Phone: +44 (0) 1234 889213 Email: info@workplacedoctors.co.uk

Republic of Ireland HSE Consultant Medicine: Nephrology / Renal 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: Nephrology / Renal

*** 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 Nephrologist based at a university hospital in Connacht- republic of ireland. The successful applicant

·       Will share the responsibilities for providing acute nephrology and AKI care in a large tertiary renal unit (non-transplant) and providing care for a cohort of general medical and renal patients

·       Will be part of a team of consultants performing practical procedures including tunnelled dialysis catheter insertions, peritoneal dialysis catheters and native/transplant biopsies and training Registrars;

·       Will have joint responsibilities in overseeing delivery of an expanding OP service that includes specialist nephrology, outreach and post-transplant clinics

·       Will have joint responsibilities to participate in the referral/advisory service to nearby non-renal centres.

Dual accreditation in Renal and General Internal Medicine is desired.

Applicants must be on the Specialist Register of the Irish Medical Council, or be within 6 months of doing so, at the time of interview.

Specific Duties

To be discussed at interview stage with the applicant.

Teaching Commitments

·       regular commitments to ward based teaching of undergraduates.

·       participation in the lecture programmes for 2nd and 4th & 5th 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 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.

 

There are three indicative work patterns as described below:

  1. Outpatients: General Nephrology/Haemodialysis;
  2. Outlier cover and
  3. Acute nephrology;

 

Outpatients: General Nephrology/Haemodialysis Activity (30 weeks out of 42, approximately)

 

Day

AM/PM

Work

Category

Pas

MONDAY

AM

HD Clinic

DCC

1.00

PM

Gen Neph Clinic

DCC

1.00

TUESDAY

AM

Procedure list/Patient admin - alternate weeks

DCC

1.00

 

PM

SPA: Audit/Clinical governance 1st Tuesday; Haemodialysis Operational Group 2nd Tuesday; Management meeting  Service development; CQUIN activities  4th Tuesday

SPA

1.00

WEDNESDAY

AM

Admin

DCC

1.00

 

PM

Procedure List (with fluoroscopic support)/Transplant clinic [alternate weeks]

DCC

1.00

THURSDAY

AM

In-reach

HD Unit

DCC

1.00

 

PM

OFF

 

 

FRIDAY

AM

Vascular Access Clinic (shared)/Procedure list

DCC

1.00

 

PM

SPA [including Infection Control Lead]

SPA

1.00

OnCall

 

 

DCC

1.00

 

 

 

DCC

SPA

 

 

 TOTAL

8.00

2.00

 

 

Outlier Ward Cover (6/42, approximately)

 

Day

AM/PM

Work

Category

Pas

MONDAY

AM

Ward Round

DCC

1.0

PM

Admin

SPA

1.0

TUESDAY

AM

Procedure list/Patient admin [alternate weeks]

Uro-Renal radiology MDT

 

DCC

1.0

 

PM

SPA

Clinical Governance/Mortality review/Audit Meeting:1st Tuesday each month; Supervision/Teaching: 2nd Tuesday each month ;Transplant List Meeting: 3rd Tuesday each month; Management Meeting-Service development; CQUIN activities: 4th Tuesday each month

SPA

1.0

WEDNESDAY

AM

Outlier Ward Round followed by acute nephrology MDT

DCC

1.0

 

PM

Procedure List (with fluoroscopic support)

DCC

0.5

THURSDAY

AM

In-reach
HD Unit

DCC

1.0

 

PM

SPA [Including Infection Control Lead]

SPA

1.0

FRIDAY

AM

Outlier Ward Round

DCC

1.0

 

PM

Renal Biopsy MDT ( 1 hour monthly)

OnSite Ward Renal Referrals

DCC

0.5

OnCall

DCC

1.00

 

 

 

DCC

SPA

 

 

 TOTAL

8.00

2.00

 

Acute Nephrology (6/42 weeks approximately)

 

Day

AM/PM

Work

Category

Pas

MONDAY

AM

Ward Round

DCC

1.0

PM

Admin

DCC

1.0

TUESDAY

AM

Procedure list/Patient admin [alternate weeks]

Uro-Renal radiology MDT

 

DCC

1.0

 

PM

SPA

Clinical Governance/Mortality review/Audit Meeting:1st Tuesday each month; Supervision/Teaching: 2nd Tuesday each month ;Transplant List Meeting: 3rd Tuesday each month; Management Meeting-Service development; CQUIN activities: 4th Tuesday each month

SPA

1.00

WEDNESDAY

AM

Outlier Ward Round followed by acute nephrology MDT

DCC

1.0

 

PM

Procedure List (with fluoroscopic support)

DCC

0.5

THURSDAY

AM

In-reach

HD Unit

DCC

1.0

 

PM

SPA

 

SPA

1.00

FRIDAY

AM

Outlier Ward Round

DCC

1.00

 

PM

Renal Biopsy MDT ( 1 hour monthly)

OnSite Ward Renal Referrals

DCC

0.5

OnCall

DCC

1.00

 

 

 

DCC

SPA

 

 

 TOTAL

8.00

2.00

 

Saturday/Sunday ward rounds and review of referrals, ED in-reach and Critical Care input 0830 to 1800 based on site, with cover from home thereafter. This occurs as a 1 in 10 currently but is subject to change/service needs.


While doing ‘Outliers’ role; there is shared cover to a 15 bedded mixed medical/renal Ward.

 

On Call Availability

·       The successful candidate will be expected to participate in the on call rota to provide emergency cover, and advice to more junior colleagues.

·       Weekend cover will be provided by the Consultant along with a Renal Registrar and a SHO (CMT grade).

·       7 Day working is partially implemented with Saturday activity almost similar to Mon-Friday; additional resource for providing an Acute Nephrology and Outlier/Referral/ Dialysis cover with 2 Consultants being on-call on a Saturday is currently being discussed with the Trust

·       A proportion of week day on-call ‘slots’ is expected to be Consultant only with no middle grade cover. It is anticipated that 50% of the week day on-call ‘slots’ over a 42 week working year will be without a middle grade (SpR) being on-call. There will be a Renal SHO providing cover to the acute nephrology ward until 9 pm. The Hospital at Night Team that includes the Medical Registrar and a SHO (CMT grade) will provide cover to the acute nephrology ward and will review admissions through ED that may require renal input and liaise with the renal Consultant on-call (over the telephone) as required. There is already a pathway in place for patients referred with AKI out of hours who may require renal replacement therapy urgently. The on-call ITU team at the referring unit will provide CVVH in ITU as required in these instances.

·       The on-call Consultant is expected to be non-resident. The rota is designed to enable in lieu time off the next day if there were to be a requirement for the on-call Consultant to be on site “out of hours”

 

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: Nephrology / Renal

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.***