Consultant in Anaethesia with an Interest in Chronic Pain

The main duties of the role are to provide consultant led

care in intensive care medicine for

patients with in the hospital of a mixed medical and surgical take as well as

undertake clincial sessions in anaesthesia across a range of district general

specialities including trauma and emergency surgery.

On call commitment will be required to cover

intensive care medicine only. This is a

frequency of 1:12 and are based on evening daytime cover from 18:00 to 08:00

and split day weekend 12 hour sessions from 08:00 to 20:00 plus additional weekend

morning cover to allow safe management of current unit patients and referrals.

On Call for theatres and obstetrics is covered by the anaesthetic department

who maintain good communication and teamwork between all resident and

non-resident staff. Paediatric stabilisations are covered by both theatre and

intensive care consultants to provide robust support, with the first responder

responsibility being shared on alternative weekly rota.

Intensive care medicine and anaesthesia falls under the surgical

care group specifically within the anaesthetic department at Darlington

Memorial Hosptal with other anaesthetic sub-specialities including Chronic

Pain, Acute Pain, Pre-assessment and Day Surgery and obsterics. Care group

director for Anaesthetics, Theatres and Intensive Care Medicine is Dr James

Limb (trust wide). The lead clinician for the anaesthetic department at

Darlington Memorial Hospital is Dr Jothika Thimappa and the lead clinician for

the Intensive Care department is Dr Simone Carbert.

The successful applicant will primarily work at DMH but we

do provide anaesthetic cover for elective surgical lists at Bishop Aukland

Hospital. The anaesthetic departments

culture is one of mutual respect with collective responsibility for the

workload within the hospital.

DMH intensive care admits approximately 580 patient per year

with a mix of surgical and medical take.

DMH has an 11 bed combined ICU and high-dependency care

located near the theatre suite. This unit is used flexibly between level 2 and

3 beds. Three consultant sessions are allocated on each weekday to provide 15

sessions over the week with a rota based on continuity of care.

At DMH site surgery is provided within 11 operating theatres

covering Community Dental, ENT (Day case), General Surgery (including major

colorectal surgery, breast surgery and bariatric surgery), Orthopaedic and

Trauma Surgery, Obstetric and

Gynaecological Surgery,

Ophthalmology and Urology (Day case).

Plastic surgery team is based at University Hospital North Durham. Regional Anaesthesia is well established and

supported by a regional fellow post and an acute pain team.

Emergency lists are provided in routine hours for

Orthopaedic trauma, General surgery and Gynaecology, as well as an out of

hours emergency theatre. There is a Consultant-led pre-assessment service

with weekly clinics including CPEX

testing. Anaesthesia for CT scanning

and MRI services is available.

The majotiry of intensive care admissions are emergency

surgical patients and Monday to Thursday we have a PACU to provide Level 1 care

of elevtice patients under the support of the surgical and anaesthetic teams.

There is an obstetric department, located on the 6th floor

has its own theatre with dedicated elective lists in the main theatre suite. An

anaesthetic nurse provides assistance for all theatre cases.

Medical department consisits of in house acute internal

medicine, cardiology, respiratory (including 6 bedded ARU), haematology, endocrinology,

gastroenterology and care of the elderly.

Outpatient dermatology, rheumatology and psychiatry will provide virtual

and face to face consultations.

Palliative care provide face to face support with a team of consutlant

and specialist nurses.

Consultant led RaCI plus nurse led IV, renal outreach and

Acute Intervention Teams (critical care inreach) support our work. Weekend work is completed as part of the out

of hours commitment with 12 hour shifts.

The majority of specialist support is provided via in house referrals with

otherwise good relations with our tertiary referral hospitals. Renal and neurology specialities based at

James Cook University Hospital provide in house reviews. Our consultant group form a supportive team

and recent appointments include a job share with James Cook Hospital and with

Acute Internal Medicine. Trust wide

collaboration between the intensive care units and specialist support within

the trust occurs with regular Critical Care Delivery Group meetings chaired by

the Clinical Director for Anaesthetics and Critical Care.

At the weekend there are dedicated consultants who cover

critical care and orthopaedic trauma lists during daytime hours, as well as

other theatre emergencies.

Consultants and Speciality Doctors are actively encouraged

to support the weekly DMH teaching programme and attend our regualar M&M

and clinical governance sessions.

MAIN DUTIES AND

The post holder will undertake clinical work in conjunction

with their clinical colleagues (24 Consultants, 9 specialty / specialist

doctors and an average of 13 trainees) and other professional staff in order to

maintain and develop the intensive care service and develop specialist skills

in accordance with the needs of the department.

The post

holder will have a continuing responsibility for the care of patients in their charge and will contribute to the proper functioning of the department of

Anaesthesia and Intensive Care Medicine. Furthermore, the post holder will be

required to undertake administrative duties directly associated with the care

of patients. The post holder will supervise junior medical staff and have

responsibility to ensure continuing patient care at all times. For management

purposes, the post holder will be accountable to the Lead Clinician for

ensuring the effective and efficient use of resources allocated.

The post

holder will have scheduled activity with regular sessions, fixed continuity

weeks and some flexible sessions. SPA activity will be timetabled within the

weekly job plan but can be completed flexibily and diarised for review. During

some working weeks, flexibility in the ratio of DCC:SPA may be required

although SPA time will always be paid back. As additional responsibilities

are acquired, the number of SPAs may alter with remuneration agreed through the

job planning process.

The post

holder must possess a UK driving license and be able to present for scheduled

list start times as required by the Trust.

The post

holder will be expected to participate in teaching.

Research

and clinical audit activities, which are considered to be an integral part of

normal duties, will be encouraged. Research funding may be available following

successful application to local committees.

The post

holder will be encouraged and supported to develop services, courses and to

undertake innovation.

The post

holder will be expected to deputise in the absence of colleagues.

The

post-holder will be expected to perform additional duties in emergency and

unforeseen circumstances as are essential for continuity of patient care.

The post

holder will be responsible for the professional management and supervision of

junior medical staff. The post holder will be expected to receive training and

participate in educational and clinical supervision.

The post

holder will be expected to participate in clinical governance arrangements in

line with national and local guidelines.

If you are

involved in the care of a patient who subsequently initiates a claim against

the Trust you will be expected to provide, free of charge, an opinion and

statement of facts about the case.

PROPOSED TIMETABLE AND JOB PLAN

A formal job plan will be agreed between the appointee and their

Clinical Director within 3-6 months, and

approved by the Medical Director. The job plan will then be reviewed annually

in accordance with the Trust policy on Consultant Job Planning.

Each session is 5.25 hours. Remuneration is 1.313 PAs per

working session (which includes pre and

post ward round care).

If you are being interviewed you must accept an interview slot in the system to continue, even if you have arranged with the manager.

You must be able to produce ALL certificates stated essential in the person specification or you will not be able to complete pre-employment checks.

We provide hospital services from two acute sites - Darlington Memorial Hospital and University Hospital of North Durham. We have a centre for planned care in Bishop Auckland and provide care from community hospitals in Chester-le-Street, Shotley Bridge, Barnard Castle, Sedgefield and Weardale as well as over 80 other community based settings and providing care in patients' homes.

We particularly welcome applications from disabled and Black, Asian and Minority Ethnic (BAME) candidates as BAME and disabled people are currently under-represented.

Full Job Descriptions can be found in the adverts supporting documents.

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