JOB DESCRIPTION TRUST DOCTOR Colchester Hospital University NHS Foundation Trust, Turner Road, Colchester, Essex CO4 5JL 1
COLCHESTER HOSPITAL UNIVERSITY NHS FOUNDATION TRUST Message from the Chief Executive Thank you for your interest in Colchester Hospital. As you are looking at our current vacancies, I am sure that you will have many questions about the roles, the organisation, the people and our patients. Why Colchester? The Board of Colchester Hospital University NHS Foundation Trust is embarking on a period of transformational change. Working in partnership with stakeholders across the health and social care spectrum, we are committed to providing high quality, affordable services to patients who use our hospitals. Colchester Hospital has had a difficult few years and remains in special measures. In May 2016, the CQC mandated a long term partnership with Ipswich Hospital as a way of addressing the immediate quality and safety issues and to establish a long term future for the organisation. The Chair of Ipswich Hospital and myself were appointed into the same roles at Colchester and Ipswich and we have embarked on a significant transformation programme to address the CQC s concerns and to establish a long term clinically and financially viable plan for both organisations. The community, to which Colchester Hospital provides services, needs a team of skilled clinicians and support staff who will work with the leadership team, to deliver that future. You will need tenacity, energy, resilience and to be driven to deliver patient promises. That is what drives me to work each day, and I need you to want to do the same. I hope that you wish to join the team. If you would like to talk about an individual role, the adverts hold contact information for the recruiting managers, who would welcome hearing from you. With best wishes for your application. Nick Hulme Chief Executive 2
COLCHESTER HOSPITAL UNIVERSITY NHS FOUNDATION TRUST Colchester Hospital University NHS Foundation Trust (CHUFT) became an NHS foundation trust from 1 May 2008 having been previously called Essex Rivers Healthcare NHS Trust. The Trust has two main sites, Colchester General Hospital and Essex County Hospital. Colchester General Hospital was opened in 1984, while Essex County Hospital was established in 1820. The Trust is one of the largest employers in North East Essex, employing approximately 4,200 people. CHUFT provides acute healthcare to a population of around 370,000 from Colchester and the surrounding area of Northeast Essex. The Trust also provides radiotherapy and oncology services to a wider population of about 670,000 people across North and Mid- Essex. There is an extensive range of clinical services, specialist services and community services. A new state-of-the-art vascular operating theatre, which is one of only two in Europe, became fully functional in July 2013. In addition it provides outpatient and maternity services, at the community hospitals in Clacton and Harwich which are run by Anglian Community Enterprise (ACE) as well as Halstead Hospital run by Central Essex Community Services (CECS). The Trust is affiliated to the University College London Health Partners (UCLP) Academic Health Science Network. Scientific staff are based at the Severalls Hospital site and in the Microbiology department near Colchester General Hospital. The Trust aims to centralise all acute services at Colchester General Hospital. CHUFT also has strong research and educational links with both the University of Essex and Anglia Ruskin University. The Trust was granted Associate University Hospital status in 2007 by the University of London as a reflection of the high quality of teaching given to students by the hospital s senior medical staff. 3
Organisational Structure Management The Trusts operational services are divided into three Divisions: Medicine (including Emergency) Surgery (including Cancer) Women, Children & Clinical Support Services Each Division is managed by an Associate Director, who is responsible to the Director of Operations, who sits on the Board. Clinical leadership in the Trust is strong with each Specialty being led managerially by an Associate Clinical Director (who is a Consultant) supported by a Service Manager. Similar specialties, such as surgical departments, are bundled together and strategically managed by a Divisional Director. Senior Staff Executive Directors Chairman Chief Executive Medical Director Director of Nursing Director of Finance Director of Workforce Director of Operations Managing Director David White Nick Hulme Angela Tillett Catherine Morgan Dawn Scrafield Julie Fryatt Alison Power Dr Barbara Buckley Divisional Directors Medicine (including Urgent Care) Surgery (including Cancer) Women, Children & Clinical Support Services Louise Notley Christopher Backhouse Joanne Osborne Head of Operations Medicine (including Emergency) Surgery (including Cancer) Women & Children & Clinical Support Services Pat Ruben (Interim) Ivor Baker (Interim) Shume Begum Head of Nursing Medicine (including Emergency) Surgery (including Cancer) Women, & Children & Clinical Support Services Jo Tonkin David Thorpe Siobhan Lalor-McTague 4
The Hospital Colchester General Hospital (CGH) 656 Beds Turner Road, Colchester, CO4 5JL (Tel: 01206) 747474) Opened in 1984, the main Emergency Department for NE Essex is based here, as are the main outpatient department, the main X-ray department, the Day Unit and the Postgraduate Medical Centre. There are audio-visual links between the PGMC and both the laparoscopic and Elmstead theatres. There is a teleconferencing suite within the Colchester General Hospital. Departments and Specialties contained within CGH: 5 Emergency Department and separate Emergency Assessment Unit Outpatients Acute Geriatrics General Medicine & Respiratory Medicine Gastroenterology and GI endoscopy General Surgery, including dedicated Laparoscopic suite with state of the art facilities Trauma and Orthopaedics Urology ITU-HDU Paediatrics Pain team Plastic Surgery Ear, Nose and Throat Surgery Oncology and Radiotherapy Orthopaedics Haematology and Blood Transfusion Radiology, including x2 64 slice state of the art CAT scanners, Angiography and Duplex scanning and MRI Head Injury & Neurological Rehabilitation Rehabilitation including a Day Hospital Gynaecology Obstetrics Special Care Baby Unit Oral Surgery Breast Surgery Mortuary There are seventeen operating theatres, three of which have laminar flow, two are integrated laparoscopic theatres and two are dedicated to Ophthalmic surgery. The Elmstead Day Unit has four theatres, two major treatment rooms, two endoscopy suites, haematology lounge and 35 beds. The endoscopy suites are equipped for all forms of GI Endoscopy and for bronchoscopy. There is a closed circuit TV link between the endoscopy rooms and the PGMC. There is a coronary angiography suite in an adjacent building. There is an eleven bed critical care unit combined Level 2 and 3 adjacent to the main theatre complex. This is run by the Anaesthetic Department, although care of patients is shared with the clinician involved. There is a separate Coronary Care Unit and there are plans to
relocate this to a larger site within CGH. The X-ray Department has digital subtraction angiography, as well as convention angiography, a spiral CT scanner, MRI Scanner and ultrasound including duplex scanning. Constable Wing includes provision for Obstetrics and Gynaecology Services, with theatres, wards and outpatient services. In addition surgical beds are provided as are theatres including two ultra clean theatres for use by orthopaedic surgery. Gainsborough Wing has wards for Care of the Elderly, Rheumatology, Rehabilitation, Neurology departments, including a state of the art hydrotherapy pool. Colchester is a breast screening centre, and earlier this year it was recognised as a cancer Centre. 2014 sees the move of the radiotherapy services from Essex County Hospital to a new stateof-the-art centre at Colchester General Hospital. At CGH radiotherapy services are provided to the population of five local district councils, Tendring and Colchester in Northeast Essex, Braintree, Chelmsford and Maldon in Med Essex. In total these services are provided for a population of 700,000. The radiotherapy centre is the biggest single capital investment in the Trust since the original Colchester General Hospital was built in the 1980s. The centre will give CGH space to grow and to install up to five new linear accelerators in due course as patient demand continues to grow. It will have the latest treatment technology and will mean North Essex has one of the most modern and technologically advanced radiotherapy centres in the UK. It is also intended to move chemotherapy services and the inpatient cancer wards from ECH to CGH by the end of 2015 thereby relocating all the major cancer treatment services to CGH. Additional facilities include a physiotherapy department with gymnasium and a fortnightly amputee limb fitting clinic, occupational therapy, pharmacy and CSSD. There are also the staff restaurant, snack bar and hospital shop and cap parking facilities for staff and visitors. For further information visit the website: www.colchesterhospital.nhs.uk 6
The role: Key Responsibilities Clinical (for hospital posts): The admission and treatment of emergency admissions for your speciality Clerking (i.e. full history and examination) and day to day management of the inpatients for whom you are responsible. Arrangement of investigations such as blood tests, X-rays and ECGs Investigation and management of tertiary referral patients under the care of the department. Practical procedures e.g. Insertion of venflons, catheters, nasogastric tubes etc Documentation of patient s progress in the hospital notes. Obtaining consent for procedures (when appropriate) Carrying cardiac arrest bleep and acting as member of resuscitation team (for medical posts) Preparing patients for surgery, preparing theatre lists and assisting with procedures in theatre (for surgical posts) Clinical (for General Practice posts): Consultation with patients, making diagnoses and formulating management plans Arranging admission of patients to hospital Arranging investigations such as blood tests and x-rays Documentation of patient s progress in the surgery notes / electronic medical records Safe and cost-effective prescribing and writing sick notes Making home visits Communication: Close liaison with other members of the team and your Consultant(s) / GP educational supervisors concerning the care of your patients Communication with patients, relatives, nurses, GPs and other colleagues. Handover of patient information between shifts (hospital posts) Referral of patients to other teams (hospital posts) The referral of patients to hospital (GP posts) Discharge notification (hospital posts) Death notification. Education/Audit/Governance: Attendance at departmental / surgery meetings and educational seminars Supervision of medical students. Participation in audit programmes and contributing to the research activities of the department / surgery where possible. Maintaining professional standards as outlined in the GMC document 'maintaining good medical practice' Taking responsibility for own learning The doctor also accepts that he will perform duties in occasional emergencies and unforeseen circumstances at the request of the appropriate consultants, in consultation, where practicable, with his colleagues, both senior and junior. It has been agreed between the professions and the department that while juniors accept that they will perform such duties the Secretary of State stresses that additional commitments arising under this subsection are exceptional and in particular juniors should not be required to undertake work of this kind for longer periods or on a regular basis. 7
Person Specification for Medical Staff Job Title: Trust Doctor Post No: CRITERIA ESSENTIAL DESIRABLE Qualifications Completed 12 months in an F1 or equivalent post Appropriately registered with the GMC. Knowledge Able to demonstrate an understanding of the major principles of the GMC s Good Medical Practice (2006) including: Good clinical care Maintaining good medical practice Teaching and training, appraising and assessing Relationships with patients, and can apply this understanding Working with colleagues, and can apply this understanding Probity Personal Skills Excellent communication skills both written and verbal to prioritise tasks and information appropriately; an understanding of the importance of working effectively with others; initiative and the ability to deal effectively with pressure and/or challenge 8