Job Summary

We are seeking dedicated and skilled Staff Grades in Respiratory, Renal and Care of the Elderly to join our dynamic team. These roles offer an exciting opportunity to live and work in a stunning island setting, providing high-quality care to a diverse and appreciative population. 

As a Staff Grade, you will play a vital role is supporting service delivery, working closely with Consultants, multidisciplinary teams, and the wider hospital community. Whether your expertise lies in Respiratory Care, Renal Medicine or Geriatric Services, we welcome applicants who are committed to clinical excellence, teamwork, and continuous service improvement. 

Interview date: TBC shortly. 

As this advert covers three different specialties, please clearly state in your cover letter which specialty, or specialties, you are interested in. 

For an informal discussion please contact David Hopkins (Clinical Lead for General Medicine) by emailing D.Hopkins@health.gov.je. For recruitment and relocation queries please contact Sol Bradbury (HR Consultant - Medical Staffing). 

The Post

We are pleased to be able to offer specialty posts in our medical teams for Respiratory Medicine, Care of the Elderly and Renal Medicine, committing to the assessment and ongoing care of medical patients in Jersey General Hospital. The post holder will be a member of the medical team and will be able to perform specialist duties in areas such as Acute Medicine, Renal Medicine, Respiratory Medicine working directly with those consultant teams. The post holder will be pivotal in the clinical management of presentations to Jersey General Hospital.

The post holder will work across all domains of Medicine including:

-Medical Wards 

-Specialist Teams and Outpatients 

-Ambulatory SDAC areas where appropriate 

Respiratory Specialty

Duties involve care of inpatients on a general/respiratory ward and those on High Dependency Unit and Intensive Care Unit. There will be the opportunity for some outpatient activity. The successful candidate will be expected to have completed core medical training or its equivalent and have achieved MRCP diploma or its equivalent. Specialist knowledge in Respiratory Medicine is expected, although there is a team of respiratory consultants to support.

Renal Specialty

The post holder will be responsible for delivering clinical care on the Renal Unit and in outpatient clinics. During periods when the post holder is on take, routine outpatient duties will be suspended. At these times, the post holder is expected to take a lead role in coordinating the assessment and management of patients referred by General Practitioners, the Emergency Department, and other hospital services. This includes both the initial assessment of some patients and the senior review of those previously seen by junior members of the team. The role includes participation in specialist and procedural clinics within Renal Medicine, along with clinical oversight and support for patients receiving care in the renal dialysis unit.

Care of the Elderly Specialty

This Staff Grade position offers a rewarding opportunity to support the delivery of high-quality care to older adults within both inpatient and outpatient settings. The post holder will work as part of a multidisciplinary team managing patients with complex comorbidities, frailty, and age-related conditions. Key responsibilities include participating in ward rounds, undertaking comprehensive geriatric assessments, contributing to discharge planning, and supporting rehabilitation and long-term care strategies.

Duties

- To undertake clinical practice within the medical wards ensuring that personalised, evidence informed medical care plans are delivered to all patients and that they are appropriately documented and regularly evaluated.

- To work in close partnership and liaison with Primary Care to provide telephone advice including provision of hospital avoidance initiatives.

- To undertake inpatient management of medical patients including participation on ward rounds and board rounds.

- To provide clinical advice & support to primary care colleagues and other consultants within Health & Care Jersey medical model.

- To assist, where appropriate, with the management of patients of a higher acuity within the Enhanced Care Area.

- To provide advice and timely medical reviews and interventions as part of the interdisciplinary model of care.

- To engage with wider members of the MDT.

- To liaise with tertiary referral centres as appropriate to provide patient centred care & service improvements as directed by consultant plans.

- 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 including the latest COVID-19 guidance and policies.

- The post holder will be expected to be fully involved in a ‘Risk Management” program and support the Governance agenda.

Teaching and Research

The department is recognised for junior 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 & Care Jersey department.

The post holder should deliver training to a range of professionals across the multi-disciplinary team in stroke medicine to create a service of excellence for Jersey.

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

On-Call Rota

The on-call commitment is 1:8, this includes weekends and night cover.

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 Matthew Doyle

General Manager: Sarah Evans

Assistant General Managers: Karen Gardner and Natalia Miller

Lead Nurses: Harriet Holden and David McKenna

Social Care

Director: Andy Weir

General Manager: Darren Bowring

Principal Social Worker: Paul Rendell

Head of Learning Disability Services: Robert Gardner

Women’s and Children's Services

Chief of Service: Caroline Jenkins

Head of Midwifery: Roslyn Bullen-Bell

Lead Nurse: Alex Watt

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

Dermatology

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 3 medical wards, 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 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 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. In addition to outpatient clinics and 3 general medical wards containing 63 beds, the Medical Service Care Group is involved in the management of several specialist facilities. These include:

25 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.

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.

Continued Professional Development

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 annual appraisals including attendance at relevant courses and conferences, involvement at locally organised CME events and comparative audit. Health & 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 leaves of 30 days in 3 years with a generous annual study leave allowance is provided, subject to the approval of the Care Group Head / Medical Director. The post holder will be expected to meet the Continuing Professional Development requirements of their relevant Royal College as required for revalidation.

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).

Clinical Experience in a similar environment

MS or MD

ALS

MRCP

General Experience

Essential:

Experience at Registrar, Staff Grade or Associate Specialist level in (sub speciality)

4 or more years post qualification experience in acute medicine

Enthusiastic Teacher Previous

Desirable: 

Management Responsibility / Leadership Experience

Specialist Experience

Essential: 

Speciality experience in Acute/General Medicine

Acute Medicine Experience

Procedural experience:

- Lumbar puncture - Thoracocentesis - Paracentesis - IV Cannulation - Urinary catheterisation - NG tube placement - Midline insertion

Desirable: 

Subspeciality Experience

Management Skills

Essential: 

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

Personal Attributes

Essential: 

Able to work flexibly in a changing health service

IPC Compliance

Well-developed interpersonal skills

Excellent communication skills

Ability to effectively person as a member of a multidisciplinary team

Leadership skills

IT skills

Other

Essential: 

Participation in Clinical Audit & Risk Management Activities

Demonstrates a commitment to safeguarding young people and vulnerable adults

Attendance at conference / educational courses

Commitment to evidence-based practice

Desirable: 

Evidence of annual appraisal

Experience of Service Planning

Evidence of research and publication in peer reviewed journals

Formal management experience, training, or qualifications