Out of hours/ Locum Hospice Doctor

Stockton on Tees

An exciting opportunity has arisen to join our dedicated, experienced medical and nursing team, providing holistic palliative and supportive care to patients within Stockton, Thornaby and Billingham. The post is ideal for those who are seeking experience in palliative care within a hospice environment.

The successful applicant will provide non-residential out of hours, medical cover for the hospice inpatients including both the adult inpatient unit (IPU) and Children’s and Young Adult unit in collaboration with the Director of Patient Care and Service Development.  This is part of the medical 1st on call service.

In the adult IPU the responsibility is to provide specialist palliative and end of life care.  In the Children and Young Adult unit, the responsibility is to provide out of hours GP level medical cover.

Weeknight cover is from 5pm until 9am.  Weekend cover is from 5pm Friday until 9am Monday.  When off-site the doctor must be within reasonable travelling distance of the hospice.  Out of hours medical cover is also required for bank holidays and will be from 9am on the bank holiday until 9am the following day.

A dynamic clinical strategy is in place which aims to meet the future challenges of palliative, supportive and end-of-life care and therefore an interest and commitment in supporting Registered nurses undertaking extended skills e.g. non-medical prescribing and clinical examination skills is required.

We are therefore looking for an enthusiastic person with good communication skills and willing to work as part of a team.

A post registration certificate or diploma in palliative care would be advantageous but not essential. Further study in this area would be supported. The successful candidate will be required to undergo regular appraisal within the Hospice policy.

Current registration with the GMC and three years postgraduate experience is required.

Closing date:  24th July 2020

To discuss the post further or to arrange an informal visit please contact Debbie Jones , Chief Executive  on 01642 607742, debbie.jones@butterwick.org.uk or contact the HR Department on 01642 607742. To apply please email caitlin.mckevitt@butterwick.org.uk No agencies.

(Registered Charity No: 1044816)

JOB DESCRIPTION

Post: Out of Hours/On call Doctor – 1st on call
Accountable to: Associate Specialist
Location: Stockton Hospice

Job Purpose
In collaboration with the members of the hospice clinical and medical team provide comprehensive out of hours/day medical cover to meet the needs of the patients within the hospice inpatient unit (IPU) and Children’s and Young Adults unit, maintaining the highest standard of medical care by supporting a holistic approach to the care of patients and their families.
Work within a multidisciplinary team (including patient carers and relatives) to contribute to the provision of a holistic 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 and work autonomously within professional guidelines and the overall framework of the hospices policies and procedures
Key Responsibilities
To provide non-residential out of hours, medical cover for the hospice inpatients including both the adult inpatient unit (IPU) and Children’s and Young Adult unit in collaboration with the Director of Care. This is part of the medical 1st on call service.
When required provide day cover for the hospice in-patients in the absence of Hospice Doctor:
In the adult IPU the responsibility is to provide specialist palliative and end of life care.
In the Children and Young Adult unit, the responsibility is to provide out of hours GP level medical cover.
Weeknight cover is from 5pm until 9am. Weekend cover is from 5pm Friday until 9am Monday. When off-site the doctor must be within reasonable travelling distance of the hospice. Out of hours medical cover is also required for bank holidays and will be from 9am on the bank holiday until 9am the following day.
Attend the adult inpatient unit on Saturday and Sunday morning and bank holidays and review the inpatients each day. Patients should be identified for review using the ‘medical review of inpatient’ procedure, in addition to responding to new issues arising as handed over by the nursing staff on duty. Clinical reviews should include discussions with patients and families about their illness and prognosis when required.
Respond promptly to calls from nursing staff within the adult IPU and give medical advice over the phone if adequate to meet the needs of the situation. Some phone calls may necessitate the doctor to attend the unit to review the patient.
Attend to review a patient urgently on the adult IPU at any time out of hours if a patient deteriorates acutely and is for active treatment measures and/or escalation of care.
Attend to review a patient on the adult IPU at any time out of hours if the patient’s symptoms deteriorate and are difficult to control despite receiving over the phone medical advice.
Ensure medicines are prescribed, including those prescribed remotely, in accordance with all internal policies, procedures and standard operating procedures and the Misuse of Drugs Act 1971

Ensure the keeping of accurate, professional and contemporaneous electronic and paper records including medical assessments and examinations and accurate and legible drug charts.

At weekends and bank holidays complete death certificates and, when required, cremation forms for patients who have died who do not require discussion with the coroner. An on-call doctor will only be expected to complete this documentation when already on site, they will not be asked to return to the unit if they have already completed their clinical reviews that day.
Follow hospice and local procedures for referral to the coroner out of hours when required. Complete death certificates and, if required, cremation forms if a death certificate is able to be issued after discussion with the coroner.
Occasionally, the on-call doctor might need to attend the unit on a Friday evening, or prior to a bank holiday, to review a patient assessed to be imminently dying by the clinical team, in order to be able to complete the required documentation after death out of hours if required.
Reviewing and completing the written handover of inpatients (sent securely to the on-call doctor via nhs.net email at 5pm each weekday).
Updating the written handover and sending back securely to the hospice clinical team by the start of the next working day if any issues arise out of hours on a weeknight, and routinely after a weekend or bank holiday on call.
Participate in annual appraisal and re-validation process, in-house appraisal can be arranged with the associate specialist.
Following weekend ward round in IPU, check with Nurse in Charge in the children’s and young adult unit if they require any advice or support at a GP level. Use ‘Assessment, Treatment and Care Policy for Children and young adults accessing Respite and End-stage care’ for guidance.
If a child/ young adult passed away, then you may be asked to verify the death and support the nursing staff and the family.

Education and Ongoing Professional Development
Must demonstrate a personal commitment to CPD and should have a designated body/responsible officer already in place, through their regular place of work and provide evidence of regular medical appraisal
Must demonstrate a commitment to multidisciplinary care and a strong affinity to team working

All

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 the 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 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.
This post is deemed to require an Enhanced Level Disclosure check with the DBS as there is access to children or vulnerable adults.
Further information on the Disclosure Service is available on www.disclosure.gov.uk.

PERSON SPECIFICATION
Post: Locum Hospice Physician – Out of hours/ Locum
Reporting to: Associate Specialist
Location: Stockton Hospice
Requirements Essential Desirable
Qualifications MB BS, MB ChB or equivalent
Full UK GMC Registration
A post-graduate qualification in palliative care or evidence of postgraduate study in the specialty (e.g. Certificate in Palliative Care, Diploma in Palliative Medicine)
Experience At least 2 years (equivalent pro rata) clinical work in palliative care
3 years hospital service at SHO (or equivalent) or higher grade since obtaining registration
Experience of paediatric medical assessments to GP level Previous experience in community based palliative care or General Practice
Knowledge, Clinical and Technical Skills Up to date knowledge of symptom management in modern palliative care
Highly developed clinical skills
Excellent oral communication skills
Good written communication skills and ability to write succinct, detailed, clear and comprehensive clinical summaries/management plans
Evidence of desire to maintain and develop higher level further knowledge and skills
Personality Reliable with good time keeping skills
Caring attitude with empathetic manner
Enthusiastic and flexible
Able to take responsibility
Excellent communicator
Motivated to work as part of a team
Determined to maintain and develop skills and committed to continuing professional development
Self-aware and ready to seek advice & help when needed; prepared to take advice