The Department currently has 4 ward areas and the Stroke Unit which predominantly admit elderly patients. There is a Diagnostic and Investigation Unit which allows some investigations and management for adults and older people for example: endocrine tests, venesection for haemochromatosis and polycythaemia, oxygen trials, blood transfusions, bone marrow aspirations, biopsy, initial commencement of Warfarin and INR monitoring before transferring to GPs, palmidronate infusion, drug trials such as commencement of beta-blockers and ACE inhibitors in heart failure etc. There is a joint Medical Admissions Unit where acute general medicine and elderly patients with the exception of those with suspected or confirmed acute myocardial infarctions (who are admitted to the Coronary Care Unit) and possible infectious cases are assessed before being transferred to Medical and Elderly Wards. There is a Discharge Lounge which allows for patients that are discharged but waiting for their medications to vacate their beds so that these could be used for patients transferred from the Medical Admissions Unit and Accident and Emergency. The Discharge Lounge has resulted in the improvement of the 4 hour wait in Accident and Emergency Unit. The acute take for General Medicine and Care for Older People is fully integrated. You will be expected to participate in the acute medical take both general medical and geriatric acute take at middle grade level.
These will be essentially those of a post-membership Registrar reporting directly to his/her Consultant and would include. The day to day care and management of patients on the ward and in outpatients. Ward work, as required. Advice to other staff, and audit work as required. Flexible use of time depending on the needs of the department. Training and education of nursing staff and junior medical staff.
Responsible for keeping clear, full records to medico-legal standards. To communicate fully (subject to the overriding factors of confidentiality and the patients’ interests) with patients, their relatives, family Doctors and other health and social services colleagues. To participate formally and informally in the improvement of the health service functioning in the Trust, especially in the fields of patient care and staff morale. Supervision of the junior doctors on the wards and in clinics. Participating in the management of the department, particularly with regard to medical on call and ward cover and the teaching programme.
Annual appraisal and job plan review. To work with the department in developing new configurations of care to improve service delivery. You should have the skills and experience required including GMC registration at the time of appointment and good English language to be considered. You should have IELTS and will also require either a higher qualification or PLAB 1 and 2. Initial recruitment screening and interview will take place in your country of origin.