About this role
Job summary
This post includes a welcome incentive and relocation package for the successful candidate. * Terms and conditions apply
Please note that interview dates for this post will be held on Tuesday 07th July, with a pre-interview engagement day on Monday 06th July.
Please be advised that we are unable to consider CV's submitted by recruitment agencies. All applicants must apply directly.
Here in Jersey, we have our own Health Care system. We are looking to develop and improve our healthcare services towards a modern, fully digitised, and future-proof system, in advance of our new hospital (planned to open in 2029). To do so we need fresh eyes, new ways of working and the next generation of consultants to make our healthcare the best it can be. We aim to provide high quality, safe and effective care to the 110,000 people living on the Island and those who visit. The hospital benefits from a fantastic educational centre with a full SIM lab and dedicated time for all to learn.
Aligned to the Wessex Deanery, we support and develop Foundation trainees as well as Clinical Fellows and SAS doctors. We encourage all our consultants to fully engage with the education and training of our future generation of consultants.
Health and Care Jersey are seeking to appoint an enthusiastic and dynamic substantive Care of the Elderly Consultant to join our already passionate consultant body. The successful candidate will be expected to work 10 PAs plus 2 rolling APAs to cover weekend work.
Main duties of the job
1. Contribute to development of the Care of the elderly service in Jersey build and develop a frailty service which ensures integration between primary and secondary care
2. Provide with the other Consultants a system of mutual out-of-hours cover for General Internal Medicine and cover for annual, study and professional leave.
3. Provide a consultation and advisory service to medical colleagues in other specialities in Health and Care Jersey.
4. Liaise with medical staff in other specialities and participate in the regular clinical meetings and other post-graduate activities of the hospital.
5. Take part in the continuing medical education programme. Health and Care Jersey will provide study leave expenses in line with national terms and conditions of service.
6. To undertake outpatient clinics for both frailty & elderly care
7. To set-up, lead, participate and attend relevant services MDTs
8. To liaise with tertiary referral centres as appropriate to provide patient centred care & service improvements
About us
This post is an exciting opportunity to join the newly formed Elderly Care and Frailty Department. The role will mainly focus on the development of frailty services for the island of Jersey as well as having ward commitments for both general internal medicine. The role will lead on the development of the frailty unit interfacing secondary care with primary care. The role will have a rotational commitment for rehabilitation which is situated on-site at Jersey General Hospital as well as outpatient clinical sessions.
For newly appointed consultants a mentor will be allocated to support their induction in post.
We aim to provide a suitable office space and secretarial time will be provided as part of the Hospital investment in this appointment.
Job description Job responsibilities
In patient care is based on medical wards in Jersey General Hospital. The post holder will be expected to deliver consultant led care on that ward with a focus on Elderly Care but including a proportion of general medical adult patients of all ages. There are currently no specialty outpatient clinics, and it is an opportunity for the newly appointed consultant to develop a speciality outpatient service in discussion with the care group and chief of service.
The appointee will take part in the General Medicine on-call rota of one in eight. During the on-call period the consultant will cover all medical inpatients in the event deterioration or medical emergencies and will work in parallel with an on-call acute medicine consultant to manage acute medical admissions (the medical take). At present the Acute medicine consultant leads he take between 8 AM and 8 PM with additional support from the general medical consultant in the afternoon. The general medical consultant is responsible for covering the take on a non-resident basis, supervising a resident registrar grade SAS doctor and resident team. At weekends, and public holidays the on-call consultant will conduct inpatient ward reviews as requires to support safe patient management and flow.
Weekday on-calls operate 8 AM 8 AM the following day. Weekend on-calls operate from 8 AM on Friday to 8 AM Monday.
The Specialty
In patient care is based on medical wards in Jersey General Hospital. The post holder will be expected to deliver consultant led care on that ward with a focus on Elderly Care but including a proportion of general medical adult patients of all ages. There are currently no specialty outpatient clinics, and it is an opportunity for the newly appointed consultant to develop a speciality outpatient service in discussion with the care group and chief of service.
Management Structure
Health and Care Jersey is a directorate of the Government of Jersey that is responsible for the delivery of specialist health care and the running of the general hospital. The directorate is led by a Chief Officer, Tom Walker who leads an executive team including a Director of Clinical Service, Claire Thompson and a Medical Director, Simon West who is also Medical Responsible Officer/Suitable person with the GMC for appraisal and revalidation. Health and Care Jersey is organised as a series of care groups each with leadership team lead by a chief of service as detailed below. This post sits within the medical care group.
Medical - Hospital Services
Chief of Service: (Interim) Dr David Hopkins
General Manager: Gaurika Kapoor
Assistant General Managers: Karen Gardner, Natalia Miller and (Interim) Stuart Cannonier
Lead Nurses: Harriet Holden and Alice Rait
Medical Services Care Group
Care of the Elderly and General Medicine sit within the Medical Services Care Group which comprise the following range of services:
Cardiology
Diabetes
Emergency Department
Haematology
Integrated Sexual Health
Medical Day Unit
Medical Outpatients
Medical Wards Barlett, Plemont, Corbiere and Rozel Wards
Neurology
Oncology
Palliative Medicine
Pathology
Renal Medicine
Respiratory
Rheumatology
Medicine in Jersey is fully age and specialty integrated. There are 4 medical wards, Bartlett, Plemont, Rozel and Corbiere.
A 5-bedded Enhanced Care Area is sited on AAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit led by the Acute Medicine Department. There is a 14 bed Acute Assessment Unit.
Each ward is run by a consultant led team support by an SAS (registrar level) doctor responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, FY1 or FY2 doctor whom they closely supervise.
On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the AAU by GPs in conjunction with the Acute Medicine team. A core responsibility of the Medicine Care Group is the provision of a safe acute medical service. The Care Group always provides named Consultant supervision for non-Consultants and ensures that prompt review and treatment is provided for acute medical emergencies referred by General Practitioners or the Emergency Department.
Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area.
Care Group Statistics
There are 83 medical beds. 12-20 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24. There are approximately 4,500 medical admissions annually.
In addition to outpatient clinics and 4 general medical wards containing 83 beds, the Medical Service Care Group is involved in the management of several specialist facilities. These include:
14 bedded Acute Assessment Unit (AAU)
5 bedded Enhanced Care Area (ECA)
6 chair Ambulatory Emergency Care (AEC)
A well-equipped Clinical Investigations Department providing echocardiography, exercise ECG, respiratory assessment and GI physiology.
An endoscopy suite providing a full range of endoscopy and bronchoscopy services.
Diabetes Centre providing outpatient care for the diabetic population of Jersey, including retinal photography and specialist nursing support. Renal/Dialysis unit, providing emergency, acute and longer-term renal support as well as management of transplanted patients and assessment and treatment of renal conditions.6 bedded isolation area for infected or neutropenic patients.
This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time, and this description will be subject to review in consultation with the post holder.
Infection Control
All employees have a duty to comply with Health and Care Jersey guidelines and policies in relation to Infection Prevention and Control. The post holder will have a duty to ensure that they minimise the risk of infection and infectious diseases. This responsibility includes minimising the risk by highlighting any concerns to the appropriate person.
Registration
It is a legal requirement for all doctors to be on the General Medical Councils Specialist Register before being able to take up a consultant post. Specialty trainees are able to apply for a consultant appointment provided the expected date of the award of their Certificate of Completion of Training (CCT) (or recognised equivalent if outside the UK) falls no more than 6 months after the interview date for the Consultant position and candidates will be asked to provide proof of this prior to shortlisting.
Person Specification
Qualifications Essential
Primary Medical Degree Full Registration and specialist registration with the General Medical Council (GMC) with a current License to practice (for overseas candidates it is mandatory that a license is obtained prior to appointment).Higher Specialty qualification: MRCP and FRC Path or equivalent Qualifications for Specialist Registration Applicants that are UK trained, must ALSO be a holder of a Certificate of Completion of Training (CCT), or be within six months of award of CCT by date of interview. Applicants that are non-UK trained, will be required to show evidence of equivalence to the UK CCT Inclusion on the GMC Specialist Register/Certificate of Completion of Training (CCT) or equivalent in the relevant Specialty (or be within 6 months of obtaining this at the date of the interview - documentary evidence of this must be provided to support your application) or equivalent Clinical Experience in similar NHS environment or equivalent. Evidence of Clinical Leadership. Ability to Work Flexibly with Colleagues to provide services. Ability to Work Effectively with a Multi-Disciplinary Team, motivating and influencing others through their enthusiasm. Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses, management and other agencies. Experience of Teaching, Training and Supervision of Junior Medical Staff and undergraduate students MS or MD ALS
Desirable
An understanding of and ability to demonstrate your ability to: Empower others Lead through change Influence strategically Collaborative working Drive for Improvement Integrity Highly motivated
Experience Essential
Able to work flexibly in a changing health service Hepatitis Vaccination
Desirable
Participation in Clinical Audit and Risk Management Activities Demonstrates a commitment to safeguarding young people and vulnerable adults Evidence of annual appraisal Evidence of research and publication in peer reviewed journals IT literate
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 Health and Community Services
Address General Hospital
The Parade
St Helier
Jersey
JE1 3QS
United Kingdom
Employer's website https://www.gov.je (Opens in a new tab)