Prehospital Immediate Care and Trauma Medic Doctor

NHS HIGHLAND

RAIGMORE HOSPITAL, INVERNESS

PREHOSPITAL IMMEDIATE CARE AND TRAUMA (PICT) RESPONSE TEAM DOCTOR

Part-time Post 1PA (paid per week) to provide a 12hr Shift and annual leave

We need individuals who have a solid grounding in pre-hospital emergency care to join our extremely friendly and clinically dynamic team and help us deliver care to the ever growing population of the Highlands. Due to a member of the team reducing hours, NHS Highland is looking to recruit an individual on a part time substantive basis, providing the ‘PICT Doctor’ role within the joint Doctor/Advanced Practitioner PICT response team that operates from the Emergency Department at Raigmore Hospital in Inverness. The team has been providing emergency care to the Highlands for the past six years.

The Advanced Practitioner role within the team is itself undergoing continued training, progression and investment from both SAS and NHSH with a mixture of fully trained and trainee post-holders providing the roster for the other half of our team. Their training and clinical governance arrangements fall under an agreed MOU between SAS and NHSH.

Your core experience could be in one of a range of clinical roles – including both primary and secondary care. The case mix comprises the entire cross section of emergency work, notably targeting major trauma, cardiac arrest, paediatric and medical emergencies and multiple casualty incidents.

The challenges for a doctor providing ‘ED Outreach’ and all that entails in our often remote and rural population are academically and physically demanding. The senior decision-maker role of PICT doctor carries a very high level of clinical risk management for emergency patients at scene, in radio and phone triage of cases for attendance, and in direct professional to professional decision support for ambulance staff attending patients planning to convey to the Trauma Unit at Raigmore. Whilst the core role and majority of workload is in the primary prehospital attendance at such cases, the team are also regularly engaged in providing medical escort for transfer of unwell patients into hospital and providing clinical interventions to patients within the Trauma Unit ED itself that do not compromise their immediate availability for prehospital tasking. As such we seek doctors with the professional seniority, prehospital training and experience necessary to perform as the senior decision-maker in a team of advanced generalists and ideally to come with experience of working within such doctor/advanced practitioner response teams.

Those suitable for short-listing will have already spent time training and working at the level expected of pre-hospital doctors working for the Scottish Ambulance Service as per the existing BASICS Scotland / SAS Memorandum of Understanding 2019. Procedural competencies in a broad range of clinical interventions are set as essential criteria for application and as minimum standards prior to sign-off for working in the team. With prehospital emergency medicine in constant development, it is expected that treatments and procedures deployed by the team will continue to develop over time but with appropriate training and governance implemented before clinical deployment. There is a robust clinical governance framework in place with direct case review and interrogation in regular team meetings. As such we seek doctors as keen to learn as they are to teach.

It is envisaged that successful applicant will take on this role as a relatively small time commitment in contrast to that of their duties in their main employment. With 1PA per week translating to one 12 hour shift per month with prospective cover, the doctor will need to confirm with their service/practice manager that they can be released from other activity in their job plan or increase their number of PAs worked up to 12.

The successful implementation of this appointmenta requires time commitments from individuals within a large team to provide a resilient 365 day service. Remuneration for successful candidates from a hospital-based background is set to the pay scale and seniority point of their current professional pay scale eg Consultant, Specialty Doctor. Successful candidates holding a CCT in General Practice will be placed at an appropriate point dependent upon experience since obtaining their GP CCT on the Rural Practitioner / Emergency Practitioner pay scale.

PICT response team shifts run for 12 hours 11:00-23:00, seven days a week.

Informal enquiries would be welcomed by Dr Luke Regan, Clinical Lead for PICT, Tel 01463 706525

Closing date: 08/08/2024

Job Reference: MS14 193382

NHS Scotland is committed to encouraging equality and diversity among our workforce and eliminating unlawful discrimination. The aim is for our workforce to be truly representative and for each employee to feel respected and able to give their best. To this end, NHS Scotland welcomes applications from all sections of society.

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