Job Overview

Here in Jersey, we have our own Health Care system, separate from the NHS. We are looking to develop and improve our healthcare services towards a modern, fully digitised, and future-proof system, in advance of our new hospital (planned to open in 2029). To do so we need fresh eyes, new ways of working and the next generation of Consultants to make our healthcare system the best it can be. We aim to provide high quality, safe and effective care to the 110,000 people living on the Island and those who visit. The hospital benefits from a fantastic educational centre with a full SIM lab and dedicated time for all to learn.
 
Aligned to the Wessex Deanery, we support and develop Foundation trainees as well as Clinical Fellows and SAS doctors. We encourage all our Consultants to fully engage with the education and training of our future generation of medical leaders.
 
Health and Care Jersey are seeking to appoint an enthusiastic and dynamic substantive Consultant in Accident and Emergency to join our welcoming consultant body. The successful candidate will be expected to work a minimum of 10 PAs, with the option of 12 PA to be discussed at interview if shortlisted.
 
Jersey is easily accessible from most regional airports in the UK and has good links with NHS tertiary centres , particularly with Southampton and London, which affords the successful candidates the ability to maintain links within the NHS. To support your transition to Jersey, we can provide a generous relocation and remuneration package, which is benefitted by lower taxation than within the UK.
 
The Government of Jersey is committed to safeguarding and promoting the welfare of vulnerable people (to include children) and requires all staff and volunteers to share this commitment. As this position will work with vulnerable people, the selection process will involve safeguarding measures and include an enhanced DBS check.
 
For any recruitment related queries, please contact Rebecca Weber r.weber@gov.je, For an informal discussion, please contact Dr Catherine King, Consultant in Accident and Emergency and Clinical Director at c.king1@health@gov.je.
 
Interviews for this post are scheduled for 15th January 2027 with a pre-interview engagement day on 14th January 2027.  Attendance in person is required on both days. Please take these dates into consideration when applying.  
 
Please be advised that we are unable to consider CV's submitted by recruitment agencies. All applicants must apply directly.

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 team of eleven consultants within Jersey General Hospital, which is the only Emergency Department on island.

Medical Secretary/Office space

There are medical secretaries to support our clinical services. The appointee will have access to a shared office space with IT facilities. 

Duties

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 within the hospital and other specialist services.

• Assess, review, treat and establish management plans for patients within the Resus, Majors and Minors areas of the Emergency Department.

• To work as the Consultant in charge of the department and lead the shift.

• To work collaboratively with multidisciplinary teams to monitor, improve and maintain compliance with the Emergency Department 4-hour safety standard and associated quality and performance standards.

• Participate in 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.

• 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 indicators.

• The post holder will be expected to take part in management and audit activities and represent the service at Hospital meetings, as required.

• The post holder will be expected to be fully involved in Clinical governance, which includes risk management and supporting improvements in quality and safety.

• Provide clinical leadership and support to the department's nurse specialists.

• Build and develop an excellent service for Emergency Medicine.

Teaching and Research

The department is recognised for training of resident doctors from the Wessex deanery and medical students from Southampton. Active teaching is encouraged in this role. It is expected that the post holder will participate in the training of medical staff and ensure that training and learning needs are identified and facilitated. This includes educational support for clinical fellows recruited directly to Health and Care Jersey.

Opportunities for participating in research are supported where appropriate. Health and Care Jersey has a policy for professional leave and is supportive of external duties for the good of the wider profession.

Management Structure

Health and Care Jersey are a directorate of the Government of Jersey, that is responsible for the delivery of specialist health care and the running of the general hospital. The directorate is led by a Chief Officer, who leads an executive team. Health and Care Jersey (HCJ) is organised as a series of Care Groups, each with a senior leadership team consisting of a triumvirate model. This post is set within the Medical Care Group. 

Medical Care Group

The Emergency Department sits within the Medical Care Group which comprises the following range of services:

Acute Assessment Unit
Cardiology
Clinical Investigations Department
Diabetes
Emergency Department
Frailty
Gastroenterology & Endoscopy
Haematology
Medical Day Unit
Medical Outpatients
Medical Wards
Neurology
Oncology
Palliative Medicine
Pathology
Renal Medicine
Respiratory
Rheumatology
Sexual Health
Stroke

Medicine in Jersey is fully age and specialty integrated. There are 4 medical wards, Plemont, Rozel, Bartlett and Corbiere. A 5-bedded Enhanced Care Area is located in 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, Residents 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 are 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 87 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. 

In addition to outpatient clinics and 4 general medical wards containing 83 beds, the Medical Service Care Group is involved in the management of several specialist facilities. These include: 

20 bedded Acute Assessment Unit (AAU) 

5 bedded Enhanced Care Area (ECA) 

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. 

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.

Proposed Job Plan

All consultants have a 10 PA contract for public work, which is divided into 8 DCCs (including on call) and 2 SPA per week (1 SPA for CPD and 1 SPA job planned for a departmental activity).

Provision for break times will be provided between AM and PM sessions.

The final job plan will be agreed with the Clinical Director for the Emergency Department and General Manager for Medicine and subsequently the Chief of Service for 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 within healthcare 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 an 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 Skills

Essential:

Ability to work flexibly with colleagues to provide services

Ability to work effectively within a multi-disciplinary team, motivating and influencing others through their enthusiasm

Ability to communicate effectively with colleagues, patients, relatives, GPs, management teams and external stakeholders

Highly motivated

Able to work within a multidisciplinary team

Experience of teaching, training and supervision of junior medical staff and undergraduate students

An understanding of and ability to demonstrate ability to:

• Empower others

• Lead through change

• Influence strategically

• Collaborative working

• Drive for Improvement

• Demonstrate Integrity

Personal Attributes

Essential:

Able to work flexibly in a changing health service

Ability to work as part of a team

Effective communicator

Other

Essential:

Participation in clinical audit and risk management activities

Demonstrates a commitment to safeguarding young people and vulnerable adults

Evidence of annual appraisal

IT literate

Desirable:

Experience of service planning and development

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

• understand your personal responsibilities in respect of health and safety at work

• Undertake mandatory training, assessments, and appraisals within mandated timescales