Job Title: Clinical Fellow in Emergency Medicine
Post requires candidate to be entitled for work: No
Salary Range: £54,957.76 to £66,260.48
Contract Type: Fixed Term
Full time/Part Time: Full Time
Term Time only post: No
Advert Closing Date:16/03/2025
By joining the Government of Jersey and wider Jersey Public Services, you'll be proud of what you can achieve – both for yourself and the people of Jersey. You'll enjoy a broader scope that allows you to express yourself, in a smaller setting that means you see the positive results of your impact every day. You'll have a diversity of opportunities that stretch and challenge you, with all the personal and professional support you need. Most of all, in our open, welcoming environment, your voice matters, enabling you to build a rewarding career.
Job Overview
Join Health and Care Jersey as a Clinical Fellow in Emergency Medicine for our August 2025 intake. This is an exciting opportunity for doctors looking to advance their career in emergency medicine or gain valuable experience. As a Emergency Medicine Clinical Fellow, you will be a vital member of the team. Your role will include assessing and treating patients with a variety or conditions while working alongside a full medical and nursing team. There are also opportunities to get involved in aero-medical transfers and contribute to the development of clinical guidelines and pathways.
Key Responsibilities:
- Assessment and management of patients presenting to the department
- Involvement in aero-medical transfers to UK tertiary centres
- Participation in clinical audit, research, and the development of clinical guidelines
Who We're Looking For:
We are looking for motivated individuals to join our August 2025 intake. Candidates should have completed their foundation training or an equivalent and be eager to further develop their skills and experience. This role is perfect for doctors who are passionate about advancing their careers in medicine and enhancing their medical expertise in a supportive and innovative environment.
For an informal discussion please contact Dr M Finn, Clinical Director for Acute Services on m.finn@health.gov.je, for HR related queries please contact Sol Bradbury on S.Bradbury@gov.je
Proposed interview dates are Monday 24th and Tuesday 25th of March 2025.
The Post
The successful candidate will be able to combine service commitment with significant professional development through participation in Clinical Fellow teaching in the Emergency Department as well Clinical Fellows monthly Training days run by the hospital post-graduate centre as well as participation in Clinical Governance programs. There is also an opportunity to train and undertake medical flight transfers.
Duties
Emergency Medicine
-To work as part of the emergency medicine junior doctor workforce team
-See and treat both major and minor injuries and illness in both adults and children
-Refer to the relevant specialty when required
-Learn and undertake ED procedures and skills
-Participate in resuscitation and trauma calls
The rota within emergency medicine equates to 1 in 3 weekends & 1 in 15 nights on average.
Shift patterns are:
Early 08:00-18:00
Mid 10:00-20:00
Late 14:00-23:00
Night 22:00-08:30
Flight Transfer
Patients being transferred acutely to tertiary centres such as the Cardiothoracic Unit in Oxford and to the Neurosurgical Unit in Southampton for further specialist treatment are accompanied by a doctor and a trained nurse. Courses in in-flight transfers are provided, and post holders will be on a rota of 1:7 for such activity during normal working hours and at weekends, if rostered on-call. Accompanying transfers that take place out of hours will be on a voluntary basis and will command additional remuneration.
Additional Professional Development
Medical students from Southampton University are attached for 8-week rotations in their final year. Clinical Fellow post holders have enjoyed interaction with these enthusiastic trainees and have provided bedside teaching in addition to that provided by Consultants and Middle Grade Doctors. Clinical Fellows have organised mock OSCE in the 7th and 8th weeks of their attachment in preparation for their final examinations. This has been a mutually beneficial exercise. The Education Centre is a shared facility for the Health and Care Jersey department and is equipped with a newly built Clinical Skills Lab which has assisted Clinical Fellows in self-learning, particularly in procedural work and optimising their cardio-respiratory resuscitation skills, and in teaching their more junior colleagues both medical students and nursing staff. The medical library is well stocked with books, journals and computer facilities, including internet access. The following is an example schedule of a typical working week. The duties of the post holder are expected to be flexibly worked, as inevitably a number of activities run concurrently.
The Specialty
The Emergency Department
Emergency Department in Jersey General Hospital is the only one on the Island, we see in excess of 45,000 patients per year, 25% of our attendances are children. We are a Trauma Unit part of the Wessex Trauma Network. We run a well-established ultrasound service in the department and are developing a regional blocks service in the ED. There is a 24/7 middle grade presence on the shop floor and ED Consultants are on the shop floor 8am-10pm Monday to Friday and 10am-4pm Saturday and Sunday with on call support outside of these hours. There is a well-run weekly SHO multidisciplinary ED teaching focused on emergency presentations. An interest in audit and clinical governance is also encouraged.
Management Structure
The Chief Officer directs the department for Health and Care Jersey - Tom Walker. The Director of Clinical Services Is Claire Thompson. The Group Medical Director Is Simon West. Professor John McInerney Is Medical Responsible Officer/Suitable person with the GMC for Appraisal and Revalidation.
Leadership Teams
Surgical - Scheduled Hospital Services
Chief of Service: Dr Simon Chapman
Planned Care Lead: Jemma Hammond
Assistant General Managers: Wayne Quenault and Tracey Wilkinson
Lead Nurses: Claire Ash and Stacey Bell
Medical - Primary and Unscheduled Hospital Services
Chief of Service: Dr Matthew Doyle
General Manager: Sarah Evans
Assistant General Managers: Karen Gardner and Washington Gwatidzo
Lead Nurses: Harriet Holden and David McKenna
Social Care
Director: Andy Weir
General Manager: Darren Bowring
Principal Social Worker: Paul Rendell
Head of Learning Disability Services: Robert Gardner
Children's Services
Chief of Service: Caroline Jenkins
Lead Nurse: Alex Watt
General Manager: Tracey Martin
Obstetrics and Gynaecology
Chief of Service: Caroline Jenkins
Head of Midwifery: Roslyn Bullen-Bell
Lead Midwife: Jan Auffret
General Manager: Tracey Martin
Medical Services Care Group
The Pathology Department sits within the Medical Services Care Group which comprise the following range of services, a full structure chart of the care group can be found in the appendix:
Ambulatory Emergency Care
Cardiology Dermatology
Diabetes
Emergency Admissions Unit (EAU)
Emergency Department
Haematology
Medical Day Unit
Medical Outpatients
Medical Wards - Plemont, Corbiere and Rozel Wards
Neurology
Oncology
Palliative Medicine
Pathology Rehabilitation Ward – Plemont Ward (Interim Rehabilitation Unit)
Renal Medicine
Respiratory
Rheumatology
Sexual Health
Medical Services Care Group
Medicine in Jersey is fully age and specialty integrated. There are 3 medical wards, Plemont, Rozel and Corbiere. A 5-bedded Enhanced Care Area is sited on AAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit led by the Acute Medicine Department. There is a 25 bed Acute Assessment Unit.
SAS doctors are responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, FY1 or FY2 doctor whom they closely supervise.
On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the AAU by GPs in conjunction with the Acute Medicine team. A core responsibility of the Medicine Care Group is the provision of a safe acute medical service. The Care Group always provides named Consultant supervision for non-Consultants and ensures that prompt review and treatment is provided for acute medical emergencies referred by General Practitioners or the Emergency Department.
Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area.
Care Group Statistics
There are 63 medical beds. 12-20 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24. There are approximately 4,500 medical admissions annually.
Specialty Medical Staff
The current Consultants providing acute and specialist medical care to the Island population.
Dr A Mahmoud, AAU
Dr I Bodzioch, AAU
Dr J Vaz, AAU
Dr K Dabeedin, AAU
VACANCY, Care of the Elderly
Dr A Mitchell, Cardiology
Dr P Le Page, Cardiology
Dr D Hopkins, Clinical Director for General Medicine
Dr E Chacko, Diabetes
Dr A Varma, Emergency Department
Dr J Terris, Emergency Department
Dr J McInerney, Emergency Department
Dr K Anderson, Emergency Department
Dr M Finn, Clinical Director for Acute Services
Dr N Charles, Emergency Department
Dr N Payne, Emergency Department
Dr R Greig, Emergency Department
Dr S Chapman, Emergency Department
Dr V Patel, Emergency Department
Dr M Hanna, Gastroenterology
Dr M Duku Gastroenterology
VACANCY, Gastroenterology
Dr G Ortiz-Prieto, General Medicine
Dr W Nagi, Haematology
VACANCY, Haematology
Dr B Lyons, Histopathology
Dr M Perenyei, Histopathology
Dr N Stefanos, Histopathology
Dr C Langoya, Microbiology
VACANCY, Microbiology
VACANCY, Neurology
Dr E Gomes Dos Santos, Oncology
Dr M Butt, Oncology
Dr R Soomal, Oncology
Dr J Grose, Palliative Care
VACANCY, Renal Medicine
VACANCY, Respiratory Medicine
Dr S Tosounidou, Rheumatology
Dr R Hembrom, Sexual Health
VACANCY, Stroke Medicine
Medical Services Care Group
In addition to outpatient clinics and 3 general medical wards containing 63 beds, the Medical Service Care Group is involved in the management of several specialist facilities. These include:
25 bedded Acute Assessment Unit (AAU)
5 bedded Enhanced Care Area (ECA)
6 chair Ambulatory Emergency Care (AEC)
A well-equipped Clinical Investigations Department providing echocardiography, exercise ECG, respiratory assessment and GI physiology.
An endoscopy suite providing a full range of endoscopy and bronchoscopy services.
Diabetes Centre providing outpatient care for the diabetic population of Jersey, including retinal photography and specialist nursing support.
Renal/Dialysis unit, providing emergency, acute and longer-term renal support as well as management of transplanted patients and assessment and treatment of renal conditions.
6 bedded isolation area for infected or neutropenic patients.
Other Hospital Departments
The following departments are located outside of the medical division:
3 Surgical Wards - Surgical Floor, Beauport and Rayner Ward
7 Critical Care beds which includes Medical and Surgical Intensive Unit
Designated Day Surgery Theatre (2)
Main theatre Suite
Outpatient Dental Department
Outpatient ENT Facilities Outpatient
Ophthalmology Department
1 Private Wing Ward (beds with admitting rights)
Private Patient Services
Radiology Department
Physiotherapy Department
Anaesthetic Department
This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post holder.
Safeguarding
Health & Care Jersey has a responsibility for, and is committed to, safeguarding and promoting the welfare of children and young people as well as vulnerable adults in our care and for ensuring they are protected from harm.
The post holder will share responsibility for the safeguarding and welfare of all children, adults and/or families within their care and should be familiar with the signs and symptoms of abuse and know what to do if any such concerns are raised. The post holder requires to be aware of, and comply with, all child protection, safeguarding policies and procedures.
As this position will involve working in ‘regulated activity’, the successful applicant will be subject to an Enhanced DBS disclosure as part of their pre-employment clearances. Any offer of employment is subject to satisfactory clearances being obtained.
Infection Control
All employees have a duty to comply with Health & Care Jersey guidelines and policies in relation to Infection Prevention and Control. The post holder will have a duty to ensure that they minimise the risk of infection and infectious diseases. This responsibility includes minimising the risk by highlighting any concerns to the appropriate person.
Qualifications and Skills
Essential:
Primary Medical Degree
Full GMC Registration and License to Practice
Current ALS Certificate
Desirable:
Computer Skills
MRCEM Part 1
General Experience
Essential:
Completion of foundation training or equivalent
6 months Clinical Experience In Jersey or an NHS environment
Desirable:
Enthusiastic Teacher
Previous Management Responsibility
Leadership Experience
Specialist Experience
Desirable:
Specialty Experience Acute Medicine
Management Skills
Essential:
Ability to work flexibly with colleagues to provide services
Ability to work effectively with a multi-disciplinary team, motivating and Influencing others through their enthusiasm
Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses, management and other agencies
Highly motivated
Able to work within a team
Ability to prioritise administrative and clinical tasks
Commitment to learning
Personal Attributes
Essential:
Able to work flexibly in a changing health service
Hepatitis vaccination
Other
Essential:
Participation in Clinical Audit & Risk Management Activities
Demonstrates a commitment to safeguarding young people and vulnerable adults
Evidence of annual appraisal
Across the Government of Jersey and public service, the scope of our work means our people enjoy a wider range of opportunities – to work with recognised experts across teams, learn new skills and develop their careers. We actively look to recruit people from different backgrounds, with diverse perspectives. This creates a richer, more varied environment, where you’re exposed to new ideas, new ways of thinking and new opportunities, so you can develop an exciting and rewarding career.
Extraordinary, Everyday.
