JOB DESCRIPTION

FOUNDATION YEAR 1 LAS

(Locum Appointment for Service)
Table of Contents
1.0 Introduction .............................................................................................................. 3

2.0 Post and Job Summary ............................................................................................ 4

3.0 Key Information about the Foundation Programme .............................................. 4

4.0 Divisions and Departments ..................................................................................... 5

5.0 Key Information about the Post, Duties and Responsibilities............................... 8

6.0 Person Specification .............................................................................................. 10

7.0 Training and Postgraduate Education .................................................................. 11

8.0 General Terms and Conditions and Information .................................................. 12

9.0 At Our Best Programme ......................................................................................... 15

1.0 Introduction
The Foundation Year 1 doctor will have the principle responsibility of treating patients under
the supervision of senior colleagues in a variety of specialties according to their rotation.

Each Foundation Year 1 post will rotate through three individual specialties, spending a total
of four months in each specialty.

There are currently two Foundation Programme Directors, Dr Kim Sinnamon (Renal
Consultant) and Dr Duncan Field (Consultant Cardiologist). Part of their role is to ensure the
Foundation teaching programme is relevant to the current Foundation curriculum as well as
giving support and guidance to the Foundation Trainee.

This post, as a LAS, will not be recognised for training and will not lead onto a F2 post.
However, the post-holder will be included and receive the same opportunities as the F1
trainees.
2.0 Post and Job Summary
JOB TITLE: Whole-Time Foundation Year 1 LAS Doctor

GRADE: Foundation Year 1 LAS

DEPARTMENT: Each post is a set rotation through 3 specialties

ACCOUNTABLE TO: Medical Director (Professional)

Foundation Programme Director (Managerial)

REPORTS TO: Clinical Lead

LOCATION: Colchester General Hospital

Clinical

The post holder’s duties will be primarily at the Colchester General Hospital but their
presence may from time to time be required in other parts of the Trust. From August 2015
F1 trainees may have placements in Primary Care and in the North Essex Partnership NHS
Foundation Trust.

The Post

The Foundation Year 1 doctor will have the principle responsibility of treating patients under
the supervision of senior colleagues in a variety of specialties according to their rotation.
The post-holder will take part in the appropriate rota for each specialty. In addition, even
though the post is not recognised for training, the post-holder will be expected to attend
teaching sessions and will complete a log-book of specified competencies and experiences.

If you wish to visit the hospital, please make the necessary arrangements through the
appropriate secretaries, Colchester General Hospital, Colchester. Telephone: (01206)
747474

3.0 Key Information about the Foundation Programme

GENERAL

Director of Medical Education Dr Peter Bishop

Foundation Programme Directors Dr Kim Sinnamon
Dr Duncan Field

The Trust is divided into five Divisions, Medicine Division, Urgent Care, Women’s and
Children’s Division, Cancer and Clinical Support Services Division and Surgery Division.

Each Foundation Year 1 post will rotate through three different specialties on pre-determined
rotations with the post-holder spending four months in each specialty. The majority of posts
on the training programme are within the four Divisions but from August 2015, there are
some placements outside the Hospital Divisions.
4.0 Divisions and Departments on F1 Rotations
MEDICAL DIVISION

Medicine and Care of the Elderly

The specialties embraced by the consultants in General Medicine comprise, Thoracic
Medicine, Cardiology, Gastroenterology, Diabetes and Endocrinology and Nephrology.

There is a Medical Assessment Unit based in the main Colchester General Building.

The F1 post is primarily ward based. Day to day duties include:

 Being responsible for the continuity of care of your wards in-patients
 Clerking and examining all of your wards admissions from 0900-1700 when not off
duty or on take
 Attending your wards ward rounds
 Ensuring that electronic discharge summaries are written for patients discharged
from hospital

The post-holder will participate in a full shift rota within EAU. When on-take the team is
responsible for ALL acute medical admissions.

WOMEN’S AND CHILDREN’S

Paediatrics
This is a busy medium sized paediatric unit which provides high quality training and
experience in all aspects of child health. Trainees will get exposure to a variety of acute and
ambulatory paediatrics.

The consultant paediatricians all undertake general paediatrics and also carry out clinics in
the following areas: Rheumatology, Diabetes, Neonatology, Respiratory, Allergy, Oncology,
Cardiology, Nephrology, Child Protection, Child Development and Neurodisability.

The F1 will spend approximately 3 months in acute general paediatrics including the
children’s ward and assessment unit, one month in the neonatal unit and be responsible for
cover of the postnatal wards. The training aim is to provide experience suitable for a
subsequent rotational post at F2 level. Under supervision, the post-holder will be expected
to gain experience in the following skills:
 Clerking and examination of children of different ages with particular attention to
establishing a rapport with the child, which is appropriate for their developmental age.
There is senior review of all children for admission/assessment
 Assisting with the management of children on the ward and day unit. This will
include some experience of practical skills
 Participation in ward rounds on the children’s ward, allowing the opportunity for case
presentations and discussion
 Assisting with management of children in the Accident and Emergency Department,
including paediatric resuscitation and management of paediatric emergencies
 Attend at least 6 general and specialist out-patient clinics in 4our months
 Undertake an audit report
 Opportunity to spend time on the neonatal unit, learning to examine neonates and
assisting in their management (dependent upon the career intentions and training
needs of the post-holder)
This is a Monday to Friday, day duties only post.
 Obstetrics and Gynaecology
The department has a broad mixture of consultants in obstetrics and gynaecology with
interest in pre-natal diagnosis, ultrasound, gynaecological oncology, urogynaecology,
infertility and family planning.

The trainee will be exposed to a broad range of obstetrics and gynaecology. Day to day
duties include:
 Obstetrics – daily assessment of antenatal and postnatal women under the care of
your team. Attendance at antenatal clinics
 Gynaecology – daily assessment of gynaecological patients under the care of your
team. Care of booked gynaecology patient pre and post-operatively. Attendance at
theatre and clinics
 Informal teaching – of junior medical and nursing colleagues as well as
undergraduate students from UCL/Whittington Hospital and Bart’s
 Ensuring that electronic discharge summaries are written for patients discharged
from hospital
This is a Monday to Friday, day duties only post.

SURGERY

Critical Care/Anaesthetics
There is a combined ITU/HDU with 14 bed spaces. Consultant cover is provided at all times
and there is a broad range of patients. It is a busy unit and trainees will learn about all
aspects of critical care.

The Anaesthetic posts will give a good overview of the role of the Anaesthetics department
including theatre, CDS and ITU. Experiences and competences would include:
 How to identify high-risk patients
 Recognise organ impairment
 Prioritise treatment and organ system support
 Understand importance of communication between medical teams and other health
professionals
 Learn when treatment becomes futile and limitations of therapy
 Develop practical skills including venous cannulation, catherisation, basic airway
management
 Rapid interpretation of data e.g. ECG, CXR, Blood Gases
 Importance of infection control techniques and appropriate use of antibiotics
 Speaking to relatives and breaking bad news
 Good record keeping
 Principles of acute pain management including epidurals and PCAs
The post-holder will participate in a full shift rota.

Ear Nose and Throat

The ENT department is currently on a split site with the main ENT outpatient clinics taking
place at Essex County Hospital. The ENT operating lists, emergencies and in-patients are
located at Colchester General Hospital. The F1 doctor would be expected to be based at
the Colchester General Hospital but travel to the Essex County Hospital for teaching out-
patient clinics. Day to day duties include:
 Being responsible for the continuity of care of the ENT in-patients
 Attending the ENT ward rounds
 Clerking and examining ENT ward admissions
  Ensuring that electronic discharge summaries are written for ENT patients
discharged from hospital
 Clerking and examining pre-admission assessment ENT patients

This is a Monday to Friday, day duties only post.

General Surgery/Urology/Plastic Surgery

The general surgery department gives excellent experience in all aspects of the care of
emergency and elective surgical patients. This is a leading unit in the provision of
laparoscopic gastrointestinal and general surgery. There are also a full range of vascular
services. Day to day duties include:
 Being responsible for the continuity of care of your wards in-patients
 Clerking and examining all of your wards admissions from 0900-1700 when not off
duty
 Attending your wards ward rounds
 Ensuring that electronic discharge summaries are written for patients discharged
from hospital

The post-holder will participate in a full shift rota. Whilst attached to Plastic and Breast or
Urology the F1 will take part in the general surgery rota.

PLACEMENTS OUTSIDE HOSPITAL DIVISIONS

Psychiatry (from August 2015)

This post is in the Department of Psychiatry either on the Colchester or Clacton Hospital site.
The unit comprises in-patient, day patient and day hospital services. The post-holder will be
supervised in the care of in-patients with functional an organic conditions. There will also be
opportunities for medical liaison work and community assessments including joint working
with an active integrated community team. There is a half-day academic programme at the
Postgraduate Medical Centre in Colchester with additional weekly and monthly meetings
based at Clacton. For those interested there are further educational opportunities in the
department of Psycho Analytic Studies at Colchester Essex University.

The post-holder will participate in a non-resident on call rota.

5.0 Key Information about the Post, Duties and
Responsibilities
The Foundation Year 1 programme has set rotations based in various departments either at
Colchester General Hospital, Essex County Hospital, in General Practice or with the North
Essex Partnership NHS Foundation Trust. In addition to duties outlined with the specialities
other duties of the post are as follows:
 Treatment of patients and referral where appropriate to General Practitioners or to
other hospital department
 Taking responsibility for the continuity of care of in-patients
 Supervision of in-patients and organising appropriate investigations in accordance
with consultant’s instructions
 Attending ward rounds
 Attendance in theatre
 Agreeing diagnosis and completing discharge summary within two working days of
the discharge of each patient from hospital
 Attendance at out-patient clinics as required under consultant supervision and
dictating out-patient clinic letters
 Ensure appropriate information is made available to staff to measure clinical
performance and enable meaningful benchmarks to be established and evaluated
within your area of responsibility
 The post-holder should be prepared to perform duties in occasional emergencies and
unforeseen circumstances. Commitments arising in such circumstances are
however, exceptional and the post-holder will not be required to undertake work of
this king for prolonged periods or on a regular basis. All efforts will be made to
ensure that work of this kind does not result in continuous hours of duty which
exceed the New Deal continuous hours of duty limits
 Expected to have 70% attendance at the educational meetings
 Provide a role model of professional leadership, which underpins the corporate
values and behaviours agreed by the organisation, ensuring these are understood
and demonstrated by the medical workforce within your area and take remedial
action where poor behaviour are demonstrated
 Participate in the appraisal of medical staff within the department in line with the
Trust’s agreed policy

EDUCATION AND TRAINING

This post is recognised for postgraduate training.

Teaching will be based around the Foundation Programme curriculum and initially will take
place for one hour in the lunchtime of one day per week. This timing may change through
the course of the year. Through the course of the year assessment as outlined in the
curriculum will be introduced to give trainees opportunities to experience these techniques
which they will have to complete during F2.

Each F1 will be expected, during the course of their year’s training to have a logbook
completed with competencies and experiences. Progression onto the F2 Programme will
not be possible without satisfactory completion of the specified competencies and
experiences.
ADMINISTRATION

The post-holder will be jointly responsible for the accurate and timely completion of clinical
notes and GP communications.

ARRANGEMENTS FOR LEAVE

A Foundation Year 1 trainee has a leave entitlement of 27 days per annum. This should be
divided evenly between each training placement (i.e. 9 days each four months).

 Annual leave requests should be planned and advised within two weeks of initially
taking up your post
 Six weeks’ notice of leave must be given therein – any request for leave without this
period of notice may be refused
 Leave request forms must be submitted for approval to the appropriate Consultant,
Clinical Director and Service Manager.
 Leave is not granted unless/until an annual leave request form has been approved by
the Consultant/Service Manager/Clinical Director
 Leave requested for the first or last week of your appointment is not usually approved
 If cross-cover arrangements exist within your specialty, it is the responsibility of the
doctor taking leave to discuss cover arrangements with their cross-cover colleague
and obtain appropriate agreement / signatures before requesting leave.
 Please refer to individual specialty guidelines for rules governing numbers allowed to
be absent at any one time, leave when on the on-call rota etc.
 6.0 Person Specification
FOUNDATION YEAR 1 LAS
REQUIREMENTS ESSENTIAL
Eligibility  Is fit to practise medicine safely
 Has reached the level required for GMC registration
 Have the right to work in the UK which remains valid until the programme ends
 Has full GMC registration with a licence to practice
Qualifications and  Has achieved, or is expected to achieve, a primary medical qualification as
experience recognised by the GMC
 If previously graduated, will commence programme within two years of
graduation
OR
 If graduation will be more than two years from commencement of programme
can undergo an assessment to ensure that their clinical knowledge and skills
have been maintained to the extent that they are appropriate for entry to the
Foundation Programme
Clinical knowledge and  Can demonstrate an understanding and application of good clinical care
skills  Can demonstrate an understanding and application of maintaining good
medical practice
 Can demonstrate an understanding and application of teaching and training,
appraising and assessing
 Can demonstrate an understanding and application of relationships with
patients
 Can demonstrate an understanding and application of working with colleagues
 Can demonstrate an understanding of the outcomes to be achieved and how
these are applied for the Foundation Programme as set out in The New Doctor
(www.gmc-uk.org)
Language Skills  Have demonstrable skills in written and spoken English that are adequate to
enable effective communication about medical topics with patients and
colleagues which could be demonstrated by either of the following criteria:
o Applicants have undertaken their entire undergraduate medical
training in English;
o OR
o Have attained the minimum International English Language Testing
System (IELTS) score. Minimum scores: Overall 7.5, Speaking 7.5,
Listening 7.5, Reading 7.5, Writing 7.5
Personal Skills  Demonstrates an understanding of the importance of the patient as the central
focus of care
 Demonstrates ability to prioritise tasks and information appropriately
 Demonstrates an understanding of the importance of working effectively with
others
 Demonstrates the ability to communicate effectively with both colleagues and
patients
 Demonstrates initiative and the ability to deal effectively with pressure and/or
challenge
Probity  Demonstrates appropriate professional behaviour, ie integrity, honesty,
confidentiality as set out in Good Medical Practice (2006) (www.gmc-uk.org)
 Criminal records clearance at appropriate level subject to prevailing UK
legislation
7.0 Training and Postgraduate Education
General

There is an excellent Postgraduate Medical Centre with a lecture theatre. The centre
includes seminar rooms and a small but extensive library with very helpful staff on a site
adjacent to Colchester General Hospital.

The post-holder will be required to participate in programmes for teaching medical students.

The post-holder will attend relevant mandatory training including the Trust’s ‘At Our Best’
programme.

Post Specific

Teaching is provided in all departments throughout the rotations. Although this post is not
recognised for Training the successful post-holder will take part in formal teaching.

Formal Training

There is an excellent Foundation Programme (FP) teaching programme which is relevant to

the current Foundation curriculum. Foundation Assessments/Review meetings are
completed – trainees receive help/support from the FP Administrator. The FP Directors hold
weekly drop-in clinics for trainees who are looking for guidance or support.

In addition there are a number of regular teaching sessions every week:

Monday afternoon – Foundation Trainees teaching

Wednesday lunchtime – Core Medical Trainee teaching
Thursday lunchtime – Journal Club
Friday lunchtime – Hospital Grand Round. The standard of presentations is high

Undergraduate Education

Colchester Hospital University NHS Foundation Trust is an associate university teaching

hospital and medical students from Bart’s and the London School of Medicine regularly visit
the Trust.

Study Leave

Study leave will be granted in accordance with the Terms and Conditions of Service for
Hospital Medical and Dental Staff, subject to local conditions.

Private study leave will only be available for a few days before an exam, and then only at the
discretion of the relevant unit training director.
8.0 General Terms and Conditions and Information
On appointment as Foundation Year 1 LAS Doctor a medical practitioner shall be eligible for
full registration with the General Medical Council.

In addition to basic salary, a supplement will be paid for hours worked in excess of a 40 hour
basic week. This supplement is pre-determined by the rota worked within each specialty
and may vary with each specialty placement.

The post is covered by the Terms and Conditions of Service of Hospital Medical and Dental
Staff (England and Wales).

Part-time staff will be paid pro-rata.

Candidates will be required to complete a Health Statement and the Trust may require an
officer to pass a medical examination as a condition of appointment.

Because of the nature of the work of this post it is exempt from the provisions of Section 4(2)
of the Rehabilitation of Offenders Act, 1974 by virtue of the Rehabilitation of Offenders Act
1974 (Exemptions) Order 1975. Applicants are, therefore, not entitled to withhold information
about convictions, including those which for other purposes are "spent" under the provisions
of the Act, and, in the event of employment, any failure to disclose such convictions could
result in dismissal or disciplinary action by the Trust. Any information should be sent to the
Trust Medical Director in an envelope marked for his/her personal attention and will be
completely confidential and be considered only in relation to an application for positions to
which the order applies.

‘The Trust is committed to providing safe and effective care for patients. To ensure
this, there is an agreed procedure for medical staff that enables them to report,
quickly and confidentially, concerns about the conduct, performance or health of
medical colleagues’ (Chief Medical Officer, December 1996). All medical staff
practising in the Trust should ensure that they are familiar with the procedure and
apply it.

Medical Negligence

The doctor agrees to:

 Co-operate fully with The Trust and its Legal Advisors in the investigation of any Patient
Complaint/Incident involving but not limited to any allegation of negligence or misconduct
on the part of the doctor.

 To provide The Trust, on request, with a full written statement concerning the said
Patient Complaint/Incident.

Clinical Governance

The post-holder will participate in clinical governance activities, including clinical audit,
clinical effectiveness, risk management, quality improvement activities as required by the
Trust, and external accrediting bodies.
Management

The post-holder will be required to work within the Trust's management policies and
procedures, both statutory and internal, accepting that the resources available to the Trust
are finite and that all changes in clinical practice or workload, or developments requiring
additional resources must have prior agreement with the Trust. He/she will undertake the
administrative duties associated with the care of his /her patients under the direction of the
consultant.

Infection Control

Infection Control is everyone’s responsibility. All staff, both clinical and non-clinical, are
required to adhere to the Trusts’ Infection Prevention and Control Policies and make every
effort to maintain high standards of infection control at all times thereby reducing the burden
of Healthcare Associated Infections including MRSA.

All staff employed by the Trust have the following key responsibilities:

 Staff must wash their hands or use alcohol gel on entry and exit from all clinical areas
and/or between each patient contact.

 Staff members have a duty to attend mandatory infection control training provided for
them by the Trust.

 Staff members who develop an infection (other than common colds and illness) that may
be transmittable to patients have a duty to contact Health & Wellbeing Department.

Amending the Job Description

It is expected that as the organisation develops and changes, it may be necessary to vary
the tasks and/or the responsibilities of the post-holder. This will be done in consultation with
the post-holder and it is hoped that agreement can be reached to any reasonable changes.

Confidentiality

The post-holder must at all times maintain complete confidentiality of the material and
information that they handle. Any matters of a confidential nature, or in particular, information
relating to diagnoses and treatment of patients and individual staff records must not, under
any circumstances, be divulged or passed on to any unauthorised person or persons. The
post-holder must respect patient named confidentiality in keeping with “Caldicott principles”.

Data Protection

The post-holder must at all times respect the confidentiality of information in line with the
requirements of the Data Protection Act. This includes, if required to do so, obtaining,
processing and/or using information held on a computer in a fair and lawful way, holding
data only for the specified registered purposes and using or disclosing data only to
authorised persons or organisations as instructed.
General

The post-holder will be expected to be responsible for his/her continuing professional

development and to take a proactive approach to maintaining personal and professional
effectiveness in an evolving role.

The duties and responsibilities described in this Job Description are intended to be indicative
but not exhaustive of the responsibilities of the post-holder. As the Trust develops, the
requirements of the job may change and the post-holder is expected to adapt to these
changes.

Health and Safety

Employees must share responsibility for abiding by health and safety policies and
regulations, infection prevention and control policies and act in accordance with the Risk
Management Policy. This includes compliance with The Health Act 2006 Code of Practice
for the prevention and control of healthcare associated infection (available on the Trust
Intranet). In addition, be aware of the responsibilities placed on them by the Health & Safety
at Work etc. Act (1974) to ensure that the agreed safety procedure is carried out to maintain
a safe environment for themselves, other employees and visitors.

Equal Opportunities Policy and Anti-Harassment

The post-holder will immediately report to their line manager any breach or suspected
breach of both equal opportunity and anti-harassment guidelines.

Smoking Control Policy

The Trust has adopted a smoking control policy. The policy applies to all staff, patients and
visitors, and extends to the hospital grounds as well as internal areas.

Safeguarding Children

Everyone employed by the Trust regardless of the work they do has 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
Southend Essex and Thurrock (SET) child protection procedures and the Trust's
supplementary child protection guidance which is accessed electronically on the Trust's
website. To ensure you are equipped to carry out your duties effectively, you must also
attend mandatory child protection training and updates at the competency level appropriate
to the work you do and in accordance with the Trust's safeguarding children training
guidance.

Safeguarding Adults

Everyone employed by the Trust regardless of the work they do has 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 mandatory 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.
9.0 At Our Best Programme
We strive to provide excellence by valuing; listening and learning from the patients and
carers we serve to ensure we provide a service that genuinely meets their needs.

The Trust is serious about providing the best possible healthcare to its patients. It has
embarked on a scheme called ‘At our Best’ which recognises that inspired staff provide
better services to patients. To achieve this goal we expect the following behaviours from
staff:

Be welcoming by: Be kind by:

Be courteous, polite and introduce yourself Be compassionate, thoughtful and gentle
Value and treat everyone as an individual Respect peoples dignity, and privacy
Be respectful to colleagues

Be involving by: Be responsive by:

Listen, answer questions and explain clearly Be attentive, offer to help, keep your word
Keep people including colleagues informed Respond quickly and value patients’ and
and involved colleagues time

Be professional by: Be the difference by:

Be calm and reassuring so patients feel safe Choose a positive attitude, look for solutions
Set standards, work as a team, Praise good work, speak up about poor care
seen to be clean or negative behaviours

Leadership Behaviours