Locally Employed Doctor - Registrar in Emergency Medicine na Portsmouth Hospitals University NHS Trust

Here at Portsmouth Hospitals University NHS Trust, we are proud to provide expert, compassionate care for our local population. We are ranked as the third in the country for research, embedding education and training across the organisation. Our main hub is the Queen Alexandra Hospital, which is one of the largest hospitals on the south coast employing over 8,700 staff.

Our patients come from all walks of life and so do we. We hire great people from a wide variety of backgrounds because it makes our hospital stronger. If you share our values and our enthusiasm for getting it right for patients, colleagues, and our community, you will find a home at Portsmouth Hospitals University NHS Trust.

Emergency Medicine is at the heart of the hospital’s emergency care pathway and provides high quality care for patients from the moment they arrive at the hospital.  The department is led by a highly motivated group of consultants who are committed to providing high level care with a drive to develop the service further.   This role will enable the Emergency Department to deliver high quality and timely care in the face of the pressures resulting from increased emergency admissions and the greater acuity of cases presenting.  We have just moved into a brand-new state of the art Emergency Department, meaning that the postholder will be able to work in a newly designed building.  They will then have the opportunity to work and receive training in a modern, innovative Emergency Department built from the ground up with staff needs in mind and to support quality patient care.

We provide a consultant led service with consultants providing leadership and patient care on the shop floor from 24 hours a day Monday to Friday and 22:00 at weekends with a desire to enhance weekend cover.  The ethos of the department is to provide high level care whilst supporting the education and training of junior staff both clinical and nursing both on and off the shop floor.

These roles will provide the 24/7 registrar cover a department of this size needs. Although this is a Trust grade job and not part of a formal postgraduate training programme, one of the key benefits will be to increase senior shop floor presence, whilst allowing the same time for learning and level of support as it you were on a postgraduate programme.

Key Responsibilities:

These posts are part of the Trust’s aim to deliver high quality emergency care.  A full time substantive post’s Professional Activities (PAs) vary depending if the postholder is on the Portfolio Pathway (formerly known as CESR):

• 7 Direct Clinical Care PAs and 3 Supporting Professional Activities PAs if the postholder is on the Portfolio Pathway
• 8 Direct Clinical Care PAs and 2 Supporting Professional Activities PAs if the postholder is not on the Portfolio Pathway

Applicants expected to participate in a 24/7 middle grade rota, at a level depending on their skill set. A specialty doctor job plan would be anticipated with the appropriate remuneration in time for out of hours working. All applicants will be allocated a designated Educational Supervisor who can develop a bespoke job plan depending on educational needs.

The post is offered for a fixed term contract for 12 months in the first instance, after which we would envisage extension on a mutually agreed basis, subject to successful annual appraisal and involvement in the revalidation process.  We offer a CESR/Portfolio pathway with support for secondments and portfolio for the right applicant.  This post can be one of two options.

1. Seconding and a portfolio pathway (previously known as CESR)

2. Speciality Doctor, choosing an area to become involved within the department, i.e. governance, teaching and QI.

We are looking for Emergency Doctors who have completed MRCEM or doctors who have CCT in GP and are interested in a portfolio career. 

Qualifications

Essential

• Eligible for full registration with GMC and Licence to Practise at time of appointment
• MBBS or equivalent
• Meets professional health requirements (in line with GMC standards in Good Medical Practice)
• MRCEM
• Complete MRCEM or CCT in GP

Clinical Experience

Essential

• Completed at least four years’ full-time postgraduate training (or its equivalent gained on a part-time or flexible basis) in a relevant specialty.

• fixed term specialty trainee in a relevant specialty or have equivalent experience and competencies.
• ATLS / ALS / ETC

Desirable

• 24 months Emergency Medicine experience

• APLS

Clinical Skills

Essential

• Up to date knowledge of emergency medicine and evidence of an understanding of its application;

• Capacity to apply sound clinical knowledge relevant to the job;
• Experience in making clinical decisions and managing risk.  Knows when to seek help, able to prioritise clinical need;
• Shows aptitude for practical skills required in the job;
• Proven ability to work effectively in different clinical settings required in the job
• Good communication (written and verbal)
  • Demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients/colleagues, which could be evidenced by i) applicants having undertaken undergraduate training in English ii) applicants having scores in the academic IELTS or equivalent, equal to those required for recruitment to MMC specialty training programmes (applicants who believe they have adequate communication skills, but do not fit into i) or ii) above must provide evidence);
  • Capacity to listen and take in others’ perspectives;
  • Always considers patients preferences when discussing treatment options;
  • Always considers the full impact of clinical decisions on the patients.  Practice shared decision making;
  • Directs and supports patients to access the information they need to support decision making
• Time management
• Teaching – clear, articulate
• Capacity to be alert to dangers or problems. 
• Demonstrates awareness of good decision making.  Aware of own limitations. Track record of engaging in clinical governance: reporting errors, learning from errors;
• Evidence of active participation in audit

Desirable

• Clinical management of the Emergency Department within the bounds set by the senior team 
• Evidence of relevant academic and research achievements relevant to Emergency Medicine
• Teaching experience

The health and wellbeing of our staff is at the forefront of everything we do. We are proud to be able to offer our staff some fantastic benefits including our on-site Nursery, access to our free Beach Hut for those long summer days, our on-site Wellness Centre including a gym and a swimming pool, access to our fantastic staff networks including LGBTQ, Race Equality and DisAbility, and awards ceremonies to recognise your achievements. We believe we can offer support to all of our staff when they need it the most.   

We welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran’s status, colour, religion, disability, sexual orientation, and beliefs.