Republic of Ireland HSE Consultant Elderly Care / Geriatric Medicine in Connacht 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 – Connacht Region (Galway, Leitrim, Mayo, Roscommon, Sligo, Donegal)
***Speciality: Medicine: Geriatric / Elderly Care

*** 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

We are looking to appoint a Consultant Geriatrician to undertake a fixed term position pending permanent appoint for our University Hospital client in Connacht – Republic of Ireland. You will work as part of a team of 8 Consultants providing excellent inpatient care and Elderly Front Door Frailty.

Services

General in-patient services

The current consultants provide care for the four elderly care wards a total of 48 beds. Orthogeriatric care is provided with the assistance of a speciality doctor for the 2 acute orthopaedic wards. There are also beds available on a dedicated Planned Investigation Unit for elective admission to investigate general medical and related conditions. A daily MDT white board meeting is held on each ward. The wards and ward rounds are based on the ECIST SHOP/SAFER models.

There is regular input from the Psychiatric Liaison nurses. The Day Therapy Unit, now housed in the Local Care Centre, provides community support.

Out-patient services

Out-patients are seen in clinics based in a secondary facility. Speciality clinics include a multidisciplinary Falls clinic with associated Tilt Table Clinic. There are two Parkinson’s Disease Specialist Nurses supporting the Parkinson’s service in the Community as well as 2 hospital based PD Nurses who support inpatients across the hospital. There are two Falls Specialist nurses with a dedicated Balance and Stability group led by physiotherapists. Parkinson’s disease is currently managed by Consultant Neurologists and Geriatricians. There are plans to create a single referral pathway in the near future.

Rehabilitation

Community Healthcare includes the specialist rehabilitation of the elderly currently centred at the Local Care Centre co-located at secondary facility with the Stroke Rehabilitation Unit and associated services, the Mental Health Services and a number of other community oriented services.

Specific Duties

Clinical work

The Elderly Care department at the hospital wishes to greatly expand the scope of its current activity. There are plans to develop an Elderly Frailty Unit located in the Ambulatory Assessment Unit to rapidly assess and discharge older patients who do not require admission to the acute hospital.

The department has other priorities including improving cross-cover for consultant absence and seven day consultant presence. All of these priorities require a significant increase consultant resource.

Longer term, there are plans to develop a specialised HCE ward for the care of patients with non-operative trauma. This has come about due to increasing recognition that since the hospital was awarded Major Trauma Centre Designation that the care of this group of patients is complex and scattered across multiple wards in the hospital. The department believes by cohorting them together we can achieve best practice, better care and improved length of stay.

The postholder will need to demonstrate excellent communication and team-working skills, being able to liaise with nursing staff, therapists and discharge team as well as communicating effectively with patients and their families. The postholder will have excellent skills in acute medicine. The postholder will be expected to demonstrate and evidence that their training and experience covers the entirety of Geriatric Medicine to the advanced level expected of a Consultant Geriatrician.

The postholder will be expected to contribute to the acute medical take (currently 1:9 on-call) and elderly care weekend ward rounds. The postholder will also be expected to contribute to the provision of the Elderly Frailty Unit as well as a provide Rapid Access Elderly Care Clinics and a daily Specialty Enhanced Take service.

There is flexibility within the posts for individuals with departmental agreement to focus on specific parts of departmental development for example non-operative trauma, surgical liaison services, the Elderly Frailty Unit or developing community links and out-patient services.

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.

An illustrative 10 PA job plan is shown below (this may vary depending on the needs of the unit and

the experience of the post holder). The actual timetable will be agreed with the Service Line

Director and where appropriate non generic SPA time may be included for such things as formal

teaching, clinical supervision etc.

Timetabled activity

Patient admin

Total Timetabled DCC = 7.065 PAs

Annualised working

1. HCE Weekend working (3 weekends in total)

3 weekend ward rounds with rounds on both Saturday and Sunday morning for 6 hours (2PA)

12/42 = 0.29 PA/week annualised

2. Acute Medical Take (including 4 weekends/year)

1.15PA/week annualised

Total Annualised Direct Clinical Care PAs = 1.44

Total Direct Clinical Care PAs = 8.5

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

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.

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.

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

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

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.***