Consultant in Emergency Medicine

The Emergency Department (ED) was purpose built in 2014 and offers state of-the-art facilities. This was part of a new development at YGC called the Emergency Quadrant (EQ) which brings all Emergency and Acute Services together. The EQ houses the ED, Same Day Emergency Care (SDEC), a 24 bed Acute Medical Unit, Surgical Assessment Unit, Radiology services, and a co-located Primary Care facility.

The ED sees a full case mix of undifferentiated emergencies encompassing all specialties including Major Trauma, Stroke, Cardiac, Vascular, ENT, Ophthalmology, Max Fax and Paediatrics.

The Department has also been undergoing a process of implementation of modern models of Emergency Care including streaming, ambulatory majors, and rapid assessment. The ED is also keen to explore a 'Physician Response Vehicle" or PRV model providing a mixed EM and ambulance service response to selected cases in which alternative pathways avoiding hospital admission may be to the patients benefit.

There are opportunities available to contribute via competitive appointment to the Welsh Air Ambulance Emergency and Retrieval Service (EMRTS).

Main duties of the job

• Support the Nurse in Charge (NIC) to manage Emergency Department (ED) risk escalating ED capacity and safety concerns.
• Being a point of clinical contact in ED for Senior Clinicians and Management.
• Allocating staff to the ED areas and responding to demand by moving staff as needed, following up on any sickness / no-shows / late starts and ask for extra cover.
• Using Symphony to proactively run the ED.
• Focusing on patient safety risks, reviewing unwell patients, and seeing patients as needed.
• Supporting the streaming of patients to Minor Injury Units (MIUs), Specialities or Same Day Emergency Care (SDEC) where appropriate.
• Anticipating and intervening with unexpected issues, e.g., health and safety risks.
• Prescribing analgesia, signing off ECGs and blood gases as needed.
• Undertake the role of Trauma Team Leader for Major Trauma.
• Support the streaming service/ Rapid assessment and treatment service.
• Assisting with triage and review of ambulance patients.
• Assisting with selecting cases that can be streamed to SDEC.

About us

Betsi Cadwaladr University Health Board (BCUHB) is Wales's largest health organisation, with a budget of over £2.4 billion and a workforce of over 20,000 staff. The Health Board provides primary, community, mental health and acute hospital services for the population of North Wales.

BCUHB provides a full range of primary, community, mental health, acute and specialist hospital services across 3 acute hospitals and a network of community hospitals, health centres, clinics, and mental health units. It also co-ordinates or provides the work of GP practices and NHS services provided by dentists, opticians, and pharmacists across the region.

The Health Board is an integrated health system that strives for excellent, compassionate care delivered in partnership with the public sector and other statutory and third sector organisations

Job responsibilities

Candidates are encouraged to refer to the attached Job Description and Person Specification for further information.

If you are ready to make a significant impact on the future of healthcare in North Wales and possess the skills and experience required for this role, we invite you to apply.

Informal conversations are encouraged prior to applying.

Please contact

Person Specification Training and Qualifications

• Full GMC Specialist Registration or within 6 months of obtaining CCT from date of interview
• FRCEM
• Valid ATLS, ALS, APLS or equivalent provider status
• Subspecialty training in Paediatrics or Prehospital EM
• Instructor Status in ALS, ATLS, APLS or equivalent
• RCEM Level 1 accreditation in EM Ultrasound
• Evidence of shop floor supervision training e.g., RCEM ELSEs
• Training in leadership and human factors

Experience and Leadership

• Able to provide ED shop floor leadership and supervision
• Able to provide senior EM clinical skills and leadership as described by the RCEM Curriculum
• Evidence of professional interests relevant to EM practice
• Experience, commitment, and enthusiasm for teaching at postgraduate and undergraduate level
• Willingness to teach all clinical staff including ACPs, paramedics, nurses, PAs, and ENPs.
• Postgraduate training in clinical education

Clinical Governance

• Experience of EM clinical governance activity
• Understanding of patient safety and risk management
• Experience of audit and quality improvement
• Ability to undertake EM relevant project work and liaise with specialties.
• Evidence of a service improvement activity
• Evidence of strategic work e.g., contribution to planning and policy development
• Ability to deliver change

Professional Development and Research

• CPD portfolio relevant to UK EM practice
• Ability to undertake critical appraisal and support any departmental research activity
• Evidence of role in delivering CPD
• Evidence of research activity and EM relevant publications

Additional Requirements

• A shared ethos values of the Health Board
• Flexibility, personal integrity, and willingness to work cohesively in the ED team.
• Commitment to the importance of respect and dignity for all individuals
• High standards of verbal and written English
• Able to attend hospital within 30 mins for on-call duties
• Welsh Speaker or willingness to learn Welsh

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

£110,240 to £160,951 a yearper annum, pro rata