Job Overview

An exciting opportunity has arisen within the Acute Medicine Department at Jersey General Hospital. We are looking to appoint a dynamic-forward thinking staff grade to join the acute medicine workforce. The service comprises of a 25 bed Acute Assessment Unit featuring 5 enhanced care beds and an Ambulatory Emergency Care Unit. The post holder will work across both the AAU and the AEC.

The position comprises 10 PAs & there is a 1:5 ratio on-call commitment.   

Continuing development is important, and a generous study leave budget can be tailored towards the requirements of the individual, with a purpose built Post Graduate Education Centre equipped to the highest standard.

Full travelling expenses are paid from a UK port of entry, with a generous relocation package available.

The post attracts residential qualifications and Jersey has excellent affordable private education for children. Under Jersey Law, applicants must possess FULL registration with the General Medical Council and hold a license to practice.

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.

The proposed interview date is Thursday 3rd of April 2025. 

For an informal discussion, please contact Dr Maria Finn, Clinical Director for Acute Services email: M.Finn@health.gov.je. For recruitment related queries please contact Sol Bradbury, S.Bradbury@gov.je 

The Post

This is an existing specialty post in a team with a substantial commitment to the assessment and ongoing care of unselected acute medical patients in Jersey General Hospital. The post holder will be a member of Acute Medicine based on the newly formed Acute Assessment Unit. The post holder will be pivotal in the clinical management of acute presentations to Jersey General Hospital.

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

- Acute Assessment Unit 

- Enhanced Care Area

- Ambulatory Emergency Care

Statutory Responsibilities

Clinical Duties

- To undertake clinical practice within the Acute Assessment Unit 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 acute medicine 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 clinically manage patients of a higher acuity within the Enhanced Care Area.

- To provide same day emergency care activities within the Ambulatory Emergency Care Unit.

- 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.

Training 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 1:5, 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 Washington Gwatidzo

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

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 Pathology 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.

Speciality 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

VACANCY, Care of the Elderly

Dr A Mitchell, Cardiology

Dr P Le Page, Cardiology

Dr D Hopkins, Diabetes, Clinical Director for General Medicine

Dr E Chacko, Diabetes

Dr A Varma, Emergency Department

Dr J Terris, Emergency Department

Dr J McInerney, Emergency Department

Dr K Anderson, Emergency Department

Dr M Finn, Emergency Department, Clinical Director for Acute Services

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

VACANCY, Gastroenterology

Dr G Ortiz-Prieto, General Medicine

Dr W Nagi, Haematology

VACANCY, Haematology

Dr B Lyons, Histopathology

Dr M Perenyei, Histopathology

Dr N Stefanos, Histopathology

Dr C Langoya, Microbiology

VACANCY, Microbiology

VACANCY, Neurology

Dr E Gomes Dos Santos, Oncology

Dr M Butt, Oncology

Dr R Soomal, Oncology

Dr J Grose, Palliative Care

VACANCY, Renal Medicine

VACANCY, Respiratory Medicine

Dr S Tosounidou, Rheumatology

Dr R Hembrom, Sexual Health

VACANCY, Stroke Medicine

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)

6 chair Ambulatory Emergency Care (AEC)

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.

Safeguarding

Health & 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 & 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.

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 Effectively with a Multi-Disciplinary Team, motivating and influencing others through their enthusiasm.

Ability to Work Flexibly with Colleagues to provide services

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