Consultant in Accident and Emergency

Health and Care Jersey are seeking to appoint an enthusiastic and dynamic substantive Consultant in Accident and Emergency to join our welcoming consultant body.
Main duties of the job Lead and supervise the resuscitation, assessment, treatment and ongoing management of patients with life-threatening injury and illness within the Emergency Department. Work closely with Primary Care, hospital specialties and external services to ensure coordinated, high-quality patient care. Assess, review and manage patients across Resus, Majors and Minors areas, acting as Consultant in Charge and leading clinical shifts when required.
Collaborate with multidisciplinary teams to maintain performance against the Emergency Department 4-hour safety standard and associated quality measures. Participate in the Consultant on-call rota and provide clinical advice and support to primary care colleagues, consultants and wider services. Deliver personalised, evidence-based care plans, undertake timely reviews and interventions, and contribute to multidisciplinary team meetings where appropriate.
Maintain accurate medical records, including discharge documentation, and ensure appropriate clinical coding, audit and service monitoring. Adhere to local prescribing policies and infection prevention and control requirements, including current COVID-19 guidance. Provide clinical supervision, support and guidance to resident doctors and emergency nurse practitioners.
Provide cover for colleagues during periods of absence and demonstrate flexibility, adaptability and innovation to meet changing service needs, recognising that responsibilities may evolve in line with operational requirements.
About us About us
We aim to enable Islanders to live longer, healthier and productive lives. We provide safe, sustainable, affordable and integrated services in partnership with others.
These include the provision of a wide array of hospital services, social care and support in the community, such as:
providing hospital care including emergency care, intensive care and maternity services and in the UK when needed
providing social care services, and services in the community
monitoring and improvement of the quality of all services
the education and development of medical professionals
the provision of a coordinated approach to mental health care
offering free, private and confidential counselling services
influencing and creating conditions that allow people to improve their health, Job description Job responsibilities Here in Jersey, we have our own Health Care system, separate from the NHS. We are looking to develop and improve our healthcare services towards a modern, fully digitised, and future-proof system, in advance of our new hospital (planned to open in 2029). To do so we need fresh eyes, new ways of working and the next generation of Consultants to make our healthcare system the best it can be. We aim to provide high quality, safe and effective care to the 110,000 people living on the Island and those who visit. The hospital benefits from a fantastic educational centre with a full SIM lab and dedicated time for all to learn.
Aligned to the Wessex Deanery, we support and develop Foundation trainees as well as Clinical Fellows and SAS doctors. We encourage all our Consultants to fully engage with the education and training of our future generation of medical leaders.
Health and Care Jersey are seeking to appoint an enthusiastic and dynamic substantive Consultant in Accident and Emergency to join our welcoming consultant body. The successful candidate will be expected to work a minimum of 10 PAs, with the option of 12 PA to be discussed at interview if shortlisted.
Jersey is easily accessible from most regional airports in the UK and has good links with NHS tertiary centres , particularly with Southampton and London, which affords the successful candidates the ability to maintain links within the NHS. To support your transition to Jersey, we can provide a generous relocation and remuneration package, which is benefitted by lower taxation than within the UK.
The Government of Jersey is committed to safeguarding and promoting the welfare of vulnerable people (to include children) and requires all staff and volunteers to share this commitment. As this position will work with vulnerable people, the selection process will involve safeguarding measures and include an enhanced DBS check.
On-call commitment: The appointee will take part in the Emergency Medicine on-call rota of one in five.
Management Structure
Health and Care Jersey are a directorate of the Government of Jersey, that is responsible for the delivery of specialist health care and the running of the general hospital. The directorate is led by a Chief Officer, who leads an executive team. Health and Care Jersey (HCJ) is organised as a series of Care Groups, each with a senior leadership team consisting of a triumvirate model. This post is set within the Medical Care Group.
Medical Care Group
The Emergency Department sits within the Medical Care Group which comprises the following range of services: Stroke, Acute Assessment Unit, Cardiology, Clinical Investigations Department, Diabetes, Emergency Department, Frailty, Gastroenterology & Endoscopy, Haematology, Medical Day Unit, Medical Outpatients, Medical Wards, Neurology, Oncology, Palliative Medicine, Pathology, Renal Medicine, Respiratory, Rheumatology, Sexual Health, Stroke.
Medicine in Jersey is fully age and specialty integrated. There are 4 medical wards, Plemont, Rozel, Bartlett and Corbiere. A 5-bedded Enhanced Care Area is located in AAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit led by the Acute Medicine Department. There is a 25-bed Acute Assessment Unit.
SAS doctors are responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, Residents whom they closely supervise.
On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the AAU by GPs in conjunction with the Acute Medicine team. A core responsibility of the Medicine Care Group is the provision of a safe acute medical service. The Care Group always provides named Consultant supervision for non-Consultants and ensures that prompt review and treatment are provided for acute medical emergencies referred by General Practitioners or the Emergency Department.
Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area.
Care Group Statistics
There are 87 medical beds. 12-20 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24. There are approximately 4,500 medical admissions annually.
In addition to outpatient clinics and 4 general medical wards containing 83 beds, the Medical Service Care Group is involved in the management of several specialist facilities. These include:
20 bedded Acute Assessment Unit (AAU)
5 bedded Enhanced Care Area (ECA)
A well-equipped Clinical Investigations Department providing echocardiography, exercise ECG, respiratory assessment and GI physiology.
An endoscopy suite providing a full range of endoscopy and bronchoscopy services.
Diabetes Centre providing outpatient care for the diabetic population of Jersey, including retinal photography and specialist nursing support.
Renal/Dialysis unit, providing emergency, acute and longer-term renal support as well as management of transplanted patients and assessment and treatment of renal conditions.
6 bedded isolation area for infected or neutropenic patients.
This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time, and this description will be subject to review in consultation with the post holder.
Proposed Job Plan
All consultants have a 10 PA contract for public work, which is divided into 8 DCCs (including on call) and 2 SPA per week (1 SPA for CPD and 1 SPA job planned for a departmental activity).
Provision for break times will be provided between AM and PM sessions.
The final job plan will be agreed with the Clinical Director for the Emergency Department and General Manager for Medicine and subsequently the Chief of Service for Medicine, before final approval with the Medical Director. The post holders job plan will be reviewed annually and will be appraised according to the current guidance., Job responsibilities Here in Jersey, we have our own Health Care system, separate from the NHS. We are looking to develop and improve our healthcare services towards a modern, fully digitised, and future-proof system, in advance of our new hospital (planned to open in 2029). To do so we need fresh eyes, new ways of working and the next generation of Consultants to make our healthcare system the best it can be. We aim to provide high quality, safe and effective care to the 110,000 people living on the Island and those who visit. The hospital benefits from a fantastic educational centre with a full SIM lab and dedicated time for all to learn.
Aligned to the Wessex Deanery, we support and develop Foundation trainees as well as Clinical Fellows and SAS doctors. We encourage all our Consultants to fully engage with the education and training of our future generation of medical leaders.
Health and Care Jersey are seeking to appoint an enthusiastic and dynamic substantive Consultant in Accident and Emergency to join our welcoming consultant body. The successful candidate will be expected to work a minimum of 10 PAs, with the option of 12 PA to be discussed at interview if shortlisted.
Jersey is easily accessible from most regional airports in the UK and has good links with NHS tertiary centres , particularly with Southampton and London, which affords the successful candidates the ability to maintain links within the NHS. To support your transition to Jersey, we can provide a generous relocation and remuneration package, which is benefitted by lower taxation than within the UK.
The Government of Jersey is committed to safeguarding and promoting the welfare of vulnerable people (to include children) and requires all staff and volunteers to share this commitment. As this position will work with vulnerable people, the selection process will involve safeguarding measures and include an enhanced DBS check.
On-call commitment: The appointee will take part in the Emergency Medicine on-call rota of one in five.
Management Structure
Health and Care Jersey are a directorate of the Government of Jersey, that is responsible for the delivery of specialist health care and the running of the general hospital. The directorate is led by a Chief Officer, who leads an executive team. Health and Care Jersey (HCJ) is organised as a series of Care Groups, each with a senior leadership team consisting of a triumvirate model. This post is set within the Medical Care Group.
Medical Care Group
The Emergency Department sits within the Medical Care Group which comprises the following range of services: Stroke, Acute Assessment Unit, Cardiology, Clinical Investigations Department, Diabetes, Emergency Department, Frailty, Gastroenterology & Endoscopy, Haematology, Medical Day Unit, Medical Outpatients, Medical Wards, Neurology, Oncology, Palliative Medicine, Pathology, Renal Medicine, Respiratory, Rheumatology, Sexual Health, Stroke.
Medicine in Jersey is fully age and specialty integrated. There are 4 medical wards, Plemont, Rozel, Bartlett and Corbiere. A 5-bedded Enhanced Care Area is located in AAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit led by the Acute Medicine Department. There is a 25-bed Acute Assessment Unit.
SAS doctors are responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, Residents whom they closely supervise.
On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the AAU by GPs in conjunction with the Acute Medicine team. A core responsibility of the Medicine Care Group is the provision of a safe acute medical service. The Care Group always provides named Consultant supervision for non-Consultants and ensures that prompt review and treatment are provided for acute medical emergencies referred by General Practitioners or the Emergency Department.
Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area.
Care Group Statistics
There are 87 medical beds. 12-20 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24. There are approximately 4,500 medical admissions annually.
In addition to outpatient clinics and 4 general medical wards containing 83 beds, the Medical Service Care Group is involved in the management of several specialist facilities. These include:
20 bedded Acute Assessment Unit (AAU)
5 bedded Enhanced Care Area (ECA)
A well-equipped Clinical Investigations Department providing echocardiography, exercise ECG, respiratory assessment and GI physiology.
An endoscopy suite providing a full range of endoscopy and bronchoscopy services.
Diabetes Centre providing outpatient care for the diabetic population of Jersey, including retinal photography and specialist nursing support.
Renal/Dialysis unit, providing emergency, acute and longer-term renal support as well as management of transplanted patients and assessment and treatment of renal conditions.
6 bedded isolation area for infected or neutropenic patients.
This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time, and this description will be subject to review in consultation with the post holder.
Proposed Job Plan
All consultants have a 10 PA contract for public work, which is divided into 8 DCCs (including on call) and 2 SPA per week (1 SPA for CPD and 1 SPA job planned for a departmental activity).
Provision for break times will be provided between AM and PM sessions.
The final job plan will be agreed with the Clinical Director for the Emergency Department and General Manager for Medicine and subsequently the Chief of Service for Medicine, before final approval with the Medical Director. The post holders job plan will be reviewed annually and will be appraised according to the current guidance.

Full Registration with the General Medical Council (GMC) with a Licence to practise, for overseas candidates it is mandatory that a licence is obtained prior to appointment.
Higher Specialty qualification: FRCEM or equivalent European Qualifications for Specialist Registration
To have obtained CCT and be on specialist register
To have obtained CESR and be on specialist register or,
Within 6 months of obtaining CCT with recommendation of programme director
ALS, ATLS/ETC, APLS/EPLS provider status

Desirable Higher Degree MSc, MD or PhD or equivalent
ALS, ATLS/ETC, APLS/EPLS trainer status, Relevant experience at a consultant level in a similar setting
Leadership skills in managing change within healthcare services

Experience Essential Wide experience in emergency medicine
Evidence of successful interface between secondary and primary care
Enthusiastic Teacher
Management responsibility/leadership experience

Desirable Participation on an emergency medicine on-call rota at a consultant level

Specialist Experience Essential Ultrasound qualifications

Desirable Major Trauma Centre experience
Pre-Hospital experience
Specialist interest

Leadership and Management Skills Essential Ability to work flexibly with colleagues to provide services
Ability to work effectively within a multi-disciplinary team, motivating and influencing others through their enthusiasm
Ability to communicate effectively with colleagues, patients, relatives, GPs, management teams and external stakeholders
Highly motivated
Able to work within a multidisciplinary team
Experience of teaching, training and supervision of junior medical staff and undergraduate students
An understanding of and ability to demonstrate ability to
Empower others
Lead through change
Influence strategically
Collaborative working
Drive for Improvement
Demonstrate Integrity

Personal Attributes Essential Able to work flexibly in a changing health service
Ability to work as part of a team
Effective communicator

Other Essential Participation in clinical audit and risk management activities
Demonstrates a commitment to safeguarding young people and vulnerable adults
Evidence of annual appraisal

Desirable Experience of service planning and development
Evidence of research and publication in peer reviewed journals
IT literate
All employees are required to:
ensure appropriate job plan is in place
adhere to the Standards in Public Services
understand your personal responsibilities in respect of health and safety at work
Undertake mandatory training, assessments, and appraisals within mandated timescales, Qualifications Essential Primary Medical Degree
Full Registration with the General Medical Council (GMC) with a Licence to practise, for overseas candidates it is mandatory that a licence is obtained prior to appointment.
Higher Specialty qualification: FRCEM or equivalent European Qualifications for Specialist Registration
To have obtained CCT and be on specialist register
To have obtained CESR and be on specialist register or,
Within 6 months of obtaining CCT with recommendation of programme director
ALS, ATLS/ETC, APLS/EPLS provider status

Desirable Higher Degree MSc, MD or PhD or equivalent
ALS, ATLS/ETC, APLS/EPLS trainer status
Relevant experience at a consultant level in a similar setting
Leadership skills in managing change within healthcare servi...