St Mary’s Hospital
Trust Grade Emergency Medicine and Intensive Care Medicine
ST1-2 level
Master JD-
1
JOB DESCRIPTION
Title:
Trust Grade in Emergency Medicine and
Intensive Care Medicine (12 months)
Grade:
Job base:
ST1-2 level(SHO equivalent)
St Mary’s Hospital Emergency Department (6
months) and Intensive Care Unit (6 months)
Reports to:
Accountable to:
Dr P Ward, Consultant in Emergency Medicine
Dr M Manikon, Consultant in Intensive Care
Medicine
Imperial College Healthcare NHS Trust
Job reference:
Closing date :
GENERAL INFORMATION
This Post
This post provides an exciting opportunity to work within the network of Imperial
College Hospitals at St. Mary’s Hospital in the departments of Emergency Medicine
and Critical Care. This 12 month post will provide two successful candidates with 6
months experience each of Emergency Medicine and critical care. Working in these
two busy and dynamic departments will provide an excellent opportunity for those
wishing to gain front line and critical care experience in a supportive environment.
THE NEW ACADEMIC HEALTH SCIENCE CENTRE
Following Secretary of State for Health approval, the UK’s first Academic Health
Science Centre (AHSC), was formed on 1 October 2007, when St Mary’s NHS Trust
merged with Hammersmith Hospitals NHS Trust and integrated with Imperial College
London.
The new ‘Imperial College Healthcare NHS Trust’ is the foundation for the AHSC,
and the largest NHS Trust in the UK.
St Mary’s Hospital
St Mary’s NHS Trust was formed on 1st April 1993 and comprises St Mary’s Hospital,
the Western Eye Hospital, and acute services at St Charles Hospital. St Mary’s NHS
Trust is a constituent member of Imperial College School of Medicine (ICSM).
The Trust is responsible for an area of approximately 13 square miles and comprises
part of the City of Westminster and Royal Borough of Kensington and Chelsea. The
Master JD-
2
Trust provides a comprehensive range of acute and specialist services to a local
community of approximately 337,900 residents. In addition the Trust provides a
number of specialist services to patients outside the local area. The Trust has 541
beds and employs over 2,500 people.
St Mary’s is situated in an uniquely accessible position, being both adjacent to the
West End, Paddington Station and to the Heathrow Link.
The Hospital became one of four Major Trauma Centres for London in December
2010.
St Charles Hospital, London W10
St Charles’ Hospital is managed by the local Primary Care Trust. St Mary’s runs a
neuro-rehabilitation ward and orthopedics and rheumatology out patient services.
There is a also a Minor Injuries Unit run by Nurse Practitioners.
Western Eye Hospital, Marylebone Road
The Western Eye Hospital is internationally renowned for it’s highly specialised
services which includes special care to patients with eyelid problems or artificial
eyes.
Hammersmith Hospitals
Hammersmith Hospitals NHS Trust (HHNT) has a worldwide reputation as a centre
for excellence in patient care, medical science and teaching. It comprises three
outstanding hospitals in west London:

Hammersmith Hospital - A centre for respiratory medicine, rheumatology,
cardiac sciences, gastrointestinal disease, cancer, particularly gastrointestinal
and HPB, lung and solid organ cancers, and renal medicine.

Charing Cross Hospital - A centre for major trauma and serious illness,
emergency surgery, neuroscience, musculoskeletal and vascular services.

Queen Charlotte’s & Chelsea Maternity Hospital - An advanced obstetrics and
fertility centre, women’s health and ambulatory paediatrics
HHNT has a close partnership with the Medical Research Council, based at the
Hammersmith site.
Further information, including
http://www.hhnt.nhs.uk .
the
organisational
structure,
is
available
at
IMPERIAL COLLEGE OF SCIENCE, TECHNOLOGY & MEDICINE
Imperial College of Science, Technology was established in 1907 by the merger of
the Royal College of Science, the Royal School of Mines and the City & Guilds
College. The Rector, Sir Richard Sykes, is the College’s Academic Head and Chief
Executive Officer.
Master JD-
3
The Engineering, Science and Management departments are based at the main site
in South Kensington. There are approximately 10,000 students and some 5,000 staff,
including approximately 2,500 academic and research staff. The number of
postgraduate students in relation to total student numbers is higher than for any other
UK university and reflects the College’s world-wide reputation for research
excellence.
The Imperial College School of Medicine was established in its present form on 1 st
August 1997 by the merger of the Royal Postgraduate Medical School and Charing
Cross & Westminster Medical School, the National Heart and Lung Institute (Royal
Brompton Hospital) and St Mary's Hospital which had joined Imperial College in
1988.
The expanded ICSM is one of the largest medical schools in the UK with a significant
research activity. Basic medical sciences will be taught at the South Kensington
Campus and academic clinical groups will be located at, or adjacent to, St Mary’s,
Charing Cross, Chelsea & Westminster, Royal Brompton and Hammersmith
Hospitals.
Trust Grade (CT1/2) in Emergency Medicine
The Emergency department at St. Mary’s Hospital
The ED at St. Mary’s treats approximately 78,000 adult and 23,000 paediatric new
attendances per annum. In addition the department has treated in excess of 600
patients who fulfil the Major Trauma criteria.
Patients are managed by the ED multidisciplinary team which includes medical and
nursing staff, a team of Emergency Nurse Practitioners, Occupational Therapists,
Mental Health liaison team and an Alcohol Health Worker. There are close links with
our colleagues in the adjacent 42 bedded admissions ward, the Douglas Admission
and Assessment Unit.
A 12 bedded Clinical decision unit adjacent to the ED allows patients who are
awaiting time critical investigations or who require an extended period of observation
to be cared for in an appropriate environment.
The current department was opened in September 1987, with a further
redevelopment in 1999 for the adult area. The paediatric department opened in June
2000.
The department has a four bay fully equipped resuscitation room and a small
operating theatre for minor procedures as well as its own Xray facilities (see list of
facilities). There is a dedicated trauma lift to the Acute Imaging Centre on the ground
floor. Web PACS is operational throughout the Trust. The department is fully
‘paperless’ and computerised with the First Net Cerner system.There is a blood gas
facility and phlebotomy service within the department .
The paediatric department is a shared development with paediatricians and ED
doctors working alongside each other. There are currently 8 Paediatric middle grade
Master JD-
4
posts and a full time Paediatric ED specialist registrar on a rotation with Chelsea and
Westminster and the Royal London Hospitals. There is a general ED F2 and middle
grade shift allocated to paediatric A&E each day.
The paediatric and general departments share a common reception, but separate
triage and waiting areas.
Adult department
Resuscitation room
Major cubicles
Minor treatment
Interview room
Liaison nurse
Occupational Therapy
Theatre
Plaster room
Radiology suite
Relatives room
Waiting area
Doctors room
“Minilab” area
Clinical Decision Unit
Major Trauma Lift
4 cubicles, one suitable for children
20
6 bays
1
1
1
1
1
2 rooms with staff area, PACS, 24 hour a day staffing
1
1
1
1
12 beds
Paediatric department
Separate triage
Waiting area
Play leader
Cubicles
Liaison HV
Theatre/procedures
Majors trolley spaces
Doctors room
Resuscitation room
1
3
1 room, two staff
1
5
1
1
Staff facilities
Seminar room
Staff rest room
Seating for 20, with library, audiovisual equipment, Digital
Image Library
1
STAFFING
Medical staff
Consultants in the Emergency Department
Dr Julian Redhead (Medical Director)
Dr Alison Sanders (CXH; Chief of Service, Emergency Medicine )
Dr Wendy Matthews (Head of Service Emergency Department SMH)
Dr Trish Ward (Junior Doctor recruitment and rota co-ordinator SMH)
Master JD-
5
Dr Ruth Brown (SMH; Associate Medical Director-Education; Registrar Training
Programme Director)
Miss Nicola Batrick (SMH; ED Trauma Lead and Network Clinical Governance Lead
for Trauma)
Dr Steven Metcalf (SMH)
Lt Col Chris Wright (RAMC)
Dr Ian Maconochie (Paediatric Emergency Medicine)
Dr Rebecca Salter (Head of Service Paediatric Emergency Medicine)
Dr Asif Rahman (Adult and Paediatric Emergency Medicine)
Dr Fran Cleugh (PEM)
Dr Lombe Simpungwe (SMH and CXH)
Dr Lucy Bingham (CXH and SMH)
Dr Rosa McNamara (CXH and SMH)
Dr Anu Mitra (CXH and SMH)
Dr Barbara Cleaver (CXH and SMH)
Dr Tom Evens (SMH)
Dr Dimitris Kalogiannidis (SMH)
Dr Sarah Finlay (SMH)
Dr Jayne McKinley (RAMC)
Specialist Registrars and Middle grade staff
There are 12 WTE middle grade staff who provide 24 hour middle grade cover. Three
Registrars hold NTN numbers and are on rotations within the North Thames (West)
region.
F2/CT1/2 Team
There is a team of 18 full time F2/CT1/2 doctors who are managed as distinctive 6
monthly teams. One of the successful applicants will join Team 60 from August 2016.
Urgent Care Facility
There is a co-located dedicated Urgent Care Centre where primary care patients and
those with minor injuries/illness are assessed by a team comprised of a GP ENP and
ED medical staff. A GP is also responsible for ‘streaming’ of patients at triage
Nursing staff
61.5 WTE nursing staff including:
Nurse Consultant, Mrs Mary Dawood
General Manager: Mr Iain Taylor, Service Manager: Mr Darius Oliver
Lead Nurse: Ms Sarah Pearse
Lead Nurse Paediatric ED: Mr Ian Gilmour
Other Key Staff
Reception Supervisor: Mrs Georgina Ioannou.
Administrative/secretarial support for consultants and managerial staff
Four emergency team assistants, working within the clinical area on specific clinical
tasks including phlebotomy, bedside investigations
Master JD-
6
Duties of Emergency Medicine Post
The successful candidates will work within a team of 18 junior doctors on a fixed 18
week rolling Band 1A rota (pending decision re introduction of the new contract) The
team are responsible for the initial treatment of all adult and paediatric patients
presenting the Emergency Department, with support and supervision from the
middle-grade and consultant team.
Active participation in the Education Programme, including audit, is expected and
encouraged.
Educational Content of Emergency Medicine Post
The department has always emphasised the need for education, and realises that
this attracts high calibre staff. The junior doctors’ educational programme underpins
cohesive working, and ensures that as many of the team as possible meet in an
educational setting on Tuesdays. Audit projects are presented in these sessions.
There are monthly trauma rounds and clinical governance presentations as well as
didactic sessions. There are monthly registrar educational days in addition to the
regional training days. There is protected teaching time for the Paediatric ED staff on
Thursday mornings. All educational programmed activities take place within the
Seminar room, located in the office area above the clinical space.
‘Board rounds’ in the majors area at 0800, 1200 and 1600 allows senior review of all
patients in the department, and provides an excellent focus for teaching and sharing
ideas on the management of particular patients.
All staff are encouraged to participate in the departmental audit programme. There is
a multidisciplinary audit meeting each month during the teaching programme and
there are ongoing audits in Thrombolysis, Trauma and Resuscitation.
A multidisciplinary and multispecialty Trauma Review Meeting is held weekly in
addition to Medical Grand Rounds.
Master JD-
7
Trust Grade (CT1/2) in Intensive Care Medicine
Department of Intensive Care Medicine at St Mary’s Hospital
RELATIONSHIPS:
Dr R Leonard
Dr S Ashworth
Dr C Gomez
Dr M Manikon
Dr M Stotz
Dr A Hartle
Director, Intensive Care
Consultant in Intensive Care Medicine
Consultant in Intensive Care Medicine
Consultant in Intensive Care Medicine
Consultant in Intensive Care Medicine
Consultant Anaesthetist
Trainees:
7 ST 3-7
7 ST1-2
1 FY1
DUTIES OF THE POST:
The Trust grade (CT1-CT2) will form part of a team, which usually includes two
registrars and a consultant in Intensive Care for the day to day management of
patients in a multi-disciplinary 13-bedded Intensive Care Unit. Clinical experience
will be gained in inotropic support, invasive and non-invasive ventilation,
haemofiltration, parenteral and enteral nutrition, and intra-aortic balloon
counterpulsation. Technical skills will be acquired in central venous and arterial
cannulation and the insertion of pulmonary artery catheters.
The SHO will be encouraged to attend the Basic Assessment and Support in
Intensive Care (BASIC) course organised by the Department and attend weekly
tutorials in intensive care medicine. No prior experience in Intensive Care is
expected, and applications are welcomed from trainees from all base specialties.
ROTA
Master JD-
8
The department operates a full shift roster compliant with the New Deal and
EWTD.
TEACHING RESPONSIBILITIES
Postgraduate teaching of the FY1
Undergraduate teaching of medical students attached to the ICU
ADMINISTRATIVE RESPONSIBILITIES
These will be at a Unit level and include note-keeping, writing of discharge
summaries and presentation of patients at the weekly meeting.
Master JD-
9
PERSON SPECIFICATION
ESSENTIAL
QUALIFICATIONS:
HIGHER QUALIFICATIONS
M.B.B.S.
or
equivalent
Full registration with
GMC
KNOWLEDGE:
CLINICAL EXPERTISE IN
At least 12 months
experience in relevant
specialties at SHO
level or equivalent.
SPECIALITY/SUB-SPECIALITY:
Previous relevant UK
experience.
DESIRABLE
BSc & other higher
degrees (full or part
MRCP, FRCA, MRCS or
equivalent)
ALS
ATLS
APLS
Additional SHO or
equivalent experience in
general medicine,
anaesthesia, surgery,
orthopaedics, paediatrics
or Emergency Medicine
Additional practical skills
TRAINING EXPECTED:
MANAGEMENT/AUDIT:
Completion of F1 and Practical teaching
F2 years or equivalent experience inside/outside
experience and logical medicine.
career progression
Presentation skills
ACADEMIC ACHIEVEMENTS:
Evidence of
exposure to the
principles of audit
Participation in audit
projects
Satisfactory career
progression to date
Research in Emergency
Medicine and /or critical
care related subjects.
RESEARCH/PUBLICATIONS
The ability to publish
PERSONAL SKILLS:
Good communication
+
Interpersonal skills.
Team player.
Enjoys working in a
disciplined, busy
department.
Master JD-
10
Contribution to medical
school union, music, sport,
drama etc
CONDITIONS OF SERVICE
Pay
The post is covered by Terms and Conditions of service of Hospital and Medical and
Dental Staff (England and Wales) and the General Whitley Council Conditions of
Service. They are amended from time to time.
Pensions
This post is subject to the provisions of the NHS Pension Scheme, which is
contributory at the rate of 6% of salary. Membership of the scheme is automatic
unless election is made at anytime in favour of provision under a Personal Pension
Plan. After opting out of the scheme the employee will assume full responsibility for
pension provision and compliance with the Social Security Act 1986.
Registration
The person appointed will be required to be registered with the GMC. It is the
responsibility of staff to ensure thy keep their registration with their professional
bodies up to date. This is a statutory requirement and proof of renewal must be
produced on request by a Trust representative and failure to do so within a specified
period may lead to dismissal..
Start Date
August 3rd 2011
Criminal records Bureau check
This post requires an advanced level criminal records bureau check.
Rehabilitation of Offenders Act
Because of the nature of the work for which you are applying, this post is exempt
from the provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1974 by
virtue of the Rehabilitation of Offenders Act 1974 (Exception) Order 19. Applicants
are, therefore, not entitled to withhold information about convictions, which for other
purposes are ‘spent’ under the provision of the Act, and, in the event of employment,
any failure to disclose such convictions could result in the dismissal or disciplinary
action by the Trust. Any information given will be completely confidential and will be
considered only in relation to an application for positions that the Order applies.
Confidentiality
During the course of your employment you may have access to, see or hear
information of a confidential nature and you are required not to disclose such
information, particularly that relating to patients and staff.
In order to comply with the Data Protection Act 1998 you must not at any time use
personal data held by either Trust for any unauthorised purpose or disclosure such
as data to a third party.
Master JD-
11
You must not make any disclosure to any unauthorised person or use any
confidential information relating to the business affairs of the Trusts, unless expressly
authorised to do so by the Trusts.
Health and Safety
The post holder must co-operate with Management in discharging its responsibilities
under the Health and Safety at Work Act 1974 and take reasonable health and safety
of themselves and others and to ensure the agreed safety procedures are carried out
to maintain a safe environment for patients, employees and visitors.
Infection control
The post holder must comply with all relevant policies, procedures and training
on infection prevention and control.
It is the responsibility of all staff, whether clinical or non-clinical, to familiarise themselves
with and adhere to current policy in relation to the prevention of the spread of infection and
the wearing of uniforms.
Clinical staff – on entering and leaving clinical areas and between contacts with patients all
staff should ensure that they apply alcohol gel to their hands and also wash their hands
frequently with soap and water. In addition, staff should ensure the appropriate use of
personal protective clothing and the appropriate administration of antibiotic therapy. Staff are
required to communicate any infection risks to the infection control team and, upon receipt of
their advice, report hospital-acquired infections in line with the Trust’s Incident Reporting
Policy.
Staff have a responsibility to encourage adherence with policy amongst colleagues, visitors
and patients and should challenge those who do not comply. You are also required to keep
up to date with the latest infection control guidance via the documents library section on the
intranet.
Equal Opportunities
You are at all times required to carry out your responsibilities with due regard to the
Trust’s Equal Opportunities Policy and to ensure that staff receive equal treatment
throughout their employment with the Trust.
Risk Management
All staff have a responsibility to report all clinical and non-clinical accidents or
incidents promptly and when requested to co-operate with any investigations
undertaken.
Conflict of Interests
You may not without the consent of the Trust engage in any outside employment and
in accordance with the Trust’s Conflict of Interest Policy you must declare to your
manager all private interests, which could potentially result in personal gain as a
consequence of your employment position in the Trust. Interests that might appear
to be in conflict should also be declared.
Master JD-
12
In addition the NHS Code of Conduct and Standards of Business conduct for NHS
Staff (HSG 93/5) required you to declare all situations where you or a close relative
or associate has a controlling interest in a business (such as a private company,
public organisation or other NHS voluntary organisation) or in any activity which may
compete for any NHS contracts to supply goods or services to the Trust. You must
therefore register such interests with the Trust, either on appointment or
subsequently whenever such interests are gained. You should not engage in such
interests without the written consent of the Trust, which will not be unreasonably
withheld. It is your responsibility to ensure that you are not placed in a position,
which may give rise to a conflict between your private patient’s interest and your NHS
duties.
CODE OF CONDUCT FOR PROFESSIONAL GROUP
All staff are required to work in accordance with their professional group’s code of
conduct GMC. Copies of the Good Medical Practice guide can be found on the GMC
website; www.gmc-uk.org/guidance/good_medical_practice/index.asp
This job description is intended as a basic guide to the scope and responsibilities of
the post and is not exhaustive. It will be subject to regular review and amendment as
necessary in consultation with the post holder.
PATIENT AND PUBLIC INVOLVEMENT
The Trust has a duty to involve service users, carers and the public in the work of the
organisation. Patient and public involvement is the responsibility of every member of
staff. You will be expected to support the Trust in this aim through your working
practice, by listening to the views of patients and by contributing to service
improvements based on patient feedback.
Master JD-
13
St Mary’s Hospital
Master JD-
14