SECTION 1 SUMMARY OF POST Job Title: Fixed Term Consultant in Infectious Diseases & General Internal Medicine (6 to 12 months) Grade: Consultant Division: Medicine Location/Base: Brunel Building, Southmead Hospital SECTION 2 ABOUT THE TRUST North Bristol NHS Trust (NBT) is the largest Trust in the South West region, and one of the largest trusts in the country. It is a progressive and ambitious provider of health services, delivering for a large local population and with specialist regional services for major trauma, neurosciences, vascular centre, urology, plastics and burns, orthopaedics and renal services. With a turnover of 550m and 9,000 staff, our clinical teams have built a strong reputation for exceptional healthcare. NBT provides medical, surgical and maternity care for a population of approximately half a million people in the North Bristol, South Gloucestershire and North Somerset areas. In May 2014 the Trust relocated the majority of its acute services to the Brunel Building, one of the most advanced hospitals in Europe offering state-of-the-art care in a beautiful and purpose built environment, designed with the patients privacy and dignity in mind. As well as Southmead Hospital, the Trust also has Cossham Hospital, in Kingswood, that recently underwent a 19m refurbishment, the Bristol Centre for Enablement, at Cribbs Causeway (Bristol) and the Trust also runs children s community health services across Bristol and South Gloucestershire. The Trust has University Teaching status and is associated with both the University of Bristol and the University of the West of England. Southmead Hospital is located to the North of Bristol and has easy access from the motorways (M32/M4/M5) and by public transport. For those who cycle, Bristol boasts excellent cycling facilities and was chosen as England s first cycling city in 2008, and is currently the European green capital 2015. In 2014 Bristol was nominated by the Times as
the best city to live in the UK, citing: one of the lowest unemployment rates in the country, varied and beautiful housing stock, decent schools, buzzy culture and night life and access to some fantastic countryside. The location also allows easy access to the town centre which has theatres, a new shopping centre and a historical harbourside. There is an array of annual festivals and events including the Bristol International Balloon Fiesta and the Bristol Harbour Festival. SECTION 3 THE WORK OF THE DEPARTMENT The Infectious Diseases unit at North Bristol NHS Trust is the only in the South West, with referrals received as far as Penzance, Southampton, and Gloucester. The Infectious Diseases department specialises the investigation and management of patients with a wide variety of infections, including infections acquired in the community and healthcare setting, as well as travel-related and tropical infections, and also work-up of patients who have fever in whom the diagnosis is unclear. We provide an inpatient and outpatient service to the local community, and also as the regional specialist unit from across the South West Region for complex and rare infections Services provided by the Infectious Diseases Unit: Provision of infectious disease (in conjunction with Microbiology) advice to all departments within the Trust, taking responsibility for advising and implementing where necessary the prevention, diagnosis and treatment of illness relating to infectious disease, sharing the care of patients where necessary & provision of advice, and care of patients with proven or suspected infectious diseases admitted to the intensive care unit. Provision of clinical advice to GPs & hospital colleagues within the region. Diagnosis and clinical management of patients admitted to the Infectious Diseases unit. Management of medical patients admitted to the ID unit and general medical complications of patients within the unit, involving colleagues in other specialties as appropriate. Provision of in-reach and specialty advice to the Acute Medical Unit and Emergency Department enhancing patient flow, avoiding admissions, and early senior specialist input in their care. Participation in emergency planning in relation to potential infectious disease threats (pandemic influenza, SARS, Viral haemorrhagic fever etc.) Participation in the committee of infection control. Participation in the weekend rota of the Acute Medical Take Provision of care of General medical case load in ID beds. Outpatient clinics provided by the ID team: 2 general Infectious Disease clinics 2 rapid access Infectious Disease hot clinics 1 Tuberculosis clinic Participation in the bone infection clinic ( Dr Albur) The Infectious Diseases unit works closely with other departments in the Trust to provide a comprehensive infection service to patients with infection. The department has close links with the departments of HIV but does not manage these patients directly.
We have close working relationships with Medical Microbiology and Virology. We have developed a joint training programme for infection trainees and established a weekly joint complex case meeting. The new post offers exciting opportunities to work jointly, especially as the Severn pathology laboratory service on the Southmead site. The Infectious Diseases department is responsible for two inpatient ward areas with total of 16 beds (5 of these shared with HIV). We manage 10 cubicles with en suite facilities, within a 32 bedded ward, located in Gate 8 Level 4, as well as 6 additional beds in an enhanced isolation facility at Gate 27b, Level 4, Brunel building. This isolation ward has 6 positive pressure ventilated lobbied rooms, each with en suite facilities, to enable safe isolation of patients under investigation or treatment for highly contagious diseases and diseases of high consequences such as TB & MDR-TB. The successful candidate will join a consultant-led team, which currently consists of one joint ID/ Acute Medicine consultant and one ID/MM colleague. The junior team comprises (shared with HIV team) one SpR in Infectious Diseases & GIM rotating with one ID/MM rotating SpR ( if vacancies are filled), 1 SHO grade doctors (CMT, Clinical Fellow) and one FY1. SECTION 4 ORGANISATION AND ACCOUNTABILITY The appointee will be contractually accountable to the North Bristol NHS Trust for the provision of services. The appointee will be managerially responsible to the Chief Executive through the Clinical Director. All consultants are required to undergo an annual appraisal carried out in accordance with the Trust policy. Consultants are also required to take an active and co-operative approach to their job planning, which will be reviewed on an annual basis by their Clinical Director. The appointee will be expected to be fully involved in the development of the Infection Service, to take account of the Trust policies, including Risk Management Strategy and developments in Clinical Governance. The appointee may be asked to participate in managerial and administrative work and will be expected to be aware of the broader context within the NHS in which Consultants operate. Divisional Management Team: Clinical Director Dr Kiaran Flanagan General Manager Ms Valerie Clarke Head of Nursing Ms Luisa Goddard Infectious Disease consultants Dr Izak Heys (Consultant in Infectious Diseases and Acute Medicine) Dr Mahableshwar Albur (Consultant in Infectious Diseases & Medical Microbiology) Dr Mark Gompels Specialty Lead Consultant in Immunology, Allergy & HIV Infectious diseases unit Key staff Ward 8 A Matron Ms Sarah Lidgett Ward Manager Tracey Lucas, Kate Mann Ward 27b Isolation unit
Matron Ms Sarah Lidgett Band 7- Moira Nicoll & Adelaide Campbell- Upton SECTION 5 MAIN DUTIES & RESPONSIBILITES OF THE POST The post holder will be responsible for the diagnosis and clinical management of patients admitted to the Infectious Diseases Unit at Southmead Hospital for such time they are active on the Unit. The post holder will be expected to participate in the Acute Medicine on call weekend rota (approx.. 1 in 16 weekends) The successful applicant will be responsible for; Providing regular ward rounds and advice for patients, supported by the junior medical team. Providing regular support and specialty in-reach and advice to the Acute Medical Unit Running one regular infectious diseases clinic per week Running two infectious diseases hot clinics per week to facilitate early senior review and diagnosis of patients presenting with symptoms suggestive of infectious disease referred through primary care, and to facilitate early discharge by provision of early senior review. Providing same day senior review of inpatient referrals Ensuring the completion of appropriate electronic prescriptions during admission and discharge Attending MDT meetings Meeting with patients, families and carers when required Continuing responsibility for the care of patients in liaison with Consultant colleagues. Ensuring continuity of care when the post holder is absent. Formulate a plan of action and liaise with relevant care providers, ensuring that all initial elements of the plan have been carried out and highlight any concerns Inc. safeguarding issues. Participate in the development and updating of clinical pathways & guidelines in infectious disease for the Infectious Diseases Unit and the AMU for acute presentations. Participation in daily board rounds to facilitate support of Trust s priorities around patient flow when possible. The post holder will be expected to be actively involved in the administrative, teaching, continuing medical education and audit activities of the Infectious Diseases Unit. Fully participate in the Infectious Diseases Unit s Governance meetings.
(ii) Teaching and Supervision of Junior Medical Staff & Students Where appropriate, the post holder will be named in the educational contract of junior staff as the person responsible for overseeing their training and as an initial source of advice to such doctors regarding their careers. In liaison with the Director of Postgraduate Medical Education the post holder may be required to contribute to undergraduate and postgraduate education. Identification of training opportunities and needs across the pathway. Delivery of appropriate ad hoc training as required. Attendance at relevant conferences as required. Be responsible for and maintain own competencies in relation to CPD. Update and extend own clinical and managerial skills appropriate to speciality by attending relevant study sessions and courses. Create a positive learning environment for all staff working within the Acute Medical Unit (iii) Study & Research The post holder can request up to a maximum of 30 days study leave within a 3-year period (pro rata for part-time posts) as stated in the Terms and Conditions of Service. The Trust is committed to ensuring that support is given for Continuing Medical Education. The post holder will be required to fulfil the requirements laid down by the relevant Royal College, and to fulfil the requirements for revalidation laid down by the General Medical Council. The post holder will not necessarily be expected to undertake research however opportunities do exist and encouragement is given to develop collaborative projects with other departments within Trust or with the University of Bristol and the University of the West of England. The post-holder will be required to submit all research development plans which have resource implications to the Clinical Director prior to implementation. There are professionally staffed Medical Libraries at Southmead Hospital, with a rapid service between this and the University Library situated in the centre of Bristol City. A computer literature search facility is available for which a charge is made and the library has links with other networks. The libraries are at the forefront of developments in electronic knowledge delivery. (iv) Audit The post holder will be required to take part in a Clinical Audit Programme. The Trust has an audit department which supports and monitors such activity. There is an active Trust Clinical Audit Committee. (v) Professional and Legal Responsibilities Maintain accurate and relevant documentation and patient records.
Participate in education, research, quality improvement and risk management activities Take the responsibility for one s own Professional Development by undertaking appropriate activities to update clinical knowledge and skills. Undertake appropriate audit and research projects and as appropriate support papers for publication. Participate in ongoing Trust initiatives to provide expertise and support in Trauma Care. Be aware of and work within the policies of North Bristol NHS Trust carrying out such duties as may be required and are consistent with the responsibilities of the Grade. Be aware of and comply with Health and Safety regulations, cardiac resuscitation procedures, fire procedures and equipment safety. To ensure confidentiality at all times, only releasing confidential information obtained during the course of employment to those acting in an official capacity. To have responsibility for the Health, Safety and Welfare of self and others and to comply at all times with the requirements of the Health and Safety Regulations. Promote equal opportunities for staff and clients in accordance with NBT s Healthcare Policies, to ensure that no person receives less favourable treatment than another on the grounds of sex, marital status, race, religion, colour, creed, nationality, ethic or national origin or sexual orientation. SECTION 6 LOCATION All posts are regarded as being Trust wide but the base Hospital will be: Southmead Hospital. Please note that the base could change as a consequence of clinical requirements. SECTION 7 WORKING CONDITIONS / EFFORT Working in dynamic and diverse multidisciplinary team conditions. Working with distressed and anxious /aggressive patients and relatives, often daily. Working in an environment where emotional issues maybe occurring as a percentage of patients, often on the caseload, may die on the ward within any week. Working with patients with severe physical disability, cognitive impairment and communication problems. To be able to concentrate for long periods of time but deal with repeated interruptions from bleeps, staff, patients and the unpredictable nature of ward work e.g. patients unavailable for treatment or needing to be seen more often, varying numbers of patients needing treatment and patients being/becoming unwell. Intense concentration to interpret and consolidate complex information (especially during
differential diagnosis) in order to support clinical teams and patients/carers to produce rehabilitation prescriptions. To maintain sustained periods of concentration when dealing with complex patients. To work within infection control and health and safety guidelines in order to deal appropriately with frequent unpleasant conditions related to client contact as they arise in clinical work on a daily basis; for example, exposure to body fluids and infectious conditions. To have due regard for your own personal safety and that of clients/carers, in particular relating to moving and handling regulations, and ensuring the safe positioning of self and others. SECTION 8 MAIN CONDITIONS OF THE POST The appointee will be expected to work within the facilities available to the Group and any new service developments are subject to the provision of necessary resources within the Trust. There is an active appraisal and development programme and all consultant staff will take part in this process. The post holder must be fully registered with the General Medical Council with a licence to practise and is advised to maintain up to date membership of a recognised medical defence organisation. The Trust has arrangements in place to ensure that all Medical staff receive an annual appraisal with a trained appraiser and supports all Medical staff through the revalidation process. The Trust has a list of identified Mentors which is used to allocate a suitable support to new consultants during the first year in post The appointee will be required to live within a distance that allows safe discharge of all clinical commitments and no more than a 10 mile distance from the base (unless there is prior agreement with the Medical Director) or 30 minutes travelling of your base hospital. An 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 with the Trusts on a personal basis in consultation with Consultant colleagues. The successful candidate is expected to be aware of local policies and procedures and comply with the standing orders and standing financial instructions of the Trusts. Consultant appointments are made to North Bristol NHS Trust as services are developed and changed, the base of posts may alter and any employee of the Trust will be expected, within an agreed clinical strategy, to move his/her sessions as the service requires. Your attention is drawn to the confidential nature of information collected within the NHS. The unauthorised use or disclosure of patient or other personal information is a dismissible offence and in the case of computerised information, could result in a prosecution for an offence or action for civil damages under the Data Protection Act 1998. The appointment is subject to pre-employment health screening.
SECTION 8 PERSON SPECIFICATION Assessment at Shortlisting Stage Category Essential Desirable Scoring Matrix Qualifications and Registration MRCP or Equivalent MD.MSc, PhD, DTM&H Qualifications Full Registration with GMC Must have CCT in General Medicine or have been entered on the Specialist Register. Must have a CCT in infectious diseases Training and Experience Specialist registrars that do not hold a CCT must be due to be awarded one within 6 months of the interview date. Recent experience and familiarity of UK hospital systems and practices (or equivalent). Experience Further Training, Management, Audit Evidence of recent CME/ reasonable training progression at this stage of career. Completion of a general management course or programme. Knowledge Experience in audit project and written up Knowledge of contemporary NHS management issues. Knowledge of political context within which we operate. Able to demonstrate leadership capability within multi-
Research, Teaching, Publications disciplinary teams and across organisations Proven teaching ability. Willingness to undertake teaching of medical undergraduates & postgraduates. Ability to gain the trust and confidence of colleagues and patients. Ability to teach effectively. Proven track record in research and willingness to undertake further research. Evidence of relevant publications in peer reviewed journals. Demonstration of involvement in clinical directorate management. Skills Personal Requirements (e.g. Communication, Leadership skills, Flexibility Ability to lead a team and form effective working relationships within a team. Ability to inspire, motivate and develop junior medical staff. Fully accredited educational supervisor Other Effective communicator, able to work in a close-knit team and co-operate with all medical and paramedical staff. Flexible, able to cover colleagues absence Professional attitude towards work, reliability, good record of attendance and tidy personal appearance Ability to work independently as well as part of the Medical Directorate. To balance individual requirements against those of the Trust.
SECTION 9 PROPOSED JOB PLAN The job plan will be based on a 10 PA contract with 8.5 PAs for Direct Clinical Care (DCC) and 1.5 for Supporting Professional Activities (SPA). Programmed activity Number Direct clinical care (including unpredictable on-call) 8.5 Supporting professional activities 1.5 Other NHS responsibilities (to be discussed with Clinical Director) External duties (to be discussed with Clinical Director) Total Programmed Activities 10 ID Job Plan is as follows Monday AM Board round ID Clinic PM ID clinic admin ID case review Audit/non-clinical admin Tuesday AMU In-reach Board round Joint ID ward round ID consults /advice/referrals Wednesday Thursday Friday ID ward round AMU In-reach Hot clinic supervising SpR AMU In-reach Board round Complex case discussion with micro & Joint ID ward round AMU In-reach ward round grand round SPA/CPD (ad-hoc ID/micro teaching) ID consults/ referrals advice Consults SPA/CPD Clinical admin SPA/CPD
SECTION 10 JOB DESCRIPTION AGREEMENT Completed by. Authorised by.. Date This job description is a guide to the duties you will be expected to perform immediately on your appointment. It is not an exhaustive list, and such duties may well be altered from time to time to meet changes in the Trust s requirements. Any such changes will be commensurate with the grade of the post and will be discussed with the post holder prior to the changes being made