Job summary
Senior Clinical Fellow - MT04 in AMU/ SDEC

Working independently to provide efficient medical diagnosis and care of patients admitted to the Acute Medical Unit and the Same Day Emergency Care (SDEC) unit, as well as supporting the Emergency Department with medical reviews as may be required from time to time.

Conducting Ward Rounds in a timely manner, ensuring all electronic documentation is completed in line with Trust policy and procedures, including e-Prescribing, Patient Records and Patient Discharge Letters. The Trust operates a fully electronic patient record system.

The appointment will be for 40 hours per week and contribute to a 1:9 on-call.

This post is a 2 year fixed term contract

Main duties of the job
Be dedicated to hands-on involvement with medical admissions to the Acute Medicine Unit focusing on timely assessment, management and discharge

Support ANP's on both AMU/SDEC

Contribute to front-door patient flow, ensuring safe and timely movement through AMU/SDEC

Initiate investigations and treatment for undifferentiated acute medical presentations.

Undertake rapid diagnostics and decision-making for patients suitable for same-day assessment and treatment.

Provide independent clinical assessment and management of acute medical patients presenting to AMU and SDEC.

To clerk patients and keep up-to-date histories and records regarding patient care.

To keep an up-to-date accurate job list regarding all patients.

To record clear, accurate, and approved drug and fluid prescriptions.

To supervise Foundation Year 1 and 2 trainees, LED's, ACP's and medical students

Such other specific clinical duties as allocated by the Consultants. The postholder accepts that they will also perform other duties in occasional emergencies and unforeseen circumstances at the request of the appropriate consultant, in consultation where practicable with their colleagues both senior and junior.

About us
We operate from three main hospitals-Furness General Hospital (FGH) in Barrow, the Royal Lancaster Infirmary (RLI), and Westmorland General Hospital (WGH) in Kendal, as well as a number of community healthcare premises including Millom Hospital and GP Practice, Queen Victoria Hospital in Morecambe, and Ulverston Community Health Centre.

FGH and the RLI have a range of General Hospital services, with full Emergency Departments, Critical/Coronary Care units and various Consultant-led services.

WGH provides a range of General Hospital services, together with an Urgent Treatment Centre, that can help with a range of non-life threatening conditions such as broken bones and minor illnesses.

All three main hospitals provide a range of planned care including outpatients, diagnostics, therapies, daycase and inpatient surgery. In addition, a range of local outreach services and diagnostics are provided from community facilities across Morecambe Bay.

Our Community Service for adults are provided in people's homes ,community centres, clinics, GP Practices, community hospitals. Our aim is to work with people to help them remain independent , improve their health and manage their conditions through high quality care , advice and support.

Job responsibilities
To read more information about the advertised role, and the main job duties/responsibilities please open the Job Description and Person Specification located under the supporting documents heading. You can also read more information about University Hospitals of Morecambe Bay visiting our website https://www.uhmb.nhs.uk/

Person Specification
Qualifications
Essential

• Full GMC registration with a licence to practise at time of appointment
• Medical Degree from a recognised university
• MRCP or equivalent or working towards MRCP qualification
• Meets the criteria set out in the Specialist grade generic capabilities framework.

Desirable

• Experience of problem-based learning

Experience
Essential

• Broad training in all aspects of General Internal Medicine
• Outpatient clinic experience and able to work in collaboration with a multidisciplinary team
• Experience of audit with a demonstrable record of audits performed.
• Equivalent years' experience in relevant specialty from other medical grades including from overseas will also be accepted.

Professional Values & Behaviours
Essential

• A wide range of clinical skills and practice in the specialty.
• Practices with professional values and behaviours expected of all doctors as set out in GMC Good Medical Practice and Generic Professional Capabilities Framework (or equivalent for Dentists)
• Demonstrates the underpinning subject-specific competencies i.e., knowledge, skills, and behaviours relevant to the role setting and scope
• Clinically evaluates and manages a patient, formulating a prioritised differential diagnosis, initiating an appropriate management plan, and reviewing and adjusting this depending of outcomes of treatment.
• Manages the difficulties of dealing with complexity and uncertainty in the care of patients, employing expertise and clinical decision-making skills of a senior and independent autonomous practitioner.
• Critically reflects on own competence, understands own limits, and seeks help when required
• Communicates effectively and can share decision making with patients, relatives, and carers
• Respects patients' dignity ensures confidentiality and appropriate communication where potential barriers exist.
• Adheres to professional requirements, participating in annual appraisal, job planning and reviews of performance and progression
• IT and computer skills

Desirable

• Experience of teaching junior medical colleagues and/or undergraduates.
• Evidence of peer reviewed publication

Leadership & Teamworking
Essential

• Awareness of leadership responsibilities as a clinician and demonstrates appropriate leadership behaviour
• Develops effective relationships across teams and contributes to work and success of these teams - promotes and participates in both MDT and interprofessional team working
• Good communication skills
• Good organisational skills
• Good leadership skills

Education and Training
Essential

• Critically assesses own learning needs and ensures a personal development plan reflects both clinical practice and the relevant generic capabilities to lead and develop the service.

Desirable

• Attendance at educational skills or teaching course.

Patient Safety & Quality Improvement
Essential

• Takes prompt action where there is an issue with the safety or quality of patient care, raises and escalates concerns through clinical governance systems where necessary.
• Collaborates with MDT and interprofessional teams to manage risks and issues across organisations and settings
• Evaluates and audits own and others clinical practice and acts on findings.

Desirable

• Attendance at educational skills or teaching course.

Other
Essential

• Eligible to work in the UK
• Ability to travel independently to meet the needs of the post

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.

Applicants must have current UK professional registration. For further information please see NHS Careers website.