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 Care of the Elderly 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.

Please note that interview dates for this post are to be confirmed. Candidates are advised to check this advert for the latest 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 Lissette Pestana (HR Advisor), by emailing L.Pestana2@health.gov.je

The Post

This post is an exciting opportunity to join the newly formed Elderly Care and Frailty Department. The role will mainly focus on the development of frailty services for the island of Jersey as well as having ward commitments for both general internal medicine. The role will lead on the development of the frailty unit  interfacing secondary care with primary care. The role will have a rotational commitment for rehabilitation which is situated on-site at Jersey General Hospital as well as outpatient clinical sessions.

For newly appointed consultants a mentor will be allocated to support their induction in post.

Dedicated office space and secretarial time will be provided as part of the Hospital investment in this appointment. 

Duties

1. Contribute to development of the Care of the elderly service in Jersey build and develop a frailty service which ensures integration between primary and secondary care

2. Provide with the other Consultants a system of mutual out-of-hours cover for General Internal Medicine and cover for annual, study and professional leave.

3. Provide a consultation and advisory service to medical colleagues in other specialities in Health and Care Jersey.

4. Liaise with medical staff in other specialities and participate in the regular clinical meetings and other post-graduate activities of the hospital.

5. Take part in the continuing medical education programme. Health and Care Jersey will provide study leave expenses in line with national terms and conditions of service.

6. To undertake outpatient clinics for both frailty & elderly care

7. To set-up, lead, participate and attend relevant services’ MDTs

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

On Call Rota

The appointee will take part in the General Medicine on-call rota of one in eight. During the on-call period the consultant will cover all medical inpatients in the event deterioration or medical emergencies and will work in parallel with an on-call acute medicine

consultant to manage acute medical admissions (the medical take). At present the Acute medicine consultant leads he take between 8 AM and 8 PM with additional support from the general medical consultant in the afternoon. The general medical consultant is responsible for covering the take on a non-resident basis, supervising a resident registrar grade SAS doctor and resident team. At weekends, and public holidays the on-call consultant will conduct inpatient ward reviews as requires to support safe patient management and flow.

Weekday on-calls operate 8 AM – 8 AM the following day. Weekend on-calls operate from 8 AM on Friday to 8 AM Monday.

The Specialty

In patient care is based on medical wards in Jersey General Hospital. The post holder will be expected to deliver consultant led care on that ward with a focus on Elderly Care but including a proportion of general medical adult patients of all ages. There are currently no specialty outpatient clinics, and it is an opportunity for the newly appointed consultant to develop a speciality outpatient service in discussion with the care group and chief of service.

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.

Management Structure

Health and Care Jersey is 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, Tom Walker who leads an executive team including a Director of Clinical Service, Claire Thompson and a Medical Director, Simon West who is also Medical Responsible Officer/Suitable person with the GMC for appraisal and revalidation. Health and Care Jersey is organised as a series of care groups each with leadership team lead by a chief of service as detailed below. This post sits within the medical care group.

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

Medicine in Jersey is fully age and specialty integrated. There are 4 medical wards, Bartlett, 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 14 bed Acute Assessment Unit.

Each ward is run by a consultant led team support by an SAS (registrar level) doctor 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

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.

Other Hospital Departments

The following departments are located outside of the medical division:

2 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.

Job Plan

Please note job plan is indicative and subject to jon planning upon commencement in post. The Job Plan will be authorised by the Chief of Service and is subject to annual review. However, it should be noted that this service requires a flexible approach.