Brighton and Sussex University Hospitals NHS Trust Job Description

Transcription

1 Brighton and Sussex University Hospitals NHS Trust Job Description Job Title Specialty Registrar ST3 7 Banding Department Base Division 1b Department of Medicine for the Elderly Royal Sussex County Hospital, Brighton Princess Royal Hospital, Haywards Heath Medicine What we do BSUH is the regional teaching hospital working across two sites: the Royal Sussex County Hospital in Brighton and the Princess Royal Hospital in Haywards Heath. The Brighton campus includes the Royal Alexandra Children s Hospital and the Sussex Eye Hospital, and the Haywards Heath campus includes the Hurstwood Park Regional Centre for Neurosciences. We provide general acute services to our local populations in and around the City of Brighton and Hove, Mid Sussex and the western part of East Sussex and more specialised and tertiary services for patients across Sussex and the south east of England. Both hospitals provide many of the same acute services for their local populations. In addition, the Princess Royal is our centre for elective surgery and the Royal Sussex County Hospital is our centre for emergency and critical care. Our specialised and tertiary services include neurosciences, paediatrics, cardiac, cancer, renal, infectious diseases and HIV medicine. We are currently developing our capability as the designated major trauma centre for the region. We treat over half a million patients each year. Working as one hospital across two sites, and playing to the strengths of both, gives the flexibility to develop services which meet the needs of our patients at different stages of their treatment and care. Central to our ambition is our role as developing academic health sciences centre, a provider of high quality teaching, and a host hospital for cutting edge research and innovation; and on this we work with our partner, Brighton and Sussex Medical School (BSMS), the Kent, Surrey and Sussex Postgraduate Deanery and our local Universities.

2 We also work in close partnership with our local GPs and commissioners to ensure that local health services are provided and improved in ways which best meet the needs of our patients and their families. Department of Elderly Medicine The department is friendly and supportive. There are 6 registrars, one of whom is based in Haywards Heath with all the others are in Brighton. They rotate every 6 months. In Brighton, the department admits unselected medical patients over the age of eighty years. All patients are clerked on an elderly care proforma to ensure a comprehensive geriatric assessment of medical, psychological, social and functional need is obtained. The junior doctors work as part of a ward-based, consultant-led multidisciplinary team. There are five dedicated elderly care wards and two wards dedicated to acute stroke care at the Royal Sussex County Hospital. In Haywards Heath, there is an unselected general medical take, and are in the process of changing to a ward based system (Summer 2011). Geriatric registrars based in Brighton support the unselected General Medical on call rota, though the main focus of their training whilst here is with specialist training in geriatric medicine. The Consultants in the department based in Brighton include Henry Alexander (Department Lead), Nicola Gainsborough (Clinical Lead for stroke medicine, leader of Phase III (Year 5) for the medical school), Mark Bayliss, Jane Bradshaw, Louise Pack, Adam Harper, Charlotte Willis, Ian Thompson, Muna Al-Jawad and Tom Hutchinson (to start at end of 2011). They are supported by 2 academic Honorary Consultants, Professor Rajkumar and Dr Juliet Wright. Dr Martin Jones and Khalid Ali (senior lecturer) are based at PRH. Stroke care Acute services at RSCH include a 22 bed acute stroke unit. The thrombolysis service provides a 24 hour service (via telemedicine out of hours). Patients requiring hospital neurorehabilitation ward receive this on a specialist unit at PRH. PRH has an acute stroke unit and provides daytime thrombolysis, which is planned to expand to a 24 hour service soon. Rapid access clinic for older people This helps prevent admissions through timely comprehensive geriatric assessment, with patient being assessed within days of referral. The clinic runs daily. Patients have a one-stop assessment including most medical investigations, therapist and specialist nursing assessments. Falls services There is a regular Falls Clinic based at the Briggs Day Unit. One of the registrars will be responsible for assessment of patients to screen for medical contributors to a patient s falls. Orthogeriatric care The orthogeriatric rehabilitation unit is based at Princess Royal Hospital, and with orthogeriatric liaison sessions at RSCH. 2

3 Community care There are an increasing number of community rehabilitation units opening around both Brighton and the surrounding areas. There are timetabled sessions on one of these units and as well as for domiciliary visits. Parkinson s Disease There are weekly PD clinics at both RSCH and PRH supported by 2 PD nurse specialists. There is close interaction with the therapists and neurologists. Dementia care The psychogeriatricians are based at the Neville Hospital in Hove. One of the registrars will be responsible for providing medical support for these patients, which will be combined with training in psychiatry for the elderly. There are also opportunities to attend specialist dementia neurology clinics at Hurstwood Park Neurological Centre. One of the wards at PRH is a specialist ward for patients with dementia. Day Hospital Weekly clinics are run through the Day Hospital at Princess Royal Hospital for older patients with multidisciplinary needs. Palliative care Supported by Dr Louise Mason, a specialist hospital based palliative care consultant, we have built in regular palliative care training for one of the registrars. Other Registrars have dedicated sessions for core subspecialty training. There are opportunities for them to gain experience in: Tilt table testing Wound care Continence services Formal learning In addition to the clinical teaching, the teaching sessions include: Medical Divisional Grand Round Departmental meetings (RSCH) Morning round more informal case-based discussions (RSCH) There are regional training days for both Geriatric medicine and General Internal Medicine. Teaching The StR s will be involved with the teaching of medical students, predominantly those in their 3rd and 5th year of medical school. This will include bedside teaching, as well as supervising student led seminars and helping with examining. Educational supervision All the consultants are involved in the KSS QESP program. The educational supervisors will be chosen according to which team you start on. All of the consultants are happy to provide advice and guidance as required. Research Brighton has developed a strong academic base with a chair of Geriatric Medicine, Professor Rajkumar, supported by two senior lecturers, Dr Juliet Wright and Dr Khalid Ali. All trainees will be encouraged to participate in research projects. Trainees will meet with the academic 3

4 leads during their first year on the scheme. There are also opportunities for trainees to undertake more formal periods of research as part of a MD or PhD. Current research interests within the Geriatric Unit include: Vascular compliance with ageing Preventative measures for Clostridium difficile infection Diabetes in the elderly Blood pressure control and the development of dementia Adverse drug reactions The department has also been involved in a number of recent and ongoing multicentre trails, including HYVET (HYpertension in the Very Elderly Trial), TRACS (TRAining of Caregivers after Stroke), and CLOTS (role for TEDS after stroke.) The academic unit and the department regularly present posters at the national British Geriatrics Society meetings. Our Partner Medical School The school's first 128 students started their five-year course in October 2003 and it has proved an outstanding success, typically receiving more than 15 applications per place and consistently among the most competitive medical schools in the country. Students spend the first two years based mainly at the University campuses at Falmer, but with significant clinical exposure throughout the period, particularly in primary care. During year 3 the main focus is hospital based specialties at the RSCH, while years 4 and 5 are spent obtaining further basic science training and gaining experience in other medical disciplines. Year 5 is mainly based around regional attachments and will provide experience in shadowing house officers. The School aims to teach a research-rich curriculum in which basic and clinical science are prominent. In addition, we have developed an imaginative teaching programme that incorporates new technology (such as the innovative PDA project, MoMED) and the use of imaging alongside anatomy teaching, which has been a particular success. Feedback from the National Student Survey has demonstrated an exceptionally high level of student satisfaction. Close links have been developed with many NHS consultant colleagues and honorary academic titles are conferred for those who have a particular engagement with the School. BSMS is also closely involved with postgraduate education. BSMS has produced a new 5 year strategic plan ( ) that places growing its research capacity as the number one priority. We have made significant investments in research infrastructure, including a world-class Clinical Imaging Sciences Centre (CISC) and a Clinical Investigation & Research Unit (CIRU) dedicated to patient orientated research and early clinical trials. There has been a rapid increase in postgraduate research students and research income has more than doubled over the last five years. The research programme of the School is growing rapidly. It is focused around major themes that include neuroscience, oncology, and infection and inflammation. Within these we have particular strengths in elderly care medicine, primary care and epidemiology and in imaging. There is a joint Research Office that handles NHS R&D contracts and strong links between BSMS research faculty and NHS colleagues. Residency Rented accommodation is sometimes available at the Hospital, details of which can be obtained from the Residences Manager on ext

5 Annual and Study Leave Staff are expected to discuss plans for leave with members of their Department well in advance or any proposed leave. General Information EMERGENCIES The post holder accepts that he/she will also perform duties in occasional emergencies and unforeseen circumstances at the request of the appropriate Consultant, in consultation where practicable with his/her colleagues both senior and junior. It has been agreed between the profession and the department that while additional commitments arising under this subsection are exceptional and in particular that juniors should not be required to undertake work of this kind for prolonged periods or on a regular basis. Main Conditions The appointment is subject to the National Terms and Conditions of Service for Hospital Medical and Dental Staff (England and Wales) and to the General Whitley Council of Conditions of Service Medical clearance is required prior to taking up the post; Doctors must hold a licence to practice and be registered with the General Medical Council, and it is advisable to be a member of a Medical Defence Organisation; Useful websites BSUHT - University of Brighton - University of Sussex - BSMS - For further information about the City of Brighton and Hove and surrounding area - Competence The jobholder is required to participate in the Trust appraisal process and work towards meeting identified development needs. The jobholder is required to demonstrate on-going continuous professional development. At no time should the jobholder work outside their defined level of competence. If the post holder has concerns regarding this they should immediately discuss this with their Manager/Supervisor/Consultant. The jobholder has the responsibility to inform those supervising their duties if they are not competent to perform a duty. Registered Health Professional All staff who are members of a professional body must comply with standards of professional practice/conduct. It is the post holder s responsibility to ensure they are both familiar with and adhere to these requirements. 5

6 Risk Management/Health & Safety The jobholder has a responsibility to themselves and others in relation to managing risk, health and safety and will be required to work within the policies and procedures laid down by the Trust. All staff have a responsibility to access occupational health, other staff support services and/or any relevant others in times of need and advice. Infection Control Infection prevention and control is an essential aspect of patient care. All post holders have a personal obligation to act to reduce Healthcare Associated Infections (HCAIs). They must attend mandatory training in infection prevention and control and be compliant with all measures required by the Trust to reduce HCAIs. Post holders must be familiar with the Trust s Infection Control Policies, including those that apply to their duties, such as Hand Decontamination Policy, The Dress Code and Personal Protective Equipment Policy. Post holders who have clinical responsibilities must incorporate into their clinical activities up-todate evidence that supports safe infection control practices and procedures, for example the use of aseptic techniques and the safe disposal of sharps. Safeguarding Children and Vulnerable Adults Post holders have a general responsibility for safeguarding children and vulnerable adults in the course of their daily duties and for ensuring that they are aware of the specific duties relating to their role. Smoking Policy It is the Trust s policy to promote health. Smoking, therefore, is actively discouraged. It is illegal within the Trust s buildings and vehicles. Flexibility Statement This job description is not inflexible but is an outline and account of the main duties. Other duties may be required to be performed from time to time in line with the jobholder s grade, experience and job role. The job description will be reviewed periodically and at the time of the employee s appraisal, to take into account changes and developments in service requirements. Any significant changes that are proposed will be discussed fully and agreed with the post holder in advance. Confidentiality As an employee of this Trust you may gain privileged knowledge of a highly confidential nature relating to private affairs, diagnosis and treatment of patients, information affecting members of the public, personal matters concerning staff, commercial confidences of third parties, and details of items under consideration by this Trust. Such information should not be divulged or passed to any unauthorised person or persons, and the requirements of the Trust s Code of Conduct for Employees in Respect of Confidentiality, a copy of which is available from your Head of Department, must be adhered to with particular regard to the responsibilities of individuals and the Trust under appropriate legislation, notably the Data Protection Act. Failure to comply 6

7 with this requirement may constitute gross misconduct under the Trust s Disciplinary Policy which may lead to summary dismissal. 7