Specialty Doctor

This level of experience is generally required for a Specialty Doctor post, however, we will consider keen applicants with less postgraduate experience. This post generally rotates six monthly, between the inpatient beds at Duchess of Kent Hopsice, and the South East community palliative care team, covering Berkshire West and South Oxfordshire, however, this may change depending on staffing / the needs of the service. There is an expectation that the post-holder will have the flexibility to cover other parts of the service (detailed below) occasionally, depending on clinical need. The post is comprised of 6PAs per week (plus 1.2PA on call) over Monday, Wednesday and Thursday, however, we would welcome the opportunity to discuss the potential for flexibility regarding the number of sessions / days worked with interested candidates. The Department of Palliative Medicine The Sue Ryder teams work closely with the Royal Berkshire Hospital palliative care team, to provide specialist inpatient and community palliative care for patients in West Berkshire, and South Oxfordshire. The present medical staffing is as follows: Dr Hannah Western,

Consultant and Clinical Lead

• South East Community Team Dr Sam Krauze,

Consultant

• South East Community Team - Royal Berkshire Hospital Dr Annabel Borthwick,

Consultant

• South East Community Team - Royal Berkshire Hospital Dr Emilia Moretto,

Consultant

• Duchess of Kent Hospice - South East Community Team Dr Sophie Price,

Consultant

• Duchess of Kent Hospice - South East Community Team Dr Sorayya Alam,

Consultant (Locum)

• South East Community Team - West Berkshire Community Hospital Dr Mareike Broecker,

Specialty Doctor

• South East Community Team Dr Charlotte Tasker,

Specialty Doctor

• South East Community Team Specialty Registrar rotates annually IMT3 - rotates six-monthly F2 rotates four-monthly There are well developed multi-disciplinary teams working across all settings, including physiotherapy, occupational therapy and a wellbeing service. Duchess of Kent Hospice, Reading The inpatient unit in Reading consists of ten beds, in individual rooms, all of which have access to the gardens. South East Community Team, Theale and Preston Crowmarsh The community services covering Berkshire West and South Oxfordshire are based in BizSpace, Theale, and Battle Barns, Preston Crowmarsh. They operate between 8AM and 8PM seven days a week, as well as running a 24hr CNS advice line. The community service also runs a virtual ward, and provide care through their Hospice at Home service. West Berkshire Community Hospital, Thatcham There are up to eight inpatient palliative care beds, over two wards within West Berkshire Community Hospital. These include three enhanced Rainbow Rooms providing end of life care. Wallingford Community Hospital, Wallingford There are two inpatient beds, managed in collaboration with Oxford Health NHS Foundation Trust, in Wallingford Community Hospital. Royal Berkshire Hospital, Reading The hospital palliative care team in based in the Royal Berkshire Hospital, Reading, and is led by a nurse consultant, supported by medical consultants, palliative care CNSs / nurses, occupational therapists and a counsellor. The team operates between 8AM and 4PM seven days a week. The appointment The post-holder is expected to maintain their professional development in line with the guidance laid down by the Royal College of Physicians or Royal College of General Practitioners. They are expected to undergo annual appraisal. The responsible officer for the post-holder is the Sue Ryder Medical Director, Dr Paul Perkins. Managerially, the post-holder will be responsible to the consultants at the South Oxfordshire Palliative Care Hub, as well as the Hospice Director. Study leave is available with a supporting budget. Principle duties In association with other members of the team: - To assist with triage of new referrals to the service - To assist with responding to calls into the service providing advice and triaging appropriately using the resources available to you both within the service, as well as those provided externally - To undertake urgent reviews of patients, both at home or as an outpatient - To review patients under the care of the team in Wallingford Community Hospital - To cooperate with other members of the multi-disciplinary team in ensuring ongoing optimum symptom control for patients, taking into account the physical, psycho-social and spiritual elements of those symptoms - To cooperate with the other members of the multi-disciplinary team in the support of relatives and carers of patients - To maintain accurate and comprehensive records - To cross cover the Duchess of Kent inpatient unit, and other parts of the service, as necessary (including for leave / illness) - To provide a first on call service for the inpatient unit - To contribute to the teaching and supervision of the junior medical team, as well as other staff groups Education and training The post-holder will be expected to participate in the hospice education programme, including the journal club and sessions for resident doctors. The post-holder will be required to participate in all mandatory training sessions as required. There are opportunities for the post-holder to become engaged in a range of educational activities for colleagues of all disciplines. Clinical governance The successful applicant will be expected to contribute to medical audit, quality improvement projects and clinical governance. Proposed job plan Although all doctors within the service work to the framework of a job plan, there is a longstanding culture within the department where colleagues cross-cover sessions in most areas when necessary, to ensure the smooth and efficient running of the department.

Duchess of Kent Hospice

Mon AM 09:00 Handover 09:30 Consultant Ward Round PM 13:00 Ward work / clerking of new admissions Wed AM 09:00 Handover 09:30 Specialty Doctor ward round PM 13:00 Ward work / clerking of new admissions Thu AM 09:00 SPA 11:00 Ward MDT PM 13:00 Consultant Ward Round 16:00 Ward work / clerking of new admissions

South East Community Team

Mon AM 09:00 Virtual Ward Handover 09:30 West MDT 10:30 Community Visits / Outpatient Appointments PM 13:00 Community Visits / Outpatient Appointments 16:00 Patient Administration Wed AM 09:00 Virtual Ward Handover 09:30 West MDT 10:30 Community Visits / Outpatient Appointments PM 13:00 Community Visits / Outpatient Appointments 16:00 Patient Administration Thu AM 09:00 Virtual Ward Handover 09:30 SPA PM 13:00 Community Visits / Outpatient Appointments 16:00 Patient Administration Other information The list of duties and responsibilities given is not an exhaustive list and the post-holder may be asked to undertake other duties in line with the overall purpose of the post as required by the Clinical Lead from time to time. The successful candidate will be required to comply with pre-employment checks prior to taking up the appointment. Referees are required upon application - one must be a current employer. References are required to cover a minimum of the last three years employment. An enhanced disclosure and barring check will be undertaken for this role. Interested candidates may visit the service by arrangement. For further information, or to arrange a visit, please contact Charlotte Passman (Medical Secretary) on 0330 053 6092, or email either Dr Hannah Western (hannah.western@sueryder.org), or Dr Sam Krauze (sam.krauze@sueryder.org). Person specification Essential Desirable Qualifications Full GMC registration Additional qualifications in Palliative Medicine MRCP or equivalent Clinical experience Completed core / internal medical training, or training in general practice Experience in Palliative Medicine Academic Evidence of active involvement in audit Understanding of clinical governance Evidence of a good knowledge base of clinical research processes, and ability to utilise evidence based practice Management skills Able to organise oneself and prioritise clinical workload IT skills, especially use of databases Teaching skills Evidence of education expertise and experience Experience of using reflection on practice incidents and the ability to learn from incidents Communication and interpersonal skills Evidence of effective team working Caring attitude to patients Excellent communication skills Excellent interpersonal skills Physical requirements Meets professional health requirements Other Full driving licence