Consultant Critical Care ICU / Intensive Care Medicine in Leinster Region - Republic of Ireland on a fixed term / permanent basis; working for our client via Workplace Doctors
*** Must have IMC (Specialist Division) Registration (Irish Medical Council) - Essential
*** Location: Republic of Ireland - Leinster Region (Louth, Meath, Longford, Westmeath, Offaly, Laois, Carlow, Kilkenny, Wexford, Dublin, Wicklow, Kildare)
***Speciality: Critical Care ICU / Intensive Care Medicine
*** Pay rate: 120,000 to 157,000 Euro’s (dependant on experience)
*** Role: Consultant (6+ years post graduate experience)
*** Duration:12 months FREE Visa & Work Permit Offered
*** Start date: ASAP
***IELTS Score of 7.0 Overall (minimum) – Essential (overseas doctors only)
***Exact location details provided upon application
Irish Teaching Hospitals and Medical Universities receive great international acclaim & recognition throughout the world, doctors with experience and training in Ireland typically enjoy great success in terms of professional career development & job satisfaction.
Our Client is a Large reputable HSE hospital is located on multiple sites serving the economically diverse region of Leinster (Louth, Meath, Longford, Westmeath, Offaly, Laois, Carlow, Kilkenny, Wexford, Dublin, Wicklow, Kildare). As a major employer with over 10,500 staff they play an important part in helping reduce local, social and health inequalities. The hospital provides a broad range of secondary services, including specialist emergency medicine (e.g. trauma, cardiac and stroke). It also provides a number of leading edge tertiary services, such as liver transplantation, neurosciences, haemato-oncology, foetal medicine, cardiology and cardiac surgery, on a regional and national basis.
The hospital offers a family friendly working approach for all staff to ensure a good work-life balance. It is an environment where family life is promoted and this will be a feature of your annual appraisal. The hospital provides childcare advice and nursery facilities in conjunction with a supportive mentoring and career planning programme. Applications for job sharing are welcome.
The aim of this post is to provide consultant cover to adult critical care services across the Trust at the main site and subsequent sites. The post holder will be required to join in a seamless manner with the other full time Intensivists within the Trust to provide optimal care in all these areas on a rotational basis.
The post-holder will be expected to provide cover into the various aspects of the critical care services at the hospital on a flexible basis; we would expect the 10 PA job plan to average out over the normal rota 15 week rotation. The Critical Care areas are outlined below.
The post holder will be required to undertake periods of resident and non resident critical care duties. Time is available within both aspects of the role to allocate to teaching, CPD and research depending on an individual’s interests and after discussion with the CD and DM.
This post will facilitate the expansion and transition of parts of the current CC bed pool i.e. during the initial phase : Neuro Critical Care and additional capacity into the new state of the art Critical Care centre. This 60 bed facility is an exciting and innovative development to improve patient outcomes and experiences as well as enabling the provision of adequate capacity for the increase in the critical care tertiary services. The first floor of the Critical Care centre comprising 29 beds is due to open during the first week of May 2018, with the final 60 bed facility being operational at full capacity a year later. The hospital pride themselves of soon being able to provide highest quality care within the arguably most progressive project of its kind in Ireland. They anticipate the total Critical Care capacity to increase to 105 - 110 beds on the hospital site with a further 15 beds being operational at the secondary site which will make Region the largest CC Directorate in the country.
The hospital is virtually unique in being a major teaching institution located within the capital with all necessary acute services on site, and thus has an unrivalled patient population in terms of clinical diversity and complexity. Currently adult Critical Care is provided in 4 separate geographical Critical Care areas. Liver ITU provides 19 beds. Medical Critical Care provides 14 beds, Surgical Critical Care provides 18 beds and Neuro Critical Care provides 18 beds. Although all Units have a dominant speciality there is mixing of patients across the Critical Care areas depending on bed availability. The hospital also incorporates the secondary hospital and this has, at present a 10 bed Critical Care area with an expansion of capacity to 15 beds within the next 12-24 months.
Thus the basic strategy underpinning the delivery of adult critical care services across the Trust is to devolve services to three standalone Critical Care Units with a mix of Medical, Surgical, and Neurosurgical patients respectively, whilst maintaining central control through a rotating pool of consultant intensivists. A stand-alone specialist Liver Critical Care Unit is also part of the Critical Care Directorate. With the future redevelopment and expansion of the critical care bed pool the hospital hope to develop critical care areas with specialist interests to promote excellence in clinical care, education and research. There are designated leads for the sub-speciality clinical areas (cardiac, neurosciences, haemato-oncology, medicine / surgery, liver and trauma).
The critical care units operate as ‘closed’ units with consultant intensivists exercising control over the delivery of ‘step up’ and ‘step down’ care between the areas, and admissions and discharges to and from the units. Close links and communication with the speciality consultants is essential to ensure optimal use of capacity and ensure cohesive management planning. Discharges and admissions are facilitated by a Critical Care Bed Manager, who communicates with the on call consultant staff, nurse in charge, admitting teams and site managers. A starred consultant, one of the on call team, co-ordinates admissions out of hours if there are no beds available within the normally designated areas.
Specialist critical care is also delivered across the Trust by other divisions. These areas have close links with both the clinicians and managers in Critical Care and all support each other during surges in activity. Paediatrics have level 2 and 3 beds (12), Renal have 2 level 2 beds and neurosurgery / neurology have level 1 / 2 beds within the ward. Cardiac run a Cardiac Recovery Unit and a level 1 / 2 area on the ward. Daily meetings occur between Surgical critical care and cardiac recovery to facilitate transfer of patients to critical care as required, and in addition the cardiac anaethesia service round on these patients in the mornings. Each CC unit has its own dedicated establishment of 8-9 junior staff, and advanced intensive care trainees and is supported by a pool of consultants on a rotational basis. Each critical care unit contains a mix of both level 2 and level 3 beds.
Critical Care is supported by a dedicated consultant microbiologist, and pharmacy team. Activity of the 4 DH units and the hospital is regularly audited with data submission and analysis. All routine investigations, including radiographs are retrievable electronically. The unit is networked to the Trust-wide Electronic Patient Record System. By next year all units will be connected to the electronic Critical Care and Anaesthesia system which has been specifically adapted to our needs and been successfully rolled out in 3 areas until now.
Recently, the hospital was formally designated as one of four Level 1 Trauma Units in Leinster, together delivering an integrated trauma system for region. To ensure both optimal care and efficient processing of the most severely injured patients Health Care (the commissioning body) insisted that Level 1 centres should be defined by the presence of a dedicated ‘Resuscitation Team’ headed up by a Trauma consultant resident on-call, and positioned at the operational heart of each Unit. It should be emphasised that the role of the trauma consultant is not necessarily hands on, but should engage, direct, and coordinate all necessary diagnostic and therapeutic specialities in a timely fashion.
The hospital have attempted to refine this principle even further, seeking to improve the interface between Emergency Care and Critical Care, with both consultant groups contributing to the Trauma Rota. They see this as the first step in establishing a seamless acute care axis within our hospital embracing all levels of acute care (Levels 1 through 3) and widening the remit of critical care beyond the immediate confines of an intensive care unit.
Clinical Duties (guideline only)
1. Together with the other Consultants, to provide a comprehensive critical care service within the Trust. This includes all aspects of treatment and relevant management duties for the proper functioning of the department.
2. Responsible also for covering colleagues’ periods of annual leave, study leave and short-term sickness. The job plan is designed with an annualised profile with provision of holiday and study leave cover.
3. Clinical supervision of junior medical staff as a shared responsibility with other consultant colleagues to provide educational supervision for trainees and to contribute to the programmed teaching sessions, M&M, audit and journal club.
4. Responsible for carrying out teaching, examination and accreditation duties as required and contributing to Continuing Medical Education and clinical governance initiatives.
5. Responsible for any out-patient clinic commitments as agreed by the Critical Care Theatres and Diagnostics Divisional management team for follow up of CC patients.
6. To contribute to departmental research interests in accordance with the Trust’s R&D framework.
7. To contribute to the Audit Programme and Morbidity and Mortality Meetings. To contribute actively to the risk governance programme within the department and division.
8. To take an active role in the formulation, implementation and monitoring of the Care Group’s Business Plans. This may include assisting with discussions regarding service plans and developments with both internal and external agencies. To take an active part in consultant committee meetings and service development. To comply with protocols and policies as determined by Division and Trust. To conduct all activities within the contracted level of service and operating plan for Critical Care services.
9. To exercise professional leadership for all staff working in the specialty. This will include fostering and developing projects focused towards these ends and ensuring that the momentum of post qualification professional education and other appropriate training is maintained.
10. To work in conjunction with clinical and professional colleagues to ensure that the productivity of staff within the specialty is maintained and their job satisfaction is enhanced. This may include involvement in the appraisal process for junior colleagues.
11. To undertake Care Group management duties as agreed with the Clinical Director. There are clinical leads for the geographical units and also leads for M&M/ Audit, Risk and Governance, I Mobile, clinical information system and new build lead in addition to a Cardiac lead. 2 FICM tutors to support the volume of trainees in the department.
12. To be aware of, and comply with, all Trust infection prevention and control policies, to include hand hygiene, personal hygiene, environmental and food hygiene. To undertake annual training/updates in infection prevention and control.
13. To be accountable for implementation of the Code of Practice within the department/area of responsibility.
14. To prepare for and undertake the protective interventions that you are responsible for in a manner that is consistent with evidence based practice and maintaining patient safety.
15. You have a general duty of care for the health, safety and well-being of yourself, work colleagues, visitors and patients within the hospital in addition to any specific risk management or clinical governance accountabilities associated with this post.
16. You are required to observe the rules, policies, procedures and standards of the HSE hospital Trust together with all relevant statutory and professional obligations.
17. You are required to observe and maintain strict confidentiality of personal information relating to patients and staff.
18. You are required to be responsible, with management support, for your own personal development and to actively contribute to the development of colleagues.
19. The post holder has an important responsibility for and contribution to make to infection control and must be familiar with the infection control and hygiene requirements of this role. These requirements are set out in the National Code of Practice on Infection Control and in local policies and procedures which will be made clear during your induction and subsequent refresher training. These standards must be strictly complied with at all times.
20. All employees must hold an 'hse.ie' email account which will be the Trust's formal route for email communication. You are therefore required to check this regularly and to deal with such communication promptly.
21. This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post holders.
• regular commitments to ward based teaching of undergraduates.
• participation in the lecture programmes for 2nd and 4th & 5th year medical students.
• teaching of other groups as required including other specialty juniors and specialist nurses.
A formal job plan will be agreed between the appointee during the course of the interview process, the Operational Medical Director and Lead Intensive Care Consultant, on behalf of the Trust’s Medical Director, based on the provisional timetable. This will be signed by the Chief Executive and will be effective from the commencement date of the appointment.
It will be reviewed at 3 months & thereafter annually or at any time, but no less than 3 months after a previous review, as requested by the appointee, Operational Medical Director or Clinical Lead & adjusted accordingly to the agreement of both parties.
Standard Duties and responsibilities
a) To participate in development of and undertake all duties and functions pertinent to the Consultant’s area of competence, as set out within the Clinical Directorate Service Plan and in line with policies as specified by the Employer.
b) To ensure that duties and functions are undertaken in a manner that minimises delays for patients and possible disruption of services.
c) To work within the framework of the hospital / agency’s service plan and/or levels of service (volume, types etc.) as determined by the Employer. Service planning for individual clinical services will be progressed through the Clinical Directorate structure or other arrangements as apply.
d) To co-operate with the expeditious implementation of the Disciplinary Procedure
e) To formally review the execution of the Clinical Directorate Service Plan with the Clinical Director / Employer periodically. The Clinical Directorate Service Plan shall be reviewed periodically at the request of the Consultant or Clinical Director / Employer. The Consultant may initially seek internal review of the determinations of the Clinical Director regarding the Service Plan.
f) To participate in the development and operation of the Clinical Directorate structure and in such management or representative structures as are in place or being developed. The Consultant shall receive training and support to enable him/her to participate fully in such structures.
g) To provide, as appropriate, consultation in the Consultant’s area of designated expertise in respect of patients of other Consultants at their request.
h) To ensure in consultation with the Clinical Director that appropriate medical cover is available at all times having due regard to the implementation of the European Working Time Directive as it relates to doctors in training.
i) To supervise and be responsible for diagnosis, treatment and care provided by non-Consultant Hospital Doctors (NCHDs) treating patients under the Consultant’s care.
j) To participate as a right and obligation in selection processes for non-Consultant Hospital Doctors and other staff as appropriate. The Employer will provide training as required. The Employer shall ensure that a Consultant representative of the relevant specialty / sub-specialty is involved in the selection process.
k) To participate in clinical audit and proactive risk management and facilitate production of all data/information required for same in accordance with regulatory, statutory and corporate policies and procedures.
l) To participate in and facilitate production of all data/information required to validate delivery of duties and functions and inform planning and management of service delivery
This post is open to doctors who hold Registration as a Specialist in the Specialist Division of the Registrar of Medical Practitioners maintained by the Medical Council in Ireland in the specialty of Intensive Care Medicine.
Office accommodation will be provided for the appointee with secretarial support.
All Consultants are required to attend the monthly Directorate Meetings. Post holders will be expected to share in administrative duties allocated by mutual agreement within the Directorate. As part of the Consultant Team, the consultant will offer mentoring support and lead the existing clinical team through; joint clinics, one-to-one support, individual case management and complex cases, identifying development needs and suggesting CPD (Continuous Professional Development) opportunities and responding to clinical enquiries via e-mail and telephone.
If you are interested in working in growing your career and increasing your income, then talk to our healthcare team today. If you can fill the above requirements, we will give you the following benefits:
*** Visa & Work Permit for FREE!
*** Guidance, Training & Career Development
*** Dedicated & Supportive team- Consultant available when you need.
*** Excellent Basic Pay, Overtime paid for extra hours
***Assistance provided with relocation
You are able to also apply online (see below) We look forward to helping you progress your career and find you the ideal position.
Call us today on +44 (0) 1234 889213 to discuss this vacancy or email your CV to firstname.lastname@example.org or apply online today (see below).