Job summary
- Main area
- Medical
- Grade
- NHS Medical & Dental: Specialist Grade
- Contract
- Permanent
- Hours
- Full time
- Flexible working
- Job ref
- 434-ACUTEMEDSPEC
- Employer
- Buckinghamshire Healthcare NHS Trust
- Employer type
- NHS
- Site
- Stoke Mandeville Hospital
- Town
- Aylesbury
- Salary
- £96,990 - £107,155 pa
- Salary period
- Yearly
- Closing
- 27/04/2025 23:59
Employer heading
Specialist in Acute Medicine
NHS Medical & Dental: Specialist Grade
Be part of our BHT family
Buckinghamshire Healthcare NHS Trust (BHT) is an integrated provider of acute hospital and community services for people living in Buckinghamshire and the surrounding area.
We care for over half a million patients every year:
- provide specialist spinal services at our world renowned National Spinal Injuries Centre at Stoke Mandeville Hospital, the birthplace of the Paralympics
- nationally recognised for urology and skin cancer services
- regional specialist centre for burns, plastic surgery, dermatology, stroke and cardiac services
- deliver community services in health centres, schools, patients’ own homes, community hospitals and community hubs.
More than 6,500 people from different nations, cultures and backgrounds work for us.
We would be happy to discuss possible flexible working options. We strive to be a family friendly, inclusive employer.
If you require any assistance in making this application, please contact [email protected] or phone 01494 734868.
We pride ourselves in being a great place to work – and invite you to join our BHT family.
Job overview
Are you an experienced doctor looking for a rewarding role in Acute Medicine? Join our dynamic team at Stoke Mandeville Hospital and make a real impact on patient care for the people of Buckinghamshire. We have recently opened a new Emergency Medical Receiving Unit which compliments our Acute Medical Unit and Same Day Emergency Care Unit. We have recently redesigned our acute medical pathways to ensure they align to our Emergency Floor vision of 'right patient, right pathway, first time'.
Main duties of the job
As a Specialty Doctor in Acute Medicine, you will play a key role in delivering high-quality, patient-centered care in our Acute Medical Unit (AMU), Emergency Medical Receiving Unit (EMRU), SDEC and as the Physician on-call (POD). Working alongside consultants, trainees, and multi-disciplinary teams, you will manage acutely unwell patients, contribute to service development, and help shape the future of acute medical care.
Working for our organisation
Why colleagues think we are "a great place to work!"
What does Buckinghamshire Healthcare NHS Trust offer you?
As part of our BHT family, you’ll benefit from learning and development opportunities to support your career progression.
Alongside NHS benefits of generous annual leave entitlement and pension scheme, you'll have access to NHS discount schemes.
We provide a range of health and wellbeing services to promote a healthy, happy workforce.
What do we stand for?
Our vision is to provide outstanding care, support healthy communities and be a great place to work.
Our mission is to provide personal and compassionate care every time.
We are working hard to increase diversity at all levels within the trust. We believe a diverse workforce can have a positive effect on both staff wellbeing and patient outcomes.
We welcome applications from black, Asian and minority ethnic candidates, LGBTQ+ candidates, candidates with disabilities and care-experienced candidates.
We are proud to achieve the Gold award for the Armed Forces Covenant and support applications from the Armed Forces Community. Please contact [email protected] (our Armed Forces Covenant Lead) if you would like guidance or assistance with your application.
We make employment decisions by matching our service needs with the skills and experience of candidates, regardless of age, disability, gender, gender identity, marriage and civil partnership, pregnancy and maternity, race, religion or belief, or sexual orientation.
Detailed job description and main responsibilities
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Clinical Responsibilities This post has responsibility for patients managed under the Acute Care Hub in each of its three areas, supported by a junior doctor team. The Acute Care Physician (ACP) consultants run the Hub out of hours in conjunction with the speciality physicians (SCP).
The Acute Medical Unit (AMU) and parts of Same day Emergency Care (SDEC) Unit are the area for assessing patients by the medical team during the medical take. The medical on-call receives about 35 patients with decision to admit in 24 hours. It is supported by the consultant Physician of the Day (POD) made up from a combination of ACP and SCP. Junior doctors rotate through the medical on calls and there is a day shift of 1x FY1, 1x FY2+ (FY2, IMT or GPVTS) and 1x ST3+ all day with additional FY2+ and ST3+ on a late shift. The AMU is run Mon-Fri by the acute medicine senior and junior team. Overnight the AMU is mainly run by a FY2+ and ST3+ with an FY1 and IMT/GPVTS covering the wards (supported as needed).
The Ambulatory Emergency Care Unit (AEC) was opened in November 2014 and has nursing cover 08.00-20.30 with an ACP consultant and junior doctor covering 09.00-20.00. IMT’s are extending doctor cover 9-17:00 on weekends. This includes running a “virtual ward” and some medical day case patients.
The acute medical team also has a flexible shift mainly covering medical front door outlier patients to ensure daily senior review.
At the weekend we have a front door team covering medical admissions and AMU, a respiratory team, a gastroenterology team and a ward cover team. The weekend ward cover team which has a list of patients admitted Fri\Sat\Sun to ensure any deterioration in these patients is detected over the weekend where the speciality teams are not present. This post will cover weekend duties covering the front door with AMU and wards in a 1:8 rotation.
For bank holidays (Monday) including Easter (Friday & Monday) the Acute Care Physicians provide cover for the AECU and AMU and a day off in lieu is provided. The speciality teams provide ward cover and POD cover. Christmas has a separate rota.
Medical Education and Training The post will have a commitment to the education of junior staff and medical students, formally and informally. Supervision of junior staff will take a big part in daily clinical work. Regular departmental educational meetings are taking place.
Clinical Audit and Clinical Governance Participate in clinical audit across the department in line with Trust policy and guidelines. Implement audit and research findings across the department. Comply with the Trust clinical governance processes in a timely manner There are monthly SDU CG and mortality and morbidity meetings that are expected to be attended.
Continuing Professional Development Supporting Professional Activities are undertaken by all Consultants in a collaborative manner based on SDU needs. The candidate is expected to commit to revalidation.
Job plan
We operate an annualised job plan to accommodate flexible planning of shifts. Shifts are selected and then agreed in team rota meeting every 3-6 months.
Core Job Plan (7.5 DCC & 2.5 SPA)
6.0 DCC 1.5 DCC 1.5 Core SPA 1.0 Other SPA
On-call Supplement & additional PAs are applied to job plans depending on the frequency of weekend on-call
PAs beyond exceeding 1 PA Other SPA should be agreed with the SDU lead and Care Group Director.
The following weekday shifts are being suggested:
The planned annualisation of shifts will allow flexible working.
EXAMPLE DRAFT JOB PLAN
There are six leadership roles within Acute Medicine which will be shared out between the consultants; these could potentially be taken over by a specialty doctor in the future and add to the PA count described above.
· SDU Lead · AMU Lead · EMRU Lead · SDU Lead · Junior Doctor and Education Lead · Clinical Governance Lead
The weekly timetables are representative of the post but the fine detail will change depending on the speciality desires of the successful candidate and the number of consultants appointed at the time. Further developments can be expected.
The post holder will participate in the weekend on call rota for acute medicine including overnight on-call. The frequency is 1 in 8 weekends. The post holder is expected to be on site 8 AM till 8 PM on Saturday and Sunday plus offsite cover overnight on Saturday when covering as POD1 (front door), and 8 AM till 4 PM on Saturday and Sunday when covering as POD2 (ward support). The post attracts category A 3% & 1.05 PA for on-call plus day off post POD 1 or 2 weekends. A day off in lieu will be given around a weekend worked (excluding any locum shifts).
Acute physicians cover the POD duties Mon-Fri 8-17 hours, the specialty physicians over the evening POD shift and overnight on-call.
Key Tasks
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Person specification
Professional values and behaviours, skills and knowledge
Essential criteria
- Communicates openly, honestly and professionally, and actively promotes team working and building strong working relationships
- Consults others and listens to their views/opinions. Enables others to take the initiative
- Demonstrates the underpinning subject specific competencies 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 dependent on the outcomes of treatment
- Critically reflects on own competence, understands own limits and seeks help when required
Leadership and Teamworking
Essential criteria
- Awareness of their leadership responsibilities as a clinician and demonstrates appropriate 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 relationships across teams and contributes to work and success of these teams-promotes and participates in both multidisciplinary and inter professional team working
- Critically appraises performance of self, colleagues or peers and systems to enhance performance and support development
Patient safety and quality improvement
Essential criteria
- Takes prompt action where there is a safety or quality of patient care, raises and escalates concerns, through clinical governance systems
- Collaborates with MDT and interprofessional teams to manage risk and issues across organisations and settings with the respect for and recognition of the roles of other health care professionals
- Evaluates and audits own and others clinical practice and acts on the findings.
- Implements quality improvement methods and repeats quality improvement cycles to refine practice: designing projects and evaluating their impact
Safeguarding vulnerable groups
Essential criteria
- Recognises and takes responsibility for safeguarding children, young people and adults using appropriate systems for identifying, sharing information, recording and raising concerns, obtaining advice and acting.
Education and training
Essential criteria
- Critically assesses own learning needs and ensures a personal development plan, reflects both clinical practice and the relevant generic capabilities to lead and develop a service.
- Promotes and participates in individual and team learning. Supporting the educational needs of individuals and teams
- Can act as a role model, educator, supervisor, coach or mentor for medical and non-medical practitioners
- Understands how to raise concerns about the behaviour or performance of any learner under their clinical supervision
Qualifications, appraisal and research
Essential criteria
- Full GMC registration or equivalent registerable qualification
- MRCP or Equivalent
- FRCP or equivalent
- Critically appraises and understands the relevance of the literature, conducting literature searches and reviews; disseminates best practice including from quality improvement projects
- Communicates and interprets research evidence in a meaningful way for patients to support shared decision making
- Works towards identifying the need for further research to strengthen the evidence base or where there are gaps in knowledge, networking with teams within and outside the organisation
Employer certification / accreditation badges
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Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Dr Neil Patel
- Job title
- SDU lead and Consultant in Acute Medicine
- Email address
- [email protected]
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