Consultant in Acute Medicine

This is an exciting opportunity to join a progressive Acute Medicine Unit at Aintree University Hospital, part of Liverpool University Hospitals NHS Foundation Trust. The post supports the Trust's strong commitment to Acute Medicine and to delivering timely, consultant-led care during peak demand periods, ensuring rapid assessment, treatment and safe decision-making for acutely unwell medical patients. The service includes a well-established Ambulatory Emergency Care (AEC) Unit, supporting same-day assessment, treatment and admission avoidance, alongside a rapid assessment, flow-focused Acute Medical Unit model delivered through regular board rounds and close multidisciplinary working. In February 2023, Acute Medicine relocated to a bespoke front-door facility co-located with the Emergency Department, strengthening integration and enabling earlier senior clinical decision-making. The service currently provides consultant presence 12 hours per day, 7 days per week, delivered by Acute Medicine and Medical Division colleagues. With further substantive consultant appointments, this model will increasingly be delivered by the Acute Medicine Directorate, supported by inpatient specialty in-reach. This post offers the opportunity to contribute to the continued development of a high-performing front-door Acute Medicine service, with a strong focus on quality, patient flow, innovation and multidisciplinary working.,

• Provide timely senior clinical assessment and decision-making for acutely unwell medical patients at the hospital front door.
• Lead and supervise the acute medical take, ensuring safe, efficient triage, investigation and management, including admission avoidance and same-day discharge where appropriate.
• Deliver consultant-led care on the Acute Medical Unit (AMU), including ongoing responsibility for patients until transfer to specialty care or discharge.
• Undertake consultant ward rounds and board rounds, working with nursing and operational teams to optimise flow and bed utilisation.
• Provide senior clinical oversight and support to junior medical staff, including complex decision-making and high-risk situations.
• Contribute to the development of front-door, ambulatory and acute medicine models, and to clinical governance, quality improvement, education and service development., The Consultant in Acute Medicine will be based within the Acute Medical Unit (AMU) at Aintree University Hospital, which provides front-door assessment and management for acutely unwell medical patients.
The AMU comprises:
• A 13-space trolleyed assessment area (MAB/FAB) for acute medical assessments
• Two side rooms and a four-bed High Care Area
• A dedicated drop-off bay for rapid initial patient assessment
• A co-located Ambulatory Emergency Care (AEC) Unit with six assessment rooms, a procedure room and a treatment bay/hub
• A 27-bed short stay unit (AMU 2) supporting ongoing acute medical care and early discharge
The Consultant will work within a multidisciplinary Acute Medicine team, currently comprising full-time Acute Medicine Consultants supported by Consultant Physicians from other medical specialties. The service is further supported by Acute Medicine Specialty Registrars, Clinical Fellows, GPVTS, IMT, ACCS and Foundation trainees, alongside Advanced Nurse Practitioners and Physician Associates. AMU Consultants work in close collaboration with the Emergency Department team, the on-call medical registrars, IMT trainees and Consultant Physicians across the Medical Directorate, providing senior clinical leadership and supporting the management of the acute medical take. The role includes liaison with General Practitioners regarding the suitability for admission of selected patients where there is diagnostic or management uncertainty, supported by a dedicated AEC advice phone line and access to rapid assessment clinic review. The Consultant will have responsibility for supervising junior medical staff, including ensuring that timely and high-quality discharge summaries are completed for patients discharged from both AMU and AEC, supporting safe transfer of care back to primary and community services. This post plays a key role in the continued development of an integrated, front-door Acute Medicine service, focused on rapid senior decision-making, admission avoidance, patient flow and high-quality acute care.


• MB ChB or equivalent medical qualification
• MRCP (UK) or equivalent
• CCT in acute medicine or GIM (General Internal Medicine) (or within 6 months)
• full registration with the GMC
Desirable criteria
• Additional post-graduate qualifications. CCT in acute Medicine, Appropriate knowledge base and ability to apply sound clinical judgement to problems. Demonstrates the necessary range, depth and breadth of competencies specified in the acute and general medicine curriculum and applying to this post., Demonstrates ability to undertake robust audit / research within team structure.
• Demonstrates range of teaching techniques relevant to variety of curricula,
Desirable criteria
• Evidence of teaching and assessment skills., You must have appropriate UK professional registration.
  
  Liverpool University Hospitals NHS Foundation Trust was created on 1 October 2019 following the merger of two adult acute Trusts, Aintree University Hospital NHS Foundation Trust and the Royal Liverpool and Broadgreen University Hospitals NHS Trust.
The merger provides an opportunity to reconfigure services in a way that provides the best healthcare services to the city and improves the quality of care and health outcomes that patients experience. The Trust runs Aintree University Hospital, Broadgreen Hospital, Liverpool University Dental Hospital and the Royal Liverpool University Hospital. It serves a core population of around 630,000 people across Merseyside as well as providing a range of highly specialist services to a catchment area of more than two million people in the North West region and beyond.

Note: Under current Home Office Immigration Rules we are currently unable to offer right to work visa sponsorship for Band 2 and 3 roles with a salary of less than £25,000 pa as they do not meet the UK Visas & Immigration criteria. Only those applicants who demonstrate clearly how they meet our person specification will be shortlisted for interview. We reserve the right to close any vacancies from further applications when we have received a minimum number of applications from which to make a shortlist. Please ensure you apply without delay if you wish to be considered for this role. Candidates applying for the role of Healthcare Assistant on the staff bank should note that due to the nature of the role, workers must be aged 18 or above when commencing in post. Applicants are therefore welcome from those aged over 18 or within 3 months' of their 18^th birthday. The Trust is committed to promoting a healthy work-life balance and achieve fair, equitable and consistent practice. We welcome flexible working requests and will consider a variety of flexible working arrangements from day one of your employment. Not all roles are suitable for every flexible working opportunity all of the time. Flexible working options may include reduced hours, compressed hours, fixed shifts, time back in lieu and home working. The Trust is committed to promoting equality and diversity; we value the contribution of individual talent, skills, knowledge and experience and aim for a workforce demography representative of the local community. We encourage applicants from the following groups that are currently under-represented in our workforce black, Asian and minority ethnic, lesbian, gay, bisexual and Transgender (LGBTQ+), disabled, male and age 16-24. Trust policy requires that the cost of submitting & processing the successful applicant/s DBS application be recovered via salary deduction following start in post. The amount of £26.50 (standard disclosure) or £54.50 (enhanced disclosure) will be deducted from salary, in manageable monthly instalments for up to 3 months following commencement of employment. Bank posts require upfront payment. From April 2017, Skilled visa applicants and their adult dependant(s) will be required to provide a criminal record certificate from each country they have lived in consecutively for 12 months or more in the past ten years. Applicants requiring sponsorship may wish to determine the likelihood of obtaining sponsorship for this position by assessing themselves against the criteria on the gov.uk website - https://www.gov.uk/check-uk-visa. This organisation has a zero-tolerance approach to the abuse of children, young people and vulnerable adults. All staff must ensure they adhere to the organisations safeguarding children and adults' policy and comply with the Local Safeguarding Children and Adult Board procedures. Staff should be mindful of their responsibility to safeguard children and adults in any activity performed on behalf of the organisation in line with the requirements of statutory guidance and legislation. All employees (and volunteers)are expected maintain their safeguarding knowledge and skills by completing mandatory safeguarding training which includes understanding and recognising the signs of abuse and neglect and taking appropriate action. As an organisation, we have adopted the Merseyside Domestic abuse workplace scheme which supports our staff who are experiencing Domestic Abuse /any forms of sexual violence. If you have any personal requirements that will enable you to participate in our recruitment process please contact a member of the Recruitment Services by phone on at the earliest opportunity to ensure that measures can be put in place to enable your application for this post. Please note: new entrants to the NHS will commence on the first pay point of the relevant band.