Job Title: Clinical Fellow in General Medicine
Post requires 5 years residency: No
Salary Range: £54,957.76 to £66,260.48
Shift Allowance:
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 General Medicine for our August 2025 intake. This is an exciting opportunity for doctors looking to advance their career in medicine or gain valuable experience. As a General Medicine Clinical Fellow, you will be a vital member of the team, gaining hands-on experience in managing both acute and chronic conditions. 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 a rotational program between clinical specialties. To support the post holder’s continuous professional development and career aspirations participation in a consultant led clinic of 1 session per week will be facilitated.
Duties
General Medicine and Acute Medicine
The posts are designed to support the FY1 and Middle Grade doctors (Staff Grade and Associate Specialists) In the management of acute medical admissions on their respective wards. The three main medical wards look after general medical admissions – Plemont Ward, Rozel Ward, Corbiere Ward. Attachments to these firms and a dedicated period of experience on the Acute Medical Admissions Unit in one of the rotations will provide comprehensive training in all the key medical sub-specialties.
The role of the on-call twilight and weekend cover is to act as an effective second on-call (the first on-call being the Medical Registrar). This involves taking calls for admission from GP’s, reviewing admissions on their arrival in the Acute Admissions Unit and Emergency Department and providing additional support to the FY1 when needed. In hours work will be Monday to Friday 8am to 5pm. Out of hours working is 6 pm to 8am weekdays and 24 hours on Saturday and Sunday, worked in a shift rota pattern.
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 oncall. 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 Health & Social Services 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
Medicine in Jersey is fully age and specialty integrated. There are three medical wards, Plemont, Rozel and Corbiere. There is a sixteen bed Acute Assessment Unit situated on a separate ward. Currently there are four Acute Consultant Physicians who run the Acute Admissions Ward, and the remaining eight Consultants are responsible for in-patient care, ably supported by 8 Staff Grades/Associate Specialists, Clinical Fellows (the advertised posts) and 8 FY1/FY2 doctors.
The timetable shows that a ward round is conducted on a daily basis by senior clinical staff, either Consultant or Middle Grade and so Clinical Fellows and Foundation Doctors are well supported in their day-to-day work. There should be a maximum of 3 junior doctors per team. If there are more, then they will be asked to support other colleagues and teams to cover shortages and workload.
Whilst 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 AAU FY2. Clinical Fellows tend to see new patients admitted through the ED but support the Clinical Fellow on the Admissions Unit when it is particularly busy, and FY1 on the wards.
Department Statistics
-There are 63 medical beds
-5 bed enhanced care area
-There are 10-20 acute medical admissions on average during each 24-hour period on call
-Medium stay of 2 1/2 days
-There are approximately 4,500 medical admissions annually
Future New Hospital
We are well advanced in the process of securing planning permission for a future new hospital. In preparation for these working practices will change, and a key element will be the development of an Acute Assessment Unit inclusive of an Enhanced Care Area for level 1 patients. This exciting new project may lead to some alteration in the job plans for Clinical Fellows.
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, Diabetes
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, Emergency Department
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.
Equality and Diversity
Health & Care Jersey values equality and diversity in employment and in the services we provide. We are committed to promoting equality and diversity in employment and aim to ensure that all job applicants, employees and service users are treated fairly and valued equally regardless of gender, marital status, age, race, colour, ethnic origin, sexual orientation or religion.
Confidentiality and Data Protection
Employees are expected to comply with all Government of Jersey policies and procedures related to confidentiality and data protection, and to work in accordance with the Jersey Data Protection Law 2018.
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.
Qualification and Skills
Essential
Primary Medical Degree
Full GMC Registration and License to Practice
Current ALS Certificate
Desirable
Computer Skills
MRCP 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.
