Specialist Grade in Emergency & Urgent Care

Integrated Care System; Wakefield; On-site; GBP 80,000 - 100,000; Full time

Job summary

A UK healthcare provider is seeking a motivated Specialist Grade in Emergency & Urgent Care to work within multidisciplinary teams in emergency settings. Candidates should have significant clinical experience and a license to practice. The role involves leadership, clinical governance contributions, and the opportunity to manage acute medical issues in a dynamic environment. Full-time and flexible hours considered.

Qualifications

• Full GMC registration with a license to practice.
• Minimum 12 years of postgraduate training.
• Evidence of independent clinical practice.
• Experience in emergency, urgent or acute care in the NHS.

Responsibilities

• Deliver high quality healthcare in Emergency and Urgent Integrated Care Departments.
• Contribute to clinical governance and quality improvement.
• Provide leadership and formal clinical supervision to medical trainees.
• Participate in continuing professional development.

Skills

Excellent communication skills

Leadership in clinical settings

Emergency medicine expertise

Organisational skills

Education

MBBS or equivalent

MRCGP

MRCEM

Job description

Specialist Grade in Emergency & Urgent Care

We are looking for a motivated and innovative Specialist Grade inEmergency & Urgent Care (Equivalent to General Practitioner with SpecialistInterest in Emergency & Urgent Care) to work in the Emergency and UrgentIntegrated Care Departments at Mid Yorkshire Teaching NHS Trust. This role maysuit an experienced General Practitioner looking for a new challenge

The successful applicant will work as an integral member of ourmultidisciplinary team, comprising of nursing staff, advanced clinicalpractitioners, junior and senior clinical fellows along with our substantiveConsultant Physicians in Emergency Medicine.

You will have the opportunity to manage a range of acute medicalproblems and to develop your clinical leadership within these areas. Thisincludes developing urgent care pathways to complement those already inoperation and play a key role in the interface between primary and secondarycare.

The team works equally across 2 sites, with Pinderfields Hospital beingour Major Emergency Department and designated Major Trauma Unit. Both Dewsburyand Pinderfields have 24/7 separate dedicated childrens EDs, and an UrgentIntegrated Care team consisting of GPs and ACPs.

Main duties of the job

Working alongside other members of the EmergencyMedicine multi-disciplinary team to deliver high quality healthcare in theEmergency and Urgent Integrated Care Departments

An interface role between primary care andsecondary care looking at how we can support getting patients to the rightservice in a timely fashion

Developing clinical pathways which span theprimary care/secondary care interface

Contributing to clinical governance and qualityimprovement within urgent and emergency care

Contributing to the ongoing education of themultidisciplinary team in urgent and emergency care

Maintenance of the highest clinical standards inassessment, diagnosis and management of patients presenting to the EmergencyDepartment and Urgent Integrated Care Stream.

Development of services and pathways across theprimary and secondary care interface and between ED, UIC, and acute medicine

Provide senior support, leadership and formalclinical supervision to medical trainees and advanced clinical practitioners(ACPs)

To actively participate in continuingprofessional development (CPD) and departmental meetings

About us

Were proud that our workforce - our greatestasset - strives for excellence every day in providing care and support to thousandsof people living across Wakefield and North Kirklees. Mid-Yorkshire celebratesexcellence and innovation. We have modern, state-of-the-art facilities andprovide first class learning and development opportunities. Mid-Yorks istransforming, grounded in our values to care and improve, respecting ourpatients, our community and our staff, to deliver the highest standards ofcare.

Job responsibilities

This post isoffered on a full time (10 PA) basis although less than full time applicationswill be considered. There is also the potential for the post-holder to agree ajob plan up to a maximum 12 PA. The post will complement our existing workforceand individuals will work cross-site but the successful applicant will workpredominantly at either Pinderfields or Dewsbury and District Hospital. Thepost holder will be expected to work without direct supervision at all times.

TheEmergency Department within the Trust consists of 34 substantive Consultants. The Department is supported by SpecialistRegistrars, Trust Grade doctors, Core Medical Trainees, GP VTS Trainees andfoundation doctors. This is a new post being offered to complement the existingworkforce.

Clinicalresponsibilities will include:

Working alongside other members of the EmergencyMedicine multi-disciplinary team to deliver high quality healthcare in theEmergency and Urgent Integrated Care Departments

An interface role between primary care andsecondary care looking at how we can support getting patients to the rightservice in a timely fashion

Developing clinical pathways which span theprimary care/secondary care interface

Contributing to clinical governance and qualityimprovement within urgent and emergency care

Contributing to the ongoing education of themultidisciplinary team in urgent and emergency care

Maintenance of the highest clinical standards inassessment, diagnosis and management of patients presenting to the EmergencyDepartment and Urgent Integrated Care Stream.

Development of services and pathways across theprimary and secondary care interface and between ED, UIC, and acute medicine

Provide senior support, leadership and formalclinical supervision to medical trainees and advanced clinical practitioners(ACPs)

To actively participate in continuingprofessional development (CPD) and departmental meetings

Supporting Professional Activities in accordance with theTrust Framework, with at least aminimum of 1 SPAs included in the core 10PA timetable. Additional SPA or DCCtime may be commissioned in line with the skills of the successful candidateand changing requirements of the service.

o Examples may include formal clinicalsupervision responsibilities or departmental leadership roles

Applicants will be registered withthe General Medical Council. Applicants with a registration on the GeneralPractitioner Register by the time of appointment would be desirable but notessential. Applicants are required to have evidence of recent continuedacademic and professional development. Excellent communication, listening andorganisational skills are essential.

The rota covers both Pinderfields andDewsbury sites Monday Sunday with PA re-numeration according to RCEMguidelines.

Person Specification

Professional Values and behaviours

• Practices within the professional values and behaviours expected of all doctors as set out in GMC Good Medical Practice and the Generic Professional Capabilities Framework including current licence to practice from the GMC Demonstrates the underpinning subject-specific competences i.e. knowledge, skills and behaviours relevant to the role setting and scope
• Clinically evaluates and manages a patient, formulating a prioritised differential diagnosis, initiating an appropriate management plan, and reviewing and adjusting this depending on the outcomes of treatment
• Manages the difficulties of dealing with patients with complexity and uncertainty in the care of patients; employing expertise and clinical decision-making skills of a senior and independent/ autonomous practitioner.
• Critically reflects on own competence, understands own limits, and seeks help when required
• Communicates effectively and is able to share decision-making with patients, relatives and carers; treats patients as individuals, promoting a person-centred approach to their care, including self-management.
• Respects patients dignity, ensures confidentiality and appropriate communication where potentially difficult or where barriers exist e.g. using interpreter and making adjustments for patients with communication difficulties
• Demonstrates key generic clinical skills around the areas of concern; ensuring humane interventions, prescribing medicine safely and using medical devices safely.
• Adheres to professional requirements, participating in annual appraisal, job planning and reviews of performance and progression.
• Awareness of legal responsibilities relevant to the role, such as around mental capacity and deprivation of liberty data protection, equality and diversity.
• Applies basic principles of public health; including population health, promoting health and wellbeing, nutrition, exercise, vaccination and illness prevention.
• Has personal insight into own strengths and weaknesses.
• Evidence of multidisciplinary team working
• Understanding and personal fit with Trust Values and Behaviours
• Demonstrates awareness of the current UK Healthcare system and the need to develop services in line with current policy

Leadership and Team Working

• Awareness of their leadership as a clinician and demonstrates appropriate leadership behaviour; managing situations that are unfamiliar, complex or unpredictable and seeking to build collaboration with, and confidence in, others.
• Demonstrates understanding of a range of leadership principles, approaches and techniques so can adapt leadership behaviours to improve engagement and outcomes appreciates own leadership style and its impact on others.
• Develops effective relationship across teams and contributes to work and success of these teams- promotes and participates in both multidisciplinary and inter-professional team working.
• Critically reflects on decision-making processes and explains those decisions to others in an honest and transparent way.
• Critically appraises performance of self, colleagues or peers and systems to enhance performance and support development.
• Demonstrates ability to challenge others, escalating concerns when necessary.
• Develops practice in response to changing population health need, engaging in horizon scanning for future developments.
• Specific educational interests and evidence of educational ideas or project work.

Qualifications

• MBBS or equivalent
• Full GMC registration with a license to practice
• CCT in General Practice OR Registered on GMC specialist register with licence to practice.
• MRCGP
• MRCEM

Professional registration

• Please state full GMC number.
• Full Registration and a Licence to Practice with the General Medical Council OR be eligible for the same and have this prior to commencement

Meet the entry criteria for the grade

• A minimum of 12 years full time postgraduate training (or equivalent gained either part time or through Less Than Full Time Training) since obtaining a primary medical qualification
• A minimum of 6 years experience in the Specialty Doctor/SAS Grade or equivalent in Emergency Medicine specialty or similar specialty
• Shall meet the criteria set out in the Specialist Grade Generic Capabilities
• Evidence of independent clinical practice
• Experience working in emergency, urgent or acute care in the NHS independently.
• Applicants knowledge is up to date & is safe to practice.
• Capacity to apply sound clinical knowledge relevant to the job.
• Experience in making clinical decisions & managing risk. Knows when to seek help, able to prioritise clinical need.
• Proven ability to work effectively in a high-pressure, high-volume department.
• Ability to think laterally and work with the wider MDT and with the ED and primary care interfaces.
• Experience working in emergency medicine, acute medicine or SDEC.
• Experience in developing new patient services and pathways.
• Experience in leading quality improvement.
• Completed training in General Practice.

Patient Safety and Quality Improvement

• Takes prompt action where there is an issue with safety or quality of patient care, raises and escalates concerns, through clinical governance systems, where necessary.
• Applies basic human factors principles and practice at individual, team, organisation and system levels.
• Collaborates with multidisciplinary and inter-professional teams to manage risk and issues across organisations and settings, with respect for and recognition of the roles of other health professionals.
• Advocates for, and contributes to, organisational learning.
• Seeks feedback and involvement from individuals, families, carers, communities and colleagues in safety and quality service improvement reviews.
• Leads new practice and service redesign in response to feedback, evaluation and need, promoting best practice.
• Evaluates and audits own and others clinical practice ad acts on the findings.
• Reflects on personal behaviour and practice, responding to learning opportunities.
• Implements quality improvement methods and repeats quality improvement cycles to refine practice; designing projects and evaluating their impact.
• Critically appraises and synthesises the outcomes of audit, inquiries, critical incidents, or complaints and implements appropriate changes.
• Engages with relevant stakeholders to develop and implement robust governance systems and systematic documentation processes.
• Disclosure + Barring Service (DBS) clearance
• Has personal insight into own strengths and weaknesses.
• Evidence of multidisciplinary team working
• Understanding and personal fit with Trust Values and Behaviours
• Demonstrates awareness of the current UK
• Healthcare system and the need to develop services in line with current policy

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.