant post), one IMT doctor, one GP trainee, one F2 doctor and one F1 doctor. The junior medical staff are shared between the seven Consultants and Specialist Doctor.
With the expansion of the Consultant numbers, we are also expanding the numbers of Advanced Practitioners and developing their roles.
Currently there are three Advanced Practitioners plus four Trainee Advanced Practitioners, four heart failure CNS and three Cardiac Rehab Nurses.
Mid Cheshire Hospitals NHS Foundation Trust provides a full range of hospital and community services for people across East Cheshire (population 399K) and West Cheshire and Chester (population 357K). The Trust provides high quality planned and emergency care, cardiac, critical care,child health,maternity services and intermediate care at Leighton Hospital in Crewe, Victoria Infirmary in Northwich, and Elmhurst Intermediate Care Centre in Winsford.
The Trust provides over 500 beds and employs over 5,100 members of staff. A comprehensive range of community services is provided across 26 medical centres and schools through ourCentral Cheshire Integrated Care Partnership.
We have played, and continue to play, a proactive role in the development of Integrated Care plans across Cheshire & Merseyside and our local Cheshire East and Cheshire West Place-based systems. We believe, and it is the cornerstone of our five-year Trust Strategy, there is the opportunity to progress innovative, responsive and effective care in the best setting for the patient, be it in the hospital or out in the community.
At Mid Cheshire, our mission is to inspire hope and provide unparalleled care for the people and communities of Cheshire, helping them to enjoy life to the fullest.
These posts are offered initially at 10 Programmed Activities (PAs) per week. This will include 8 PAs of Direct Clinical Care (DCC) and 2 PAs of Supporting Professional Activities (SPA) per week.
The anticipated workload per consultant is 10 inpatients which varies depending on being Consultant of the Week. The 2 clinics per week have a standard template of 4 new and 4 follow up on each clinic. The clinic runs for 35 weeks per annum.
At MCHFT there is a rolling Consultant of the Day rota, with the Consultant being responsible for CCU and new cardiology admissions by undertaking a daily morning Consultant CCU and cardiology ward round. This cycle runs from a Saturday to the following Friday, with time off to compensate for time worked at the weekend, taken by individual agreement in job plans. Other clinical commitments are cancelled when consultants are covering CCU to allow the daily morning ward rounds to take place. There is currently no overnight on-call commitment with these posts.
When clinics take place off site thirty minutes travel time is allowed which is accommodated with a reduction in clinic size.
There is no requirement with these posts to manage general medical patients on the inpatient ward.
The post is offered at 10 PAs but under the terms of the 2003 Consultant Contract, candidates who wish to conduct private practice would be required to offer an additional programmed activity.
The post holders will be expected to:
- Be actively involved in the leadership, management and decision making of the CardiologyDepartment
- Be readily available during the working week so that medical and nursing staff can communicate and consult freely
- Ensure that management plans are clearly displayed in the notes of patients with complex needs
- Liaise closely with the Divisional and Service Managers, and the Associate Medical Director, to ensure that waiting list targets are achieved.
- Share with Consultant colleagues the responsibility for providing clinical services for the local population
- Foster relationships between staff within each organisation, and with the local Clinical Commissioning Groups
- Work flexibly to achieve high quality care
- Ensure targets for maintaining access to cardiology services are achieved.
- Ensure the policies for communication with General Practitioners, Trust staff and patients are followed
- Ensure that optimal use is made of all resources allocated to the post
- Cover Consultant colleagues during periods of leave.
Contribute to relevant Divisional, Trust and Regional Committees
- Full GMC Registration
- MRCP or equivalent
- BSE accreditation in transthoracic echocardiography
- CCT (proposed CCT date must be within 6 months of interview) CESR or European Community Rights
- Other postgraduate qualification e.g. MD, PhD
- Recognised ability to work within, and provide leadership in, the multidisciplinary team
- Effective communicator
- Excellent interpersonal skills
- Flexibility of approach
- An enquiring and critical approach to work
- Commitment to clinical risk management and implementation of clinical governance
- Knowledge and experience in the application of information technology in cardiology
Teaching and Education
- Evidence of commitment to continuing professional development and lifelong learning
- Evidence to allow accreditation as a Consultant Clinical Supervisor for trainee doctors with the GMC
- Experience and interest in teaching both junior medical and non-medical staff
- Evidence to allow accreditation as a Consultant Educational Supervisor for trainee doctors with the GMC
- Special interest in role development and staff training
- Membership of relevant medical associations / learned societies
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