Job Title : Part Time Doctor
Leopardstown Park Hospital is a public voluntary hospital with 127 inpatient beds subject to regulation by HIQA. It provides specialist older people's services in the areas of rehabilitation, day services and residential care. The Doctor performs direct clinical care and associated resident/patient medical related activities, including interdisciplinary meetings, family meetings and other relevant activities. The Doctor liaises with external and internal stakeholders to ensure optimal delivery and management of care to residents and patients and participates in key internal groups including Integrated Quality & Safety Committee, Medication Safety Committee, Clevis selection Committee and contributes, as appropriate, to the development and implementation of organisational policy in related areas.
Purpose of the Post
This post holder will provide direct clinical care and all associated resident medical related activities, including participation in interdisciplinary meetings, family meetings, participate and conduct clinical audits and other relevant activities. The post holder will be required to consult with other members of the interdisciplinary teams and input as appropriate into the development and implementation of organisational policy in related areas
Reporting Relationship
This position reports to the Senior Doctor and works with the Director Of Nursing (PIC) HSCPs and administrative staff
Principal Duties and Responsibilities
Clinical/Professional Related Responsibilities:
The post of doctor carries responsibility for clinical management of the allocated residential, welfare, and rehabilitation care services.
The Doctor will take overall responsibility for the co-ordination of medical services and will lead / facilitate the functioning of the interdisciplinary team delivering resident care for their assigned areas, in association with the Senior Doctor. As part of this process the post holder will attend interdisciplinary meetings, case conferences, family meetings and reviews of patients, residents and clients as required.
The Doctor will develop and maintain excellent working relationships and collaboration with external medical providers including, but not exclusively, Consultant Geriatricians, out-of-hour GP medical services, Frailty team, general practitioners, national ambulance service, Emergency Department and Coroner.
The post holder is responsible for the maintenance of appropriate medical clinical records in respect of all the people they provide service to.
It is Hospital Policy that generic forms of drugs be prescribed and that there is a strong focus on antimicrobial stewardship.
To liaise regularly with Pharmacist on review of residents' medication, charts and retain adequate resident records. This includes medication optimisation for each resident.
In conjunction with the Senior Doctor and Pharmacist agree a hospital formulary and to use generic drugs where appropriate.
To conduct assessments of the capacity of residents where requested and as necessary, including writing reports for court-related processes such as Ward of Court, capacity assessment, assisted decision making.
The Doctor will offer assistance and advice to staff in case of urgency/ or emergency at the hospital.
In conjunction with the appropriate authority, to conduct such preventative measures e.g., immunisation, vaccination etc. as may be necessary.
The Doctor will advise Clinical Nurse Managers/nurses on medical/ clinical care and, where appropriate, will consult with the person' s treating consultant(s).
The Doctor will notify immediately the Senior Doctor, Chief Executive and I or the Director of Nursing and other appropriate authority of any case of infection or suspected infectious disease in the hospital and to furnish such particulars as may be required about each case.
Manage own caseload in accordance with the needs of the post.
Participate in teams as appropriate, communicating and working in co-operation with other team members.
Initiate and/or participate in research studies as appropriate.
Management Related Duties:
To comply with the provisions of the Freedom of Information Act, GDPR, data subject access requests regarding requests for release of information to clients and work closely with the Resident Services Manager in this regard
To issue to or in respect of any resident under his care in the hospital without payment by or on behalf of the resident, or by the Health Service executive, any certificates which might reasonably be required by such resident in regard to the state of his health in connection with entitlement to benefit under any scheme of Social Insurance or Assistance.
To report in writing to the Senior Doctor, Chief Executive, Director of Nursing, any matter affecting the health of people in the hospital, any defects in support services or other arrangements of the hospital, or any defect which may affect the safe care of residents.
The post holder will be expected to keep up to date with developments in the medical field particularly regarding the needs which have to be addressed within the hospital.
Provide support, advice and directions to staff as required!
Engage with the wider team and facilitate team building.
Facilitate communication at unit level and within the senior nursing team.
Provide staff leadership and motivation which is conducive to good working relations and work performance.
Self-Development:
To maintain, update and develop knowledge on relevant professional issues and current healthcare trends.
To develop and maintain personal practice skills and competencies. Identify your own education and practice needs and take steps to achieve the same.
To ensure own mandatory training requirements are fully up to date.
Be appropriately skilled in the use of I.T. applications to facilitate delivery of the medical role, including but not exclusively, use of electronic patient records, electronic prescribing, e-referral, mobile Xray referral and reporting & Microsoft office products.
Relationships with Other Agencies:
The Doctor will maintain a close liaison and a good working relationship with the referring Consultant Geriatricians and other Consultants on a resident specific basis.
To coordinate with external medical providers.
To refer as appropriate to external medical practitioners, as clinically indicated.
Excellent understanding of HIQA Standards for Residential Care and Rehabilitation standards of care and ability to apply these standards to practices in the Hospital as relevant in the role.
Enhance and facilitate professional development of staff within organisation policy and service need. Facilitate education sessions as required.
This Job Description indicates the main responsibilities and duties of the post and is subject to review and amendment to meet the changing needs of the hospital Service. The extent and speed of change in the delivery of health care is such that adaptability is essential. The incumbent will be required to establish, maintain, enhance, and develop their professional knowledge, skills, and aptitudes to respond to a developing service situation.
Eligibility Criteria
Qualifications and/ or experience
Full registration in the General Register of Medical Practitioners maintained by the Medical Council in Ireland or entitlement to be so registered
Qualified General Physician/Geriatrician.
Possession of recognised experience I qualification in services for older people.
Applications for resources for CME, relevant to the work on which the Doctor Officer is engaged, will be determined by the Board in consultation with the Senior Doctor, Chief Executive and the post-holder
Other Requirements
Show innovation and creativity.
Ability to motivate self and others.
Demonstrate flexibility.
Ability to proactively and positively collaborate with other members of the team.
Supportive role towards staff and relatives
Terms and Conditions of Employment
Remuneration
Remuneration is in accordance with Department of Health/ Health Service Executive consolidated pay scales. These scales may be amended from time to time. The current salary scale attached to this post is: Senior Registrar Pay Scale ranging from €81,381 to €99,601 (7 points) per annum, based on a 35-hour week.
Period Of Contract
This is a part time permanent position, Monday to Friday. You will be required to be flexible in line with the demands of the department and may be required to attend outside of these days
Scope Of contract
In addition to in-patient activity, the Doctor will also advise on clinical issues relating to the day care centres and, where considered appropriate, will advise other nursing and Health & Social Care Professionals on clinical care. Increasing collaboration with both the acute and community healthcare systems is a key Hospital strategic aim and the Doctor will be expected to play a key role in this.
Working Week
The working week will be 17.5 hours / normal hours between 09:00 and 17:00. However, the post holder may be required to attend outside of these hours.
The post holder be required to notify the Senior Doctor or Chief Executive of an inability to attend work due to illness or other reason as early as possible on the first day of non- attendance. If absence due to illness is likely to continue for more than two working days - the Senior Doctor should be informed with where possible about the anticipated duration of absence. Illness requiring absence for three days will require the covered by medical certificates.
Annual Leave
The annual leave attached to this post is 30 days per annum based on a 35 hour week.
Notice Period
The minimum period of notice will be 3 months as set out in the contract of employment
A full Job Specification is available on request
For informal enquiries please contact: bernadettecarr @lph.ie (Senior Dr.) or [email protected] (CEO)
Leopardstown Park Hospital is an equal opportunities employer
