Consultant or Specialist Grade Doctor in Palliative Medicine
We have an exciting opportunity for a Consultant or Specialist Grade Doctor in Palliative Medicine to join the St. Peters Hospice medical team.The postholder will join the senior medical team of 4 consultants, working alongside multi-professional colleagues to deliver high quality palliative care to patients and families. They will be working in a supportive and collaborative environment for a much-loved and respected charity serving the vibrant city of Bristol and the surrounding area.The role will have a strong focus on supporting patients in our community, both directly and by working closely with other hospice teams, including provision of support to the hospice advice line. The role will also involve leading work to improve access to services for those with non-cancer conditions. The postholder will contribute to care of inpatients for 10 consultant-led beds. Main duties of the job
Assessment and management of patients in the community (virtual and face to face) with complex palliative care needsLeadership and support to weekly community team meetings with CNS teamsSupport to medical advice lineLeading patient management on the inpatient unit when cross covering colleaguesProvision of 2nd on call support to medical advice line and inpatient unit at a 1 in 5 frequencyActive engagement and leadership with quality improvement and service improvement activitiesTeaching and training of doctors in GP and Specialist Training Schemes About us
St Peter's Hospice is a well-loved hospice that provides extensive inpatient and community services, in Bristol and the surrounding areas. Every year St Peter's Hospice makes a difference in the lives of thousands of patients and their families when it matters most.Many of our staff work directly with patients and their families in nursing, health care and medical jobs. Others raise money to support patient care through our chain of over 40 charity shops and our fundraising activities. We also have a significant number of staff working in varied office-based roles.Our aim is to provide an inclusive, safe and healthy workplace that boosts creativity and motivation.Our Inpatient Unit is a state-of-the-art centre of clinical excellence, that was built with the generous support of the people of Bristol. Beyond our Inpatient Unit, you'll find our team in homes and on the phone 24/7. More recently in response to the pandemic we have moved some services online to continue support for our patients.The Hospice is also a centre of educational excellence and we teach other healthcare professionals about how to care for people at the end of their lives, supporting the NHS and care homes provide end of life care. Job responsibilities
Clinical:To share responsibility with the senior medical team for the advisory support offered to the hospice community services (including domiciliary visiting, attending and leading multi-disciplinary team meetings and outpatient appointments).To share responsibility and engage with the clinical community engagement work which seeks to achieve fair access to clinical services, which includes an approach based on need rather than diagnosis, with a focus on palliative care in non-cancer conditions.To participate in the senior medical cover for the 24-hr Advice Line.To take part in 1 in 5 second on-call rota, defined as a Category B (medium frequency, low intensity) providing senior cover to the inpatient unit and 24 /7 advice lineTo be prepared to lead the care of hospice inpatients, whether that be short term cover during periods of team leave, or a more defined period of cover for a number of monthsto undertake additional duties in exceptional circumstances in the case of emergencies and unforeseen circumstances as necessary for the continuity of patient care.To work at all times within the GMC codes of practiceQuality Improvement:to take part in the hospice clinical audit programme coordinated by the Patient Safety and Quality Team, which may include participation in local, network wide and national audit.To be aware of and compliant with clinical and information governance policies, procedures and frameworks and to recognises and report incidents as requiredTo be part of a learning and safety culture, learning from both what we do well and from incidents that have occurredTo contribute to the writing of clinical policies and guidelines that are evidence-based and in line with best practiceTo participate in relevant clinical meetings where governance, service development or improvement may be discussedTo engage with hospice research activity if appropriate, within the boundaries of your skills and competence, in liaison with the Medical Director, the Research Nurse and the hospice Research Advisory GroupCommunicationTo demonstrate effective communication skills with patients (and their significant others), which includes being able to elicit the key concerns from their perspective, and to handle difficult conversations with empathy and sensitivityTo communicate clearly with colleagues, being respectful at all times, even where differences of opinion may existTo maintain patient confidentiality in line with professional guidanceTo follow hospice policy and procedure in terms of dealing with concerns and complaints from service usersTeamworkTo champion equality, diversity and inclusionTo contribute to a culture that is respectful and supportive, celebrating success and fostering reflection and learningTo value the contribution of the multi-professional team in delivering services to patients and carersTo act as a role model and ambassador for the medical team and the hospicePersonal and Professional developmentTo engage fully with an appropriate framework of Continuing Professional Development (CPD) e.g. the Royal College of Physicians (RCP) CPD diary, which will demonstrate appropriate learning targeted to your needs, and the impact of the learning on yourself, colleagues and the organisationTo engage fully with appraisal and revalidation requirements as set out by the GMC and the NHS revalidation teamTeaching, Training and Supervision of othersTo clinically supervise and manage junior medical staff working at the hospice in training and non-training grade roles, and support their orientationTo act as educational supervisor for training grade doctors as neededTo contribute to the teaching and supervision of medical students and other professional visitors who may be placed at the hospiceTo take part in the delivery of external education sessions for other professionals in liaison with the hospice education departmentManagementIn liaison with the Medical Director, to take on appropriate areas of management, which may include a specific medical link role with other departments and services or require attendance at relevant management meetingsMedical LeadershipTo show good self-awareness and able to adapt leadership style to work effectively with othersto take responsibility for actions and decisions in assigned areas of responsibilityto demonstrate trust and respect for colleagues and be seen as a role model for effective teamworkto constructively challenge others when there is an opportunity for improvement, and be able to receive constructive challengeto engender an organisational culture that values diversity, learning, reflection and feedback, transparency openness and candour Person Specification
Qualifications
Maintenance of full registration and licence to practise with the GMC. MRCP or MRCGP Entry on the GMC Specialist Register via one of the following: Certificate of Completion of Training (CCT) in place at the time of appointment OR Certificate of Eligibility for Specialist Registration in place at the time of employment or likely to be obtained within 6 months Specialist Trainees that do not hold a CCT must be due to be awarded one within 6 months of the interview date. Higher academic degree e.g. MD, MSc, PhD Qualification in teaching Experience
Recent experience and familiarity of UK healthcare systems and practices (or equivalent) Completion of a minimum of 12 years medical work (either continuous or in aggregate since obtaining a primary medical qualification, with a minimum of 6 years working in the field of Palliative Medicine (Specialist only) Total of 6 months experience of practising medicine in the community (Specialist only) Can demonstrate achievement of relevant competencies in management of patients with specialist palliative care needs with evidence of appropriate professional development Experience of the management of both malignant and non-malignant disease Knowledge of contemporary NHS and voluntary sector management issues Knowledge of political context within which we operate Awareness of core principles and guidelines in relation to research in clinical practice Training in management of patients with specialist palliative care needs (Consultant only) Clinical experience in the hospice inpatient and community settings Additional Criteria
Appropriate clinical skills and able to work at consultant level (Consultant only) Appropriate clinical skills and able to work at Specialist Grade level, being able to demonstrate they meet the generic capabilities framework for the Specialist Grade (Specialist only) Proven teaching ability with experience of large and small group teaching. Willingness to undertake teaching for medical undergraduates and postgraduates + all grades of nursing staff and AHPs Experience and skills in undertaking audit projects and evidence of completed audit Good IT skills, word-processing, presentations and spreadsheets Good written and verbal communication skills. Evidence of the ability to communicate with patients, colleagues, staff and hospice supporters at all levels Proven track record in research and willingness to undertake further research Evidence of relevant publications in peer reviewed journals Evidence of some management and leadership skills (Specialist only) Advanced communication skills training Educational or Clinical Supervisor Training Interest in medical management (Consultant only) Completion of a general management course of programme (Consultant only) Additional Criteria
Ability to lead a team and form effective working relationships with and among team members of all disciplines Ability to inspire, motivate and develop junior medical staff Ability to work independently as well as part of the Medical Directorate and hospice Senior Medical Team, to balance individual requirements against those of the Senior Medical Team and hospice organisation as a whole A passion for palliative care and for the work of the Hospice Driving license and own transport Good level of self-awareness and strategies to maintain wellbeing Aware of limits of own competence and able to identify areas for personal and professional development Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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We have an exciting opportunity for a Consultant or Specialist Grade Doctor in Palliative Medicine to join the St. Peters Hospice medical team.The postholder will join the senior medical team of 4 consultants, working alongside multi-professional colleagues to deliver high quality palliative care to patients and families. They will be working in a supportive and collaborative environment for a much-loved and respected charity serving the vibrant city of Bristol and the surrounding area.The role will have a strong focus on supporting patients in our community, both directly and by working closely with other hospice teams, including provision of support to the hospice advice line. The role will also involve leading work to improve access to services for those with non-cancer conditions. The postholder will contribute to care of inpatients for 10 consultant-led beds. Main duties of the job
Assessment and management of patients in the community (virtual and face to face) with complex palliative care needsLeadership and support to weekly community team meetings with CNS teamsSupport to medical advice lineLeading patient management on the inpatient unit when cross covering colleaguesProvision of 2nd on call support to medical advice line and inpatient unit at a 1 in 5 frequencyActive engagement and leadership with quality improvement and service improvement activitiesTeaching and training of doctors in GP and Specialist Training Schemes About us
St Peter's Hospice is a well-loved hospice that provides extensive inpatient and community services, in Bristol and the surrounding areas. Every year St Peter's Hospice makes a difference in the lives of thousands of patients and their families when it matters most.Many of our staff work directly with patients and their families in nursing, health care and medical jobs. Others raise money to support patient care through our chain of over 40 charity shops and our fundraising activities. We also have a significant number of staff working in varied office-based roles.Our aim is to provide an inclusive, safe and healthy workplace that boosts creativity and motivation.Our Inpatient Unit is a state-of-the-art centre of clinical excellence, that was built with the generous support of the people of Bristol. Beyond our Inpatient Unit, you'll find our team in homes and on the phone 24/7. More recently in response to the pandemic we have moved some services online to continue support for our patients.The Hospice is also a centre of educational excellence and we teach other healthcare professionals about how to care for people at the end of their lives, supporting the NHS and care homes provide end of life care. Job responsibilities
Clinical:To share responsibility with the senior medical team for the advisory support offered to the hospice community services (including domiciliary visiting, attending and leading multi-disciplinary team meetings and outpatient appointments).To share responsibility and engage with the clinical community engagement work which seeks to achieve fair access to clinical services, which includes an approach based on need rather than diagnosis, with a focus on palliative care in non-cancer conditions.To participate in the senior medical cover for the 24-hr Advice Line.To take part in 1 in 5 second on-call rota, defined as a Category B (medium frequency, low intensity) providing senior cover to the inpatient unit and 24 /7 advice lineTo be prepared to lead the care of hospice inpatients, whether that be short term cover during periods of team leave, or a more defined period of cover for a number of monthsto undertake additional duties in exceptional circumstances in the case of emergencies and unforeseen circumstances as necessary for the continuity of patient care.To work at all times within the GMC codes of practiceQuality Improvement:to take part in the hospice clinical audit programme coordinated by the Patient Safety and Quality Team, which may include participation in local, network wide and national audit.To be aware of and compliant with clinical and information governance policies, procedures and frameworks and to recognises and report incidents as requiredTo be part of a learning and safety culture, learning from both what we do well and from incidents that have occurredTo contribute to the writing of clinical policies and guidelines that are evidence-based and in line with best practiceTo participate in relevant clinical meetings where governance, service development or improvement may be discussedTo engage with hospice research activity if appropriate, within the boundaries of your skills and competence, in liaison with the Medical Director, the Research Nurse and the hospice Research Advisory GroupCommunicationTo demonstrate effective communication skills with patients (and their significant others), which includes being able to elicit the key concerns from their perspective, and to handle difficult conversations with empathy and sensitivityTo communicate clearly with colleagues, being respectful at all times, even where differences of opinion may existTo maintain patient confidentiality in line with professional guidanceTo follow hospice policy and procedure in terms of dealing with concerns and complaints from service usersTeamworkTo champion equality, diversity and inclusionTo contribute to a culture that is respectful and supportive, celebrating success and fostering reflection and learningTo value the contribution of the multi-professional team in delivering services to patients and carersTo act as a role model and ambassador for the medical team and the hospicePersonal and Professional developmentTo engage fully with an appropriate framework of Continuing Professional Development (CPD) e.g. the Royal College of Physicians (RCP) CPD diary, which will demonstrate appropriate learning targeted to your needs, and the impact of the learning on yourself, colleagues and the organisationTo engage fully with appraisal and revalidation requirements as set out by the GMC and the NHS revalidation teamTeaching, Training and Supervision of othersTo clinically supervise and manage junior medical staff working at the hospice in training and non-training grade roles, and support their orientationTo act as educational supervisor for training grade doctors as neededTo contribute to the teaching and supervision of medical students and other professional visitors who may be placed at the hospiceTo take part in the delivery of external education sessions for other professionals in liaison with the hospice education departmentManagementIn liaison with the Medical Director, to take on appropriate areas of management, which may include a specific medical link role with other departments and services or require attendance at relevant management meetingsMedical LeadershipTo show good self-awareness and able to adapt leadership style to work effectively with othersto take responsibility for actions and decisions in assigned areas of responsibilityto demonstrate trust and respect for colleagues and be seen as a role model for effective teamworkto constructively challenge others when there is an opportunity for improvement, and be able to receive constructive challengeto engender an organisational culture that values diversity, learning, reflection and feedback, transparency openness and candour Person Specification
Qualifications
Maintenance of full registration and licence to practise with the GMC. MRCP or MRCGP Entry on the GMC Specialist Register via one of the following: Certificate of Completion of Training (CCT) in place at the time of appointment OR Certificate of Eligibility for Specialist Registration in place at the time of employment or likely to be obtained within 6 months Specialist Trainees that do not hold a CCT must be due to be awarded one within 6 months of the interview date. Higher academic degree e.g. MD, MSc, PhD Qualification in teaching Experience
Recent experience and familiarity of UK healthcare systems and practices (or equivalent) Completion of a minimum of 12 years medical work (either continuous or in aggregate since obtaining a primary medical qualification, with a minimum of 6 years working in the field of Palliative Medicine (Specialist only) Total of 6 months experience of practising medicine in the community (Specialist only) Can demonstrate achievement of relevant competencies in management of patients with specialist palliative care needs with evidence of appropriate professional development Experience of the management of both malignant and non-malignant disease Knowledge of contemporary NHS and voluntary sector management issues Knowledge of political context within which we operate Awareness of core principles and guidelines in relation to research in clinical practice Training in management of patients with specialist palliative care needs (Consultant only) Clinical experience in the hospice inpatient and community settings Additional Criteria
Appropriate clinical skills and able to work at consultant level (Consultant only) Appropriate clinical skills and able to work at Specialist Grade level, being able to demonstrate they meet the generic capabilities framework for the Specialist Grade (Specialist only) Proven teaching ability with experience of large and small group teaching. Willingness to undertake teaching for medical undergraduates and postgraduates + all grades of nursing staff and AHPs Experience and skills in undertaking audit projects and evidence of completed audit Good IT skills, word-processing, presentations and spreadsheets Good written and verbal communication skills. Evidence of the ability to communicate with patients, colleagues, staff and hospice supporters at all levels Proven track record in research and willingness to undertake further research Evidence of relevant publications in peer reviewed journals Evidence of some management and leadership skills (Specialist only) Advanced communication skills training Educational or Clinical Supervisor Training Interest in medical management (Consultant only) Completion of a general management course of programme (Consultant only) Additional Criteria
Ability to lead a team and form effective working relationships with and among team members of all disciplines Ability to inspire, motivate and develop junior medical staff Ability to work independently as well as part of the Medical Directorate and hospice Senior Medical Team, to balance individual requirements against those of the Senior Medical Team and hospice organisation as a whole A passion for palliative care and for the work of the Hospice Driving license and own transport Good level of self-awareness and strategies to maintain wellbeing Aware of limits of own competence and able to identify areas for personal and professional development Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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