HSE Consultant Emergency Medicine- General in Munster 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 – Munster Region (Clare, Cork, Kerry, Limerick, Tipperary, Waterford)
***Speciality: Emergency Medicine- General

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

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

*** 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

Our client provides services in collaboration with a range of partners, including local GPs, acute, mental health and community health service providers.  They are a founding member of University College Partners, working to adapt academic and laboratory research to enable improved clinical outcomes for our patients. They also work closely with a number of universities to provide training for doctors, nurses and other healthcare professionals as part of both undergraduate and post-graduate programmes.

They are a major local employer, with over 60% of our staff living locally in Munster Region. The organisation continues to work in developing and enhancing the skills of the staff it employs. This will be in line with the patient safety strategy to deliver improved quality in clinical practice and also through enhancing the clinical management and leadership skills within the organisation.

Our total annual income is euro 150m. Other key figures (2016-2017) are shown below:

·       A&E attendances 171,850,

·       Outpatient attendances 383,990

·       Admissions 83,920

·       Operations / procedures 38,0946

·       Babies born 5,286

As a result of these increases, approximate average daily patient numbers using the hospital’s services are now as follows:

·       500 patients in A&E

·       450 inpatients on our wards

·       50 patients undergoing major or minor surgery

·       800 outpatients attending clinics

·       200 women attending maternity clinics

·       15 babies born in our maternity unit

And, in addition, each day we provide approximately:

·       540 X-rays and radiology tests

·       500 blood tests.

The key objectives for the Trust will be maintaining the safe and high quality care currently delivered. The organisation will continue to work in developing and enhancing the skills of the staff it employs.

This will be in line with the patient safety strategy to deliver improved quality in clinical practice and also through enhancing the clinical management and leadership skills within the organisation. The clinical strategy for the next 5-10 years is anchored on delivering high quality emergency clinical services and networked specialist care to our local population in partnership with our local healthcare providers.

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 120,000 per annum to euros 160,893 per annum plus a further euro 26,672 per annum available in Commitment Awards.

Specific Duties

Direct Clinical Care (DCCs): Shop floor presence – This job plan provides a physical consultant presence out in the clinical arena of the Emergency Department. Each consultant will ensure clinical leadership and support to the departmental and other specialty staff as well as taking on their own patient workload. They will maintain and improve quality of care delivered to patients and guarantee the efficiency of the department.

There will be a consultant present on the shop floor from 0800 hours until 2300 hours Monday to Friday and from 0900 hours until 2300 hours Saturday and Sunday

Sessions are allocated to Clinical administration and shop floor back up – each consultant requires clinical time to undertake clinical administration and to ensure a quality clinical service in times of need. Overall weekend frequency equals 1 in 7 therefore attracts 5% oncall allowance Number of weekend days worked in 52 weeks will be 15 (ie 7.5 weekends)

Core Shop Floor DCC Roles:

(i) Medical Controller

(ii) Resuscitation Room supervision – to include oversight of the paediatric area

(iii) Medical Lead – to ensure early senior medical input for ambulance arrivals and to be a point of medical advice for those patients in the locally situated walk-in assessment area

Each of the three roles are allocated from Mon-Fri 8am-4pm. After that time 4pm-8pm roles (i) and (ii) at any other time including weekends only the Medical Controller role will be possible until further consultant sessions are available.

At certain times there may be more than three consultants on the shop floor, in that situation the expectation is for the EM consultant to see patients directly.

The following is not an exhaustive or exclusive list of the duties of a consultant. The appointee is expected to:

·       Provide senior clinician services to the Emergency Department as per job plan or as agreed within the Trust, and as required when on call.

·       Provide clinical leadership to the department when undertaking clinical care, taking lead clinical responsibility as rostered on a day to day basis. Facilitate safe and effective clinical care

·       Lead on service design and development to help with establishing pre-operative patient assessment

·       Work with consultant colleagues and nursing staff to ensure efficient use of Trust’s resources and contribute actively to clinical governance in the department and to development of quality enhancement projects in the unit.

·       Show flexibility and undertake different appropriate clinical tasks within allocated DCC sessions after discussion with the clinical manager, as the need arises.

·       Actively participate in the Unit’s Teaching Programme and undertake supervision, teaching and training of medical trainees and other multi-professional staff, in line with guidance from the relevant Royal Colleges or specialty bodies.

·       Actively participate in clinical guidelines development, audit and CPD.

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 Emergency 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.

For a whole-time 10 PA contract: the normal split is

· Direct Clinical Care:
8.5 PAs on average per week (Clinical activity, clinically related activity, predictable & unpredictable emergency work )

· Supporting Professional Activities:
 1.5 PAs on average per week (CPD, audit, teaching & research )

** ** An additional 1 SPA is available to all Consultant Staff subject to review and agreement for where quality and service roles which must be approved prospectively by the Clinical Director

Total Hours, Monitoring and Future Working:

Based on the above working pattern each new consultant post will attract 11.5 PAs per week and a band A supplement (5%). This is made up of 10 PAs DCC and 1.5 PAs SPA (with the opportunity to take up quality and service role SPA and drop equivalent DCC once in post)

On Call and Internal Cover:

Each consultant will be expected to provide an on call commitment to the department. Whilst on call the consultant must remain contactable at all times and be prepared to give advice on clinical and managerial issues as required by the hospital staff. The consultants must always be prepared to return to the department whilst on call for pressing clinical issues in accordance with escalation policy.

The request for a consultant to return to the department should only be made for clinical reasons and is in line with the College of Emergency Medicine recommendations. There will be continuous on call cover from 2300 hours to 0800 hours Monday to Friday and from 2300 hours to 0900 hours Saturday and Sunday. Prospective cover is included in the rota for weekend shifts, evening shifts, on-call shifts.

There are sufficient clinical PAs in the Team job plan to guarantee the 3 core DCC shop floor shifts all year round. The department must always be able to access the services of one of the emergency consultants. Each successful applicant will share an office with a fellow consultant and be supported by the secretarial pool based in the department.

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 Emergency Medicine

Office Accommodation

Office accommodation with appropriate IT facilities will be made available within the department together with secretarial support. All consultants are required to check their emails on a regular basis. The ED consultant body meets weekly.

There is a multidisclinary team meeting once per week.

There are two a monthly, multidisciplinary governance meetings chaired by the governance lead with actions, and data distributed to the wide ED team. There are weekly Departmental Meetings for teaching and training. The Hospital Consultant body meets monthly as the Medical Staff Committee to discuss issues affecting the Medical Staff as a whole. All consultants are expected to participate in the management of their own Department and the Hospital as a whole, and will be encouraged to develop their management and leadership skills.

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.

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
***Assistance provided with relocation

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

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

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.***