Consultants in Acute Medicine with or without Specialty Interest to East Sussex Healthcare NHS Trust
JOB DESCRIPTION
TITLE: Consultant Physician
SPECIAL INTEREST: Acute Medicine ± Specialty
HOURS: Full Time
PROFESSIONALLY ACCOUNTABLE TO: Medical Director
RESPONSIBLE TO: Clinical Unit Lead and Divisional Director
1. INTRODUCTION
Following a major review of clinical strategy we are seeking to appoint a number of Consultant Physicians in Acute Medicine with or without a specialty interest to the Urgent Care Division in East Sussex Healthcare NHS Trust. The holders of these posts will assist in the provision of a high quality acute medical service as part of the development of a multi-disciplinary approach to care within the speciality of Acute Medicine, as well as contributing to outpatient services in the relevant specialty where applicable. Currently we are looking to recruit Acute Physicians with the following specialty backgrounds: Respiratory Medicine, Diabetes and Endocrinology, Cardiology and Geriatrics. These posts will all be 7 PAs Acute Medicine and 3 PAs specialty. We also wish to recruit at least one full time Acute Physician who will undertake 10PAs in Acute Medicine
The appointees will be based principally either at Eastbourne District General Hospital or Conquest Hospital, and we anticipate some flexibility being extended to successful candidates. However, any postholder may periodically be expected to undertake duties elsewhere in the East Sussex Healthcare community according to need.
2. GENERAL DESCRIPTION OF TRUST AND SERVICES
EAST SUSSEX HEALTHCARE NHS TRUST
East Sussex Hospitals NHS Trust was established on 1st April 2002 following the merger of Eastbourne Hospitals and Hastings & Rother NHS Trusts, and East Sussex Healthcare NHS Trust was formed in April 2011 following the merger of East Sussex Hospitals with the provider arm of the local primary care trusts. The Trust aims to provide high quality hospital and clinical services for the people of East Sussex.
The Trust serves a population of about 480,000, has a turnover of £340million, employs over 7,000 staff and is the largest employer in East Sussex. The work of the Trust is supported by around 1,200 volunteers and generous support from the Hospitals’ Leagues of Friends and other local charities. The Trust covers an area from Rye in the East, Seaford in the West and almost to Tunbridge Wells on its Northern boundary. There is a combination of urban and rural development with areas of outstanding natural beauty and of considerable historic interest. There are excellent recreational and sporting facilities in the area and good rail links to London, to Europe via the Channel Tunnel or Eurostar and to international airports. There is a wide selection of schools in the area, both in the state and private sectors, as well as higher education provision. Postgraduate medical and nurse training takes place on both the main sites; close links have been developed with the new Brighton and Sussex Medical School, and existing educational links with Kings College London have been maintained and strengthened. Modern, up to date learning resource centres are available on both hospital sites along with many other training opportunities.
Our Vision is to be:
The healthcare provider of first choice for the people of East Sussex.
Our Mission:
Is to continuously improve outcomes for our patients.
Our Aim is to deliver patient centred care by:
· Making safe patient care our highest priority.
· Using our resources efficiently and effectively for the benefit of our patients and their care.
· Ensuring our services are clinically and financially sustainable.
· Improving and enhance patients’ experiences and clinical outcomes.
· Working in partnership to meet the needs of our local population.
· Continuously developing our services and our staff.
Our Objectives are to:
· Provide high quality, innovative and accessible emergency care.
· Provide high quality, innovative and accessible elective care.
· Revolutionise services for older people and those with long term and complex conditions through the provision of integrated services.
· Deliver the right care in the right place at the right time by working in clinical networks and other partnerships.
· Communicate effectively with our patients, our staff, our community and our partners.
· Maintain and develop a skilled and motivated workforce.
· Realise the benefits from our estate and IT infrastructure.
· Drive productivity and efficiency and where appropriate maximise our market share.
EASTBOURNE DISTRICT GENERAL HOSPITAL
The District General Hospital (DGH) was built in two phases. The first opened in 1976, the second in 1989. The hospital occupies a prominent position on one of the main thoroughfares into Eastbourne and has commanding views of the town and its rural locality.
The hospital has 522 beds with all the major clinical specialities represented. The hospital has 8 operating theatres; a 2-theatre Day Surgery Unit, with a dedicated endoscopy suite; a 9- bedded Critical Care Unit. There is a cardiology department with a 6-bed Coronary Care Unit (CCU), pacing theatres and investigation suite; Diabetes Centre and separate urology and gynaecology investigation suites. There is a state-of-the-art Emergency Unit, with 24-hour helipad; dedicated Medical and Surgical Assessment Units; an obstetric service with an 11-cot Special Care Baby Unit; a refurbished and extended Outpatients department; an on-site MRI and multislice CT suite; comprehensive pathology, pharmacy and radiology departments, and a Private Patients unit. There is a dedicated Acute Stroke Unit providing 24/7 stroke thrombolysis; an Endoscopy Unit, due to expand to 3 rooms in 2012, providing GI endoscopy, bronchoscopy and thoracoscopy; a Cardiac Unit providing a full range of non-invasive and invasive services including 24/7 PCI with 2 catheter labs, CCU, pacing and full cardiac electrophysiology. The Haemato-Oncology Unit provides cancer treatment and support services for a wide variety of solid tumours and haematological malignancies, and 2 linear accelerators may be sited here in future to provide for the Eastern component of the Sussex Cancer Network, although patients currently travel to Brighton for radiotherapy. A satellite dialysis unit is also planned (currently located at Bexhill Hospital).
THE CONQUEST HOSPITAL, HASTINGS
The Conquest Hospital is a modern district general hospital built in two phases, on a gently sloping site with four storeys, allowing each floor to have an entrance at ground level. The first phase opened in 1992, the second in 1997. Most of the wards and many other areas look out onto a lagoon, with panoramic views over the historic town of Hastings and the English Channel.
The Conquest Hospital has 486 beds and provides a comprehensive range of acute surgery and medicine for all ages. The hospital has 8 operating theatres including a dedicated obstetric theatre; an 11-bedded Critical Care Unit; a Cardiology department with a 6 Coronary Care Unit beds (CCU). There is an 8 bed obstetric unit offering en-suite facilities, 8 Special Care Baby Cots; an on-site MRI and multislice CT scanner with plans for a second scanner, and comprehensive pathology, pharmacy and radiology departments. A Private Hospital of 29 beds is on the Conquest campus. There is a dedicated Acute Stroke Unit providing 24/7 stroke thrombolysis. Primary PCI is available at each site in hours with an out of hours service alternating between Conquest and Eastbourne site. At the Conquest Hospital >90% patients presenting with STEMI undergo primary PCI; other cardiac services include pacing, echocardiography, CCU. The Endoscopy Unit undertakes diagnostic and therapeutic bronchoscopy but not thoracoscopy; GI endoscopy and ERCP are available and the unit is fully JAG-accredited; The McCartney Unit provides cancer treatment and support services for a wide variety of solid tumours and haematological malignancies; patients travel to Maidstone for radiotherapy.
The hospital offers patients and visitors a wide variety of arts ranging from water features, statues, sculptures, painting and murals. These are provided by the 'Art in Hospital' programme, funded by charitable donations, whose aim is to create a collection which will complement the building and contribute to a positive and caring environment, for patients, staff and visitors alike.
BEXHILL HOSPITAL
Bexhill Hospital is the location of the Irvine Unit, named after the famous Dr Robin Irvine, Hastings’ first consultant geriatrician and founder of the subspecialty of Orthogeriatrics. The Irvine Unit now provides specialist inpatient rehabilitation after medical or surgical illness, stroke and orthopaedic injury, as well as palliative and intermediate care. The Trust also provides day surgery services from the Jethro Arscott Day Surgery Unit and runs outpatient services for a wide variety of specialties on site. There is a radiology department providing plain film examinations, and a visiting echocardiography service. Bexhill Hospital also has a satellite renal dialysis unit, managed by Brighton and Sussex University Hospitals NHS Trust. The GP out-of-hours service run by South East Health is based at Bexhill, as is the Community Collaborative Rehabilitation Team.
CROWBOROUGH HOSPITAL AND BIRTHING CENTRE
Crowborough War Memorial Hospital is a community hospital with a rehabilitation unit and intermediate care facilities.It was rebuilt in 1998. There is a 24 bed general medical ward, birthing unit, outpatients clinic and minor injuries unit. Other services on site include physiotherapy services, an evening nursing service, family planning services and palliative care. The Birthing Centre is a midwife-led unit with 6 beds, open 24 hours per day.
UCKFIELD COMMUNITY HOSPITAL
Uckfield Community Hospital has 25 in-patient beds providing intermediate care, rehabilitation and palliative care with additional provision for day surgery, a minor injuries unit and an operating theatre. The hospital is also the base for community health services. There is a GP surgery and pharmacy at the hospital.
LEWES VICTORIA HOSPITAL
Lewes Victoria is a Community Hospital with facilities for outpatients, x-ray, phlebotomy, podiatry, and minor injuries.The Hospital also has a surgical ward for minor and intermediate level surgery with 18 beds and a medical ward with 20 beds.
RYE MEMORIAL HOSPITAL
Various inpatient and outpatient services are provided by the Trust at Rye, Winchelsea and District Memorial Hospital.
The Medical Wing has 19 beds with facilities to accommodate patients with continuing care needs and general medical/rehabilitative needs and long and short term private patients. Medical cover is provided by GPs within the area.
TRUST MANAGEMENT
The Trust Board comprises the Chairman, Stuart Welling,the Chief Executive, Darren Grayson;five Non-Executive and four Executive Directors all with a vote.Other executive directors and the divisional directors (see below) attend board meetings but do not vote. The clinical services provided by the Trust are operationally allocated to one of three divisions (see diagrams on following pages) each led by a divisional director, who is expected to deliver on key NHS Plan and Trust targets and to ensure appropriate standards of patient care are met. Within each division, there are a number of Clinical Units, each with a medical, nursing and managerial lead. The clinical unit leads are responsible for the day-to-day running of the clinical services within their directorate.
TRUST BOARD
DIVISIONAL STRUCTURE
URGENT CARE DIVISION AND CLINICAL UNIT STRUCTURE
The post sits within the Urgent Care Division (Divisional Director, Dr James Wilkinson). The Acute Medicine component of the post and the Medical Assessment Unit are based within the Acute Care Clinical Unit (Clinical Unit Lead, Dr Andrew Leonard). The Specialty Medicine component will be based within the appropriate clinical unit: Respiratory Medicine and Diabetes/Endocrinology within the Specialist Medicine Clinical Unit (CU Lead, Dr Richard Grace); Cardiology with the Vascular Medicine Clinical Unit (CU Lead Dr Nik Patel); and Geriatrics within the Complex and Intermediate Care Clinical Unit (CU Lead Dr Hugh McIntyre).
Consultants in Emergency and Acute Medicine, General Medicine, Medicine for the Elderly, Cardiology, Respiratory Medicine, Gastroenterology, Diabetes & Endocrinology, Rheumatology, Haematology, Oncology, Palliative Care, Dermatology and Neurology are all located on both the acute hospital sites. Visiting Nephrologists conduct outpatient clinics and support the satellite renal dialysis unit at Bexhill Hospital.
Outpatient services are predominantly provided from the two main sites at Eastbourne DGH and Conquest Hospitals, but some specialities also provide outreach clinics in a number of neighbouring towns including Uckfield, Seaford, Lewes, Crowborough, Bexhill and Rye.
Medical intake at Eastbourne is age non-selective, with contributions from Acute Medicine and GIM/DME consultants of the day. Medical intake at Hastings is currently age selective, although this is under review. There is an increasing emphasis on expansion of an established ambulatory emergency care programme in all specialties.
The Trust is currently investing heavily in the “front end” services of MAU and A&E. These appointments are in tandem with a major expansion in A&E consultant staff (taking us to 5 consultants on each site) allied to the development of a new model of care and clinical strategy for Acute and Emergency Medicine.
EXISTING CONSULTANT PHYSICIANS
EASTBOURNE SITE / CONQUEST SITEACUTE MEDICINE:
Dr A Leonard
(Clinical Unit Lead) / Dr A Leonard
(Clinical Unit Lead)
Dr D Till (locum) / Dr B Elsafi (locum)
Dr F Busch (locum) / Dr S Berliti
EMERGENCY MEDICINE:
Mr S Shubber / Dr P Cornelius
Mr U Shanker / Mr T Underhill
Dr S Hall / Dr M Alam
Mr Y Gupta (locum)
DIABETES & ENDOCRINOLOGY:
Dr J J Bending / Dr U Dashora
Dr D Lipscomb / Dr S Kumar
CARDIOLOGY:
Dr A N Sulke / Dr D Walker
Dr N R Patel / Dr R Martos (locum)
Dr G W L Lloyd / Dr K Dickinson
Dr S Furniss / Dr R Gerber
GASTROENTEROLOGY:
Dr A A Dunk / Dr J Rademaker
Dr D A Neal / Dr M Whitehead
Dr P Mayhead / Dr A Zubir
RESPIRATORY MEDICINE:
Dr J R W Wilkinson / Dr S Merritt
Dr D L Maxwell / Dr M Clee
Dr W Pereira / Dr O Kankam
MEDICINE FOR THE ELDERLY:
Dr L Athulathmudali (Stroke) / Dr H McIntyre
Dr M M Fonseka / Dr E Mucci (Stroke)
Dr A Nahhas / Dr J Dennison
Dr H Rahmani (Stroke lead)
RHEUMATOLOGY:
Dr A J Poole / Dr E Henderson
Dr S Panthakalam
Dr C Bevington
HAEMATOLOGY:
Dr R G Grace
Dr S Sahu / Dr S Weston-Smith
NEUROLOGY: (also at Hurstwood Park)
Dr W N Macleod / Dr A Haque / Dr M Chowdhury
NEUROSURGERY: (based at Hurstwood Park)
Mr J S Norris
NEPHROLOGY/RENAL MEDICINE
Dr V Ingham / Dr V Ingham
DERMATOLOGY:
Dr M Ali / Dr J Von der Werth
ONCOLOGY: (based at Brighton – EDGH; or Maidstone - CQ)
Dr J Simpson (lung, head & neck) / Dr G Sadler (breast, neuro)
Dr F McKinna (lower GI, skin) / Dr K Lees (kidney, prostate)
Dr A Robinson (upper GI) / Dr A Robinson (upper GI)
Dr K Lankester (gynae) / Dr T Sevitt (lung, lower GI)
Dr A Ring (breast)
Dr S Westwell (breast)
MEDICAL ASSESSMENT UNITS (MAU)