Consultant Anaesthetics- ICU/ ITU 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: Anaesthetics- ICU/ ITU
*** 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 Trust has a purpose built anaesthetic pre-assessment service run by nurse practitioners with regular Consultant sessions.  There is a 32 bedded Short Stay Surgical Unit in which selected patients for minor and intermediate procedures are treated on a 12, 24 or 48 hour basis.  All patients are pre-operatively assessed prior to admission and the use of integrated care pathways together with nurse led discharge has made effective use of the beds.

The main theatre suite contains 11 of the 17 operating theatres with a large patient reception area and central recovery. The adjacency of ICU, the Emergency Department and the short stay surgical unit has helped bring together the core of our operative provision within one purpose built area. An emergency theatre and a trauma theatre is available for emergency work all day increasing consultant input and reducing out of hours emergency workload.

A 24-hour pain relief service is provided for the busy obstetric unit, with 73 beds and averages 3500 deliveries per year.  There is a well-established Acute and Chronic Pain service with 3 chronic pain Consultants and 2 pain sisters. Anaesthesia for ECT is provided for in the psychiatric department

Our 13 bed adult Critical Care Unit currently is staffed to 6 HDU (level 2) and 7 ICU (level 3) beds.

The intensive care unit admits approximately 240 critically ill patients yearly with high APACHE 2 scores.  The majority of these patients are ventilated and have at least two organ failures.  The high dependency unit admits approximately 370 patients per year, a high proportion of which are planned following elective surgery. 

The critical care unit has 24 hour cover from a team of fourteen consultants.   Nursing care is delivered on a 1:1 basis for level 3 patients and 1:2 for level 2 patients and there is multi-disciplinary support from physiotherapists, dieticians, technicians, a pharmacist and administrative staff.

There are daily ward rounds which provide a forum for teaching and exposure to practical procedures

Clinical Duties (guideline only)

The newly appointed consultant will be expected to provide anaesthetic cover in theatre for a variety of surgical specialties, with a mixture of both fixed and flexible lists.  The department organizes its own rota to cover theatre sessions and there is part annualisation of  the number of sessions within the job plan. In addition, the appointed consultant will provide cover for both theatre and the critical care unit when on call on weekday nights, and theatre cover at weekends.

The consultant will have a continuing responsibility for the care of the patients in his / her charge and for the proper functioning of the departments and to be able to be contacted when necessary.

·       Professional supervision and management of junior medical staff. If appropriate the post holder will be named as Educational supervisor to a specific member to oversee their training and as an initial source of career advice to such doctors.

·       Responsibility for undertaking the administrative duties associated with the care of patients and the administration for the department.

·       Requirement to co-operate with local management in the efficient running of services and an expectation to share with consultant colleagues in the medical contribution to management.

·       Requirement to work within the financial and other constraints decided upon by the Trust. Additional expenses of any kind will not be committed without the approval of the appropriate manager / budget holder.

·       Complying with employment and personnel policies and procedures in the management of employees of the Trust.

·       Travel as necessary between hospitals / clinics will be required but a planned and cost effective approach will be expected.

Weekly provisional sessional commitment

The post is for 10 Programmed Activities (PA). 

Of these:             
8.5 PA are for direct clinical care

(*2.38 PA are for on-call work and 6.12 for weekday, daytime work)

1.5 PA   are for Supporting PA’s**

The 6/12 PA allocated for weekday daytime clinical duties will be the equivalent of four theatre lists, each of approximately five hours duration.   In addition, there are 40 flexible sessions to be worked over an annual period. The annual sessions consist of 33 (equating to 1PA each week) and seven to allow for variability in the on-call commitment*.

*** The on-call PA allocation may vary from one year to the next. Any changes will be accommodated by adjusting the annual number of flexible clinical sessions above.

·       A typical week will therefore be four lists, on-call work (an average of eight hours), and six hours of supporting activity, some of which the Trust has agreed may be worked from home.  There has been a synchronized SPA session throughout the Trust that occurs on the fourth week of each month with the day of the week varying.

·       Theatre sessions run from 08.00 – 13:00 or 13:00 -18:00.

·       The department works in a flexible and collaborative way and so changes may be made during times of colleagues’ annual / study leave and under exceptional circumstances.

·       An extra five hour session may be undertaken by local agreement for an extra payment of 1.25PA.

·       Annual and study leave arrangements are co-ordinated within the Department to ensure that there is an acceptable level of consultant cover.

·       Current annual leave entitlement, in line with Consultant terms and conditions of service are 30 days plus 2 statutory days and bank holidays. Study leave is currently allocated.

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

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 & FRCA candidates

A formal job plan will be agreed between the appointee, the Operational Medical Director and Lead Anaesthetics- ICU/ ITU 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.

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 Anaesthetics- ICU/ ITU.

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.***