Acute Medicine Consultant

A key driver behind this model is the Trust's commitment to Acute Medicine, and optimising consultant-led care during peak demand hours to ensure the rapid assessment and treatment of acutely ill medical patients. A dedicated Ambulatory Emergency Care Unit (AEC) opened atAintree in 2015. This allows same day treatment of ambulatory medical patients and hot clinics, which enables admission avoidance and early follow up of patients. We also continue to embed a rapid assessment process across the floor and support nursing and medical coordinators throughout the day with acute take board rounds on the Acute Medical Unit. This enables us to drive fonruard patient care and optimise patient flow through improved coordination and management of the medical take. These initiatives earned Acute Medicine the Team of the Year, and Proud of Aintree awards in November 2016. In February 2023, Acute Medicine relocated to a bespoke unit at the front door of the hospital alongside the Emergency Department, with the aim of optimising care for Acute Medicine patients. Senior clinical involvement is available 12 hours per day, 7 days per week and is provided currently by a combination of acute physicians and other physicians from within the Medical Division but it is envisaged that, with further appointments, this service will be provided by the Acute Medicine Directorate itself with in-reach services provided by the inpatient speciality teams.,

• Supervising and co-ordinating the admitting medical team to optimise efficiency of the acute medical take in the hospital.
• Provide a prompt senior opinion/assessment of acutely ill medical patients.
• Take responsibility for ensuring that appropriate triage and management is arranged for each patient and determining whether discharge home is appropriate, as well as identifying seriously ill patients who need immediate medical intervention
• Provision of consultant care for patients remaining on the AMU beyond 9am on the morning after admission until such time as they are either transferred to a medical ward or discharged from hospital. At present the morning ward rounds on the AMU are conducted in a formal way and rostered junior medical staff accompany the Consultant on the ward round within the limitations of service provision. lt is intended that all patients on the AMU are reviewed during this round and a management plan is agreed. An afternoon board round also occurs.
• Close supervision/support of the admitting medical team of the day, providing help with, for example, unusually difficult emergency procedures (for example resuscitation, central line placement, chest drain insertion etc) although experienced specialist registrars will more usually be responsible for these procedures., The Acute Medical Unit (AMU) at Aintree comprises a 13 space trolleyed assessment area (MAB/FAB) for Acute Medicine Assessments, 2 side rooms and a 4 bed High Care Area. There is also a drop-off bay for initial patient assessment and our AEC (ambulatory emergency care) which includes 6 assessment rooms, a prodedure room and a treatment bay/hub.
There is a co-located 25 bed short stay area (AMU 2) Acute Medicine is currently run by full Time Consultant Physicians with support from Consultant Physicians from other medical specialties. They are supported by three Acute Medicine StRs, four Clinical Fellows, two GPVTS trainees, two IMT 1-2 trainees, two IMT 3 trainess, two ACCS trainees, one FY2 trainees, four FY1 trainees, eight Advanced Nurse Practitioners (one in training)and 3 PAs. The AMU Consultants work very closely with the AED team, the on-call medical Specialist Registrars and IMT and Consultant Physicians across the medical directorate to help support the management of the acute take. Liaison with General Practitioners regarding the suitability for admission of a small number of patients in whom doubt exists about the need for admission (via a dedicated phone link to AEC) and to provide an opinion on such patients if deemed necessary in a rapid assessment clinic setting. Supervise the junior doctors in ensuring that a discharge summary is provided promptly for patients discharged to home from AMU and AEC., The Trust is committed to promoting a healthy work-life balance and achieve fair, equitable and consistent practice. We welcome flexible working requests and will consider a variety of flexible working arrangements from day one of your employment. Not all roles are suitable for every flexible working opportunity all of the time. Flexible working options may include reduced hours, compressed hours, fixed shifts, time back in lieu and home working. The Trust is committed to promoting equality and diversity; we value the contribution of individual talent, skills, knowledge and experience and aim for a workforce demography representative of the local community. We encourage applicants from the following groups that are currently under-represented in our workforce black, Asian and minority ethnic, lesbian, gay, bisexual and Transgender (LGBTQ+), disabled, male and age 16-24. Trust policy requires that the cost of submitting & processing the successful applicant/s DBS application be recovered via salary deduction following start in post. The amount of £23 (standard disclosure) or £43 (enhanced disclosure) will be deducted from salary, in manageable monthly instalments for up to 3 months following commencement of employment. Bank posts require upfront payment. DBS applications submitted from 2nd December will be subject to the new DBS fee of £26.50 (standard) and £54.50 (Enhanced). From April 2017, Skilled visa applicants and their adult dependant(s) will be required to provide a criminal record certificate from each country they have lived in consecutively for 12 months or more in the past ten years. Applicants requiring sponsorship may wish to determine the likelihood of obtaining sponsorship for this position by assessing themselves against the criteria on the gov.uk website - https://www.gov.uk/check-uk-visa. This organisation has a zero-tolerance approach to the abuse of children, young people and vulnerable adults. All staff must ensure they adhere to the organisations safeguarding children and adults' policy and comply with the Local Safeguarding Children and Adult Board procedures. Staff should be mindful of their responsibility to safeguard children and adults in any activity performed on behalf of the organisation in line with the requirements of statutory guidance and legislation. All employees (and volunteers)are expected maintain their safeguarding knowledge and skills by completing mandatory safeguarding training which includes understanding and recognising the signs of abuse and neglect and taking appropriate action. As an organisation, we have adopted the Merseyside Domestic abuse workplace scheme which supports our staff who are experiencing Domestic Abuse /any forms of sexual violence.


• MB ChB or equivalent medical qualification
• MRCP (UK) or equivalent
• CCT in acute medicine or GIM (General Internal Medicine) (or within 6 months)
• full registration with the GMC
Desirable criteria
• Additional post-graduate qualifications. CCT in acute Medicine, Appropriate knowledge base and ability to apply sound clinical judgement to problems. Demonstrates the necessary range, depth and breadth of competencies specified in the acute and general medicine curriculum and applying to this post., Demonstrates ability to undertake robust audit / research within team structure.
• Demonstrates range of teaching techniques relevant to variety of curricula,
Desirable criteria
• Evidence of teaching and assessment skills., You must have appropriate UK professional registration.
  
  Liverpool University Hospitals NHS Foundation Trust comprises Aintree University Hospital, Broadgreen Hospital & Royal Liverpool University Hospital.
We are part of NHS University Hospitals of Liverpool Group, formed on 1 Nov 2024 from the coming together of LUHFT and Liverpool Women's NHS Foundation Trust. The Group was born from a shared aim to improve the care we provide our patients. UHLG is one of the largest employers in the region, with over 16,800 colleagues dedicated to caring for our communities - from birth and beyond. For the 630,000 people across Merseyside, we are their local NHS. We provide general and emergency hospital care, alongside highly specialised regional services for more than two million people in the North West. Aintree University Hospital is the single receiving site for adult major trauma patients in Cheshire and Merseyside and hosts a number of regional services including an award-winning stroke facility. Broadgreen Hospital is home to elective surgical, diagnostic and treatment services, together with specialist patient rehabilitation. Liverpool Women's Hospital specialises in the health of women and babies, delivering over 7,200 babies in the UK's largest single site maternity hospital each year. The Royal Liverpool University Hospital is the largest hospital in the country to provide inpatients with 100% single bedrooms and focuses on complex planned care and specialist services.