Job Description

This post has been created to help build a larger core Acute Medicine team at Charing Cross Hospital in light of the growing demands and pressure at the front door of the hospital. The successful applicant will contribute to the acute medical take and Acute Medicine services at Charing Cross Hospital. They will also contribute to the newly established virtual wards and Hot Clinics via SDEC.



We are looking for a Consultant with sound experience and training in General Internal Medicine to join the Acute Medical team to support existing colleagues in a busy service. The role holder will work within the Division of Medicine and Integrated Care and will be expected to participate in the management of the patients under the care of the Acute Medicine team in accordance with local and national clinical guidelines and will rotate through these parts of the service.



The appointee will work closely and in partnership with the rest of Specialty Medicine and Emergency Medicine. They will also be expected to contribute to the Acute Medicine rota and clinical governance. The appointee will also play an active role in undergraduate and postgraduate supervision of medical students and resident doctors.



The Acute Medicine service at Charing Cross Hospital works closely with the Emergency Department and with Specialty Medicine services. The AMU/AAU has a fast turnover of patients; our usual length of stay is around 1.5 days. This is due to a consultant led service with twice daily consultant input into patient care, great support from imaging and diagnostics, multidisciplinary approach to patient care (delivered by the OPAL team) and an excellent pharmacy team across Acute Medicine. In addition there is daily input from a consultant led cardiology team and in reach from other specialties (gastroenterology, neurology, infectious diseases, endocrinology, psychiatry, etc) for patients who require specialist input.



The post holder will work closely with other members of the team to ensure high quality acute and specialist medical services within the strategic framework agreed by the team. They will work closely with the appropriate clinical management teams.



The Acute Medicine service at Charing Cross hospital provides a consultant led service for all patients admitted under Acute Medicine 24 hours a day, 7 days a week. The ward areas covered by Acute Medicine are an Acute Medicine Unit (AMU) and an Acute Assessment Unit (AAU).



Admission rates to Medicine from the Emergency Department can vary quite significantly with the seasons. The post holder is expected to help deliver consultant lead care to all patients managed by the Acute Medicine team regardless of their location. The care of medical patients outlying on non-medical wards during the winter months is shared between Acute and Specialist Medicine.



The Acute Medical team holds regular morbidity and mortality meetings as well as quality and safety meetings. The post holder is expected to contribute to these meetings and to an open atmosphere of learning and excellence on the AAU/AMU.



Acute medicine at Charing Cross hospital has a diverse workforce with 21 juniors doctors as well as one physicians associate (PA). The workforce includes 2 registrars, 9 FY1s 4 IMTs, 2 ACCSs, 3 FY2 and 1 GP trainee. Each consultant ward round will have at least two junior doctors or PA.



A formal job plan will be agreed between the appointee and divisional director, on behalf of the medical Director, this is not designed to be exhaustive.



The post holder and divisional director/ chief of service will review the job plan annually in line with the provisions in schedule 3 of the terms and conditions. Either may propose amendment of the job plan.



Programmed activities (PA's)

For a whole-time contract:

A total of 10 Pas



This will involve clinical activity, including specialty clinics, predictable and unpredictable emergency work, and Supporting Professional activities, including audit, clinical governance, CPD, teaching, research, educational supervision of junior staff and CPD). The successful applicants will be support by the Head of speciality to achieve CPD goals.