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West Midlands Ambulance Service Medical Emergency Response and Intervention Team (MERIT) is a consultant-led doctorparamedic service based in Sandwell. This NHS-commissioned service operates 24 hours a day, responding by road to emergencies across the West Midlands. The teams principal workload is major trauma, including hyper-acute transfer and retrieval, while also providing specialist support to selected medical emergencies. In addition, MERIT plays a key role in the Trusts planned response to major incidents. We are seeking to appoint experienced specialists in pre-hospital emergency medicine to our Consultant Bank. Successful candidates will deliver expert clinical care and provide leadership across the domains of quality improvement, education, patient safety, and clinical governance. Successful applicants will play a key role in developing the clinical service in keeping with our vision of delivering the highest levels of clinical care in prehospital emergency medicine to the people of the West Midlands.
Job Responsibility:
To deliver expert pre-hospital care
To be prepared to provide medical expert input in the response to a major incident across a range of possible roles
To support the development and training of MERIT paramedics and sub-specialty PHEM trainees on attachment with the service
To engage constructively with the services clinical governance system
To practice in accordance with local standards, protocols and operating procedures as well as the principles of Good Medical Practice as described by the General Medical Council (GMC)
To demonstrate engagement with continuing professional development relevant to prehospital emergency medicine
The immediate response to emergency calls
Work to, understand and adhere to Clinical Governance requirements of WMAS Trust supported by the MERIT Clinical Lead
Provide immediate health input to the initial assessment of the scene to meet the needs of the patient, the Ambulance and Health Services, including casualty confirmation, triage and management
Participation as part of a crew in the provision of care, assistance and support as appropriate to patients with illness, injury, impaired mobility or any other physical or mental handicap
The lifting and carrying of patients (e.g., up and down stairs, in and out of their homes, from the scene of incidents, to and from the casualty clearing area or transport platform using appropriate lifting devices)
The transfer of patients from bed-to-stretcher, chair-to-chair or similar, both in and out of hospital
Assessment and diagnosis of patients conditions to provide effective use of equipment and medications supplied to offer treatment appropriate to the patients needs
Undertake the role of Casualty Clearing Medical Lead at large/major incidents
Responsible for appropriate choice of destination based on patient assessment, diagnosis, treatment and regional distribution matrices such as the Trauma Triage Tool and WMAS mass casualty distribution plan
The handing over of patients to appropriate staff on arrival at treatment centres, ensuring as far as practicable, the safety, comfort and well-being of patients
acting in a courteous and sympathetic manner
Presentation of a smart appearance incorporating current regulations relating to the wearing of uniforms and personal protective equipment in line with current West Midlands Ambulance Service policy and safety requirements
Maintain GMC registration, appraisal and revalidation as required by the GMC and follow the principles of the GMCs Good Medical Practice
Where indicated, provide anaesthesia and deliver emergency surgical procedures in line with policy directed by the MERIT Clinical Lead
Maintain communications with the Regional Coordination Centre (incorporating the Incident Command Desk, Regional Trauma Desk and Air Operations Desk) utilising the current radios and systems in place
Ensure documentation to support patient care is completed in line with Trust Policy and Procedures
Adherence to the code of conduct, operational instructions, quality procedures and other verbal or written instructions set out by West Midlands Ambulance Service NHS Foundation Trust currently or in the future
The accurate maintenance of all records as required by WMAS
Participate in the organisation and provision of selection and training of new staff
Undertake mentoring of new staff
Undertake work based training and operational assessment of all MERIT staff to ensure competence and appropriate development
The accurate completion of training and development documentation as required
Maintain systems in accordance with current WMAS/MERIT policies and procedures at base level
Undertake an annual review process with the Clinical Lead or nominated doctor and provide evidence to support all areas of practice
Support research and audit projects
Assist in all base domestic and admin duties including daily checks and cleaning where appropriate
Contribute to risk management processes as required
Staff will be required to demonstrate safe working practices in accordance with the European Working Time Directive alongside both primary employer and WMAS rules
Requirements:
Primary medical qualification (MBBS, MBChB, or equivalent)
Full GMC registration with a licence to practise
Fellowship in Immediate Medical Care (FIMC RCSEd)
A Certificate of Completion of Training (CCT), or equivalent, in Emergency Medicine, Anaesthesia, or Intensive Care Medicine
A substantive consultant appointment within their base specialty
Experience in prehospital emergency medicine in keeping with current requirements for sub-specialist accreditation from the Intercollegiate Board for Training in Prehospital Emergency Medicine (IBTPHEM)
Minimum 6 months experience in emergency medicine
Minimum 6 months experience in anaesthesia
Wide experience of teaching and training
Evidence of participation in clinical audit, quality improvement or academic research in the specialty of prehospital emergency medicine
Completion of postgraduate specialty training programme in Emergency Medicine, Anaesthesia or Intensive Care Medicine
Substantive consultant appointment in base specialty
Expertise in resuscitation, critical care and the management of both acute illness and injury in adults and children
Excellent communication and organisational skills
Ability to motivate others and demonstrate leadership
Ability to perform effectively under stress
Ability to reflect upon own strengths and weaknesses
Demonstration of continued commitment to the specialty of prehospital emergency medicine