03/07
ALTNAGELVIN HOSPITALS HEALTH & SOCIAL SERVICES TRUST
ALTNAGELVIN AREA HOSPITAL
JOB DESCRIPTION
1.
JOB TITLE
-
SHO – GENERAL MEDICINE
2.
PURPOSE OF ROLE
-
To support the Consultants in the
provision of care to patients in General
Medicine in the Altnagelvin Hospitals
Health & Social Services Trust.
3.
KEY ORGANISATION RELATIONSHIPS:3.1 The postholder will liaise with medical colleagues, nurses and other staff
providing the range of services within the Trust.
3.2 The postholder will be managerially accountable to the Clinical Director
and clinically accountable to and reporting to his/her consultant.
4.
STAFFING
CONSULTANTS:
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)
(21)
Dr J. McCarthy
Dr P.V. Gardiner
Dr W. Dickey
Dr. C. Steele
Dr G Turner
Dr H.M. Dunn
Dr A.J. McNeill
Dr P McGlinchey
Dr J.A. Purvis
Dr J.G. Daly
Dr R Sharkey
Dr M McCloskey
Dr M Kelly
Dr J.A.F. Beirne
Dr J.G. McElroy
Vacant
Dr K.W. Moles
Dr R.A. Fulton
Dr P. Podmore
Dr A. Garvey
Dr M.O. McCarron
MRCPI (Rheumatology)
M.D., MRCP (Rheumatology
M.D., MRCP (Gastroenterology)
MRCP (Gastroenterology)
M.D. FRCP, FRCPI (Gastroenterology)
M.D., FRCPI (Cardiology) FRCP (London)
M.D., FRCP (Cardiology, FESC
M.D., MRCP (Cardiology)
M.D., FRCP (Cardiology)
M.D., FRCP (Respiratory) FRCPI
M.D., MRCPI (Respiratory)
M.D., MRCP (Respiratory)
M.D., MRCP (Respiratory)
M.B., FRCP (Geriatric Medicine)
M.B., FRCP (Geriatric Medicine)
(Geriatric Medicine)
M.D., FRCP (Diabetology)
M.B., FRCP (Dermatology)
M.B., FRCP (Dermatology)
FRCP (Palliative Care Medicine)
M.A. M.B, BCh, MRCP , M.D. (Neurology)
Other Members of Staff Are:1 Associate Specialist Geriatric Medicine
1 Associate Specialist Cardiology
8 Specialist Registrars
16 Senior House Officers
8 Pre-Registration House Officers
5.
DUTIES OF THE POST:
The successful applicant will share the day-to-day care of in-patients,
participate in Consultant and Registrar ward rounds, Out-Patient Clinic duties
and consultations in Accident & Emergency, Surgical Wards and Maternity as
appropriate to the discipline in which they are engaged. When covering Ward
1 responsibilities will include servicing non-invasive cardiac procedures and
the Cardiac Ambulance.
The Senior staff provide a full range of techniques appropriate to their
disciplines including manipulation and hydrotherapy, diagnostic and
interventional gastrointestinal endoscopy; echocardiography; exercise and
Dobutamine stress testing and holter monitoring; full lung function testing and
bronchoscopy; early assessment and intervention of the stroke patients.
Under exceptional circumstances the applicant may be requested to cover
emergencies in Spruce House and the Dermatology Unit.
Junior House Officer supervision and tuition are expected and such medical
students as are attached to each unit should receive teaching as appropriate.
Discharge summaries are shared by the various Senior House Officers in each
unit.
The night team and weekend duties are currently shared by two Senior House
Officers on parallel work rosters (1 in 8) Full Shift System. In-hospital
residence is mandatory at such times and cover is provided for the medical
wards, A&E and the Cardiac Ambulance. Exceptionally, emergencies in other
locations (e.g. Surgical wards, Maternity) may require the involvement of an
SHO.
Participation in Junior Staff Committee Meetings and Medical Division
Meetings is encouraged and an SHO is elected to represent Senior House
Officers at the Medical and Ambulatory Care Directorate Meetings.
The post is recognised for General Professional Training by the Royal College
of Physicians of London.
So far as is consistent with the proper discharge of the above duties, the
postholder must undertake to deputise from time to time for absent colleagues.
The postholder must undertake, exceptionally to perform additional duties in
occasional emergencies and unforeseen circumstances.
The postholder must undertake, exceptionally to be available for such irregular
commitments outside normally rostered duties as are essential for continuity of
patient care.
6.
STUDY AND TRAINING:
6.1 Junior Doctors are expected to participate in the active teaching
programme at the hospital. This includes tutorials, case conferences and
journal clubs.
6.2 Library facilities are available (Branch Library Queen’s University
Medical Faculty), with a wide range of Journals and textbooks in all
specialties. The location of the library is in the Multi-disciplinary
Education Centre, Altnagelvin Area Hospital which is open as follows:9.00 am to 5.00 pm
9.00 am to 9.00 pm
9.00 am to 5.00 pm
9.30 am to 1.00 pm
Monday
Tues/Wed
Thurs/Friday
Saturday
6.3 Study leave will be considered in accordance with the regulations and is
subject to approved arrangements having been made for your duties to be
carried out in your absence.
ALL LEAVE MUST BE APPLIED FOR ONE MONTH PRIOR TO
REQUIRED DATES AND NOTIFIED TO THE CLINICAL SERVICES
MANAGER TO ENSURE THAT SUFFICIENT OTHER PERSONNEL
ARE ON DUTY TO COVER “LEAVE”.
ONLY THEN CAN
CONSULTANT APPROVAL BE SOUGHT.
6.4 SHO’s are provided with the Royal College of Physicians log/appraisal
booklet which they are encouraged to update in association with their
supervisor.
7. (a) THE HOSPITAL:
Altnagelvin Area Hospital is a modern general hospital of 536 beds.
Waterside Hospital has 18 beds .
The major medical specialties are represented and there is a full range of
Radiological, Laboratory and Paramedical services available on site.
The discipline of Plastic Surgery, Medical Genetics, Paediatric Cardiology and
Radiotherapy are serviced by regionally based consultants.
(b) THE WORK OF THE DEPARTMENT
MEDICAL & AMBULATORY CARE DIRECTORATE
Ward 1 and Coronary Care – is a combined unit.
Coronary Care is a 9 bedded unit with facilities to monitor 9 patients and 6
telemetry units.
Ward 1 has 22 beds and admits patients for cardiac investigations, chest pain
and is a step down ward for coronary patients.
There are 4 Cardiologists responsible for this service.
Support Services carry out:ECG’s
Full lung function studies
Spirometry
Exercise stress test
24 hour ECG monitoring
24 hour blood pressure monitoring
Echos (TOE’s, TT & Stress Tests)
Rapid Access Chest Pain Clinics (undergoing development)
Ward 2 – is an acute medical ward with 35 beds.
Specialties include:
Gastroenterology
Rheumatology
Diabetes
Renal Disease
Deliberate Self Harm
Ward 3 – is a respiratory ward with 31 beds. Currently oncology and
haematology patients are admitted for chemotherapy related complications.
Wards 2 & 3 have 10 Physicians responsible for patient care.
Wards 20 & 21 – are acute medical wards for the elderly. The 54 bed
complement is under the care of 3 Care of the Elderly Physicians.
Ward 22 – is an 11 bedded stroke unit and the Geriatricians/Neurologist have
responsibility for these patients.
There are also day facilities for the elderly adjacent to wards 20/21/22 which
again the Geriatricians have responsibility for.
Ward 5, Waterside Hospital (on Gransha site) – is an 18 bedded rehabilitation
ward for the elderly. The 3 Geriatricians have responsibility for this ward.
Spruce House – is a unit for the young physically disabled. A Physician from
the main hospital has responsibility for these patients.
Anderson House
There is also an integrated dermatology unit which accommodates 12
inpatients, plus outpatients and day cases.
Accident & Emergency Department
This department is busy with 50,000 (approximately) patient attendances per
year and is open 24 hours daily, 365 days annually. There are three
Consultants in post.
Day Case Unit
There are 2 theatres and 2 Endoscopy suites. It is a Consultant led facility
covering all specialties.
Outpatients Department
This unit facilitates 65 in house consultants and 12 visiting consultants.
131,028 outpatients were seen during 2005/06.
Acute Medical Unit
As part of the Trusts patient access project a new Acute Medical Unit has
opened. The acute medical team on-call is focused in the AMU. Elective and
non-elective admissions are managed by the Trust Bed Management
throughput team. The AMU will be primarily responsible for the assessment
of new medical admission patients not requiring resuscitation, and will
manage patients for a defined period according to protocols agreed with other
specialist physicians. The AMU will develop links to Community
Intermediate Care Nursing and will be fully supported with social work, CPN
and diagnostic services.
8.
MAIN CONDITIONS OF SERVICE
8.1
This post will be subject to the Terms and Conditions of Service for
Hospital Medical and Dental Staff as agreed for Northern Ireland.
8.2 The post is a whole-time appointment.
8.3 Membership of the H.P.S.S. Superannuation Scheme is voluntary. There
is a reciprocal arrangement between the N.I. scheme and that in
operation in mainland Britain.
8.4 The passing of a medical examination is a condition of the appointment.
The Altnagelvin Hospitals Health and Social Services Trust is financially responsible
for medical negligence occurring in the course of a practitioner’s Health Service
Employment. A practitioner will be responsible for making his or her own
arrangements to provide cover for non-NHS work. (APPOINTEES ARE ADVISED
TO BECOME A MEMBER OF A MEDICAL PROTECTION AGENCY).
RESEARCH
Each unit has its own on-going clinical research and participation will be welcome.
Central funds may be available to assist approved research.
FACILITIES
Altnagelvin Area Hospital occupies a prominent site on the main Londonderry/Belfast
road, some two miles from the City Centre and is served by a regular bus shuttle.
Adequate car parking is available adjacent to the accommodation.
Single accommodation is available on site and married accommodation may be
available on site or within a short distance of the hospital.
In the vicinity are excellent education facilities at Primary and Secondary School
levels. There is ample provision of modern housing development close to the
Hospital. Nearby recreational facilities include golf courses, swimming pools and
recreational centres.
When requested by applicant, arrangements can be made for applicant to visit the
hospital.
This post is open primarily to applicants who do not require a work permit to take up
employment in the UK. Any applications from applicants who do require a work
permit will be considered only if no suitable UK, EEA National or those with
verifiable permission to work in the UK are identified for the post.
The Trust is contractually obliged to monitor junior doctors New Deal compliance
and you are contractually obliged to co-operate with those monitoring arrangements.
The Trust must collect and analyse data sufficient to assess hours’ compliance,
therefore when the Trust reasonably requests you to do so, you must record data on
hours worked and forward that data to the Trust. Monitoring must be carried out at
least two times per year .
In accordance with Altnagelvin Hospitals H & SST’s Equality Scheme, to ensure that
equality and human rights issues are addressed within the postholders area of
responsibility.
The Trust operates a No Smoking and No Alcohol in the Workplace policy and staff
are required to participate in and adhere to the implementation of these policies.
All staff must comply with the Standing Financial Instructions for the Trust.
As an employee of Altnagelvin H&SST you are legally responsible for all records you
hold, create or use as part of the business within the Trust including patient/client,
corporate and administrative records whether paper-based or electronic and also
including e-mails. All such records are public records and are accessible to the
general public, with limited exceptions, under the Freedom of Information Act 2000,
the Environmental Information Regulations 2004 and the Data Protection Act 1998.
As an employee you are required to be conversant with the Trust’s policy and
procedures on records management and to seek advice if in doubt.
ALL DOCTORS ARE REQUIRED TO:
1.
2.
UNDERTAKE RESUSCITATION TRAINING
STATUTORY/CLINICAL TRAINING SESSIONS
PARTICIPATE IN AUDIT.
AND
OTHER
FAILURE TO DO SO EXCEPT IN CASES OF CLINICAL NEED MAY BE
HIGHLIGHTED IN FUTURE EMPLOYMENT REFERENCES.