Republic of Ireland HSE Consultant Emergency Medicine- General 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: Emergency Medicine- General

*** 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

This appointment is a Locum Consultant post for a minimum of 12 months (HSE Salary), pending a substantive appointment.

The hospital encourages applicants with a special interest in acute and paediatric medicine and will support any successful candidate who wishes to develop a special interest.

The Consultants provide comprehensive senior cover to the Department. The Consultants will be expected to review all potential admissions and develop rapid assessment triage strategies to ensure early investigations and disposition of patients is achieved.

Clinical Services

The hospital provides a full range of acute services, with beds for Care of the Elderly, ENT, General Medicine, General Surgery, Gynaecology, Neonatal, Obstetrics, Oncology, Trauma and Orthopaedics, Paediatrics, Vascular Surgery, Breast Surgery and Urology.

There is a full Level 2 A&E Department, with a recently opened Ambulatory Emergency Care Unit. The Critical Care Complex provides both High Dependency and Intensive Care beds to a maximum capacity of 12 beds. Other clinical services include Cardiology, with pacing facilities in the coronary care unit; Dermatology and Plastic Surgery, including a Laser Treatment Centre.

The Radiology Department has one digital fluoroscopy room for barium and MSK work, ultrasound, digital mammography, DEXA scanning, a twin headed gamma camera, two multislice CT scanners and two 1.5 Tesla MRI scanners (including MRA). Theatre 8 was redeveloped in 2010 as a vascular/interventional suite.

There are 10 operating theatres complemented by a full anaesthetic service and a consultant led pain service. Three theatres are fitted with ultra clean air ventilation systems, mainly for orthopaedic surgery. One theatre has recently been commissioned and equipped as a laparoscopic theatre with built in screens and multi-functional lighting. Oral and Maxillofacial Surgery and Endoscopy patients are treated in their own specialist units. The Ophthalmology service is now managed within the hospital’s facilities.

Divisional Information

The Department of Emergency Medicine is part of the Integrated Medicine Division

Department of Emergency Medicine

The Department saw an excess of 75,000 patients last year.  The consultants in the department currently work in a one in six senior consultant rota with mutual prospective cover.

The Department was refurbished in 1997 and consists of dedicated majors and ambulatory majors areas.  Minor injuries are co-located with their UTC between the hours of 1100-2300. In addition there is a fully equipped resuscitation room consisting of four bays. Further work is currently under way to create more majors cubicles.

The Department has a six-bedded clinical observation unit (CDU) which has reclining chairs only. Patients with minor to moderate head injuries and those who require short periods of observation are admitted under the care of the Emergency Medicine Consultant.  The management of head injured patients is managed directly by the Emergency Medicine Department with assistance from the Critical Care Unit consultants for the first 48hrs. The successful applicants will share the workload of providing senior cover for the day-to-day management of the ED, CDU and Urgent Treatment Centre (UTC).

Fixed sessions are allocated for week and weekend “shop floor” work to support the junior medical and nursing staff and these will be included in the Job Plan.

The Department has a minor procedures room, dedicated children’s treatment and waiting area and eye/ENT room with slit lamp.  The Department has its own x-ray facilities available 24 hours a day.

The Department follows National guidelines for the management of head injuries including the criteria for CT scanning, which is available 24 hours a day.

Emergency Nurse Practitioner and Urgent treatment Centre service

There are currently 3 Whole Time Equivalent Emergency Nurse Practitioners providing an ENP service. During the hours of 1100-2300 the ENP service is co-located with the Urgent Treatment Centre and patients are streamed from the Emergency Department.

The Urgent Treatment Centre is based in hospital grounds, adjacent to the Emergency Department. This service sees patients sent by HSE 112 or 999 or those streamed by the Emergency Department. It is managed by the Department of Emergency Medicine and staffed by GPs, Advanced Nurse Practitioners  and Extended Scope Physiotherapists. A Paramedic Practitioner and has just been employed to support the service.

Job Purpose

The hospital is committed to extending the working day and to meeting the recommendations of the Royal College of Emergency Medicine relating to Consultant cover, hence following approval of a business case and further recruitment, by negotiation successful appointees may be asked to work earlier in mornings or later in evenings in exchange for other day time duties

Specific Duties

The successful applicant will work closely with the existing 5 Consultants in providing the full range of services, including diagnosis, investigations and treatment of patients. The consultant will have a continuing responsibility for the care of patients in his/her charge, ensuring safe handover as appropriate. He/she will provide a prompt opinion on request from consultant colleagues in other specialties and assume direct clinical role within the Department with other senior medical staff

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.

This will be agreed by the Chief Operating Officer and will be effective from the commencement date of the appointment.  The current starting agreement is for 8.5 +1.5 PAs (10.5 DCC: 1.5 SPA) this will involve keeping a diary of activity and job plan review at 3 months.

The Job Plan will then be reviewed annually, following appraisal.  The Job Plan will be a prospective agreement that sets out a consultant’s duties, responsibilities and objectives for the coming year.  It should cover all aspects of a consultant’s professional practice including clinical work, teaching, research, education and managerial responsibilities. The yearly job plan review and appraisal will provide a clear schedule of commitments, both internal and external.  In addition, it should include personal objectives, including details of their link to wider service objectives, and details of the support required by the consultant to fulfil the job plan and the objectives.

Job planning will be used to reflect the needs of the department, ensuring that contracted work is appropriately remunerated. An initial job plan review will be undertaken by the Clinical Director after 3 months and annually thereafter, or if the work pattern changes. Any additional PAs contracted by the Trust will be agreed as a separate part of the job plan by mutual consent.

The Trust is committed to extending the working day and to seven day working and hence by negotiation successful appointees may be asked to work earlier in mornings, later in evenings or at weekends in exchange for other day time duties.

Indicative timetable

Provisional assessment of Programmed Activities for a whole-time contract:

•                          Direct Clinical Care- Includes

                            predictable and unpredictable on call           8.5 PAs

•                          Additional PAs – DCC                                             2.0 PAs

•                          Supporting Professional Activities                   1.5 PAs

•                          Extra payment for on call

•                          1:6 on call rota

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 Emergency 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.

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.***