Clinical Fellow

The average day consists of arriving at 9am at the Virtual Ward hub at the Royal Berkshire Hospital site. Working within a multidisciplinary team, consisting of Consultants, Physician Associates, Nursing Staff, Pharmacists and Clinical Admin, the post holder will support the management of patients remotely in a place they call home.

• To take part in the management of patients that meet the eligibility criteria to be managed by the VHS.
• The successful candidate is expected to work 5 days per week (can negotiate for less than full time if required) on site at the Royal Berkshire Hospital or remotely, dependant on roster.
• To support in the development of the VHS across care pathways at the RBFT, ensuring safe and high quality care is provided.
• Setting patients up with virtual monitoring kit on the wards, and educating patients about how to monitor their obs and symptoms.
• Actively be involved in clinical governance, patient safety and quality., General
• Ensure that patient experience, patient safety and clinical effectiveness are of the highest standard, meeting national and local outcome measures and standards.
• Role model Trust leadership behaviours.
• Cultivate an open & honest culture where people feel able to raise concerns & share good practice.
• Ensure effective implementation of all Trust policies, procedures and standards within the wards/departments.
• Ensure the clinical area practice within Data Protection/ Confidentiality/ Caldicott principles.
• Work collaboratively with clinical and non-clinical colleagues across the Trust to ensure effective and efficient delivery of services.
• Ensure that effective communication processes are in place.
• Contribute to the development of a high performance culture for the directorate.
• To identify modernising opportunities to utilise digital opportunities to enhance care, patient empowerment and communication.
Clinical and Quality
• Supports the Trust capacity and flow processes to ensure patients access the care needed at the appropriate time and receive their care in the right clinical setting.
• Actively support the process to discharge patients safely and timely, which requires helping ward teams to set patients up with remote monitoring kit and explaining to patients how to use it.
• To review VHS patients with daily contact through the most appropriate medium, including patient symptom assessment and observations. To interpret findings and form a list of differential diagnoses and a treatment plan.
• To undertake a full virtual clerking of patients on admission to the VH service, ensuring patients have the necessary information and target reading upon discharge from hospital and (re)admission to the VH, clarifying with the discharging team whenever necessary.
• Communicate with primary care services to ensure continuity of care and coordinate readmission of patients who are deteriorating in the community.
• Maintains timely, accurate and appropriate documentation, whilst communicating the outcome of clinical encounters to GPs and other health professional in a timely manner.
• Foster good relationships by working collaboratively with the multidisciplinary team.
• To ensure wards have appropriate equipment to provide to patients on discharge and transfer into the VH.
• Close interaction and care coordination with maternity triage service for the management of pregnant women.
• Instructing and counselling patients & their relatives with regard to mental and physical health issues.
• Supporting and contributing to timely discharge planning including completing discharge summaries and support optimising bed capacity.
• Work to improve the quality of patient experience within the directorate.
• Participating in writing up service evaluation results
• Contribute to achieving and maintaining financial sustainability of the VHS.
• Identify opportunities to improve quality and deliver best value for the VH service.
Teaching and Training
• Participate in the development and expansion of the service including:
• + Attending teaching and developing skills on literature review. + Engaging in collecting data and patient feedback. + Proactive role in developing pathways, including literature research. Personal Development
• Takes responsibility for attending statutory and mandatory training in accordance with the Trusts' training needs analysis and mandatory training matrix. Makes effective use of e-learning opportunities to achieve compliance with mandatory training.
• Takes responsibility for own continuing professional development and performance, maintaining own portfolio in accordance with Professional body revalidation requirements. Is able to identify own development needs in relation to current practice and future plans, setting personal development objectives.
  
  This is a full time post covering 7 days between 09:00 - 17:00hrs. The roster will reflect the need to provide cover at approximately 1.5 in 4 weekends. The services operates a hybrid model of working, where the ability to work away from the acute site and at home remotely is an attractive opportunity. This will based on the service coverage., MBBS or equivalent
• GMC full registration
• Completed Foundation training
Desirable criteria
• Management/leadership qualification or equivalent experience at postgraduate level, Essential criteria
• Ability to organise, prioritise workload and take responsibility for the clinical care of patients under the supervision of the medical team
Desirable criteria
• Clinical experience and training in virtual hospital services
• Experience of service design and improvement
• Experience of conducting clinical audit and/or quality improvement projects
__________________________________________________ We are NOT able to carry out telephone interviews thus applicants must be prepared to travel for an interview. All new appointments to the Trust, with the exception of executive positions, are subject to a probationary period. No unsolicited recruitment agency telephone calls or emails. All applicants must be able to speak fluent English to an appropriate standard which will be assessed at Interview. This is in order to comply with Part 7 of the Immigration Act 2016., You must have appropriate UK professional registration.

Royal Berkshire Hospital are pleased to announce that following our CQC inspection we have been rated 'Good' with inspectors reporting that we have made significant improvements. The Trust's overall rating has also improved to 'good'. This is a great opportunity to join our clinical or non-clinical teams to create a positive and motivating environment within our trust. Come and join our team in this exciting time of change as we pride ourselves, our staff and our services on excellence. At the Royal Berkshire NHS Foundation Trust we put our patients at the heart of every element of health and care that we provide. The Trust works together as a community to deliver its vision which is "Working together to provide outstanding care for our community." We are Compassionate in our thoughts, words and actions We are Aspirational and have a true desire to be dynamic and to innovate We are Resourceful and responsible in the way we work and live We are Excellent in our development, fairness and sharing best practice Amazing things happen at the Royal Berkshire NHS Foundation Trust; delivered by amazing people so why don't you come and join us. We offer a range of learning and development for all employees may you be clinical or non-clinical. Diversity is what makes us interesting… Inclusion is what will make us outstanding. Inequality exists and the journey to eliminate it is not easy. Every step we take will be a purposeful step forward to deliver a truly inclusive culture where all our people are enabled to deliver outstanding care, where background is no barrier, and where everyone can be their authentic self and we truly represent our patient community., The Virtual Hospital Services (VHS) team at the Royal Berkshire Foundation Trust (RBFT) is forward thinking and dynamic, always willing to embrace new ways of working that benefit our patients. This is an exciting opportunity to help to continue the development and management of the RBFT's VHS directorate., The Trust is based in Reading, which sits on the river Thames, and is served by great road and rail links to London, Oxford and Southampton. With excelled leisure and shopping facilities, and a thriving cultural scene, Reading is a wonderful place to live and work. The CQC recently rated the care provided by the Royal Berkshire Foundation Trusts as Good. We have many opportunities for development and have been awarded University Status by the University of Reading.