Consultant Republic of Ireland HSE Medical Assessment Unit 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: General Medicine Medical Assessment Unit / Acute Assessment Unit

*** 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

Along with the current three Consultant Acute Physicians at the University Hospital, this post will have management and clinical responsibility for the patients on the Medical Admissions Unit (MAU). The acute medical number of admissions ranges between 25 - 30 per day. The Acute Physician sees new admissions until 8pm (Monday to Friday). Currently each acute physician covers AAU on a rota basis until 8pm (Tuesday to Thursday). The newly appointed Acute Physician will be required to cover AAU until 8pm on a Monday. On Fridays, the on call physician will then cover AAU from 5-8pm. The on call physician also does post-take ward rounds during the weekend, except on Mondays when this is undertaken by the Acute Physicians. With the appointment of a new fourth Acute Physician, all post take ward rounds, including outliers, will be done by the Acute Physician.

The successful candidate will be encouraged to pursue an interest in any medical sub specialty.

Acute Assessment Unit

The AAU is adjacent to the Emergency Department. It has 6 trolleys and operates 08:00 – 00:00, 7 days a week. GP referrals to medicine are assessed in this area (15 -20 patients/day). Approximately 60% patients are discharged directly from AAU). There is a Band 7 Senior Nurse with responsibility for nurse development and there is an AAU co-ordinator (band 6) who takes the calls from GPs and offers alternatives to emergency assessment and admission.

Medical Admissions Unit

This unit has 28 (6 telemetry) beds. There are, on average, 18 – 20 admissions to the unit per day and approximately 25% of patients are discharged home from the MAU within the first 24 hours of admission. The remainder of patients are directed to the specialty wards.

Hospital @ Night 24/7

A hospital @ night team has been established. Junior doctors from a range of specialties support the service in a flexible way. Communication and allocation of tasks is facilitated by the HSE system.

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

The post holder will have a regular commitment to leading the ‘on-take’ medical team based in the Ambulatory Assessment Unit (AAU) and MAU. In addition, he/she will support the A&E staff with the assessment of patients with acute medical problems. He/she will play a key role in co-ordinating the junior medical staff to ensure that patients are assessed and either admitted or discharged in line with 4 hour A&E targets.

·       The consultant general physicians provide the out-of-hours cover for acute medicine and currently undertake a daily post-take ward round on MAU in the morning. However in response to the recent recommendation of the Royal College of Physicians that there should be increased consultant input to the management of the acute medical take different models of working are being explored.

·       The post holder will have an important role in the training of junior medical staff in the assessment and management of the acutely ill medical patients as well contributing to MRCP PACES teaching and postgraduate medical training of foundation year doctors and speciality trainees.

·       The successful candidate will be expected to work flexibly and achieve high quality care with particular emphasis on:

·       Achieving the target of 95% patients being admitted or discharged from A&E/AAU within four hours

·       Developing appropriate services to meet clinical needs within available resources

·       Working together with colleagues in primary care and the community to ensure effective management of acutely ill patients

·       Participation in the education and training of medical students, doctors and professions allied to medicine including those in primary care

·       Ensuring that optimal use is made of all resources allocated to the post

·       Demonstration of a firm commitment to the principles of clinical governance

·       Developing and maintaining robust systems for effective clinical audit in the specialty and general medicine , as appropriate

·       Further developing services as indicated by recommendations of the Royal College of Physicians and specialist societies

All consultants are required to contribute to service development aligned with national and local expectations and needs. There is a monthly ED senior management team meeting, and a weekly meeting of consultants and service managers. New appointees will work closely with acute medicine and primary care.

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: General Medicine 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.

Direct Clinical Care (DCC) – 8.0 PAs per week (including clinical activity, clinically related activity, predictable and unpredictable emergency work) comprising:

Daily post-take ward rounds 1 PA

MAU 1.625 PA

AAU 1.325 PA

Speciality interest ward round 1.5 PA

Speciality / AAU clinic 0.5 PA

On-call 0.5 PA

Clinical Administration 1.5 PA

Supporting Professional Activities (SPA) – 2.0 PAs per week (including service development, revalidation, appraisal, CPD, audit, teaching, research and the Grand Round).

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: General Medicine

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.***