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Job overview

Did you choose Emergency Medicine for interesting pathology, to treat the full array of patients and clinical presentations? Do you value working with a great team, living in a beautiful area with nationally excelling schools and internationally renowned sporting and cultural events? Come to Gloucestershire.

Candidates are invited to apply for a substantive Emergency Medicine Consultant post. The successful applicant will join the team of 22 ED consultants delivering care across our 2 EDs at Cheltenham General and Gloucestershire Royal Hospital. We see 145,000 ED attendances a year. 25% of these are children. We see the highest number of major trauma cases of all Major Trauma Units in the South West region. A busy DGH with a dedicated and innovative EM consultant team, we perform within the top 40/121 trusts in England for 4 hr performance. £39 million  pounds were investment in a newly extended and refurbished Emergency Department and Acute Medical Unit, completed in January 24 providing excellent facilities.

The departments have segregated Paediatric areas, are well supported by SDECs for medical and surgical specialties, co-located Primary care services, 24/7 onsite PPCI and interventional radiology at GRH.

The team deliver consultant led care from 8am until midnight with non-resident on call overnight, working 1:6 weekends via an annualised and self-rostered job plan. A strategy for reduced antisocial hours for our senior workforce is in place.

Main duties of the job

The post attracts 10 PAs

The Medical Local Negotiating Committee (LNC) has agreed on behalf of the medical staff body within the Trust a standard allocation of 1.5 SPAs for all new appointments. Core duties are included in the present allocation of 1.5 SPAs.

On call supplement will be 3% (Category A) of a basic 10 PA salary.

The department provides 16 hours of Consultant cover, 0800-midnight in Gloucester and 0800-2200 in Cheltenham.

Consultants work a self rostered annualised job plan which optimises clinical cover, and provides flexibility for work/life balance and other interests outside the department. This process also allows for a fixed day off per week.

Weekend working frequency is 1 in 6.

Weekday on calls will be divided amongst the consultants.

The job plan may vary in response to other consultants’ leave and to unplanned increases in work.  The consultant will be expected to monitor their hours to ensure that the workload averages out to the proposed job plan.

In line with the terms and conditions, the final job plan is subject to the agreement of the Trust through the Specialty Director and the appointee.

Consultants provide cover for their colleagues for emergency work whenever they are away.  The maximum number of Consultants away at any one time is always subject to the provision of an adequate service for patients.

Working for our organisation

The Emergency Departments of Gloucestershire Royal Hospital and Cheltenham General Hospital together form the busiest services in the South West. Our combined new attendances total approximately 145,000 per year. Children comprise roughly 25% of the total attendances. We are the busiest Major Trauma Unit in the South West.

Medical and Nursing Staff

• This role is investing in the growth of the ED Consultant team, this will expand the team to 22.
• There are 4 F1s, 8 F2s, 6 ACCS ST1-2, 6 GPVTS, 2 ST3, 7 ST4-6, 1 Chief Registrar, 12 Speciality doctors and 1 Associate Specialist.
• There are currently four Advanced Clinical Practitioners, 7 Physician Associates, 16 Emergency Practitioners.
• The 2 departments are staffed by 136 nurses WTE.
• There is mental health practitioner in the department 9am-8pm 7/7 and an alcohol worker to support both Departments.
• The department is closely supported by a discharge team and frailty team.
• The department has a team of dedicated Practice Development Nurses.
• Under the Agenda for Change framework all senior staff nurses and above have expanded practitioner roles.