Senior Clinical Fellow for Respiratory Same Day Emergency Care (SDEC)

Patients presenting to ED with a respiratory complaint and clinically stable to be assessed in an SDEC unit will be transferred to the Respiratory SDEC. They will be fully assessed by the clinical fellow; necessary investigations will be organised and when results available the patient will be discussed/reviewed by the respiratory physician of the day. Treatment and management plan will be decided, and patient will either be admitted for inpatient care or discharged with appropriate follow-up.

Admission avoidance clinics

Patients known to the respiratory consultants /CNS will contact the team when they are unwell. These patients may have complex respiratory infections, airways disease, or interstitial lung diseases. They will be booked to attend the respiratory SDEC where a clinician will assess them and discuss with the respiratory physician of the day.

Pleural clinic

Patients presenting to A&E/GP with a new unilateral pleural effusion will be seen directly by a member of the respiratory team. After a thorough history and examination, a thoracic ultrasound will be performed. When there are no contra-indications, a diagnostic pleural aspiration will be performed the same day. Patient will then be appointed to the correct follow-up pathway.

Ambulatory primary spontaneous pneumothorax management

Patients presenting to A&E with a spontaneous primary pneumothorax will be directed to the respiratory SDEC for their management. We plan to implement an ambulatory chest drain pathway for patients requiring intercostal drainage but well enough to be managed in an ambulatory setting. The clinical fellow will have the opportunity to participate in setting up this pathway and evaluating its implementation.

Pathway for faster diagnosis of lung cancer

Patients presenting to the radiology/A&E department with chest x-ray findings suggestive of a lung malignancy will be directed to the respiratory SDEC.

They will be seen directly by a member of the respiratory team, the correct investigations (CT chest, diagnostic aspiration, bronchoscopy, PET, EBUS) organised and prompt follow-up in the lung cancer clinic will be arranged.

Earlier intervention with the correct test means patients are diagnosed earlier and are therefore fitter for treatment. This is increasingly important with newer anti-cancer treatments such as immunotherapy and targeted therapy.

We expect to develop further ambulatory respiratory care pathways as the service develops.

At UHSussex, diversity is our strength, and we want you to feel included to help us always put the Patient First, as shown in our Outstanding for Caring CQC rating. Your uniqueness and experiences will be part of our creative and innovative community where everyone is encouraged to succeed. We have a range of Staff Networks to help break down barriers, and can offer a buddy to help new members settle in. We're proud to be a Disability Confident Employer (Level 2) and a Veteran Aware Trust.

We treat our patients and staff with the same compassion and empathy we expect for ourselves. We're here for them when they need us, and we go above and beyond to meet their needs. This can be seen in our Wellbeing Programme for staff which is extensive and designed to support you when you need it - because we know that to look after others we must first look after ourselves.

As a university trust and a leader in healthcare research, we value learning, teaching and training so that we can be the best that we can be. From the moment you start with us and throughout your career we will help you to grow and develop. We hope that in choosing UHSussex you are choosing a long and happy career where you will be able to see the difference you make and feel valued for all that you do.

We look forward to receiving your application and the start of your journey with UHSussex.

Teaching Skills

Essential: - Evidence of an interest and commitment to teaching

Desirable: - Recognised teaching qualification

Personal Attributes

Essential: - Evidence of good written communication skills

Experience/ Qualifications

Desirable: - Higher Degree

Clinical Skills and Experience

Essential: - Clinical experience in General Medicine in the UK at least 6 months; - Understanding of clinical risk management

Desirable: - Postgraduate experience of working in Intensive Care or High Dependency Medicine

Knowledge

Desirable: - Breadth of experience in and outside specialty

Organisation and Planning

Essential: - Experience and ability to work in multi-professional teams; - Understanding of: NHS / Clinical governance / Resource constraints

Academic and Research

Essential: - Evidence of participation in audit

Desirable: - Research experience; - Publications; - Prizes and honours

Career Progression

Essential: - Appropriate progression of career to date