Job Overview
Health and Care Jersey is a Government of Jersey department and is not part of the NHS.
Health care professionals in Jersey enjoy more autonomy and theopportunity to shape the public health service in a small island on a change journey.
Jersey is a unique place to live and work and being a Doctor in Jersey isdifferent. As a crown dependency, we are an Island nation which includesour own Health Care Service. And it is a service on the move with the new Enid Quenault health care facility opened in 2023 and financial commitment to improve and invest in further healthcare facilities including a brand-new acute hospital. Our patients and health professionals are at the centre of all we do, as a doctor you have more time to care and we give more time to you, for your development and wellbeing as well as the opportunity to carry out private patient work.
Health care for the residents of Jersey is provided by the Health and Care Jersey (HCJ), which is funded by the States of Jersey from taxation revenue. HCJ is independent from the U.K. National Health Service and is the political responsibility of the Health and Care Jersey Ministry, consisting of an elected Minister and three Assistant Ministers who serve as part of the Island’s Government system.
Health and Care Jersey (HCJ) is part of the Office of the Chief Executive of the Island. The Director General for Health and Care Jersey is Tom Walker. The management team consists of: Jessie Marshall (Chief Nurse), Claire Thompson (Director of Clinical Services), Anuschka Muller (Director of Innovation); Stephen James (Director of Workforce); Andy Weir (Director of Mental Health, Social Care Community Services) and Simon West (Medical Director).
Health and Care Jersey includes the following Care Groups: Mental Health, Adult Social Care; Community Services; Women, Children and Family Care Group; Medical Care Group and Surgical Care Group.
Interview dates for this post are to be confirmed. Please check advert for updates.
For more information about relocating to Jersey, please email L.Pestana2@health.gov.je
The Post
This is an opportunity to join a dynamic, forward looking Consultant team where change and evolution of Emergency Medicine is a priority. This is a replacement post to join the existing complement of eight consultants (plus three new posts – the total of 9WTE) within Jersey General Hospital which is the only Emergency Department on island.
Clinical Duties
• To lead or supervise the resuscitation and treatment of patients with life threatening injury and illness
• To work in close partnership and liaison with Primary Care, other specialties and other specialist services.
• Assess, review, treat and establish management plans for patients within the resus, majors and minors of the Emergency Department
• To work as the consultant in charge of the department and lead the shift
• Participate on the Emergency Department Consultants’ on-call rota
• To provide clinical advice and support to primary care colleagues and other consultants within Health and Care Jersey medical model
• To deliver personalised, evidence informed medical care plans to all patients that are appropriately documented and regularly evaluated.
• To provide advice and timely medical reviews and interventions as part of the interdisciplinary model of care.
• To set-up, participate and attend relevant services’ MDTs where applicable including frequent attendance
• Maintain good quality up to date medical records including timely discharge letters and summaries.
• To ensure appropriate documentation and coding is used to provide consistent audit and monitoring of the service.
• To adhere to local prescribing guidelines
• To provide clinical supervision, advice and guidance to the resident doctor workforce and emergency nurse practitioners
• The post holder is expected to provide cross cover for colleagues during absences.
• The post holder should be adaptable, flexible and innovative in order to meet the ongoing challenges within the service. The responsibilities of the role may change from time to time
• To comply with infection prevention and control requirements including the latest COVID-19 guidance and policies.
Leadership and Management
• Take part in management and audit activities to support the Care Group Leadership team and Public Health in planning for services and ensuring the service meets key performance indications including excellent patient care.
• The post holder will be expected to take part in management and audit activities and represent the service at Hospital meetings, as agreed with colleagues.
• The post holder will be expected to be fully involved in a ‘Risk Management” program and support the Governance agenda.
• Provide clinical leadership and support to the departmental nurse specialists
• Represent the service at Hospital meetings, as agreed with colleagues.
• Build and develop a service of excellence for Emergency Medicine.
Teaching and Research
The department is recognized for training of resident doctors from the Wessex deanery and medical students from Southampton and active teaching is encouraged in this role. It is expected that the post holder is participating in the training of medical staff and that the candidate will ensure that the training and learning needs are identified and facilitated. This includes educational support for the clinical fellows recruited directly to Health and Care Jersey.
Opportunities for participating in research are supported when appropriate. Health and Care Jersey has a policy for professional leave and is supportive of external duties for the good of the wider profession.
On-call Rota
The appointee will take part in the Emergency Medicine on-call rota of one in five.
Specialty Information
Departmental Statistics (2022-23)
45,000 Attendances including 9,000 children.
Emergency Department in Jersey General Hospital is a Trauma Unit, part of the Wessex Trauma Network. Our Major Trauma Centre is Southampton General Hospital. Our link cardiology centre is John Radcliff Hospital in Oxford.
Transfer of patients from the island to the mainland centres is on JETS (fixed-wing Jersey Emergency Transfer Service).
The department has a 3 bedded resus (including a fully equipped paediatric resus cubicle), 8 bedded Majors area (half of these are isolation rooms), and there is a paediatric examination room as well as a separate paediatric waiting room. There is a separate Minors area with 4 examination cubicles and a separate Eye examination cubicle.
The Emergency Medicine Service
Emergency Medicine Consultants
(some part time and not including this post)
Recruiting to 9WTE
Dr C King, Clinical Lead
Dr M Finn
Dr J Terris
Dr A Varma
Dr S Chapman, Chief of Surgical Care Group
Dr A Noon
Dr N Payne
Dr J McInerney, Deputy Medical Director, GMC Responsible Officer
Dr K Anderson, Chief of Education
Emergency Medicine Consultants are on the shopfloor 8am-10pm Monday to Friday and 10am-4pm Saturday and Sunday and on-call outside of these hours. Consultants use self-rostering for shifts and our rota is on Healthrota.
SAS Grade Staffing
Associate Specialists - 3
Staff Grades – 11
There is 24/7 Middle Grade shopfloor cover.
Middle Grades use self-rostering for shifts and their rota is on Healthrota.
Resident Doctor Staffing
4 Foundation Trainees (Year 2)
3 GPVTS trainees
7 Clinical Fellows
There is 24/7 resident doctor shopfloor cover.
Resident Doctor rota is on Healthrota.
ENP staffing
5 ENP funded posts
There is 12 hours a day / 7 days a week ENP service
Nursing Staff
21.95 full time equivalent nurses. This includes 1 grade 6 Senior Sister, 2 grade 5A Junior Sisters, 2 grade 5B Nurse Practitioners and 4 Emergency Nurse Practitioners.
Medical Secretaries
There are 2 medical secretaries for the Emergency Department Consultants
Care Group Information
Emergency Department sits within the Medical Services Care Group which comprise the following range of services:
Ambulatory Emergency Care
Cardiology
Dermatology
Diabetes
Acute Admissions Unit (AAU)
Emergency Department
Haematology
Medical Day Unit
Medical outpatients
Medical Wards - Bartlett, 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, Bartlett, Rozel and Corbiere. A 5-bedded Enhanced Care Area is sited on EAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit on EAU led by a SAS doctor with consultant support. There is a 16 bed Emergency Assessment Unit. Currently there are 11 consultants, 8 SAS doctors, 7 FY1 and 2 FY2 doctors who between them comprise 8 medical teams and the EAU team. 6 Clinical Fellows offer further support to the teams.
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 EAU by GPs in conjunction with the EAU team. A core responsibility of the Division of Medicine is the provision of a safe acute medical service. The Division provides named Consultant supervision for non-Consultants at all times and ensures that prompt review and treatment is provided for acute medical emergencies referred by General Practitioners or the Emergency Department. The Medical Consultants share on-call cover for the general medical take on a rolling 24hr rota, 8am-8am. Consultant-led post take ward rounds take place at 5pm and 8am. Being on an Island, the physicians need to be able to cover the full range of medical emergencies while on call.
The Medical Consultants share responsibility for ongoing management of patients admitted acutely to the wards. At present, the Medical Consultants have responsibilities for ongoing management of inpatients for a 4-week period of each 8-week rota cycle. Leave is by preference taken during the remaining 4 weeks with the remainder of the time allocated to an increased intensity of specialist elective work.
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 Consultant Medical Staff
Dr E Chacko, General Medicine, Endocrinology and Diabetes
Dr D Hopkins, General Medicine, Endocrinology and Diabetes
Dr M Hanna, General Medicine, Gastroenterology
Dr M Duku, General Medicine, Gastroenterology
Vacancy to be filled 2026, General Medicine, Gastroenterology
Dr G Ortiz-Prieto, General Medicine
Dr A Mitchell, Consultant Cardiologist
Dr P Le Paige, Consultant Cardiologist
Dr S Tosounidou, Consultant in Rheumatology
Dr A Esack, General Medicine, Neurology and Rehabilitation
Dr S Alapati, Consultant in Respiratory Medicine
Dr Consultant in Respiratory Medicine
Vacant, Consultant in Renal Medicine
Vacant, Consultant in Acute Medicine
Dr K Dabeedin, Consultant Acute Medicine
Dr A Mahmoud, Consultant Acute Medicine
Dr I Bodzioch, Consultant Acute Medicine
Dr J Vaz, Consultant Acute Medicine
Dr P Schinle, Consultant Acute Medicine
Dr Katharine Reid, Consultant Care of the Elderly
Vacancy Care of the Elderly
Vacancy Care of the Elderly
Dr W Nagi Consultant Haematologist
Dr S Munisamy, Consultant Haematologist
Dr V Pinder, Consultant Dermatologist
Dr A Bewley Consultant Dermatologist
Dr N Stefanos, Consultant Cellular Pathologist
Dr B Lyons, Consultant Cellular Pathologist
Dr M Perenyei, Consultant Cellular Pathologist
Dr C Langoya Consultant Microbiologist
Dr A Chofle, Consultant Microbiologist
Dr M Butt, Consultant Oncologist
Dr E Dos Santos, Consultant Oncologist
Dr R Soomal, Consultant Oncologist
Dr Daniel Lee, Consultant Oncology
Dr Rubin Soomal, Consultant Oncology
Dr J Grose, Consultant Palliative Medicine
Dr R Hembrom, Consultant Sexual Health Medicine
Dr Shyam Kelavkar, Consultant Stroke Medicine
In addition to outpatient clinics and 3 general medical wards containing 63 beds, the Medical Service Care Group is involved in the management of a number of specialist facilities. These include:
20 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 - Portelet, 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 may change over time and this description will be subject to review in consultation with the post-holder.
Proposed Job Plan
All consultants have a 10 PA contract for public work, this is divided into 8 DCCs (including on call) and 2 SPA per week (1SPA for CPD and 1SPA job planned for a departmental activity).
Provision for break times will be provided between AM & PM sessions.
The final job plan will be agreed with the Clinical Lead and subsequently Chief of Medicine, before final approval with the Medical Director. The post holder’s job plan will be reviewed annually and will be appraised according to the current guidance.
Qualifications and Skills
Essential:
Primary Medical Degree
Full Registration with the General Medical Council (GMC) with a Licence to practise (for overseas candidates it is mandatory that a licence is obtained prior to appointment).
Higher Specialty qualification: FRCEM or equivalent European Qualifications for Specialist Registration
- To have obtained CCT and be on specialist register
- To Have obtained CESR and be on specialist register or,
- Within 6 months of obtaining CCT with recommendation of programme director
ALS, ATLS/ETC, APLS/EPLS provider status
Desirable:
Higher Degree MSc, MD or PhD or equivalent
ALS, ATLS/ETC, APLS/EPLS trainer status
Relevant experience at a consultant level in a similar setting
Leadership skills in managing change in services
General Experience
Essential:
Wide experience in emergency medicine
Evidence of successful interface between secondary and primary care
Enthusiastic Teacher
Management Responsibility / Leadership Experience
Desirable:
Participation on a emergency medicine on-call rota at a consultant level
Specialist Experience
Essential:
Ultrasound Qualifications
Desirable:
Major Trauma Centre Experience
Pre-Hospital Experience
Specialist interest
Leadership and Management
Essential:
Ability to work flexibly with colleagues to develop and 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
Experience of Teaching,Training and Supervision of Junior Medical Staff and undergraduate students
An understanding of and ability to demonstrate your ability to:
- Empower others
- Lead through change
- Influence strategically
- Collaborative working
- Drive for Improvement
- Integrity
Other Requirements
Essential:
Participation in Clinical Audit and Risk Management Activities
Demonstrates a commitment to safeguarding young people and vulnerable adults
Evidence of annual appraisal
Experience of service development
Desirable:
Evidence of research and publication in peer reviewed journals
All employees are required to:
- ensure appropriate job plan is in place
- adhere to the Standards in Public Services and Codes of
Practice of the Employer
- understand your personal responsibilities in respect of health and safety at work
- Undertake mandatory training, assessments, and appraisals within mandated timescales
Personal Attributes
Essential:
Able to work flexibly in a changing health service
Continued Professional Development, Including Appraisal and Revalidation
The post holder will seek opportunities to develop knowledge, skills and experience and be expected to maintain continued professional development to satisfy the requirement of yearly appraisals including attendance at relevant courses and conferences, involvement at locally organised events.
The post holder is required to participate in the annual appraisal and review process which has been implemented for all staff grades and is in line with the GMC guidelines for re-validation. Training is available for appraisees and appraisers. Newly qualified Consultants will be provided with a mentor.
Health and Care Jersey supports the requirements for Continuing Medical Education and is committed to providing reasonable amounts of time and financial support for these activities.
Study leave of 30 days in 3 years and an annual study leave allowance is provided, subject to the approval of the Lead Consultant and Medical Director. The postholder will be expected to meet the Continuing Professional Development requirements of their Relevant Royal College as required for revalidation.