Job Title: Clinical Fellow (FY2 Level) in Local Services

Department: Stroke Medicine

Sector: Local Services

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About Us:
Mid and South Essex NHS Foundation Trust is now one of the largest in the country, with a workforce
of approximately 15,000 who serve a population of 1.2 million people.

We work together, and in conjunction with MSE Health and Care Partnership to deliver excellent local
and specialist services, to improve the health and wellbeing of our patients, and provide a vibrant
place for staff to develop, innovate and build careers.

From facilities through to consultant specialists we want to be the best, to achieve this we need to
recruit not just those who are the finest in their field but also those who have the potential to be. Yes,
experience is important but so is outlook – if you are dynamic, forward-thinking, and enthusiastic we
want you to join us.

We not only offer you a good working environment with flexible working opportunities, but also the
opportunity to develop your career with access to appropriate training for your job and the support to
succeed and progress.

If you join the MSE team you may be working at one of or across our three main sites:

• Broomfield Hospital in Chelmsford

• Basildon and Thurrock Hospital
• Southend Hospital

So, whether you’re looking for an entry level, apprentice role or your next exciting and fulfilling
challenge within the NHS browse our vacancies to find the right role for you and start building your
career with MSE today.

Our Trust Values:

As a fully established, merged organisation, we’ve worked with you, our staff, to understand what it
means to be part of Mid and South Essex NHS Foundation Trust. Our strategic goals clearly set out
our purpose and ambitions, and our new values and behaviours show how we will work together, with
each other, our patients, and our stakeholders, to achieve our aims.

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JOB DESCRIPTION

JOB TITLE: Clinical Fellow FY2 Level in Local Services

LOCATION: Mid and South Essex NHS Foundation Trust
DIRECTORATE: Care Group 3
DEPARTMENT: Local Services (Stroke Medicine)
GRADE: FY2 Level
DURATION: 2 year fixed term
RESPONSIBLE TO: Clinical Lead in Stroke Medicine
ACCOUNTABLE TO: Clinical Lead in Stroke Medicine

JOB SUMMARY

This is an exciting opportunity for a Clinical Fellow FY2 to join our Stroke Medicine team at
Southend Hospital, part of Mid and South Essex NHS Foundation Trust. Our Clinical Fellow
(FY2 level) posts are structured, trainee centered with flexibility, competency assessed,
service based and quality assured. Our Clinical Fellow Posts have been designed to work in
conjunction with the FY2 Training Posts.

The Stroke department at Southend Hospital is recognised as a regional centre of

excellence, it provides a caring and comprehensive service for all aspects of stroke treatment
for the population of Southend and Essex.

Southend hospital has both a comprehensive stroke thrombolysis service, and also a best-
endeavour stroke thrombectomy service. We have both Carotid Surgery and Stenting
available, with the vascular surgeons leading the way nationally and operating on many
symptomatic patients within 2 weeks. This has been developed over the last 2 years as a
trust project. CT with e-ASPECTS technology, CTA and CTP are available 24/7.

Southend Stroke service is award-winning and innovative. It has won 2 HSJ awards for the
quality of its care, has been involved in the development of e-ASPECTS which won a
European award for innovation. We are very involved in NIHR research, being invited to take
part in commercial and NIHR portfolio trials, and last year recruited 24.3% of patients into
research trials, the second highest in North Thames CRN. International links with the USA
and Germany have enabled us to be one of only 4 hospitals in the UK able to perform
functional resting state MRI.

Recently there has been a complete revision of the imaging services, so that now there is a
Consultant-led service with the ability to initiate correct scanning; instant access to
CT/CTP/CTA for urgent cases; and pre-booked slots for routine CT, MRI imaging and
clinician led carotid Doppler ultrasound.

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Research and Audit activity is encouraged and we have strong academic links with the Anglia
Ruskin University. There is a very active Stroke research unit with reputation of among the
top recruiter in many trials. As the Trust has a single independent specialist hyper acute
Stroke Unit in one geographical location and a specialist stroke team this has led to a 50%
reduction in mortality and dependency; and almost all stroke inpatients spend all their
hospital stay on the Stroke Unit. All NICE guidelines have been incorporated into protocols.
There are monthly governance meetings to continually improve care.

Aims of Post

• Develop enhanced clinical skills, especially in the assessment and management of

acutely ill patients in A&E

• Follow patients throughout their clinical pathways

• Gain experience in general practice, and the interface between primary and secondary
care

• Improve all aspects of communication with patients, carers and staff members working
within multi-disciplinary teams

• Develop knowledge of hospital systems and clinical governance

• improve competencies in IT skills and critical use of evidence and data

• keep accurate records and completing discharge summaries

MAIN DUTIES & RESPONSIBILITIES

• Liaise between nurses, other junior doctors, patients, relatives and senior medical staff

• Attend to the day to day management of day case, out-patient and in-patients

• Attend and participate in ward rounds

• Attend general and specialist out-patient, diagnostic and pre-assessment clinics

• Teach medical students as directed

• Supervise, monitor and assist the F1 doctors.

• To keep up-to date with all administrative duties including letters, results and discharge
summaries as required

• Maintain continued professional development

• Undertake and assist in audit projects

• Attend weekly educational and multidisciplinary sessions

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• To co-operate with members of the HR department when monitoring hours of work

• Comply with all local policies including dress code, annual and study leave

This post has neither Royal College nor Postgraduate approval for training.

The post is, however, educationally sound and well supported. The Post holder will be
allocated an educational mentor.

Ward Based Working

The post holder will contribute to the care of patients on a specified medical ward. The
patient mix of each ward is biased towards the speciality of the supervising consultants, but
also includes general medical patients with non-speciality specific conditions.

Clinical Governance

To provide clinical services in line with the Trust’s clinical governance arrangements
which is designed to ensure that agreed quality standards are achieved. These
requirements include:-

• AUDIT – To undertake audit of clinical practice within the department to ensure that
current standards and evidence-based practice are applied.

• CONTINUING MEDICAL EDUCATION – All staff are required to maintain and develop
their clinical skills. Individual training and development needs will be identified through
an appraisal process taking into account Mid and South Essex NHS Foundation Trust
requirements.

• RISK MANAGEMENT – To work within the Trust’s clinical risk management policies
and in particular to participate as appropriate in clinical incident reporting.

Teaching and Training Activities

The post-holder will be expected to provide supervision and support for more junior trainees
within his/her competence. Although the post does not have postgraduate approval for
training, assessment of progression will be by continual assessment.

Clinical Governance is a major part of our daily practice. The hospital is at the forefront of
providing same, with a separate department and allocated clinical and ancillary staff to service
same.

There is a well-stocked medical library with audio-visual teaching aids, CD-ROM and a full
time librarian. The library has a Medline facility. There is a thriving Postgraduate Medical
Centre with regular clinical meetings and a general education programme.

Main Terms and Conditions of Service

The appointment is subject to the 2002 Medical and Dental Terms and Conditions of Service.
The Clinical Fellow FY2 level pay scale starts on £31,001 per annum.

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Banding

You will receive, in addition to your base salary a supplement at a rate of 50% (1A) of your
base salary for full shift duty including late, night and weekend shifts.

GENERAL STATEMENTS

COMPETENCY BASED APPRAISAL

The post holder will be appraised on an annual basis and the process will include a review
of the past year’s performance, setting of aims and objectives for the coming year and
identification of educational needs.

TRAINING

All staff will be required to keep mandatory training records up to date. All Medical staff are
required to participate in CPD as part of the Appraisal and Revalidation process.

EQUAL OPPORTUNITIES

The Trust has an Equal Opportunities Policy and/or Single Equality Scheme. The aim is to
ensure that no individual receives less favourable treatment on the grounds of age, disability,
gender reassignment, marriage and civil partnership, pregnancy and maternity related
matters, race, religion or belief, sex or sexual orientation or is disadvantaged by conditions
or requirements, which cannot be shown to be justifiable. Whilst the Trust recognizes
specific responsibilities fall upon management, it is also the duty of all employees to accept
personal responsibility for the practical application of the Policy.

NO SMOKING POLICY

Mid and South Essex NHS Foundation Trust (MSE) operates a non-smoking policy. The
restrictions will apply to patients, staff and visitors alike. While the Trust will not discriminate
against employing smokers, all prospective employees should be aware of this policy. If you
would like help to give up smoking you should contact your GP or call the NHS Stop Smoking
Help Line on 08001690169 to find details of your local stop smoking service.

DATA PROTECTION ACT 2018

All employees are required:

• To ensure compliance with all Trust’s policies, and those procedures relevant to the area
of work.
• To maintain high levels of confidentiality and information security at all times, complying
with the relevant legislation such as the Data Protection Act and the Computer Misuse
Act.
• To ensure that the data is of good quality, accurate and relevant for purpose, where any
processing of information takes place (paper records or electronically).

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INFORMATION GOVERNANCE

• All staff must be familiar with and comply with the contents of the Information Governance
Handbook, a personal copy will be provided at Induction to all staff.
• All staff are required to maintain confidentiality of patient and Trust’s information as set
out in the Trust’s Confidentiality Policy.
• All staff are required to read and comply with all policies that are issued relating to the
electronic security of Trust’s information.

• All staff who create, access, transfer, modify sensitive Trust’s records have a
responsibility to be both accurate and timely and ensure that all the information that they
record either on paper or electronically is complete.

CONFIDENTIALITY

Your attention is drawn to the confidential nature of information collected and used
throughout the NHS. The unauthorised use or disclosure of patient, staff or other personal
information is a dismissible offence. The unauthorised disclosure of information could also
result in a prosecution for an offence, or action for civil damaged, under the Data Protection
Act.

All matters relating to patients’ diagnosis and treatment, staff or the Financial or contractual
position of the Trust are strictly confidential and under no circumstances is such information
to be divulged or passed to any unauthorised person(s) under penalty of summary dismissal.

All staff should take particular care relating to the electronic storage and transfer of
confidential information. This should only be done in accordance with the Trust’s Information
Security Policy.

HEALTH AND SAFETY

All employees must be aware of the responsibilities placed upon them under the Health &
Safety at Work Act (1974) to ensure that the agreed safety procedures are carried out to
provide a safe environment for employees and visitors.

QUALITY

The Trust aims towards maintaining the goodwill and confidence of its own staff and of the
general public. To assist in achieving this objective, it is essential that at all times, employees
carry out their duties in a courteous and sympathetic manner.

INFECTION PREVENTION AND CONTROL

All employees are required to:

• Make themselves aware of their responsibilities for Infection Prevention and Control.
• Co-operate with the employer in ensuring that all infection prevention and control policies
and procedures are complied with.
• Maintaining a high standard of infection control practice.

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SAFEGUARDING CHILDREN

All employees of the Trust, regardless of the work they do, have a statutory duty to safeguard
and promote the welfare of children. When children and/or their carers use our services, it is
essential that all child protection concerns are both recognised and acted on appropriately.
You have a responsibility to ensure you are familiar with and follow the child protection
procedures and the Trust’s supplementary child protection guidance which is accessed
electronically on the Trust’s Intranet sites.

To ensure you are equipped to carry out your duties effectively, you must also attend child
protection training and updates at the competency level appropriate to the work you do and
in accordance with the Trust’s child protection training guidance.

SAFEGUARDING ADULTS

All employees of the Trust, regardless of the work they do, have a duty to safeguard and
promote the welfare of vulnerable adults. When patients and/or their carers use our services,
it is essential that all protection concerns are both recognised and acted on appropriately.
You have a responsibility to ensure you are familiar with and follow Trust policies in relation
to safeguarding vulnerable adults. To ensure you are equipped to carry out your duties
effectively, you must also attend vulnerable adult protection training and updates at the
competency level appropriate to the work you do and in accordance with the Trust’s
vulnerable adult protection training guidance.

LOCATION

You will be based at Care Group 3 which is located in Southend. You will generally be
expected to undertake your normal duties at the principal place of work, however, in the
course of your duties you may also be required to work at any of the sites within the Mid and
South Essex NHS Foundation Trust areas as well as other NHS sites as part of the delivery
of the service.

Other Information

This job description is a reflection of the present requirements of the post and the content
may be subject to review and amendment in light of changes and developments.

All Staff will also be expected to abide by the relevant code of professional practice relating
to their discipline.

Terms and Conditions of Service

The post is subject to the Terms and Conditions of Service of Hospital Medical and Dental Staff
(England and Wales) and to the NHS Pension Regulations. You will receive the nationally agreed
remuneration for Trust Foundation Doctors in Hospital employment and any changes to those rates
that the Secretary of State for Health may authorise from time to time.

The salary scale depending on experience for full-time employees will be as below (National Medical
and Dental Pay Circular):

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FY1 MN13 pay scale
FY2 MN15 pay scale

Hours: 40 hours per week

A discretionary banding supplement determined by of the Terms and Conditions of Service maybe
applicable for hours worked over and above 40 hours a week to a maximum of 48 hours including
unsocial hours depending on the rota.

Part time staff will be paid pro rata to this scale.

The appointment can be terminated by giving the required notice on each side, unless application of
the statutory minimum period would be more favourable to the Practitioner.

FY1/2 1 months’ notice

Relocation Expenses:

Relocation expenses may be granted on the understanding that the new location meets the
requirements of the Trust. Agreement regarding relocation expenses must be approved by the
service.

Leave

Annual leave entitlement is set out within the Terms and Conditions of Service for hospital medical
staff.

Study leave is available as provided for under the Terms and Conditions of Service for Hospital
Medical and Dental staff, subject to the approval of the Supervising Consultant and Clinical Director.
The General Manager has final overall approval of all leave (study leave, annual leave,
compassionate leave and professional leave).

Appraisal and Development

This is conducted by a trained, Trust-nominated appraiser. It is expected that the successful

candidate will comply with the appraisal process. Yearly appraisals are a mandatory requirement as
a part of the GMC Revalidation cycle for all medical staff in the NHS.

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 PERSON SPECIFICATION

JOB TITLE: Clinical Fellow FY2 Level in Local Services

LOCATION: Mid and South Essex NHS Foundation Trust
DIRECTORATE: Care Group 3
DEPARTMENT: Local Services (Stroke Medicine)
GRADE: FY2 Level
DURATION: 2 year fixed term
RESPONSIBLE TO: Clinical Lead in Stroke Medicine
ACCOUNTABLE TO: Clinical Lead in Stroke Medicine

REQUIREMENTS ESSENTIAL DESIRABLE

Qualifications MBBS or equivalent from a BSc or relevant degree

recognised Medical School.
Full Registration with the General
Medical Council – FY1 must not be
subject to being in a recognised
training programme.
Knowledge and Previous experience at Foundation Ability to develop and maintain
Experience level or equivalent level a sub-specialty interest

Communication Ability to communicate effectively

Skills with all levels of staff, patients and
relatives. Ability to work as part of a
multidisciplinary team with
appropriate interpersonal skills for
effective team working. Ability to
gain the trust and confidence of
colleagues and patients IT skills.
Clear oral and written skills

Audit and Clinical Interest in, and knowledge of,
Governance medical audit and understands the
principles of evidence based audit.
An understanding of the principles
of Clinical Governance.
Evidence of audit participation
Standards High
ethical/professional standards

Other Ability to travel between Trust sites Own Transport

Serologically tested for Hepatitis B/C

immunity 13

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