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 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 consultants.

 Health & Community Services is seeking to appoint an enthusiastic and dynamic substantive stroke consultant to join our already passionate consultant body. 

 Jersey is easily accessible from most regional airports in the UK and has good links with NHS tertiary centres especially in Southampton and London, which affords the successful candidates to maintain links within the NHS and the private sector working.  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 an informal discussion regarding any of the above roles please contact Dr Matt Doyle, Chief of Medicine, by email (m.doyle@health.gov.je) to arrange a telephone conversation.

For recruitment and relocation queries please contact Sol Bradbury s.bradbury@gov.je

The Post

Health & Community Services is seeking to appoint an enthusiastic and dynamic substantive Consultant Physician in General Medicine to join an enthusiastic consultant body managing general internal medicine. The primary commitment is to general medical services but there are opportunities for suitably qualified candidates to have a special interest in one of Respiratory, Renal Medicine, Acute Medicine, Frailty and Stroke.

Clinical Duties

• Lead the care of inpatients on a General Internal Medicine/ Specialty ward.
• Work within and strive to improve standards, procedures and systems to ensure safe, high quality and efficient patient care from the point of entry to admission or discharge.

• Work within the multidisciplinary team to ensure effective team working in the provision of acute medical care to patients on a day-to-day basis.

• Practice within and participate in developing clinical guidelines to ensure best practice for the management of wide range medical conditions.
• Participate in clinical governance including audit and quality assurance processes, incident investigation and quality improvement, risk management.
• Work collaboratively within the department, the emergency and acute medical teams, other in-patient teams and primary and community services to maximize benefits to patient care.
• Teach and train junior doctors and students.
• Become a qualified educational supervisor and work as Clinical and/or Educational Supervisor to a number of trainees dependant on job plan.

• To teach and train staff in other medical disciplines, nursing and support staff as appropriate.

Clinical Duties

• Take part in major incident planning.

• Take part in the administration of the department and the involvement in the management of resources will be regarded as important.

• To promote General medicine as a Specialty both within the organisation and externally.

• To deliver personalised, evidence informed medical care plans to all patients that are appropriately documented and regularly evaluated.

• To participate and attend relevant services’ MDTs.

• To liaise with tertiary referral centres as appropriate to provide patient centred care & service improvements.

• 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.

• 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 & control requirements.

Leadership and Management

• Take part in management and audit activities to support the Care Group Leadership team & 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.

• Represent the service at Hospital meetings, as agreed with colleagues.

Training and Research

The department is recognised for Foundation 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 will participate in the training of medical staff and ensure that the training and learning needs are identified and facilitated. This includes educational support for the clinical fellows recruited directly to Health & Community Services. The post holder should deliver training to a range of professionals across the multi-disciplinary team. Opportunities for participating in research are supported when appropriate. The Health & Community Services has a policy for professional leave and is supportive of external duties for the good of the wider profession.

On Call Rota

The post holder will be expected to participate in the General medical on call rota. This is currently 1:8 including weekends and public holidays. The on-call consultant is required to do a ward round on Saturday, Sunday and Public Holidays. The frequency of call out from home is very low (less than 1 per month).

The Specialty

There will be an opportunity to develop your specialist interest in accordance with the medical care group plans. Close working with the relevant tertiary centres will be supported.

Medical Services Care Group

Cardiology

Dermatology

Diabetes

Emergency Admissions Unit (EAU)

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

Same Day Emergency Care (SDEC)

Sexual Health

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 a number of specialist facilities. 

These include:

25 bedded Acute Assessment Unit (AAU)

5 bedded Enhanced Care Area (ECA)

6 bay Same Day Emergency Care (SDEC)

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.

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 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.

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

Dr D Hopkins, Consultant, Endocrinology and Diabetes, Clinical Director for General Medicine

Dr M Finn, Consultant Emergency Medicine, Clinical Director for Acute Services

Dr E Chacko, Consultant, Endocrinology and Diabetes

Dr G Ortiz, Consultant in General Medicine

Dr M Hanna, Consultant, Gastroenterology

Dr M Duku, Consultant, Gastroenterology

Vacancy, Consultant, Gastroenterology

Dr A Varma, Consultant in Accident and Emergency

Dr J Terris, Consultant in Accident and Emergency

Dr V Patel, Consultant in Emergency Medicine

Dr N Charles, Acting Consultant Emergency Medicine

Dr S Chapman, Consultant Emergency Medicine

Dr A Noon, Consultant Emergency Medicine

Dr N Payne, Consultant Emergency Medicine

Dr J McInerney, Consultant Emergency Medicine

Dr K Anderson, Consultant Emergency Medicine

Dr R Greig, Consultant Emergency Medicine

Dr A Mitchell, Consultant Cardiologist

Dr P Le Paige, Consultant Cardiologist

Specialty Medical Staff

Dr M Richardson, General Medicine, Care of the Elderly

Dr S Tosounidou, Consultant in Rheumatology

Dr H Gibson, General Medicine, Neurology and Rehabilitation

Dr T Hayat, Consultant in Respiratory Medicine

Vacancy, Consultant in Respiratory Medicine

Dr A Kumar, Consultant, Renal Medicine

Dr I Bodzioch, Consultant in Acute Medicine

Dr A Mahmoud, Consultant Acute Physician

Dr K Dabeedin, Consultant Acute Medicine and Clinical Lead

Dr J Vaz, Consultant Acute Medicine

Dr W Nagi, Consultant Haematologist

Dr N Stefanos, Consultant Cellular Pathologist

Dr B Lyons, Consultant Cellular Pathologist

Dr M Perenyei, Consultant Cellular Pathologist

Dr I Muscat, Consultant Microbiologist

Dr M Butt, Consultant Medical Oncologist

Dr E Dos Santos, Consultant Medical Oncologist

Dr R Soomal, Consultant Clinical Oncologist

Dr J Grose, Consultant Palliative Medicine

Dr R Hembrom, Consultant Sexual Health Medicine

Other Hospital Departments

The following Departments are located outside of the medical division:

3 Surgical Wards – Beauport, Rayner Ward and Surgical Floor

7 Critical Care beds which includes Medical and Surgical Intensive Unit providing level 2 and 3 care

Designated Day Surgery Theatre (2)

Main theatre Suite

Outpatient Dental Department

Outpatient ENT facilities Outpatient

Ophthalmology Department

1 Private Ward Sorel to which HCS consultants have 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.

Proposed Job Plan

All consultants have a standard 10 PA contract for public work. Within this, all consultants have 1.5 core SPA for CPD activities in line with AoMRC guidance. Most consultants will have a further 1 SPA for agreed activities which support HCS.

The final job plan will be agreed with the Clinical Lead for General & Specialist Medicine, the Chief of Service for Medical Services, Hospital Director and ratified by the Medical Director. The post holder’s job plan will be reviewed annually and will be appraised according to the current guidance.

Provision will be made for a lunch break between morning and afternoon sessions if both are clinical.

I would expect an indicative weekly timetable as per below: Please note within 3 months of commencement in post, you are expected to agree with your clinical manager a prospective job plan.

Proposed Job Plan

Monday: AM 09:00-13:00 Ward/Board Round (1PA), PM 13:00-17:00 OPD (1PA)

Tuesday: AM 09:00-13:00 Ward/Board Round (1PA), PM 13:00-17:00 OPD (1PA)

Wednesday: AM 09:00-13:00 Ward/Board Round (1PA), PM 13:00-17:00 SPA (core) (1PA) 

Thursday: AM 09:00-13:00 Ward/Board Round (1PA), PM 13:00-17:00 OPD (1PA) 

Friday: AM 09:00-13:00 Ward/Board Round (1PA), PM 13:00-17:00 OPD (1PA) 

Saturday: AM 09:00-12:00 Ward (resident on call) 1:8 (1PA)*

Sunday: AM 09:00-12:00 Ward (resident on call) 1:8 (1PA)*

On call commitment: AM 1:8 Non-Resident on call, PM 1:8 Non-Resident on Call

Flexible commitment: AM 0.50 SPA (Core) **

*TOIL is granted for on call commitments at 1PA per on call.

**SPA is guaranteed as a minimum of 1.5SPA of which 1 must be done within the hospital and 0.50 SPA to be worked flexibly. 

Additional Programmed Activities (SPAs) are available for education and clinical supervision, lead roles and extra capacity (DCCS).

Private Practice can be agreed as part of the job plan process and must be recorded.

Qualifications and Skills

Essential: 

Primary medical degree.

Higher specialty qualification: MRCP or equivalent. 

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).

Inclusion on the GMC Specialist Register/Certificate of Completion of Training (CCT) for General Medicine / Certificate of Eligibility to Specialist Registration (CESR) (or be within 6 months of obtaining this at the date of the interview - documentary evidence of this must be provided to support your application).

ALS.

Desirable: 

Inclusion on the GMC Specialist Register/Certificate of Completion of Training (CCT)/ Certificate of Eligibility to Specialist Registration (CESR) in any sub-speciality in which the applicant wishes also to practice (or be within 6 months of obtaining this at the date of the interview - documentary evidence of this must be provided to support your application).

Clinical experience in similar NHS environment or equivalent.

MS or MD. 

Leadership and Management Skills

Essential: 

Evidence of Clinical Leadership

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

Experience of Teaching, Training & 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