About this role
Job summary
Consultant Anaesthetist with an interest in Chronic Pain based at Darlington Memorial Hospital (DMH), County Durham and Darlington NHS Foundation Trust. A fantastic opportunity to continue your career in anaesthetics & chronic pain in a supportive and enthusiastic district general hospital with a focus on contiuity of care and a team based approach.
Main duties of the job
The main duties of the role are to provide consultant led care in intensive care medicine for patients with in the hospital of a mixed medical and surgical take as well as undertake clincial sessions in anaesthesia across a range of district general specialities including trauma and emergency surgery.
On call commitment will be required to cover intensive care medicine only. This is a frequency of 1:12 and are based on evening daytime cover from 18:00 to 08:00 and split day weekend 12 hour sessions from 08:00 to 20:00 plus additional weekend morning cover to allow safe management of current unit patients and referrals. On Call for theatres and obstetrics is covered by the anaesthetic department who maintain good communication and teamwork between all resident and non-resident staff. Paediatric stabilisations are covered by both theatre and intensive care consultants to provide robust support, with the first responder responsibility being shared on alternative weekly rota.
About us
If you are being interviewed you must accept an interview slot in the system to continue, even if you have arranged with the manager.
You must be able to produce ALL certificates stated essential in the person specification or you will not be able to complete pre-employment checks.
We provide hospital services from two acute sites - Darlington Memorial Hospital and University Hospital of North Durham. We have a centre for planned care in Bishop Auckland and provide care from community hospitals in Chester-le-Street, Shotley Bridge, Barnard Castle, Sedgefield and Weardale as well as over 80 other community based settings and providing care in patients' homes.
We particularly welcome applications from disabled and Black, Asian and Minority Ethnic (BAME) candidates as BAME and disabled people are currently under-represented.
Full Job Descriptions can be found in the adverts supporting documents.
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Job description Job responsibilities
Intensive care medicine and anaesthesia falls under the surgical care group specifically within the anaesthetic department at Darlington Memorial Hosptal with other anaesthetic sub-specialities including Chronic Pain, Acute Pain, Pre-assessment and Day Surgery and obsterics. Care group director for Anaesthetics, Theatres and Intensive Care Medicine is Dr James Limb (trust wide). The lead clinician for the anaesthetic department at Darlington Memorial Hospital is Dr Jothika Thimappa and the lead clinician for the Intensive Care department is Dr Simone Carbert.
The successful applicant will primarily work at DMH but we do provide anaesthetic cover for elective surgical lists at Bishop Aukland Hospital. The anaesthetic departments culture is one of mutual respect with collective responsibility for the workload within the hospital.
DMH intensive care admits approximately 580 patient per year with a mix of surgical and medical take.
DMH has an 11 bed combined ICU and high-dependency care located near the theatre suite. This unit is used flexibly between level 2 and 3 beds. Three consultant sessions are allocated on each weekday to provide 15 sessions over the week with a rota based on continuity of care.
At DMH site surgery is provided within 11 operating theatres covering Community Dental, ENT (Day case), General Surgery (including major colorectal surgery, breast surgery and bariatric surgery), Orthopaedic and Trauma Surgery, Obstetric and Gynaecological Surgery, Ophthalmology and Urology (Day case). Plastic surgery team is based at University Hospital North Durham. Regional Anaesthesia is well established and supported by a regional fellow post and an acute pain team.
Emergency lists are provided in routine hours for Orthopaedic trauma, General surgery and Gynaecology, as well as an out of hours emergency theatre. There is a Consultant-led pre-assessment service with weekly clinics including CPEX testing. Anaesthesia for CT scanning and MRI services is available.
The majotiry of intensive care admissions are emergency surgical patients and Monday to Thursday we have a PACU to provide Level 1 care of elevtice patients under the support of the surgical and anaesthetic teams.
There is an obstetric department, located on the 6th floor has its own theatre with dedicated elective lists in the main theatre suite. An anaesthetic nurse provides assistance for all theatre cases.
Medical department consisits of in house acute internal medicine, cardiology, respiratory (including 6 bedded ARU), haematology, endocrinology, gastroenterology and care of the elderly. Outpatient dermatology, rheumatology and psychiatry will provide virtual and face to face consultations. Palliative care provide face to face support with a team of consutlant and specialist nurses.
Consultant led RaCI plus nurse led IV, renal outreach and Acute Intervention Teams (critical care inreach) support our work. Weekend work is completed as part of the out of hours commitment with 12 hour shifts. The majority of specialist support is provided via in house referrals with otherwise good relations with our tertiary referral hospitals. Renal and neurology specialities based at James Cook University Hospital provide in house reviews. Our consultant group form a supportive team and recent appointments include a job share with James Cook Hospital and with Acute Internal Medicine. Trust wide collaboration between the intensive care units and specialist support within the trust occurs with regular Critical Care Delivery Group meetings chaired by the Clinical Director for Anaesthetics and Critical Care.
At the weekend there are dedicated consultants who cover critical care and orthopaedic trauma lists during daytime hours, as well as other theatre emergencies.
Consultants and Speciality Doctors are actively encouraged to support the weekly DMH teaching programme and attend our regualar M&M and clinical governance sessions.
MAIN DUTIES AND RESPONSIBILITIES
The post holder will undertake clinical work in conjunction with their clinical colleagues (24 Consultants, 9 specialty / specialist doctors and an average of 13 trainees) and other professional staff in order to maintain and develop the intensive care service and develop specialist skills in accordance with the needs of the department.
The post holder will have a continuing responsibility for the care of patients in their charge and will contribute to the proper functioning of the department of Anaesthesia and Intensive Care Medicine. Furthermore, the post holder will be required to undertake administrative duties directly associated with the care of patients. The post holder will supervise junior medical staff and have responsibility to ensure continuing patient care at all times. For management purposes, the post holder will be accountable to the Lead Clinician for ensuring the effective and efficient use of resources allocated.
The post holder will have scheduled activity with regular sessions, fixed continuity weeks and some flexible sessions. SPA activity will be timetabled within the weekly job plan but can be completed flexibily and diarised for review. During some working weeks, flexibility in the ratio of DCC:SPA may be required although SPA time will always be paid back. As additional responsibilities are acquired, the number of SPAs may alter with remuneration agreed through the job planning process.
The post holder must possess a UK driving license and be able to present for scheduled list start times as required by the Trust.
The post holder will be expected to participate in teaching.
Research and clinical audit activities, which are considered to be an integral part of normal duties, will be encouraged. Research funding may be available following successful application to local committees.
The post holder will be encouraged and supported to develop services, courses and to undertake innovation.
The post holder will be expected to deputise in the absence of colleagues.
The post-holder will be expected to perform additional duties in emergency and unforeseen circumstances as are essential for continuity of patient care.
The post holder will be responsible for the professional management and supervision of junior medical staff. The post holder will be expected to receive training and participate in educational and clinical supervision.
The post holder will be expected to participate in clinical governance arrangements in line with national and local guidelines.
If you are involved in the care of a patient who subsequently initiates a claim against the Trust you will be expected to provide, free of charge, an opinion and statement of facts about the case.
PROPOSED TIMETABLE AND JOB PLAN
A formal job plan will be agreed between the appointee and their Clinical Director within 3-6 months, and approved by the Medical Director. The job plan will then be reviewed annually in accordance with the Trust policy on Consultant Job Planning.
Each session is 5.25 hours. Remuneration is 1.313 PAs per working session (which includes pre and post ward round care).
Person Specification
Statutory Registration Essential
Full registration with GMC. Specialist Registration with the GMC in Anaesthesia Applicants should have attained or be within 6 months of CCT date Evidence of adherence to appraisal and GMC revalidation processes Applicants are required to be fully registered with a licence to practise with the GMC and either on, or within 6 months of entry onto the Specialist Register on the date of interview If applying for Full GMC Registration & Licence to Practice simultaneously with a CESR application, supporting documentary evidence must be provided at interview, to confirm an application has been submitted & is under consideration by the GMC
Desirable
Specialist Registration with the GMC in Intensive Care Medicine
Special Requirements Desirable
Ability to innovate and develop services Willingness to undertake additional professional duties to develop the division and the Trust A commitment to developing Intensive Care Medicine within the Trust
Special Skills & Knowledge Essential
Clinical skills appropriate for a Consultant in Anaesthesia with an Interest in Intensive Care Medicine Ability to train at the bedside and in classroom settings Experience of supervising trainees Ability to organise and prioritise own work Ability to delegate appropriately to trainee / non-consultant career grade anaesthetists An understanding of the importance of research
Desirable
A recognised qualification in post-graduate teaching Feedback from delivered teaching demonstrating high quality delivery Formal training in management and demonstrable administrative skills Evidence of completion of management projects
Experience Essential
Experience in providing intenisve care medicine in the patient population and specialities supported at Darlington Memorial Hospital Experience of a significant quality improvement project and a good knowledge of the principles of clinical governance
Desirable
Evidence demonstrating commitment to clinical audit with implemented outcomes benefiting patients Publications in high-quality peer-reviewed journals and academic awards
Qualifications Essential
MBBS, MBChB or equivalent FRCA
Desirable
ALS, ATLS, APLS/EPLS or other complimentary qualification FFICM / EDIC
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name County Durham & Darlington NHS Foundation Trust
Address Darlington Memorial Hospital NHS Trust
Hollyhurst Road
Darlington
County Durham
DL3 6HX
United Kingdom
Employer's website https://www.cddft.nhs.uk/ (Opens in a new tab)