Rotational Trust Doctor (FY1/FY2/ST1)

William Harvey Hospital/

Queen Elizabeth the Queen Mother Hospital

344-2019MEDGMZ

Dear candidate,

Welcome to East Kent Hospitals University NHS Foundation Trust. We are a pioneering Trust, on an exciting journey of healthcare transformation, with award-winning research and innovation, and a strong team ethos. We’re looking for positive clinical leaders who want to help us deliver first-class patient care to a fascinating and complex population and be part of something special.

As you would expect from a large teaching Trust, we prize training doctors, nurses and other health professionals and we already work closely with local universities and King’s College, University of London. We now have the exciting new opportunity of working with Kent and Medway’s new Medical School, jointly provided by the University of Kent and Canterbury Christchurch University, which opens in September 2020. The Trust has five hospitals providing a wide range of high quality services and opportunities for innovation. The William Harvey Hospital in Ashford has the full range of district general hospital services, as well as regional specialities, including the country’s best performing trauma unit. The Queen Elizabeth, The Queen Mother Hospital in Margate, also provides district general hospital services, while Kent & Canterbury Hospital in Canterbury is a specialist services hub which provides adult medical care, inpatient renal, urology and vascular services and robotic surgery. Our new hospital in Dover, the Buckland, and Royal Victoria Hospital, Folkestone, provide a variety of outpatient, diagnostic and minor injury services, alongside a range of services throughout the local area. We have a clear clinically-led strategy to transform secondary care in east Kent to deliver outstanding standards across all specialties which build services around the characteristics of our patients and a commitment to refreshing our estate and facilities. We support clinicians who see opportunities to make tertiary care available locally for our population, and we have a strong research ethic as a high recruiter to research studies. Our vision is to provide ‘great healthcare from great people’, and we are proud of what we have achieved to date for our population and are excited about what’s to come. If you would like to be part of this exciting journey, your rewarding work-life will be complemented by the advantages of living in the Garden of England, with a choice of rural, seaside and picturesque places to enjoy and live in, alongside the essentials like excellent schools and easy access to London – and Europe.

In March 2018 the Government and Health Education England announced that a joint bid by Canterbury Christ Church University and the University of Kent to establish a medical school was successful. The medical school opens its doors in September 2020, offering 100 undergraduate medical places on a yearly basis. The five year programme will be taught at the Canterbury campuses of both universities with medical placements within Primary, Community and Secondary Care across Kent and Medway. The Kent & Medway Medical School (KMMS) will be Kent and Medway’s first ever medical school, bringing together the existing centres of excellence in health and medical education provided by the two universities, and local healthcare organisations such as East Kent Hospitals University Foundation Trust. It will offer a new model of patient-focused medical education.

The KMMS will also play a key part of the solution to the challenges of recruiting and retaining medical professionals for this region. You will have the chance to be there at the start of what is expected to be an exciting and productive relationship and help to shape the Drs of the future. One of the largest acute trusts in England, we have a predicted turnover of almost £600 million. We serve a population of 695,000 people in East Kent and over a million through our regional services, employ 7,950 staff and have 1,000 beds across three main hospital sites.

If you think this could be the start of something special, please apply as quickly as possible because we will close the advert for this job once we’ve received sufficient applications. If you have a disability or long-term health problem, we are committed to offering reasonable adjustments throughout the recruitment process and employment. If you would like more information or support, please contact the Resourcing Team on 01227 866450 or resourcing@nhs.net, who will be happy to help.

Yours faithfully, Susan Acott, Chief Executive

Our Mission, Vision and Values Our mission is "Improving health and wellbeing"

Our vision is "Great healthcare from great people"

Our values are

People feel cared for as individuals

People feel safe, reassured and involved

People feel teamwork, trust and respect sit at the heart of everything we do

People feel confident we are making a difference

Our strategic objectives

Our strategic objectives aim to lead us to: a Good and then Outstanding CQC rating; to drive performance, particularly in the key access standards; to make the Trust a great place to work; deliver integration and a more sustainable future for our services across east Kent; develop our staff and teams and improve our finances.

You can find out more about what we do on our website at www.ekhuft.nhs.uk

and view our organisational structure charts here.

Job Description

THE GENERAL & SPECIALIST MEDICINE CARE GROUP

Clinical Director: Dr Richard Kingston

Operations Director: Natalie Acheson

Care Group Head of Nursing: Karina Greenan

Within the General and Specialist Medicine Care group is Cardiology, Diabetes & Endocrinology, Gastroenterology, Health Care of Older People, Neurology, Renal, Rheumatology, and respiratory departments. The post holder will be part of the senior cardiology team, ensuring that the highest standards of care, in accordance with the National Service Framework for Cardiology and relevant NICE guidance are provided to patients. East Kent Hospitals University NHS Foundation Trust (EKHUFT) was set up on 1st April 1999 and manages three acute district general hospitals (at Margate, Canterbury and Ashford) and two supporting hospitals (at Dover and at Folkestone). Foundation status was approved on 1st March 2009. The Department manages the Hyper acute Neurovascular Service (encompassing Acute Stroke Thrombolysis and daily TIA clinics with same day MRI/MRA) and Stroke Rehabilitation, an Orthogeriatric Service with daily consultant input to the Fracture Neck of Femur Ward, Falls clinics, Parkinson’s disease Clinics with Nurse Specialist Support. The Directorate has developed a clear model of care essentially comprising three equal arenas. These are: 1. Acute services: The acute service has a 75+ age related policy. Across East Kent, this

will result in approximately 50% of all acute medical admissions being accepted by the Department for Health Care of Older People. All emergency patients (GP referrals and self-presenting) are seen and assessed on the Emergency Care Centre (ECC). The consultants have an active role in managing and discharging patients on their day of being on-call. 2. Rehabilitation and specialist clinics: The Directorate provides general needs related

rehabilitation services for older people as well as specialist stroke and ortho-geriatric rehabilitation. The major rehabilitation sites are based around the three acute admitting sites, namely KCH, QEQM and WHH. The Directorate also services intermediate rehabilitation sites at Queen Victoria Hospital, Herne Bay, Royal Victoria Hospital, Folkestone and Westbrook House in Margate. These services are appropriately supported by Staff Grade Doctors or Clinical Assistants. The Directorate already runs specialist clinics in stroke/neurovascular, Parkinson’s disease/movement disorders, with an osteoporosis and falls service. The QEQM and the KCH sites have tilt table services with carotid sensitivity testing. 3. Community and intermediate care services: The Directorate proposed some five years

ago the development of more integrated community rehabilitation units in the form of intermediate rehabilitation units and Community Assessment and Rehabilitation Teams. These are now well developed in East Kent and are proving to be highly successful. The Directorate is responsible for NHS Continuing Care facilities at Deal Hospital, Deal, Whitstable and Tankerton Hospital, Whitstable and Faversham Cottage Hospital, Faversham. The Directorate is also developing liaison with the Nursing Home sector to

improve care planning and medical care within Nursing Homes; this is through the development of Nursing Home Nurse Practitioner roles who are linked to the community rehabilitation units and Community Geriatricians. The Directorate aims to ensure that these core responsibilities of a Geriatric Medicine service are delivered but the emphasis of each Consultants role within this framework will be different and may well vary with time to ensure the most responsive service required for the local population. The acute age-related service allows a much more Consultant delivered, team-orientated service to be developed with the on-call Consultant Physician in Geriatric Medicine and General Medicine job planned to spend the afternoon on-call at the MAU/A&E/ECC. There is good multidisciplinary liaison and patient management with regular multidisciplinary conferences/ward rounds on the rehabilitation wards. These include nursing, physiotherapy, occupational therapy, social work, chiropody, speech therapy and dietetics. A good voluntary sector and League of Friends support the hospital. Staff

Consultant Staff

Dr Jonathan Hawkins – Clinical Lead for Geriatrics

Dr David Hargroves - Clinical Lead for Stroke

Dr Jane Fisher – Clinical Lead for Cardiology

Dr Stonny Joseph – Clinical Lead for Diabetes & Endocrinology

Dr Ian Redmond – Clinical Lead for Neurology

Dr Sunil Sukumaran – Clinical Lead for Rheumatology

Dr Brett Perreira – Clinical Lead for Respiratory

Dr Frank Muller – Clinical Lead for Gastroenterology

Dr Richard Kingston – Clinical Lead for Renal (& Clinical Director)

Duties of the post

The appointee will be responsible for communication and liaison with other medical

and service departments within the hospital and with general practitioners and other

agencies, such as district nursing and Social Services.

The appointee will be expected to cover for absence of colleagues (including on call

cover) at short notice, e.g. sickness. Cover outside the Rota requiring extra hours of

work will be paid as additional work at nationally agreed rates and will be

coordinated to be compliant with the relevant legislation.

It is expected that the post holder will play an active part in the training of junior

medical staff. He/she will also be expected to supervise, educate and assist medical

students.

The post holder should take an active part in clinical audit, journal club and

departmental teaching sessions. Regular appraisals will occur and the post holder

will be expected to take part in CPD.

VALUES AND BEHAVIOURS

The post holder is required to uphold and model the Trust values in everything they

do.

On-Call Responsibilities and Hours of Duty

The on call team is made up of a Medical Registrar and two SHO level Doctors, plus an F1 during day time hours who all support a CDU team. The current take is age related for Consultants at 75 years with needs related fast tracking to subspecialty teams for speciality care. The on call team assess all patients and the average number of patients assesses per 24 hours is around 40. Ensure that records of patients in your care are accurate, up to date, legible and signed. Junior Medical Staff should endeavour to ensure that no more than two members in any one grade are absent at any one time. Approval of leave is at the discretion of the Clinical Director and is dependent upon the continuity of patient care. The study leave and annual leave is according to national agreement. Eight weeks’ notice is required for study leave and annual leave and this is covered prospectively. Internal swaps have to be agreed by the directorate and be compliant with the relevant legislation.

Summary Terms and Conditions of Appointment

The post will be appointed to under the Terms and Conditions of Service for Hospital Medical and Dental Staff as amended from time to time. The post-holder is required to be fully registered with the General Medical Council. Salary

The basic salary will be £27,146 - £37,191 basic per annum. In addition to this you will

receive remuneration for out of hours working, on calls and weekend working.

Annual leave

The annual leave entitlement is 27 days depending on experience. Study leave

Study leave is available according to local agreements. All clinical staff are required to give eight weeks’ notice. Removal Expenses Where a practitioner intends to claim reimbursement of removal or associated expenses, it is important that he/she first obtains a copy of the Trust's policy on removal expenses and should discuss the proposals with the Personnel department prior to taking up duty. Visiting Arrangements

Further details and information Please contact Dr Malamis (Margate) on 01843 225544 ext:

725 5062, dmalamis@nhs.net or Dr Prathibha (Ashford) on 01233 633331 ext: 723-6266, bprathibha@nhs.net

Person Specification

Criteria Group Essential Desirable Measurement/ Testing method

Qualifications

Full GMC registration Shall have completed at least four years postgraduate training, at least two of which will be in a relevant training programme Shall have equivalent experience and competencies Recent experience working in a general/specialist medicine role. Ability to work the acute medicine on call rota

Demonstrates the ability to communicate proficiently in the English language and has one of the following qualifications; PLAB, IELTS (academic module) or GCSE English Language at Grade B or above.

Related SHO experience

Application Interview Questioning Reference

Clinical/Technical

expertise

Possesses range of clinical knowledge, skills and information technology expertise. Concerned to maintain and develop this knowledge. Displays sound professional judgement Sees patients within a holistic context Ability to work well with colleagues and within a team Ability to use the evidence

In depth expertise in at least one field within the specialty Have completed APLS/EPLS provider course. Audit projects every 6 – 12 months Relevant research/publication.

Application Interview Questioning Reference References APLS/ EPLS provider certificate

base and clinical audit to support decision-making An ability to organise and prioritise work effectively Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses, other staff and agencies. Commitment to Continuing Medical Education and Professional Development

Intellect and Education

Shows an approach based on critical enquiry and evidence-based medicine Embraces evidence-based practice & audit Interest in research and development Shows breadth of awareness and a range of problem-solving skills Encourages on going learning and an educative culture, both for self and others

Postgraduate qualification

Application form/CV Interview References

Organisation and

planning (both personal &

departmental)

Understands the issues of patient safety and of operating within a litigious and complaints culture Shows self-discipline eg record-keeping and legibility Able to juggle a large number of demands by setting priorities and planning effectively Able to manage conflicting and unpredictable demands

Application form/CV Interview References

Communication

and Interpersonal Skills

Ability to direct and organise teams Able to communicate clearly, avoiding jargon, with a range of different people Builds strong and effective relationships with patients, families and colleagues with the ability to gain their trust and confidence Ability to cope with considerable pressure as well as to adapt to constant change and new demands Demonstrates energy, enthusiasm and initiative in pursuing innovation and the highest standards for patients, juniors, others, colleagues and the organisation

Application form/CV Interview References

Teaching skills

Able to operate within a teaching/training culture

Willing to supervise other staff, spots talent and nurtures it Evidence of teaching experience

Application form/CV Interview References

Ability to operate within wider NHS

context

Understands the NHS system: nationally, regionally and locally Aware of the issues affecting current and future NHS practice Understands the concepts and principles of clinical governance

Application form/CV Interview References

Decisiveness and

Accountability

Is able to justify decisions Recognises clinical constraints and the realities

Application form/CV Interview References

of rationing of care

Partnerships with

Patients

Works with patients as individuals and not purely as a collection of symptoms Able to manage patient expectations Able to negotiate treatment plans with patients

Application form/CV Interview References

Physical

requirements

Meets professional health requirements

Application form/CV Interview References

Additional Terms and Conditions Summary

Confidentiality The Post holder must maintain the confidentiality of information about patients, staff and other health service business in accordance with Trust Policy.

Data Protection

The postholder, for the purposes of the Data Protection Act 1998, consents to the processing of all or any personal data including sensitive personal data as defined under the Data Protection Act 1998 (in manual, electronic or any other form) relevant to their employment, by the Trust and/or any public body or any other third party as nominated by the Trust for the purposes of audit and bound by a duty of confidentiality.

Risk Management

The post holder will ensure compliance with the Trust’s risk management policies and procedures. These describe the Trust’s commitment to risk management, the recognition that our aim is to protect patients, staff and visitors from harm, and stress that all staff have a responsibility to minimise risk.

Infection Control

In accordance with the Health Act (2006) all staff are expected to comply with National and local Infection Control policies and procedures and any other related infection prevention policies or procedures. In addition all staff who‘s normal duties are directly or indirectly concerned with patient care should ensure they have received annual mandatory training (including hand hygiene).

Health and Wellbeing

The Trust is committed to improving the health and wellbeing of staff by supporting them to make healthy choices and lead healthy lives. Everyone employed by the Trust has a responsibility for promoting and participating in the staff health and well-being planned programmes, promotions and activities.

Equal Opportunities

The post holder will treat all colleagues, service users and members of the public with respect and dignity regardless of their gender, age, race, colour, religious beliefs, religion, nationality, ethnic origin, social background, sexual orientation, marital status, disability, real or suspected HIV/Aids status, criminal background and Trade Union status. The Trust has Policy for Equality and it is the responsibility of all staff to ensure that this is implemented.

Health and Safety

All staff must be aware of the responsibilities placed on them by the Health & Safety at Work Act (1974) to ensure that the agreed safety procedures are carried out to maintain a safe condition for employees, patients and visitors.

Safeguarding Children

Everyone employed by the Trust regardless of the work they do has a statutory duty to safeguard and promote the welfare of children. When children and/or their carers use our services it is essential that all concerns for the safety and welfare of children and young people are both recognised and acted on appropriately. You have a responsibility to ensure you are familiar with and follow the Safeguarding Children procedures and the Trust’s supplementary Safeguarding Children Policy which is accessed electronically on the Trust's Intranet site. You have a responsibility to support

appropriate investigations either internally or externally. To ensure you are equipped to carry out your duties effectively, you must also attend Safeguarding Children training and updates at the competency level appropriate to the work you do and in accordance with the Trust's Safeguarding Children Strategy.

Safeguarding Adults

Everyone employed by the Trust regardless of the work they do has a duty to safeguard and promote the welfare of vulnerable adults. When patients and/or their carers use our services it is essential that all protection concerns are both recognised and acted on appropriately. You have a responsibility to ensure you are familiar with and follow Trust policies in relation to safeguarding vulnerable adults. You have a responsibility to support appropriate investigations either internally or externally. To ensure you are equipped to carry out your duties effectively, you must also attend vulnerable adult protection training and updates at the competency level appropriate to the work you do and in accordance with the Trust's vulnerable adult protection training guidance

Professional and NHS Codes of Conduct

You are required to act at all times in accordance with the relevant professional Codes of Conduct and Accountability (including, where applicable, those for Board Members). In addition, all management staff must comply with the ‘Code of Conduct for NHS Managers’ and ‘Standards of Business Conduct for NHS staff’.

Financial Management

and Control of Resources

All staff are responsible for the security and the property of the Trust, avoiding loss or damage, and being economical and efficient in the use of resources. Staff are required to act in accordance with the rules and regulations as described in the Trust’s ‘Policy Relating to the Financial Management and Control of Resources’.

Mandatory Training

All staff are required to attend mandatory training as designated by the Trust.

No Smoking

East Kent Hospitals University NHS Foundation Trust has a no smoking policy. Staff are not permitted to smoke within or on Trust premises

Please note that these terms and conditions are subject to change and may differ from your proposed contract should you be successful in your application.