WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST

ALEXANDRAHOSPITAL, REDDITCH

CLINICAL TEACHING FELLOW IN ACUTE MEDICINE

12-Months Fixed Term from August 2014

JOB DESCRIPTION

JOB SUMMARY

This is one of a series of new posts combining experience in a clinical specialty with undergraduate teaching of medical students, based at the Alexandra Hospital, Redditch. The post holder will be mentored by our Senior Teaching Fellow with whom they will be expected to work closely to deliver teaching.

This12-month post is suitable for trainees whose career would be advanced by the opportunity to develop clinical skills along with specialist teaching skills. This might be of interest to registered practitioners who are studying for a higher qualification, writing up research, or applying for higher specialist training rotations, or any combination of these. It may also appeal to higher trainees who wish to take time out of a training programme, subject to the approval of the appropriate Specialist Training Committee. Remuneration for 40 hours will be at the appropriate point on the nationally agreed specialty registrar pay scale for daytime duties.

WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST

  1. INTRODUCTION

Worcestershire Acute Hospitals NHS Trust was established in April 2000. It provides acute services across the entire county of Worcestershire and incorporates the AlexandraHospital at Redditch, KidderminsterHospital and WorcestershireRoyalHospital.

The Trust employs 4,500 staff and serves a population of over 570,000. The Trust has embarked on a major redevelopment and modernisation of its services with the opening of a new county hospital in Worcester in 2002 and a Treatment Centre at Kidderminster in December 2003, which includes a Minor Injuries Unit. A major capital development programme is currently ongoing at the AlexandraHospital including a new Postgraduate Medical Education Centre.

Following a strategic review of acute services in Worcestershire, certain services have been focussed in specific parts of the county. For example, Vascular Surgery is based at Worcester. Where appropriate, other services, such as Endoscopy, are provided from all three sites in order to provide a locally accessible service

The main aim of the Trust is to extend its role as the pivotal provider of general and acute hospital services for Worcestershire. This will include offering local people an increased range of specialist services whilst remaining consistent with national initiatives and priorities.

  1. ALEXANDRAHOSPITAL, REDDITCH

The AlexandraHospital is a modern district general hospital located in Redditch which is a new town to the South of Birmingham, within the pleasant Worcestershire countryside. The hospital services a population of approximately 200,000. The population is located predominantly in Redditch and the nearby town of Bromsgrove. Both towns are close to the major motorway network of the M42, M5 and M6.

The AlexandraHospital is a new hospital of “nucleus” design, opened in 1986 with 350 mainly acute beds, and 20 day-case beds.

It has a dedicated Day Unit, ITU, CCU and a full Out-patient Department covering all specialties on site. Out-patients are also held in the nearby Princess of Wales Hospital (Community Trust) in Bromsgrove. The AlexandraHospital has a state of the art Multidisciplinary Education Centre and is in close proximity to BirminghamUniversityMedicalSchool and the local teaching hospitals.

The Hillcrest Unit is the acute mental health unit. This is a new building, opened November 1994 and is on site at the AlexandraHospital. This is part of the Community Services Trust.

The hospital has specific county-wide elective urology and orthopaedic and trauma services, including a hand surgeon, utilising dedicated facilities. Pathology, therapy, pharmacy and radiology services support the clinical specialities. Antenatal clinics, obstetric and maternity services with a children’s ward and a mother and baby unit are on site.

In addition to its clinical facilities, the hospital has an on-site crèche, shop restaurant and café. Local leisure facilities are well developed and the area has easy access to Birmingham where the National Indoor Arena, National Exhibition Centre and Symphony Hall are located. Stratford and the world famous Royal Shakespeare Company are less than 15 miles away.

3.WORCESTERSHIREROYALHOSPITAL

The WorcestershireRoyalHospital, including the refurbished Aconbury East and West Blocks, (550 beds) opened to patients in March 2002. It is a ‘state of the art’ building which accommodates Accident and Emergency, General Medicine including a Coronary Care Unit, Endoscopy Suite, Diagnostic Cardiac Catheterisation Suite, Gynaecology, General Surgery, Consultant and GP Maternity Unit, Children’s wards and a Neonatal Intensive Care Unit, ITU, HDU, Orthopaedic, Surgical Specialist beds, ENT, Maxillo-facial surgery, Diabetic Centre, sub-acute Medicine, Rheumatology, Ophthalmology, Microbiology, Histopathology, Haematology, Biochemistry, X-Ray and Neurophysiology. There are 9 operating theatres including 4 ‘laminar’ theatres.

The facilities for Medicine include a 26 place Medical Assessment Unit, an 11 bed Medical Short Stay Ward and 136 acute medical beds, a new dedicated 8 bed Stroke Assessment Unit, an expanded 8 bed Coronary Care Unit with step down facilities and expanded Critical Care facilities. There is also a fixed diagnostic cardiac catheterisation laboratory and dedicated facilities for permanent and temporary pacing.

On the same site as the new hospital there are a further 106 medical beds on the Aconbury East and West blocks providing rehabilitation, stroke rehabilitation, step down and rheumatology services.

In addition to its clinical facilities, the hospital has an on-site crèche, shop, restaurant and café, which includes 24 hour catering.

  1. KIDDERMINSTERHOSPITAL

Kidderminster Hospital comprises 18 medical rehabilitation beds, a 24 hour Minor Injuries Unit, Endoscopy suite, day case theatre and 20 day case beds, a satellite renal dialysis unit, 20 GP beds and a comprehensive out-patient service. There is also an oncology out-patient suite and a nurse led midwifery unit.

The hospital has been redeveloped as a Treatment Centre (TC), providing day case and short stay elective treatment and diagnostic services.

BACKGROUND TO THE POST

We have for some years provided undergraduate teaching to medical students from the University of Birmingham and the University of Warwick. These students have appreciated the teaching and wealth of clinical experience available and many have chosen to return as junior doctors.

In addition, to meet the national requirement for more doctors, annual student entry has greatly increased. Following the University of Birmingham’s 2014 curriculum review, the College of Medical and Dental Sciences has established a ClinicalTeachingAcademy at Redditch.The University of Warwick Medical School is in the process of reviewing its curriculum. Clinical teaching now takes place in many of the general hospitals within the region. Redditch provides clinical teaching for 3rd,4th and 5th year medical students as well as Physician Assistant students.

These changes have led to an increase in the teaching demands on medical staff. This post is the 2nd of 3 Clinical Teaching Fellow posts at Redditch. The Teaching Fellow will contribute to the teaching, but also undertake a clinical role, to enable other members of staff to fulfil their teaching commitments and to provide service in the Medical Assessment Unit (MAU).

THE DEPARTMENTS

The Medical Directorate comprises of MAU and acute medical wards.

Acute Medicine/MAU Department

Unselected emergency medical patients are admitted under the care of one of the physicians who also have a subspecialty interest in one of the following: elderly care, cardiology, respiratory medicine, endocrinology/diabetes and gastroenterology.

Clinical Teams

There are 12 Consultant Physicians organised into the following clinical teams:-

Cardiology/OrthogeriatricsDr D Abban/Dr A Hamed

Elderly MedicineDr A Asokan / Dr R Mildner

Respiratory Dr S Vathenen; Dr D Brocklebank/Dr A Lal

Diabetes/EndocrinologyDr I Babar; Dr K Tait

GastroenterologyDr I Ahmad; Dr D Aldulaimi

Short Stay TeamDr D Brocklebank/Dr A Lal/Dr S Tan/

Dr M Saeed (Associate Specialist)

Junior Medical Staffing

Specialist Registrars x 4 [Cardiology; Elderly Care; Respiratory; Gastroenterology]

Specialty Doctors x 3

Senior House Officers [Equivalent] x 7

Foundation Year 2 x 3

Foundation Year 1 x 9

FACILITIES

The AlexandraHospital has a new Multidisciplinary Education Centre with state of the art audiovisual facilities and a lecture theatre with 120 seats. A Practical Skills room with a ward/domestic training bay set out to represent a 3-bed ward (with space for a further 3 beds) allows realistic ‘hands on’ practical education in a safe environment; to facilitate this a ‘SimMan’ patient simulator is available in addition to the usual resuscitation training devices. The centre also has several smaller seminar rooms and 1 larger board room.

The library provides access to a wide range of multidisciplinary literature and IT access to Medline and the internet. There are plans to install 24 computers initially, with a further 12 to be installed at a later date. There are also 4 private study rooms and a library training room. The undergraduate coordinator’s office is situated in the new Education Centre.

The Trust has a well-developed Intranet, which is used extensively for education, publicising Trust policies and clinical protocols, providing access to PACs and pathology results.

DUTIES OF THE POST

CLINICAL

The Clinical Fellow will be allocated to Acute Medicine / MAU for the equivalent of 5 (half day) sessions per week. One session per week will be allocated to preparation, audit and CPD, and 1 flexible clinical/teaching session as the situation demands.

It is expected that the successful candidate will be allocated a minimum of 3 regular sessions each week, averaged over the year, to clinical teaching for students. The teaching sessions will be timetabled flexibly to accommodate the students’ other commitments. Otherwise the Fellow will work alongside the other junior doctors in the respective department and undertake general duties.

Accountability in respect of clinical duties is to Dr David Aldulaimi, Clinical Director.

TEACHING
  • To contribute to teaching across the Undergraduate Curriculum foryears 3, 4, 5 medical students. It is expected that the Fellow will commit to aminimum of3 sessions per week, averaged over the year, to undergraduate teaching.
  • To assist with organisation, monitoring and teaching of the undergraduate course at the Alexandra Hospital.
  • To assist in reviewing the current structure and organisation of undergraduate teaching within the medical specialties in order to instigate appropriate modifications.
  • To contribute to specific teaching in the relevant specialties including Medical Master Classes, simulation and induction programmes.
  • Act as an examiner for Birmingham and Warwick Medical Students as required.
  • Accountability, with respect to the performance of teaching duties, is to Dr Kamal Nathavitharana, Head of Academy.
  • The post provides the opportunity to study part-time for a clinical educational qualification. This is strongly encouraged.

QUALIFICATIONS AND EXPERIENCE

  • Full registration with the GMC is essential.
  • Candidates for the post of Clinical Teaching Fellow should have completed at least one, preferably two, years of General Professional Training. This must include at least 6 months of General Medicine.
  • The successful candidate will be expected to show a commitment to a career in Acute Medicine.
  • The post does not currently have educational and training approval from the Regional Postgraduate Dean.

TERMS OF EMPLOYMENT

Basic working hours are 40 per week, based at the Alexandra Hospital, Redditch, but will be expected to travel other units/hospitals if required. Fellows are not required to be on-call; however, on-call work may be undertaken voluntarily by separate arrangement with the relevant department. Fellows undertaking out-of-hours emergency duties will be subject to the current New Deal provisions with respect to hours of work, rest periods and locum rates of pay. It should be noted that on-call work arrangements should not compromise teaching commitments.

COMPETENCE

The post holder is responsible for limiting his/her actions to those which s/he feels competent to undertake. If the post holder has any doubts as to his or her competence during the course of his/her duties then s/he should immediately speak to their line manager or supervisor.

CODES OF CONDUCT

All employees of the Trust who are required to be registered with a professional body, to enable them to practise within their profession, are required to comply with their code of conduct and requirements of their professional registration. Those staff who are not required to be registered with a professional body are required to comply with the Trust’s codes of conduct.

CONFIDENTIALITY

The post holder must maintain confidentiality, security and integrity of information relating to patients, staff and other Health Service business.

RECORDS MANAGEMENT

All employees of the Trust are legally responsible for all records that they gather, create or use as part of their work within the Trust (including patient, financial, personnel and administrative), whether paper or computer based. All such records are considered public records and all employees have a legal duty of confidence to service users. Employees should consult their manager if they have any doubt as to the correct management of records with which they work.

HEALTH AND SAFETY

Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act (1974) and the Manual Handling Operations Regulations (1992). This ensures that the agreed safety procedures are carried out to maintain a safe environment for employees, patients and visitors to the Trust.

INFECTION CONTROL

Employees must accept personal responsibility and accountability for Infection Prevention and Control practice. Employees should ensure they are familiar with, and comply with, all relevant Infection Control policies for minimising the risk of avoidable ‘Health Care Associated Infection’. All Employees must undertake annual mandatory updates in Infection Control.

RISK MANAGEMENT

It is a standard element of the role and responsibility of all employees of the Trust that they fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, taking appropriate actions, and reporting all incidents, near misses, and hazards promptly. It is a contractual obligation that all employees must co-operate with any investigations undertaken.

CHILDREN AND VULNERABLE ADULTS

You have a responsibility for promoting and safeguarding the welfare of the children/young people/vulnerable adults that you come into contact with or are responsible for in your job role and sphere of competence.

CRIMINAL RECORDS BUREAU – DISCLOSURE

The Trust aims to promote equality of opportunity for all, with the right mix of talent, skills and potential. Criminal records will be taken into account for recruitment purposes, only when the conviction is relevant. As the Trust meets the requirements in respect of exempted questions under the Rehabilitation of Offenders Act 1974, all applicants who are offered employment will be subject to a criminal record check from the Criminal Records Bureau before the appointment is confirmed. This will include details of cautions, reprimands or final warnings, as well as convictions. Postholders may periodically be asked to undertake a re-check.

VETTING AND BARRING SCHEME

The Trust is legally required to check all staff against the ISA Children’s and Vulnerable Adults barring lists if they engage in what is defined as “Regulated Activity” or “Controlled Activity”: Regulated Activity is defined as working closely with children or vulnerable adults, paid or unpaid, on a frequent or intensive basis. Controlled activity is work that provides opportunities for contact with children or vulnerable adults, or their records. This includes caterers, cleaners, administrators, contractors, maintenance workers and their managers and supervisors.

If the post holder’s role is defined as “regulated” or “controlled activity” they will be required to be checked against the relevant ISA barring lists and will need to be ISA registered by 31st July 2015. The Trust will undertake these checks on a phased basis for existing staff. All new staff commencing from 26th July 2010 will need to be ISA registered. It will be a condition of employment that ISA registration is maintained.

EQUAL OPPORTUNITIES

The Trust has a clear commitment to equal opportunities for all in employment practices based on an applicant’s ability, skills and aptitude for the post. A range of equality & diversity policy initiatives are in place and all successful applicants are expected to familiarise themselves with these. It is therefore the duty of every employee to comply with the detail and spirit of these policies and the law at all times. Any issues or concerns you have should be taken up with the recruiting manager or the human resource team as soon as possible.

CONFLICT OF INTEREST

The Trust is responsible for ensuring that the service provided for patients and its care meet the highest standard. Equally, it is responsible for ensuring that staff do not abuse their official position for personal gain or to benefit their family or friends. The Trust’s Standing Orders require any member of staff to declare any interest, direct or indirect, with contracts involving the Trust. Staff are not allowed to further their private interests in the course of their NHS duties.

MAIN CONDITIONS OF SERVICE

1. The post is subject to the terms and conditions of service of Hospital Medical and Dental staff (England and Wales) and General Medical Council conditions of service as amended from time to time.

2. The post holder will be based at the AlexandraHospital, Redditch. However the post holder may be required to work at any location within the Trust should the service need arise, and may also be required to undertake duties at locations outside the Trust.

3. The salary is determined by the current seniority of the appointee, according to the nationally agreed pay scales for junior doctors.

4. For pre-employment health assessment purposes, as part of the Trust’s

Occupational Health Service, the successful candidate will be required to complete a health questionnaire. This will be treated in strictest confidence and will not be seen by any employee of the Trust other than Occupational Health Staff. The successful applicant may be required to undergo a medical examination.

5. The successful applicant must hold full registration with the General Medical Council.