Senior Leadership Fellow in Ambulatory Medicine

NHS; Oxford; On-site; GBP 35,000 - 50,000; Full time

Job summary

A leading healthcare institution in Oxford is seeking a Clinical Fellow to join their innovative ambulatory care programme. Candidates should be ST4 or above, with clear responsibilities in clinical work and opportunities for leadership and service improvement. This role offers a mix of clinical practice and involvement in quality projects aimed at enhancing patient care.

Qualifications

• GMC registered and licensed to practice.
• Fit to practice and satisfactory training progress.
• Demonstrable experience in ambulatory care.

Responsibilities

• Provide clinical work focusing on ambulatory care.
• Develop leadership skills through service projects.
• Design and complete projects impacting ambulatory care.

Skills

Clinical competency in medical specialty

Ability to prioritize clinical need

Communication skills

Leadership skills

Education

Full GMC registration

Experience in Acute medicine

ST4 and above

Job description

Job Summary

Applications are invited for a Clinical Fellowship programme embedded within a well-established, innovative Departments of Ambulatory Care. The applicant would be one of a team of twelve ambulatory and general medicine fellows working in a well-resourced unit lead by a team of 44 consultants and a large experienced multidisciplinary team. This is an exciting opportunity for an energetic, forward-thinking trainee who wishes to develop core clinical skills in ambulatory care in one of the leading ambulatory care units in the country. The role would involve a mixture of banded clinical practise but also has one non-clinical day per week set aside where the candidate would be expected to gain experience in service development and quality improvement. If clinical needs are extremely high fellow might be asked to work clinical on specific weeks.

The post is aimed at senior medical doctors in training (ST3+) or equivalent experience if not on training program. and is designed around the needs of the modern medical registrar. It can be performed Out of Programme or recognised as training (contingent on Deanery approval).

About us

Oxford University Hospitals NHS Foundation Trust (OUH)

OUH is one of the largest NHS teaching trusts in the UK and a renowned centre of clinical excellence. Each year, OUH has over one million patient contacts including nearly 100,000 emergency admissions. The Trust has a strong collaboration with the University of Oxford, which underpins the quality of care that is provided to patients, from the delivery of high-quality research - bringing innovation from the laboratory bench to the bedside - to the delivery of high-quality education and training for doctors.

OUH delivers acute emergency care on two of its four hospital sites (the John Radcliffe Hospital in Oxford and the Horton General Hospital in Banbury), supports the urgent care pathway across distributed community settings, and is working towards comprehensive application of the Future Hospitals Commission principles.

Job Responsibilities

• 80% (0.8WTE) Clinical Work: to include Ambulatory experience across the John Radcliffe (mainly)/ and subject to discussion with supervisor may involve activity in other acute and ambulatory medicine settings in the Trust. This will include short days, long days on call, out of hours weekend work. Specifically, within a < 48 hour average working week, it is currently proposed that the fellow will contribute to the weekend rota and to one late evening /long day per week, but not to overnight care (beyond midnight or before 7am).
• 20% (0.2WTE) leadership/ research/quality improvement : This would give a great opportunity to the candidate to develop leadership skills and to become involved in projects on service development. Those days ambulatory fellow will work close with the AAU clinical lead/matron and the rest of the team to design and complete projects with impact on ambulatory care.
• All activities will embrace the Trusts vision of patient-centered service transformation and be aligned with the Future Hospital Commissions recommendations for ambulatory care: with greater vertical and horizontal integration of acute services transcending traditional hospital-community and intra-hospital barriers. Such activities will complement Trust service improvement initiatives and will have patient safety and the delivery of high-quality, better safe, compassionate care at their core.
• Development and embedding of comprehensive ambulatory care pathways for:
  • common and less common discrete medical presentations
  • complex and/or frail patients, complementing existing services
  • conditions with existing dedicated pathways but where further embedding, development or a complementary approach is needed to deliver best outcomes and resource use (eg DVT and TIA/minor stroke).
• Evaluating care through the development and embedding of relevant patient-centred outcome measures, and useful measures of whole pathway resource use.
• Developing systems to support clinicians outside hospital (GPs, ambulance teams) to deliver effective care in the home.
• Introduction and evaluation of pragmatic telemedicine systems.
• Resident Doctor Forum and engagement.
• Be a point of escalation of issues within Acute General Medicine and Geratology from the resident doctor workforce.
• The AAU is embedded within the research and innovation infrastructure forming the Academic Health Sciences Centre (AHSC). Supervision and support is readily available to support projects that are aimed at improving clinical outcomes through changes in service models.

Person Specification

• GMC Essential
  • Full GMC registration and licence to practise
• Qualifications Essential
  • Be fit to practice
  • Experienced in Acute medicine
  • Should be ST4 and above
  • Should not hold a CCT
  • Satisfactory progress throughout training, including ARCP outcomes
• Desirable
  • Additional degree (intercalated, masters or doctorate)
• Clinical Skills Essential
  • Clinical competency in own medical specialty appropriate for their stage in training
  • Appropriate knowledge base, and ability to apply sound clinical judgement to problems
  • Ability to prioritise clinical need
  • Ability to maximise safety and minimise risk
  • Ability to work without supervision where appropriate Demonstrable experience in ambulatory care
• Desirable
  • Demonstrable outcomes in ambulatory care
  • Experience in management of frailty syndromes
  • Evidence of skills in management of acute medical emergencies (eg ALERT, IMPACT certification, ALS Instructor)
• Research Essential
  • Understanding of research, including awareness of ethical issues
  • Understanding of research methodology
  • Knowledge of evidence-based practice
• Desirable
  • Evidence of involvement in a formal research project
  • Evidence of relevant academic achievements, including publications / presentations
• Leadership and Management Essential
  • Effective team working and leadership skills, supported by MSF or WBAs
  • Self-awareness, with knowledge of personal strengths and weaknesses, impact and areas for development
  • Interest in and knowledge of the importance of leadership and management for clinicians
• Desirable
  • Effective leadership skills in and outside medicine (eg evidence of leading innovations or improvements)
  • Understanding of NHS management and resources
  • Understanding of the local and national context in which the trust operates, including economic and political influences
• Quality / Service improvement Essential
  • Understanding of clinical governance
  • Active involvement in QIP/audit, research or other activity that focuses on patient safety and clinical improvement and innovation
  • Interest in / knowledge of the delivery of safe, effective healthcare services
• Desirable
  • Evidence of completed audit/Quality improvement projects
  • Evidence of learning about the principles of change management
  • Insight into issues facing UK healthcare services
• Education and Teaching Essential
  • Interest in and experience of teaching
  • Evidence of excellent feedback on teaching
• Desirable
  • Teaching diploma or degree
  • Development of teaching programmes
  • Participation in teaching courses
• Personal Skills Essential
  • Clarity in written and spoken communication
  • Capacity to use logical/lateral thinking to solve problems/ make decisions, indicating an analytical/scientific approach and where appropriate, creativity in problem solving
  • Capacity to manage/prioritise time and information effectively
  • Ability to work effectively under pressure
  • Capacity to manage conflicting demands
  • Self-motivation, and resilience
  • Initiative and ability to work autonomously
• Desirable
  • Leadership skills gained within the NHS or elsewhere
  • Writing experience: - clinical and/or non-clinical topics - peer-reviewed publications and/or communication
  • Evidence of achievements outside medicine
  • Evidence of altruistic behaviour (e.g. voluntary work)

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

Oxford University Hospitals NHS Foundation Trust

John Radcliffe Hospital – AAU

Headley Way

Oxford

OX3 9DU

Employer's website

https://www.ouh.nhs.uk/ (Opens in a new tab)