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 and Care Jersey are seeking to appoint an enthusiastic and dynamic substantive Acute and General Medicine Consultant to join our already passionate consultant body. The successful candidate will be expected to work 10 PAs plus 2 rolling APAs to cover weekend work. 

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.

An interview date for this post will be published shortly. Please keep an eye on the advert for updates.

For an informal discussion please contact David Hopkins (Interim Chief of Service), by emailing D.Hopkins@health.gov.je. For any recruitment related queries, please contact Sol Bradbury (HR Consultant), by emailing S.Bradbury@gov.je.

The Post

Health and Care Jersey 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, Acute Medicine, Frailty and Stroke.

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 inpatient 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.

• 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 and 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

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.

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

Teaching 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 and Care Jersey.

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 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 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

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: (Interim) Dr David Hopkins
General Manager: Gaurika Kapoor
Assistant General Managers: Natalia Miller, Karen Gardner and (Interim) Stuart Cannonier
Lead Nurses: Harriet Holden and Alice Rait

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 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
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 4 medical wards, Plemont, Rozel, Bartlett 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 83 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
Dr P Schinle, AAU
VACANCY, AAU
Care of the Elderly, New Appointee
VACANCY, Care of the Elderly
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 C King, Emergency Department
Dr H Stam, 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
Gastroenterology, New Appointee
Dr A Al Aidi, General Medicine Interest in Respiratory
Dr W Nagi, Haematology
Dr S Munisamy, Haematology
Dr B Lyons, Histopathology
Dr M Perenyei, Histopathology
Dr N Stefanos, Histopathology
Dr C Langoya, Microbiology
Dr A Chofle, Microbiology
Dr A Esack, Neurology
Dr E Gomes Dos Santos, Oncology
Dr M Butt, Oncology
Dr D Lee, Oncology
Dr R Soomal, Oncology
Dr W Ince, Oncology
Dr J Grose, Palliative Care
VACANCY, Renal Medicine
Dr S Alapati, Respiratory Medicine
VACANCY, Respiratory Medicine
Dr S Tosounidou, Rheumatology
Dr R Hembrom, Sexual Health
Stroke Medicine, New Appointee

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 and 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 and 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.

Registration

It is a legal requirement for all doctors to be on the General Medical Council’s Specialist Register before being able to take up a consultant post. Specialty trainees are able to apply for a consultant appointment provided the expected date of the award of their Certificate of Completion of Training (CCT) (or recognised equivalent if outside the UK) falls no more than 6 months after the interview date for the Consultant position and candidates will be asked to provide proof of this prior to shortlisting.

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)
Clinical Experience in similar NHS environment or equivalent
MS or MD
ALS

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
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

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

Evidence of research and publication in peer reviewed journals
IT literate

Desirable: 

Experience of Service Planning