Consultant Republic of Ireland HSE Elderly Care / Geriatric Medicine in Leinster Region 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, Monaghan, Longford, Westmeath, Offaly, Laois, Carlow, Kilkenny, Wexford, Dublin, Wicklow, Kildare, Cavan)
***Speciality: Medicine: Geriatric / Elderly Care

*** Duration: 12 months (FREE visa & work permit + relocation package offered)

*** Role: Consultant (6+ years post graduate experience)

*** Start date: ASAP

***IELTS Score of 7.0 Overall (minimum) – Essential

***Exact location details provided on application

*** Pay rate: €217,235 to €261,051 Euro’s (dependent on experience) basic salary (allowances paid extra)

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 Care of the Elderly Team at our client’s hospital is looking for a dynamic, forward thinking Consultant who is willing to influence, and working in partnership with the team, lead change within the department, to bring their passion and commitment for acute elderly care to the fore

We are seeking candidates that can demonstrate innovative approaches to enhance existing services and potentially develop new services with a patient centred focus.

The Hospitals Geriatric Department is looking to positively influence elderly care both across the hospital and into the community, working with both internal and external partners to model responsive, holistic & patient centred services. The successful candidate(s) will be instrumental in driving forward this change and being part of this new exciting development.

The hospital are also working with the community trusts to provide seamless care and opportunities for some community work in the future are likely.

Services include:

·       Parkinson’s Clinics

·       Falls Clinic, syncope, tilt table testing.

·       Intermediate Care Services.

Stroke services including acute thrombolysis, acute and rehabilitation stroke wards are based at a nearby General Hospital with rapid access neurovascular clinics at both hospitals.

·       Orthogeriatrics service.

·       Osteoporosis and Bone Health Clinic

·       Acute Frailty In-reach Services in A & E/Admissions Wards

There are excellent working relationships with colleagues in Radiology, Microbiology, Pathology and specialist medical teams.

Please note that full IMC registration and license to practice is an essential for this role. If you do not currently have IMC registration, but you are in the process of applying, please use the supporting information section of the application form to provide an update about the status of your IMC application.

Candidates without IMC registration at the time of shortlisting will not be considered- as per hospital requirements.

Additional Information

You will be able to take advantage of the excellent Consultant contract for the Republic of Ireland. The basic salary range for this post is euros €217,235 to €261,051 Euro’s per annum plus a further euro 26,672 per annum available in Commitment Awards.

Specific Duties

Acute Medicine

At this moment in time the hospital has urgent care services including a 28-bedded Medical Admissions Unit (MAU). There is a full complement of junior staff on MAU including a SpR, 1 Trust Grade Doctor, 1 CT1, 1 SHO and 1 HO doctors. There is also an adjacent short stay ward of 20 beds. Many short stay acute medical admissions are directly admitted to this ward under supervision of on call physician.

Ward rounds in the MAU and Short Stay are performed by on-call physicians with the help of Acute Physicians and with help from the frail elderly nursing team. In addition the acute physicians also cover the ambulatory care unit on a rotational basis. The hospital have a team of Frail Elderly in-reach nurses complemented by a few consultant geriatrician sessions and are seeking to expand this, together with our other geriatrics services.

On Call

The on-call for acute medicine covers all adults over the age of 16 years and currently the rota is 1:15 on weekdays and 1:10 on weekends with prospective cover. Patients of all ages are admitted via MAU and CDU.

Currently all elective work is cancelled when on-call and consultants are expected to spend the majority of the day on the assessment units. Consultant ward rounds are carried out on the assessment units each day, the first major ward round starting at 8.00am with further mini rounds later in the afternoon and evening to see any further admissions and review selected patients. In between these times consultants are expected to be available to junior staff and GP’s for advice and to review any new admissions from time to time through the day.

The on-call consultant is responsible for all the patients admitted on the medical assessment unit until they are transferred to another ward when they will then become the responsibility of the consultant covering that general medical ward. There is an average of about 15 medical admissions per day. This number may vary from between about 20 patients and as many as 60 admissions daily. Ward rounds are carried out by the consultant on-call at weekends.

The Cardiology team runs a parallel on-call service (including primary PCI) on a daily basis. The Gastro team in conjunction with the general surgeons run the 24 hour acute GI Bleeder rota. In addition they are expected to see some patients on the general medical wards if requested by the junior staff or nurse practitioner.

·       The appointee has responsibility for the supervision and teaching of support medical staff, medical students and attendance/participation in post graduate activities and audit. To this end attendance at the academic half day is essential.

·       Responsibilities for carrying out teaching, examination and accreditation duties as required and for contributing to undergraduate, postgraduate and continuing medical education activity, locally and nationally.

·       Responsibility for the proper functioning of the department and any responsibility that relates to a special interest.

·       Participation in Consultant on-call rota and cover for colleagues' annual leave and other authorised absences.

·       Participation in medical audit and the Hospital’s Clinical Governance processes. Involvement in CPD, research and managerial responsibilities where appropriate.

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.

Job Plan

A formal job plan will be agreed between the appointee, the Operational Medical Director and Lead Medicine: Geriatric / Elderly Care 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.

Example 1

Example 2

Example 3

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

Essential 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 Medicine: Geriatric / Elderly Care

Office Accommodation

The post holder will undertake administrative work associated with their clinical and other professional duties.  Adequate time and facilities for clinical administration, including appropriate office space, secretarial support and access to a personal computer, software & internet access, will be available.

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.

Service Provision and Cover during Absences

The consultant has a continuing responsibility for the care of patients in his/her charge and for the proper functioning of the service allowing for appropriate delegation for the training of his/her staff.

He/she must be available by telephone and able to attend the hospital in a timely fashion when on-call (40 minutes journey time).

Consultant staff must ensure that services are covered during his/her planned absences. Where fixed commitments need to be cancelled during planned absences appropriate notice (8 weeks) must be given. Absences must be co-ordinated with other consultant staff in the specialty to ensure senior cover is always available.

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
***Assistance provided with relocation

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

The hospital welcomes all applications irrespective of age, disability, gender, sexual orientation, race or religion- essentially the applicant must meet the criteria mentioned above

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.***