Consultant A&E Emergency Medicine–General in Leinster Region - Republic of Ireland on a fixed term / permanent basis; working for our client via Workplace Doctors

*** Must have IMC (Specialist Division) Registration (Irish Medical Council) - Essential
*** Location: Republic of Ireland - Leinster Region (Louth, Meath, Longford, Westmeath, Offaly, Laois, Carlow,   Kilkenny, Wexford, Dublin, Wicklow, Kildare)
*** Speciality: A&E –General
*** Pay rate: €217,235 to €261,051 Euro’s (dependent on experience) basic salary (allowances paid extra)

*** Role: Consultant (6+ years post graduate experience)
*** Duration:12 months FREE Visa & Work Permit Offered
*** Start date: ASAP 
***IELTS Score of 7.0 Overall (minimum) – Essential
***Exact location details provided on application

Irish Teaching Hospitals and Medical Universities receive great international acclaim & recognition throughout the world, doctors with experience and training in Ireland typically enjoy great success in terms of professional career development & job satisfaction.

Overview

The hospital is a modern purpose designed and built facility which opened in the 1990’s.

The HSE Trust’s strategic vision is “to deliver safe and sustainable care of the highest quality and to be the provider of choice for our local population and those using specialist services, provided in a modern way by multi-disciplinary teams working in an excellent environment, supported by state of-the-art technology and world class academic research.”

The hospital works to four key values in everything it does, our values are Safe, Kind, Excellent, and Respectful which have been developed jointly with staff, patients and the wider public. This is so that patients know what to expect when they are cared for and staff know what is expected of them in terms of how we treat patients and each other as colleagues. Every member of staff is expected to embody these values in whatever they do. Doing this translates into excellent care and experience for our patients.

The Emergency Department

The Emergency Department consists of majors (with resuscitation room) and an urgent care centre (including minor injuries, minor ailments and GP priority presentations). The resuscitation 5 room currently comprises of 7 adult bays, Including 1 dual purpose negative pressure & 1 burns bay and 2 paediatric bays.

The ED has just completed a redevelopment of the department doubling the footprint. The majors area in the department has doubled from 11 to 21 trollies as well as a brand new designated Urgent Care and Paediatric departments. A dedicated CT scanner along with two X-ray rooms will be located in the new department. The redevelopment of the space was to bring capacity in line with demand and prepare for changes in activity due to Shaping a Healthier Future and so this is an exciting time to shape the future of emergency care within the Trust.

The HSE hospital has just been given a rating of ‘Good’ in the areas of ‘Caring and ‘Well Led’ for the ED and ‘Requires Improvement’ for ‘Safe’ and ‘Responsive’, identifying challenges around staffing levels and capacity particularly, which will be addressed within the new ED redevelopment.

Standard Duties and responsibilities

a) To participate in development of and undertake all duties and functions pertinent to the Consultant’s area of competence, as set out within the Clinical Directorate Service Plan  and in line with policies as specified by the Employer.

b) To ensure that duties and functions are undertaken in a manner that minimises delays for patients and possible disruption of services.

c) To work within the framework of the hospital / agency’s service plan and/or levels of service (volume, types etc.) as determined by the Employer. Service planning for individual clinical services will be progressed through the Clinical Directorate structure or other arrangements as apply.

d) To co-operate with the expeditious implementation of the Disciplinary Procedure 

e) To formally review the execution of the Clinical Directorate Service Plan with the Clinical Director / Employer periodically. The Clinical Directorate Service Plan shall be reviewed periodically at the request of the Consultant or Clinical Director / Employer. The Consultant may initially seek internal review of the determinations of the Clinical Director regarding the Service Plan.

f) To participate in the development and operation of the Clinical Directorate structure and in such management or representative structures as are in place or being developed. The Consultant shall receive training and support to enable him/her to participate fully in such structures.

g) To provide, as appropriate, consultation in the Consultant’s area of designated expertise in respect of patients of other Consultants at their request.

h) To ensure in consultation with the Clinical Director that appropriate medical cover is available at all times having due regard to the implementation of the European Working Time Directive as it relates to doctors in training.

i) To supervise and be responsible for diagnosis, treatment and care provided by non-Consultant Hospital Doctors (NCHDs) treating patients under the Consultant’s care.

j) To participate as a right and obligation in selection processes for non-Consultant Hospital Doctors and other staff as appropriate. The Employer will provide training as required. The Employer shall ensure that a Consultant representative of the relevant specialty / sub-specialty is involved in the selection process. 

k) To participate in clinical audit and proactive risk management and facilitate production of all data/information required for same in accordance with regulatory, statutory and corporate policies and procedures.

l) To participate in and facilitate production of all data/information required to validate delivery of duties and functions and inform planning and management of service delivery

Job Plan - 10PA

A detailed work programme and a job plan will be arranged and agreed by the appointee with the Clinical Director in Medicine and the Chief Executive of the Trust. The post holders will undertake fixed clinical and non-clinical sessions according to an agreed timetable with other members of the Consultant Team. The post will be divided into a ratio 8/2 direct clinical care (DCC) / supporting programmed activities (SPA). Specific SPA objectives and outcomes will be agreed with the Service Lead within 3 months of appointment.

The current consultant work pattern provides hands on Consultant ‘shop floor’ presence from 08:00 to 22:30 Monday to Friday, 8am to 16:00 Saturday and Sunday to directly lead and guide the team to provide a high standard of clinical care for patients attending the Emergency Department. With an increase in the consultant numbers the shop floor hours covered by the consultant body as a whole may increase. On call is covered one weekday per week and currently one weekend in eight at 5% WTE remuneration. Annual and study leave is covered internally and flexibility in sessions will be required on occasions to provide this level of senior clinical supervision.

The Department is busy, seeing over 112,000 patients per year (30% paediatric) and we have achieved a high clinical standard of care and the 95% 4 hour target by working as a close, cooperative team. 24 hour middle grade cover is provided with 4 Senior Registrars posts in Emergency Medicine and 10 other Registrars posts. At present there are 12 SHO posts (rotating every 4 months), 1 six month SHO post on GP rotation, 3 six month EM trainees and 2 six month posts incorporated in House Officer (CMT) and (AM). There are also 4 HO’s who work predominantly in the Observation Unit. It is expected that the post holder will take an active role in teaching and mentoring ED staff.

The minor injuries/illness stream is supported by a 4 ENP team working 8am to 10 pm daily. There is a 8 bedded observation unit within the department for patients needing a prolonged period of observation, extended investigations or input from the Acute Assessment Therapies Team (OT & Physio) to enable safe discharge home. This unit is directly overseen by the Consultant on clinical duty and ED Registrar overnight. PACS is installed and the department is very well supported by the Radiology Department with ready access to all investigations and prompt reporting.

The department is fully computerised for patient attendances, investigations (radiology & pathology) and results and discharge summaries. Within the department we have Point of Care Testing for FBC, U&E and ABG and several ultrasound machines. The fully integrated Urgent Care Centre opened in October 2010. Responsibilities of the Emergency Medicine Consultant will include supervision & delivery of the UCC service.

On a day-to-day basis during clinical shifts this will encompass supervision of the junior doctors and provision of clinical support and advice where relevant to the UCC service whilst also ensuring the provision of acute and timely treatment to patients allocated to the UCC flow. Duties of the EM Consultant will include participation in delivering the UCC performance targets and clinical governance processes. The post holder is expected to work closely with our joint providers in view of a recent renegotiation of the contract. The Paediatric area is staffed by a separate team of senior and junior doctors employed within the Women and Children’s Directorate. Teaching duties will include medical students, sessions for the SHO’s and middle grade teaching on Tuesday morning including preparation for MCEM and FCEM.

The post holder will be required to participate in the Trust and Directorate’s Clinical Governance activities, with a commitment to audit, appraisal for themselves, and CPD, and regular appraisal and mentoring of other team members. It is expected that the post holder will engage in specific management tasks and contribute to monthly departmental meetings (sub-directorate and Clinical Effectiveness) and hospital committees in agreement with the Service Lead and the Directorate Policy Board.

Job plans in excess of 10 PA’s will be subject to annual review to ensure that all activity contained in the job plan is clinically and organisationally necessary.

A formal job plan will be agreed between the appointee, the Operational Medical Director and Lead Respiratory Consultant, on behalf of the Trust’s Medical Director, based on the provisional timetable. This will be signed by the Chief Executive and will be effective from the commencement date of the appointment.

It will be reviewed at 3 months & thereafter annually or at any time, but no less than 3 months after a previous review, as requested by the appointee, Operational Medical Director or Clinical Lead & adjusted accordingly to the agreement of both parties.

Teaching Commitments

·       regular commitments to ward based teaching of undergraduates.

·       participation in the lecture programmes for 2^nd and 4^th & 5^th year medical students.

·       teaching of other groups as required including other specialty juniors and specialist nurses.

Requirements

This post is open to doctors who hold Registration as a Specialist in the Specialist Division of the Registrar of Medical Practitioners maintained by the Medical Council in Ireland in the specialty of Clinical and Emergency Medicine.

Office Accommodation

Office accommodation will be provided for the appointee.

Management Responsibility

All Consultants are required to attend the monthly Directorate Meetings. Post holders will be expected to share in administrative duties allocated by mutual agreement within the Directorate. As part of the Consultant Team, the consultant  will offer mentoring support and lead the existing clinical team through; joint clinics, one-to-one support, individual case management and complex cases, identifying development needs and suggesting CPD (Continuous Professional Development) opportunities and responding to clinical enquiries via e-mail and telephone.

If you are interested in working in growing your career and increasing your income, then talk to our healthcare team today. If you can fill the above requirements, we will give you the following benefits:

*** Visa & Work Permit for FREE!
*** Guidance, Training & Career Development
*** Dedicated & Supportive team- Consultant available when you need.
*** Excellent Basic Pay, Overtime paid for extra hours

We look forward to helping you progress your career and find you the ideal position.

Doctors Guide to working in the Republic of Ireland – Click here

Call us today on +44 (0) 1234 889213 to discuss this vacancy or email your CV to info@workplacedoctors.co.uk  or apply online today (see below).

***Please note due to the high number of applications, we do answer every application in turn.***