Hybrid Consultant in Acute and Community Medicine

Hybrid Consultant in Acute and Community Medicine
NHS Medical & Dental: Consultant

Main area Acute Medicine Grade NHS Medical & Dental: Consultant Contract Permanent Hours Full time - 10 sessions per week Job ref PRH/ACUTE/CON/T4/013

Site The Shrewsbury and Telford NHS Trust Town Shrewsbury Salary £113,565 - £150,569 per Annum Salary period Yearly Closing 06/11/:59

Job overview

An exciting opportunity has arisen to work as a Hybrid Consultant between Acute Medicine and The Community Trust Virtual ward at a time when we are redesigning, aligning and optimising our clinical services and pathways . These posts will join our Acute Medicine Consultant team and be fully integrated and supported. We are very keen to support individual areas of interest and posts are open to external and internal applicants.

For further information please contact : Dr Saskia Jones-Perrott

Main duties of the job

• Supervise medical admissions, ensuring timely junior team assessment and consultant post-take review of all new patients referred to Acute Medicine across the acute medical floor.


• Lead and support the daily medical handover, with a focus on patient safety, continuity of care and learning opportunities.


• Support the work of the medical and nursing teams in this clinical area.


• To develop enhanced clinical skills, especially in the assessment and management of acutely ill patients.


• To have excellent team-working skills with the abilities and professional attitude to work well in a multi-professional team.


• To deliver clinical and quality targets agreed both nationally and locally with clinical teams and commissioners.


• To follow patients throughout their clinical pathways.

Working for our organisation

We believe that compassionate care sits at the heart of everything we do. Every member of our team - clinical or non-clinical - plays a vital role in ensuring that patients, families, and colleagues are treated with dignity, empathy, and respect at all times.

We expect all staff to demonstrate compassion not only through their words, but through their actions: by listening attentively, communicating clearly and kindly, and recognising individual needs, feelings, and circumstances of those in our care.

Effective communication is central to safe and high-quality healthcare. We value colleagues who take the time to understand others, explain information in a meaningful way, and respond to concerns with patience and understanding.

By joining our team, you are committing to uphold these values - ensuring that every patient feels heard, respected, and valued, and that compassion is embedded in every interaction, every day.

Detailed job description and main responsibilities

A formal job plan will be agreed between the successful candidate and their Clinical Director and consultant colleagues, on behalf of the Medical Director within 3 months of starting in post. A full-time job plan is based on a 10 PA working week. The job plan will be reviewed annually and is a prospective agreement that sets out the consultant's duties, responsibilities, and objectives for the coming year.

It covers all aspects of a consultant's professional practice including clinical work, teaching, research, education and managerial responsibilities. It will provide a clear schedule of commitments, both internal and external and will include personal objectives, detailing links to wider service improvements and trust strategic priorities.

For a full-time contract, the job plan will be divided on average per week (pro-rata for a part time post) as:

• 7.5 Programmed Activities (PAs) of Direct Clinical Care - includes clinical activity, clinically related activity and predictable and unpredictable emergency work. One DCC is allocated for clinical admin work.


• Morning Inpatient Reviews (AMU and AAU): On average, acute physicians review 10 patients each morning on the Acute Medical Unit (AMU) or Acute assessment unit (AAU).


• Short Stay Ward Rounds: Each short stay ward round typically involves 12 - 14 patients.


• Acute Medical Take in ED: The average intake per hospital site is 40 - 60 patients over 24 hours. Each acute physician is responsible for approximately 10 - 12 post take reviews per four hour shift between hours.


• Same Day Emergency Care (SDEC): SDEC service runs from hours divided into 3 shifts and on average will manage 30-35 patients per day at each site, including new and follow ups. This work is supported by a well structured team, including the nurse in charge of SDEC, alongside a dedicated junior workforce comprising GPs, ACPs, PAs, and junior doctors.

Supporting Professional Activities (SPAs)

• 0.5 SPA (Corporate): This allocation will focus on corporate responsibilities, with the specific scope agreed upon at the time of appointment.


• 0.5 SPA for supervision and teaching/training

The successful candidate will be expected to contribute to:

• Audit and quality improvement initiatives


• Clinical governance activities


• Team management and leadership


• Development and enhancement of acute medical services

1.5 SPAs: Dedicated to Appraisal and revalidation

The allocation of PAs is reviewed and may be subject to adjustment when a further diary exercise is undertaken or if the service demands a review of the team job plan.

Any applicant who is unable, for personal reasons, to work full-time will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis with the Trust in consultation with other consultant colleagues.

Person specification
Qualifications

• MBBS, MBChB or equivalent medical qualification


• MRCP or equivalent


• Evidence of a PhD or higher-level education

Entry Criteria

• Full Registration and a licence to practise with the General Medical Council (GMC)


• Entry on the General Medical Council (GMC) Specialist Register via one of the following: Certificate of Completion of Training (CCT) (the proposed CCT date must be within 6 months of the interview) - Certificate of Eligibility for Specialist Registration (CESR)

We commit to removing barriers for people with disabilities or long-term health conditions in recruitment, training, and career progression. We will offer an interview to all applicants with a disability who meet the minimum criteria for the above position and will support reasonable adjustments wherever possible. In addition, whilst all applicants will be judged on merit alone, we particularly welcome applications from candidates who are male, from black and minority ethnic backgrounds or who have a disability, as these are currently under-represented in our workforce.

We are committed to offering an interview to applicants from the Armed Forces community who meet the minimum criteria for the position. In addition, for those who are successfully appointed from the Armed Forces community, the Trust are committed to recognising previous service and rank in terms of pay, annual leave and other terms and conditions.

We are committed to equal opportunities in employment. The policies and practices of the Trust aim to promote an environment that is free from all forms of unlawful or unfair discrimination and values the diversity of all people. At the heart of our policy, we seek to treat people fairly, flexibly and with dignity and respect.

Don't meet every single requirement? Studies have shown that women and people from an Ethnic minority background are less likely to apply for jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.

We aim to create a trusting, flexible workplace, that attracts talent and enables everyone to be their best working self. Many of our colleagues work flexibly in many different ways, including part-time. Please talk to us at interview about the flexibility you need. We can't promise to give you exactly what you want, but we do promise a fair and equitable process that balances your needs, the needs of our patients and service delivery.

Our Commitment to Safety and Respect - The Trust is a signatory to the NHS Sexual Safety Charter and is committed to a safe, inclusive workplace free from sexual misconduct, harassment, and discrimination.

Thank you for your interest in The Shrewsbury and Telford Hospital NHS Trust, we look forward to receiving your application for employment.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.