Consultant in Emergency Medicine

Betsi Cadwaladr University Health Board; St Asaph; On-site; GBP 114,000 - 167,000; Full time

Job summary

The Emergency Department (ED) at Betsi Cadwaladr University Health Board delivers care across a modern, purpose-built facility and the Emergency Quadrant, integrating ED, SDEC and acute services for North Wales. The role focuses on leading handovers, managing ED risk and capacity, and acting as a clinical contact for senior staff within a highly collaborative ED environment.

The post requires GMC registration or CCT within 6 months and training in emergency medicine (FRCEM/RCEM).

Qualifications

• MD/MBChB or equivalent with GMC registration.
• FRCEM or equivalent emergency medicine credentials.
• CPD portfolio relevant to UK EM practice.

Responsibilities

• Lead medical handovers and huddles in the ED.
• Support the Nurse in Charge to manage ED risk, capacity, and safety concerns.
• Be a point of clinical contact for Senior Clinicians and Management in ED.
• Coordinate workforce resources within ED, addressing short-notice staffing gaps.
• Use Symphony to proactively run the ED and support streaming decisions.
• Focus on patient safety risks, review unwell patients, and see patients as needed.
• Support streaming of patients to MIUs, SDEC, or other specialties as appropriate.
• Anticipate and intervene with health and safety or operational issues.

Skills

ED leadership

Clinical governance

Teaching (postgraduate & undergraduate

Patient safety

Quality improvement

Leadership training

Education

GMC Specialist Registration in Emergency Medicine or CCT within 6 months

FRCEM

ATLS/ETC, ALS, APLS or equivalent

Subspecialty training in Paediatrics or Prehospital EM

Instructor Status in ALS/ATLS/APLS or equivalent

RCEM Level 1 accreditation in EM Ultrasound

RCEM ELSEs training

Leadership and human factors training

Job description

The Emergency Department (ED) was purpose built in 2014 and offers state of-the-art facilities. This was part of a new development at YGC called the Emergency Quadrant (EQ) which brings all Emergency and Acute Services together. The EQ houses the ED, Same Day Emergency Care (SDEC), a 24 bed Acute Medical Unit, Surgical Assessment Unit, Radiology services.

The ED sees a full case mix of undifferentiated emergencies encompassing all specialties including Major Trauma, Stroke, Cardiac, Vascular, ENT, Ophthalmology, Max Fax and Paediatrics.

The Department has also been undergoing a process of implementation of modern models of Emergency Care including streaming, ambulatory majors, and rapid assessment.

Main duties of the job

• Leading medical handovers and huddles
• Support the Nurse in Charge (NIC) to manage Emergency Department (ED) risk escalating ED capacity and safety concerns
• Being a point of clinical contact in ED for Senior Clinicians and Management
• Support the coordination of workforce resources within ED, including responding to short-notice staffing gaps and escalating workforce concerns to maintain safe service provision
• Using Symphony to proactively run the ED
• Focusing on patient safety risks, reviewing unwell patients, and seeing patients as needed
• Supporting the streaming of patients to Minor Injury Units (MIUs), Specialities or Same Day Emergency Care (SDEC) where appropriate
• Anticipating and intervening with unexpected issues, e.g., health and safety risks

About us

Betsi Cadwaladr University Health Board (BCUHB) is Wales's largest health organisation, with a budget of over £2.4 billion and a workforce of over 20,000 staff.

BCUHB provides a full range of primary, community, mental health, acute and specialist hospital services for the population of North Wales, across 3 acute hospitals and a network of communityhospitals, healthcentres, clinics, and mental health units. It alsoco-ordinates or provides the work of GP practices and NHS services provided by dentists, opticians, and pharmacists across the region.

The Health Board is an integrated health system that strives for excellent, compassionate care delivered in partnership with the public sector and other statutory and third sector organisations.

Job responsibilities

Candidates are encouraged to refer to the attached Job Description and Person Specification for further information.

Training and Qualifications

• Full GMC Specialist Registration in Emergency Medicine or due to obtain CCT within 6 months of interview date. CESR applicants must have GMC Specialist Registration at the point of application
• FRCEM
• Valid ATLS/ETC, ALS, APLS or equivalent provider status
• Subspecialty training in Paediatrics or Prehospital EM
• Instructor Status in ALS, ATLS, APLS or equivalent
• RCEM Level 1 accreditation in EM Ultrasound
• Evidence of shop floor supervision training e.g., RCEM ELSEs
• Training in leadership and human factors

Experience and Leadership

• Able to provide ED shop floor leadership and supervision
• Able to provide senior EM clinical skills and leadership as described by the RCEM Curriculum
• Evidence of professional interests relevant to EM practice
• Experience, commitment, and enthusiasm for teaching at postgraduate and undergraduate level
• Willingness to teach all clinical staff including ACPs, paramedics, nurses, PAs, and ENPs.
• Postgraduate training in clinical education

Clinical Governance

• Experience of EM clinical governance activity
• Understanding of patient safety and risk management
• Experience of audit and quality improvement
• Ability to undertake EM relevant project work and liaise with specialties.
• Evidence of a service improvement activity
• Evidence of strategic work e.g., contribution to planning and policy development

Professional Development and Research

• CPD portfolio relevant to UK EM practice
• Ability to undertake critical appraisal and support any departmental research activity
• Evidence of role in delivering CPD
• Evidence of research activity and EM relevant publications

Additional Requirements

• A shared ethos values of the Health Board
• Flexibility, personal integrity, and willingness to work cohesively in the ED team.
• Commitment to the importance of respect and dignity for all individuals
• High standards of verbal and written English
• Able to attend hospital within 30 mins for on-call duties
• Welsh Speaker or willingness to learn Welsh

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.

£114,099 to £166,585 a yearper annum pro rata