Hospice Physician

Starting point £58,808 (dependent on qualifications and experience)

Butterwick Hospice Care was founded 36 years ago by the incredibly inspirational Mary Butterwick OBE. Providing a holistic service to adults, children and babies, the organisation supports patients with palliative and progressive diagnoses as well as their families and loved ones.

From August 2020 we are looking to appoint a palliative care doctor for a period of six months in the first instance. This would ideally suit a recently qualified GP looking to develop new clinical skills.

As part of this post we will fund you on a 12-month distance learning post-graduate certificate course in palliative care (60 credits). This would be through the University of Newcastle or agreed alternative.

You will work with a dedicated multidisciplinary team in the adult in-patient unit as well as the children’s unit. In addition, you will work with the hospice day service and the hospice at home.
There is also an opportunity to join the GP on-call service covering OOH hospice work (separate remuneration).

Clinical care in the Butterwick hospice is currently undergoing remodelling with the aim of employing more high-level specialist nurses. We would like you to be involved in this process of planning for the future.

Full or part time hours considered
Six weeks holiday and one-week study leave pro-rata.
NHS pension contributions and additional medical defence indemnity paid.
In house clinical mentor
Regular consultant teaching
Starting date August 2020
On site café and limited free parking.

Closing Date: Friday 31st July

If you are interested, we really want to hear from you.

For further information or to apply please contact;
Debbie Jones Chief Executive Butterwick Hospice Care Tel 01642 607742 debbie.jones@butterwick.org.uk
Dr Rafah Al-Bahrani Associate Specialist Butterwick Hospice 01642 607742
rafah.al-bahrani@butterwick.org.uk

JOB DESCRIPTION

 

Post:                         Hospice Physician

Reporting to:           Associate Specialist

Location:                   Stockton Hospice

 

Job Purpose

As a key member of the specialist multidisciplinary team you will be responsible for maintaining the highest standard of medical care by supporting a holistic approach to the care of patients and their families.

Work effectively within the team (including patient carers and relatives) to contribute to the weekly MDT and ensure the provision of a holistic palliative care service.

Work as a member of the hospice clinical team, providing specialist palliative care input and cover to meet the needs of the patients within the hospice environment.

Responsibilities

Provision of specialist palliative medical care to inpatient and day care services within the hospice.

Provision of medical input into the Children’s Hospice, as required, at a level equivalent to a General Practice consultation

Admission of new patients, assessing their medical conditions and problems, arranging appropriate assessment, diagnosis and management including management plans, in consultation with the other hospice medical staff and consultants in Palliative Medicine

Undertake discharge planning to the patients home or their transfer for continued care elsewhere and communicate with referring team and other healthcare professionals to ensure continuity of care when appropriate

Initiate appropriate medical care and ensure medicines are prescribed in accordance with all internal policies, procedures and standard operating procedures and the Misuse of Drugs Act 1971

Communicate with patients, relatives and carers regarding clinical condition and management plan

Liaison as appropriate with the patient’s GP and other members of the community team with regard to treatment and discharge planning

Support hospice colleagues across day care services with specialist palliative care input and advice to support patients attending day services, undertaking medical review if required.

Keep accurate, professional, legible and contemporaneous electronic and paper records including medical assessments and examinations and accurate and legible drug charts

Communicate in a timely manner all relevant information and documentation following death or discharge of a patient including completion of death certificates and cremation certificates.

Liaise closely with the nursing team particularly the sister, in the day to day care of patients, and respond to any problems that may arise.

Assist nurses with updating families, speaking to relatives and explaining clinical interventions.

Work closely with the Hospice based Consultants in Palliative medicine and senior physician to ensure that the department runs effectively and efficiently.

Work effectively with other medical colleagues to manage, plan, co-ordinate and oversee the delivery of medical care in a timely and responsive manner to all patients within the service who require medical input.

Contribute to the development of clinical governance and conduct and participate in clinical audit.

Participate in annual appraisal and revalidation process

Participate in the provision of on-call medical cover. Weekday on-call is usually from 5.00 pm – 9.00 am the next day. Weekend on-call entails a ward round on both days to see in-patients, which usually lasts 2-3 hours depending on the patient needs.

Provide mentorship and support for nurses; especially those undertaking advanced skills training

Work effectively with other medical colleagues to manage, plan, co-ordinate and oversee the delivery of medical care in a timely and responsive manner to all patients within the service who require medical input.

Education and Ongoing Professional Development

Contribute to clinical audit, training, education and research as appropriate, providing advice and teaching to members of the clinical team and provide mentorship and support for nurses; especially those undertaking advanced skills training.

Participate in clinical governance and other hospice meetings.

Identify and agree training and continuous professional requirements with the Senior Hospice Physician as needed for revalidation as a Doctor.

Responsibilities of All Staff

All staff must safeguard the integrity, confidentiality and availability of sensitive information at all times, this includes information relating to patients, individual staff records, colleagues and contracts.  Employees of the Organisation are required to comply with the Organisation’s Principles of Data Protection and Quality.

All staff are required to understand and comply with all relevant policies both Organisation-wide and departmental and to carry out duties in accordance with Butterwick Hospice Care Code of Conduct, NMC, CQC, fundraising information and financial standards and current legislation

All staff are required to take responsibility for attending statutory and mandatory training, and identify their training and development needs.

All staff must take responsibility for managing their own health, safety and wellbeing in accordance with departmental policy and legislation.

All staff will adhere to, and follow good infection control practices and other related policies and guidelines.

All staff have a statutory duty to safeguard children and vulnerable adults during the course of their duties and promote the welfare of children and young people.  Employees must be aware of what to do if they have any concerns.

All staff will undergo an annual performance assessment and agree a personal development plan which will ensure that the objectives of the employee, department and organisation are achieved

All staff are personally accountable for improving and maintaining own knowledge and competence.

All staff will be aware of and support the working practices of any volunteers assisting with daily workload

Standards of Business Conduct

The post holder will be required to comply with the Company’s Standing Orders and Standing Financial Instructions and, at all times, deal honestly with Butterwick Hospice Care, with colleagues and all those who have dealing with the Company including clients, patients, service users and other suppliers and stakeholders.

Further information on the Disclosure Service is available on www.disclosure.gov.uk.

JOB PLAN

Day Duties Description

 

Monday Non-Working Day
Tuesday

am

Ops brief and handover

MDT

Ward Round

Meet with team to discuss handover of patients in IPU and their dependency. Discuss referrals and agree admission for day and any work allocation for the team.

Complete ward round and review of all patients in unit.

pm CPD
Wednesday

am

Ops brief and handover

(alternate attendance at hospital MDT)

10 -11.30 Ward round

Clerk Respite Patient

Meet with team to discuss handover of patients in IPU and their dependency. Discuss referrals and agree admission for day and any work allocation for the team.

Complete ward round and review of all patients in unit.

pm Admissions, reviews & Admin, Adults Unit

Handover to on-call Doctor

Clerk in new patients.

Complete jobs from morning review of patients including discharge plans, scripts, discharge letters and family discussions

Carry out full medical handover to on call doctor

Thursday

am

Ops brief and handover

Ward round

Meet with team to discuss handover of patients in IPU and their dependency. Discuss referrals and agree admission for day and any work allocation for the team.

Complete ward round and review of all patients in unit.

pm Admissions, reviews & Admin, Adults Unit

Handover to on-call Doctor

Clerk in new patients.

Complete jobs from morning review of patients including discharge plans, scripts, discharge letters and family discussions

Carry out full medical handover to on call doctor

Friday

am

Ops brief and handover

Ward round

Meet with team to discuss handover of patients in IPU and their dependency. Discuss referrals and agree admission for day and any work allocation for the team.

Complete ward round and review of all patients in unit.

pm Admissions, reviews & Admin, Adults Unit

Handover to on-call Doctor

Clerk in new patients.

Complete outstanding jobs from previous days including discharge plans, scripts, discharge letters.

Carry out full medical handover to on call doctor