Locum Consultant Line of Work in Acute Medicine - SM5 1AA

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Job Title: Consultant in Acute medicine with an Interest in Another Specialty


Grade: Consultant

Contract: Permanent

Department: Acute Medicine

Reports To: Dr Simon Winn, Divisional Medical Director

Accountable To: Dr Simon Winn, Divisional Medical Director

Site: Trustwide

Programmed Activities: 10 PAs inc on-call

Start: Mid-November

Duration: approx.. 1 year

StaffBank can offer you the flexibility you desire with the benefit of the NHS pension scheme, and more. Our jobs would bring a brilliant opportunity to anyone who is looking to top up their current salary, skills or to accommodate their personal circumstances. You’ll be reliable, dedicated and flexible, with a commitment to competent, high quality care delivery.

StaffBank requires you to have: 
* Registration with the GMC
* Eligibility to work within the UK with 6 Months minimum recent experience. 

StaffBank can offer you: 
* Flexible hours
* Free Core skills training and annual updates
* Support from a friendly and approachable team
* Excellent, Competitive pay rates 
* Access to the NHS Pension


As part of the recruitment process you will be required to complete an enhanced CRB check. Apply now to find out more about this incredible opportunity! Successful candidates will also have an opportunity to learn about our great benefits!


Post Description

We are looking to recruit new Consultants into our Acute Medicine Department to join an enthusiastic team of acute physicians working across the Epsom and St Helier sites. Under new clinical leadership, this is an exciting time to join the Acute Medicine Department with the service undergoing active expansion and development and new appointees will play a crucial role in ensuring the continued success and National recognition we have enjoyed over the last 8 months in keeping with these changes.

The Acute Medical Unit includes Rapid Assessment Hubs (HUB) streamlining patient flow to the Acute Medical ward and onto specialty inpatient areas.  We have a new renovated, dedicated Ambulatory Care Units (ACU) providing same day medical assessment care, strengthening and improving admission avoidance.

Our service represents a modernisation of acute medical pathways with consultants working closely with our speciality physicians to strive for excellent patient care. We recognise the importance of bringing specialty excellence into the Acute Medicine service and as such wish to build up on this further and attract candidates looking to maintain a specialty skill base.

Successful applicants will join a team of 15 AMU consultants developing and providing exciting new services within acute medicine within a trust recently identified as one of the trusts in London to receive £500 million for a new acute facility.  This is an exciting time to join Epsom and St Helier Hospital and play a part in shaping and developing acute medicine services for the future.

Duties of the Post           

Main Responsibilities and Duties

1. To show dynamism, enthusiasm and flexibility in participating in the reshaping of acute medical services at Epsom and St Helier University Hospitals NHS Trust and to work closely with the Clinical Lead and Clinical Director of Medicine.

2. To help provide a first class clinical service to all Trust patients.

3. To provide high quality leadership and support to medical staff, allied health care professionals, and Trust management and support staff in both the Acute Medical Unit, and associated medical speciality areas.

4. To support and sustain teaching and research where possible in relevant clinical areas.

5. To work within the framework of applicable Trust policies, procedures, and clinical governance framework.

6. To work within contractual requirements, and in support of applicable Trust clinical development frameworks, business plans, and development strategies.

Principal Duties of the Post

The principal duty of this post is to provide a comprehensive clinical service to patients.

  1. To at all times, comply with the GMC’s guidance on ‘Good Medical Practice’ as amended or substituted from time to time.
  2. To ensure that patient confidentiality is maintained at all times.
  3. To undertake duties as defined within the attached job plan in so far as practicable and in agreement with your Clinical Director.
  4. To be responsible and managerially accountable for the reasonable and effective use of Trust resources that you use and influence, and professionally accountable to the Medical Director.
  5. On commencement to ensure personal attendance at the Trust’s corporate Induction (or arranged Consultant Induction).
  6. To participate in the Trust’s Statutory & Mandatory training programme.
  7. To be responsible for the Clinical Management of in and out patients under your care.


1. To share in the organisation and provision of high quality clinical care for acute medical patients within the Trust.

2. To assess and review patients within the setting of the Acute Medical Unit, including performing appropriate clinical procedures in this setting.

3. To facilitate the early discharge of acute medical patients, including where necessary, by early review in the Ambulatory Care Unit or Acute Medical Unit review clinic, where clinically appropriate.

4. To provide senior support and input into clinical decisions taken by junior medical staff within the Acute Medical Unit.

5. To ensure the provision of accurate and timely communication between the Acute Medical Unit, other units within the Trust (including critical care), and in primary or intermediate care settings.

6. To work to provide smooth, timely and appropriate transfer of patients to appropriate speciality beds within the Trust.

7. To participate in the development and implementation of care pathways for common medical emergency presentations.

8. To participate in the out of hours medical on-call rota at weekends (the intensity is site dependent), such on-call including assuming clinical responsibility for the care of all medical patients within the Trust (including those outside of the Acute Medical Unit).

9. If agreed with the Clinical Directors for Medicine, to contribute to a sub-specialty service in the form of clinics, procedural lists and specialist ward referrals.

Acute Medical Unit

On each main hospital site, the Acute Medicine Units encompass an Ambulatory Care Unit and, a Rapid Assessment Hub. The Acute Medical team works closely with highly motivated nursing, therapies and social services staff with work practices centred around twice daily MDT whiteboard meetings. The Ambulatory Care Unit and the medical assessment hub are specifically designed to offer same day acute assessment and diagnostics to promote admission avoidance and reduction pathways for patients.

In addition, we have acute medical clinics for follow up of our AMU patients/ACC discharged patients and for GP referrals.   There are plans underway to extensively expand the ambulatory care pathways to combine and enhance outpatient ambulatory services from throughout the adult services of the hospitals. Part of this redevelopment will also introduce acute frailty assessment units.

Specialities including cardiology, respiratory, gastroenterology, endocrinology, COTE and critical care have teams provide in-reach services into the AMUs. In addition a frailty team provides an in-reach service for acute admissions.  In-reach is also available from other sub-speciality medical services, such as renal, trauma and orthopaedics, obstetrics, gynaecology and paediatrics.

The format of specialty service delivery provided by the successful candidate will include providing sessions in the outpatient clinic setting as well as lists for procedures depending on the interests of the individual. Post holders will be integrated into the speciality firms to ensure appropriate speciality support and governance and will be accountable to the relevant clinical lead in this way. Providing direct specialty care input into the AMU will be actively encouraged.

In parallel with Acute Medicine services across the UK, the provision of Acute Medicine care at Epsom and St Helier University Hospitals Trust is being modernised following the principles and recommendations from bodies such as the Royal College of Physicians, CEPOD and the Nuffield Institute. This will include consultant reviews within 12 hours of presentation, daily patient ward rounds, twice daily patient MDT review huddles with consultants providing a 7 day service.

The Acute Medicine Team will be responsible for the initial assessment and management of Acute Medicine patients from 08.00 until 20:00 currently during week days. Weekend AMU rounds are between 9 – 1pm. The appointed post holder will be expected to lead the team of junior doctors within the unit. They will provide consultant level decision making into the management of acutely unwell patients and facilitate streaming of such patients to short stay or appropriate specialty beds, and facilitate the early discharge of patients not requiring in-patient care. With increased consultant establishment, the job plans of the acute medicine consultants will alter to provide shifts that cover 08.00-20.00.

Teaching & Training

  1. To share responsibility with other Consultants for the recruitment, appointment and supervision of junior medical staff in accordance with Trust policies.
  2. To devote time on a regular basis for teaching and training of junior medical staff, contributing as appropriate to post-graduate and continuing medical education.
  3. To devote time, through agreement on a regular basis for teaching and training of medical students as part of agreed teaching arrangements with the Foundation School.

Management & Governance

  1. To be responsible for the management, appraisal and discipline of junior doctors who are attached to you, after taking appropriate advice, where appropriate.
  2. To maintain personal and professional development. The post holder will be expected to register with their respective Royal College for the purpose of CME/CPD and to fulfil the requirements of that registration.
  3. To provide advice, as required to the Executive and Trust board, General Practitioners and other interested parties, on the provision of planning of clinical services locally, regionally and nationally in keeping with confidentiality agreements relating to Trust business.
  4. To co-operate in the present framework agreement of management arrangements.
  5. To fully participate in Clinical Governance arrangements across the Trust including participation in clinical audit, research (where appropriate), pursuing an agreed agenda with colleagues and the Trust Board and fully co-operating in implementing the results in order to achieve best practice.
  6. To participate, on at least an annual basis in consultant appraisal and job planning reviews.
  7. To comply with Trust policies and procedures where appropriate.
  8. To ensure that all intellectual property rights of the Trust are observed.








Proposed Job Plan 

A provisional representative timetable has been included below. This is subject to slight change to meet the needs of the department. There will be week to week variations in activities.








09.00 – 13.00

AMU ward

AMU ward round


13.00 – 17.00

AMU ward

AMU ward round



09.00 – 13.00





13.00 – 17.00

Medical HUB

Post take Ward Reviews/Hub Round



09:00 – 13.00


Medical Short Stay Area / Ambulatory care


13.00 – 17.00


AMU Float/ Ambulatory care /Specialty “hot” clinic



09:00 – 13:00

Base Hospital



13.00 – 17.00

Base Hospital




09:00 – 13:00

Base Hospital



13.00 – 17.00

Base hospital








On call Activity


09:00- 13:00

Base Hospital

AMU Weekend

GIM on call rota 1:16

AMU Ward Reviews (1:8)










Bank Partners is an employment agency/employment business (as defined by the Conduct of Employment Agencies and Employment Businesses Regulations 2003) and is acting on behalf of its client in relation to this vacancy.

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