Clinical Fellow in General Medicine

Job Description
RESPONSIBLE TO: Adult Medicine Specialty Doctors and Consultants

INTRODUCTION

Tameside and Glossop Integrated Care Hospital NHS Foundation Trust seeks to appoint a
Clinical Fellow to the work within the General Medicine team. The post holder will be based at
Tameside General Hospital. The candidate will be expected to have experience in Acute
Medicine.

This post will rotate through each specialty in the Medicine Division to allow exposure and
training to a variety of specialty’s and experience.

MAIN PURPOSE OF THE POST

This post will support the service to deliver a high standard of medical clinical care with the
support of Specialty Doctors and Consultants.

THE TRUST

Tameside and Glossop Integrated Care Hospital NHS Foundation Trust serves the needs of
approximately 250,000 people. The Trust is based at Tameside General Hospital. The
hospital is located on the outskirts of the market town of Ashton-under-Lyne, the largest of the
eight towns of Tameside and is situated on the edge of the Peak District, but only seven miles
from Manchester city centre

The North West Strategic Health Authority is the host Health Authority and NHS Tameside and
Glossop provide 83% of the Trust’s income. Other significant commissioners of the Trust’s
services are NHS Oldham, NHS Manchester and NHS Stockport.

The services offered by the Trust include:

Emergency Medicine (E&D); Anaesthetics; Dermatology; Ear, Nose and Throat (ENT); Adult
Medicine (including a number of sub specialties listed below); General Surgery; Urology;
Gynaecology; Obstetrics; Oral Surgery and Orthodontics; Orthopaedics and Trauma;
Paediatric Medicine; Pathology; Radiology and the outpatient visiting specialties which include
Cardiothoracic Surgery; Neurosurgery; Ophthalmology; Plastic Surgery and Genetics.

There are 529 acute beds on the hospital site, including the 52 beds on the Acute Medical Unit
(AMU). In recent years, Tameside General Hospital has undergone significant re-
development, including a purpose-built Day Case Theatre and Endoscopy Unit, a Renal Unit,
and MR and CT scanning developments.

In 2010 a £90M major PFI project on the Tameside General Hospital site was completed,
which provides state of the art diagnostic and treatment facilities including main and day case
theatres, a Pharmacy, Radiology facilities, Surgical wards, Outpatient departments and a
refurbished main entrance to the hospital. The scheme has also delivered a modern and

Chief Executive – Karen James OBE

Chairman – Jane McCall
 comprehensive multi-disciplinary Education and Training
Centre, multi-storey car parking and Pathology Laboratories.

THE MEDICINE DIVISION

Management Structure

The General Medicine department sits within the Division of Medicine and Clinical Services.
Medicine comprises of the Emergency Department, the Acute Medical Unit, Heart Care Unit,
Care of the Elderly, and General Medicine of which sub specialties include;
Diabetes/Endocrinology, Neurosciences, Nephrology, Cardiology, Rheumatology, Respiratory,
Dermatology, Haematology, Gastroenterology and Stroke services.

The Chief Executive of the Trust is Mrs Karen James and Trust Medical Director is Dr Brendan
Ryan.

The Medicine Division comprises Mrs Sara Derbyshire and Dr Shahbaz Ahmed, Clinical
Director. Each specialty is also managed by a Directorate Manager.

FACILITIES

The facilities provided within the Trust include a newly built Outpatient department, Endoscopy
and Day Care Unit, X-ray department, Paediatric Outpatients and ward along with the Surgical
Wards. The Medical wards are located in the Ladysmith and Charlesworth buildings with the
Emergency department, Acute Medical Unit, Intensive Care Unit, High Dependency Unit,
Coronary Care Unit and Orthopaedic Ward housed in the Hartshead building. All wards and
supporting departments are linked internally which provides a hospital environment that
promotes smooth patient pathways throughout the patient journey. Other facilities include an
extensive education and training building which houses a library, lecture theatre, clinical
education rooms, IT training rooms and meeting rooms.

INFORMATION TECHNOLOGY

In line with the ‘Digital By Design’ strategy the department has recently implemented a
Electronic Patient Record computer system (Lorenzo). This is linked with the rest of the Trust
including the Imaging department and the Pathology laboratory for ease of request and order
comms. The department is fully functional and supported with PACS.

STAFFING

The department of General Medicine consists of the following:

Care of the Elderly, Cardiology, Diabetes, Gastroenterology, General Medicine, Respiratory

and Acute Medicine.

The services are led by the following Consultants:

Dr Ahmed Consultant/Clinical Director

Dr Abdelaziz Consultant/Clinical Lead Medicine
Dr Pattrick Consultant/Clinical Lead for Acute Medicine
Dr Abraheem Consultant/Clinical Lead for Cardiology

Chief Executive – Karen James OBE

Chairman – Jane McCall
 In addition, the Trust has a number of Speciality Doctor’s and
Associate Specialists. Furthermore the Trust has a number
of Junior Doctor/ Deanery posts that support the delivery of this service.

Nursing and Support staff

There is a nursing establishment led by a Divisional Nurse Manager supported by a Matron

and senior nurses. The ward is supported by Clerical and Housekeeping staff.

MAIN DUTIES AND RESPONSIBILITIES

To participate in the Consultant led ward round.

Ensure that medical care is provided to the patients in line with the agreed Medical Plan.

The appropriate discharge of patients, including providing timely paperwork to the General
Practitioner ensuring a continuation of care following discharge.

Under direct clinical supervision from the Specially Doctors and Consultants ensure that F1
doctors have a high standard of training and to participate in the Grand Rounds.

With the Short stay Specialty Doctor and Consultants be responsible for patients in Short Stay
Unit including their care and dignity.

To participate in and perform audits as outlined by the Educational Supervisor.

Complying with data protection.

Complying with all relevant Trust Policies and Procedures.

Undertake to perform additional duties in occasional emergencies and unforeseen

circumstances at the request of the appropriate Consultant / Specialty Doctor. Additional
duties arising under this sub section will not persist for prolonged periods or be on a regular
basis.

EXPERIENCE REQUIRED

The candidate will be expected to have core trainee competencies (or equivalent) for
medicine.

EDUCATIONAL ROLE:

Although this post is not recognized for general professional training by the Royal College of
Physicians and Post Graduate Dean, the post holder will be provided the same educational
opportunities as those doctors on the training scheme. The post holder will be provided bleep
protected time for teaching sessions. The post holder is encouraged to attend Grand Rounds,
Clinical Governance meetings and Journal Club meetings.
The post holder will be supported to pursue his/her special interest and career. Many of
those who held these posts in the past were supported and now having training jobs in
different specialties.

The Post Graduate Medical Centre has a full and comprehensive programme which the post
holder is encouraged to participate.

Chief Executive – Karen James OBE

Chairman – Jane McCall
 The post holder must undertake Resuscitation Training as
required.

CONDITIONS OF SERVICE

The post is covered by the terms and conditions of service of the Trust, which currently follow
those laid down by the Hospital Medical and Dental Staff (England and Wales) Terms and
Conditions of Service and General Whitley Council.

CLINICAL GOVERNANCE

The department has developed a Clinical Governance programme in line with current
recommendations and trust requirements with Dr Therese Brammah responsible for Clinical
Governance. This is a multi-professional programme and members of all staff groups are
required to participate in delivering the governance agenda. Regular clinical audit sessions
are held within the Division and hospital. The appointee will be expected to participate in such
sessions. The appointee will also be required to participate in appropriate continuing medical
education activities.

SECTION 4-ADDITIONAL REQUIREMENTS

1. To provide cover for colleagues as directed by your manager.

2. Risk Management (Health & Safety)

a) You will follow risk management procedures at all times. The Risk Management procedures for
the Trust and the department are kept by the departmental manager.

b) You are personally responsible for Risk Management issues in respect of yourself and your
colleagues.

c) If you identify a potential hazard you should report it to your manager / supervisor at once. If in
doubt you should speak to your manager for guidance.

d) You must always use safety equipment provided, and report any defects to your manager. You
must attend Risk Management Training as directed by your manager.

e) If you are a manager or have line management responsibilities for staff or a department or
area of work, you are responsible for the Risk Management issues in that area. You will ensure
that there is an annual Risk Management audit in your area and make sure that where
necessary, an action plan eradicating risks is drawn up and implemented.

f) Should you need help in resolving Risk Management matters, you must seek assistance from
your manager.

3. Infection Prevention and Control

a) You are personally responsible for ensuring that you protect yourself, patients, visitors and
colleagues from the risks of infection associated with health care activities and the care
environment.

Chief Executive – Karen James OBE

Chairman – Jane McCall
b) You must adhere to infection prevention and control policies at
all times liaising with the infection control team and acting on any
instructions given.

c) You must attend regular infection prevention and control update training.

d) You should at all times promote and demonstrate good practice for the prevention and control
of infection.

4. To avoid any behaviour which discriminates against your fellow employees, or potential
employees on the grounds of their sex, sexual orientation, marital status, race, religion,
creed, colour, nationality, ethnic origin or disability.

5. To safeguard at all times confidentiality of information relating to patients and staff.

6 Child Protection and Vulnerable People

It is the responsibility of all staff to safeguard children and/or vulnerable adults, to access training
to ensure they know what constitutes abuse, and what support is available to them, at a level
appropriate to their role and responsibilities.
To report any concerns, without delay, to the identified person within their department/division or
area of responsibility as per the relevant policies, keeping clear records, and following up as
required to ensure necessary actions have been taken.

7. No Smoking Policy
The Trust operates a No Smoking Policy which states that smoking is prohibited within all Trust
premises and on the site. This includes entrances, exits, cars, lease cars, car parks, pavements
and walkways, areas hidden from general view and residences. As an employee of the Trust you
are expected to comply with this policy, failure to do so may result in disciplinary action being
taken under the Trust’s Conduct and Disciplinary Policy.

7. To behave in a manner which ensures the security of NHS property and resources.

8. To abide by all relevant Trust Policies and Procedures.

This list of duties and responsibilities is by no means exhaustive, and the post holder may be
required to undertake other relevant and appropriate duties as required.

This job description is subject to regular review and appropriate modification in

consultation with the post holder.

Chief Executive – Karen James OBE

Chairman – Jane McCall
Person Specification
Clinical Fellow

Essential Desirable

Qualifications and Experience  MBBS or equivalent

 Acute medicine core
trainee competencies or
equivalent

Professional Qualifications  GMC registration and  MRCP Part 1

license to practice

Skills  IT Skills
 Effective decision making.
 Able to demonstrate
initiative and judgment.

Courses  ALS or equivalent

Audit  Experience in audit.

Teaching  Experience of  Evidence of

teaching/educational participation in
supervision. undergraduate and
postgraduate teaching.
 Evidence of attendance
to ‘Teaching for
Teachers’ or similar
course.

Communication  Able to communicate and

liaise effectively with
patients, relatives and with
colleagues in all
disciplines.
 Written communication in a
clear and concise manner.

Relationships  Ability to work as a team  Experience of

player in a multi- supervision of junior
disciplinary team. staff.

Chief Executive – Karen James OBE

Chairman – Jane McCall
Other  Committed to quality
Improvement.
 Assertive, confident and
able to work on own
initiative.
 Priorities own and others
workload.

Chief Executive – Karen James OBE

Chairman – Jane McCall