Job summary
The States of Guernsey are looking for a Consultant in Emergency Medicine.The ED operates on a 24/7 basis and offers emergency care for the entire population of Guernsey (circa 63,000). The department receives unfiltered emergency patients of all ages. The postholder will need to be proficient in all aspects of contemporary emergency medicine with a particular emphasis of independent assessment and early decision making. The department does not run to any waiting time initiatives and functions as an assessment unit as well as an emergency department. Key priorities are delivery of advanced emergency medicine with low rates of referral and admission.

The emphasis at the Princess Elizabeth Hospital ED is to provide hands-on consultant based clinical service for all emergencies that attend. Any relevant skills, as contained in the core EM curriculum of the RCEM, would be integral to individual practice. The role is primarily of shop floor clinical service delivery, regular teaching, with limited office based administrative duties.

Main duties of the job
This is a full time Consultant post in Emergency Medicine with responsibility for the provision of acute & emergency service. The post will be based at the Princess Elizabeth Hospital.

Consultant contracts are based on a working week of ten programmed activity sessions.

The Emergency Department (ED) is based at the Princess Elizabeth Hospital (PEH) site.

The Medical Director and the Clinical Lead Consultant in ED are responsible for agreeing the job plan.

Duties of this post are set out in the Consultants Terms and Conditions of Services.

Remuneration for this post will be in accordance with the consultants pay scale.

About us
The Island of Guernsey is in the English Channel in the Bay of St Malo, 50km off the north-west coast of France and 120km from the English coast.

Guernsey has a population of around 63,000 and in Alderney just under 2,000. Working in a relatively small Health and Social Care Service like ours means you can effectively work with colleagues across the services, health and social care professionals can collaborate not only with each other but also other agencies, the third sector and the community.

We offer an attractive relocation policy and competitive salaries with great career opportunities, modern facilities, excellent training, revalidation and registration support and a healthy work-life balance.

As a health or social care professional who chooses to join our team, you can look forward to working in an environment that gives you the time to care that you hoped for when choosing this career.

Job responsibilities
The main duties and responsibilities of the post holder are set out below:

• To work with the Clinical Lead Consultant and wider team to provide an effective & comprehensive EM service, for all patients 24/7, supervise the nurses trainee ANPs and specialists, provide on-site presence & support in case of a major incident, contribute to clinical governance and advise HSC on service planning.
• The job plan for this post is currently based on a working a 1 in 4 evening/overnight on call and 1 in 4 weekends.
• The clinical content and practical aspects of these sessions will be determined following appointment. This is subject to annual review by the Medical Director and the Clinical Lead.
• The emphasis at PEH ED is to provide hands-on consultant based clinical service for all emergencies that attend. Any relevant skills, as contained in the core EM curriculum of the RCEM, would be integral to individual practice. The role is primarily of shop floor clinical service delivery, regular teaching, with limited office based administrative duties.
• There is a regular need to assess patients referred by GPs to the on call in-patient specialists from the MSG. These patients are sent to the ED for assessment, where the department functions like an MAU/SAU. As the entire hospital is run on consultants, on call manpower is often slim and it is necessary to work with the specialists seamlessly.
• To maintain unrestricted clinical activity, which is expected by RCEM standards and to keep oneself up to date with a CPD portfolio.
• To co-ordinate annual leave with Lead Consultant to ensure adequate medical cover. Urgent administrative work in the absence of a colleague will need to be covered by mutual agreement with other medical staff.
• To take responsibility for the effective supervision and management of other clinical staff where appropriate.
• To carry out such teaching, examination and accreditation duties as are required and contribute to postgraduate and continuing medical education activity (including nursing and other clinical staff).
• To actively participate in clinical audit and in continuing medical education to Royal College or other appropriate standards.
• To contribute to all aspects of clinical governance activity, respond to complaints in a timely manner, address risk management issues and liaise with all necessary administrative or clinical staff, both in and outside of the ED.
• To provide medical support to the onsite Hyperbaric Chamber.
• To participate in research wherever appropriate.
• To contribute to the effective overall management of the EM service.
• To participate in relevant HSC planning teams, when requested to do so.
• Where it is agreed between the parties, to undertake work on behalf of the HSC or services provided by the Department for other agencies. This excludes work done under a direct arrangement between an individual Consultant and a third party e.g. Category 2 arrangements)
• To comply with arrangements for revalidation.

Qualifications
Essential

• Full registration with General Medical Council.
• Possession of FRCEM.
• Current CCT and entry on the GMC Specialist Register for Emergency Medicine in UK or anticipated entry with CCT after completion of an accredited EM speciality training scheme.

Experience
Essential

• Wide and recent experience of ALL aspects of EM service delivery, including children.
• Substantial experience in managing complex emergency patients.
• Proven and current skill base for ALL relevant emergency procedures including procedural sedation, Ultrasound, NIV treatment etc.
• A proven record of clinical leadership either as consultant or Higher Speciality Trainee.
• A proven record of providing continuity of care within a substantive post or accredited training scheme leading to CCT.
• Experience of multi-disciplinary team working.
• Relevant teaching and continuing medical education activity.
• Evidence of a commitment to quality improvement by clinical audit.
• Ability to contribute to the effective overall management of the EM service.
• Evidence of continual professional development.
• Excellent interpersonal skills.

Desirable

• Experience of PEM, MAJAX management and PHEM.
• Current emergency airway skills including RSI would be advantageous.
• Experience of use of clinical IT systems and paperless working.
• Experience in research activity.

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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).