Job overview

We have an exciting opportunity to welcome full-time consultants into the newly developed Department of General Internal Medicine and the successful applicants will join our expanding team of motivated consultants. Candidates with a CCT or CESR in General medicine are encouraged to apply.  Those working towards the CESR qualification who already have experience working at consultant level are encouraged to contact the department to discuss other options.  We are also keen to support colleagues’ professional clinical areas of interest and are open to negotiations on your individual job plan.

Contribution to an out of hours on call rota is core to this role.

Main Duties Of The Job

Clinical

• To Diagnose and treat a wide spectrum of clinical problems, ranging from the acutely ill young person to the elderly patients with multiple complex co morbidities.
• To look after patients that do not fall into the remit of a specific medical speciality or are deemed to have complex medical problems involving multiple symptoms and co morbidities.
• To provide continued care both in the inpatient and outpatient setting for this patient group. The Internal Medicine physician would both direct treatment of such patients and the orchestrate specialist care where needed.
• Clinical activity as outlined in the job pack.
• Supporting a complex patient MDT.
• Support our links into community care including supporting virtual ward environments.
• Supervision of Higher Specialty Trainees in Internal Medicine, IMT stage 0ne trainees and Clinical fellows working towards CESR in GIM. Formal Education and Clinical Supervisor roles available with suitable training.
• To develop enhanced clinical skills, especially in the assessment and management of acutely ill patients.
• To have excellent team-working skills with the abilities and professional attitude to work well in a multi-professional team.
• To deliver clinical and quality targets agreed both nationally and locally with clinical teams and commissioners.
• To follow patients throughout their clinical pathways.

Working For Your Organisation

The Shrewsbury and Telford Hospital NHS Trust (SaTH) is the main provider of acute hospital services for around half a million people in Shropshire, Telford & Wrekin and mid Wales.

Encompassing some of the most picturesque parts of England and Wales, the Trust’s catchment stretches from the Cambrian Mountains in the west, to Newport and the fringes of the Black Country in the east. The main towns include: Bridgnorth, Ludlow, Market Drayton, Oswestry, Shrewsbury and Whitchurch (in Shropshire); Newport, Telford and Wellington (in Telford & Wrekin); and Newtown and Welshpool (in Powys) – all beautiful and unique.

Our main service locations are the Princess Royal Hospital (PRH) in Telford and the Royal Shrewsbury Hospital (RSH) in Shrewsbury which are located 20 minutes’ drive apart. Together they provide 99% of our activity. Both hospitals provide a wide range of acute hospital services including accident & emergency, outpatients, diagnostics, inpatient medical care and critical care.

We also provide services such as consultant-led outreach clinics at the Wrekin Community Clinic, Telford, the Robert Jones and Agnes Hunt Orthopaedic Hospital, Gobowen and the Bridgnorth, Ludlow and Whitchurch Community Hospitals.

Detailed Job Description and Main Responsibilities

A formal job plan will be agreed between the successful candidate and their Clinical Director and consultant colleagues, on behalf of the Medical Director within 3 months of starting in post. A full-time job plan is based on a 10 PA working week. The job plan will be reviewed annually and is a prospective agreement that sets out the consultant's duties, responsibilities, and objectives for the coming year. It covers all aspects of a consultant’s professional practice including clinical work, teaching, research, education and managerial responsibilities. It will provide a clear schedule of commitments, both internal and external and will include personal objectives, detailing links to wider service improvements and trust strategic priorities.

For a full-time contract, the job plan will be divided on average per week (pro-rata for a part time post) as:

• 7.5 Programmed Activities (PAs) of Direct Clinical Care - includes clinical activity, clinically related activity and predictable and unpredictable emergency work.
• 2.5 Supporting Professional Activities (SPAs) - includes CPD, audit, teaching and research.

The allocation of PAs is reviewed and may be subject to adjustment when a further diary exercise is undertaken or if the service demands a review of the team job plan.

Any applicant who is unable, for personal reasons, to work full-time will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis with the Trust in consultation with other consultant colleagues.