Consultants in Acute Medicine

£76,761 - £103,490
03 Jul 2017
22 Jul 2017
Career Level
Contract Type
Full Time

We are seeking 2 enthusiastic and committed substantive consultants in Acute Medicine to join the current team of 8.8 WTE (4.8 substantive, 4 fixed term locums on 12-24 month contracts) consultants at the Norfolk and Norwich University Hospitals NHS Foundation Trust. This is an excellent opportunity to join a team of passionate medical and nursing staff that are determined to become even better at providing a truly excellent service within Norfolk. 

We are proud to say that we have the ear and full support of our management and executive team and genuinely believe that the next few years will be very exciting for us and the trust. In April, 2016, the trust re-designed its divisional structure: bringing the emergency department and acute medical unit together as part of the medicine division. This has enabled much closer working and allowed us to make massive changes to how we work. 

Although Norfolk is considered a quiet part of the country, the acute medical unit is one of the busiest single hospital units in the country - we see approximately 2,200 patients per month. Over the last year, we have built a bespoke new Ambulatory Emergency Care clinic AEC, now open 7 days a week. 20-30%of the take currently come through AEC, with an admission rate of <10%.We would like to increase this proportion further and so our mission statement is that patients should be ambulatory until proven otherwise. We won Most Enthusiastic Team” of the year from the Ambulatory Emergency Care network and receive ongoing support and ideas from them as well as NHSI emergency care improvement programme. 

Patients admitted to the AMU are seen by dedicated AMU juniors as well as a team of newly appointed ACPs. Patients are reviewed by the AMU middle grades +/- consultant and then triaged to either remain under AMU short stay (if likely to go home within 48 hours) or directly to one of the medical specialities. Cardiology, respiratory, endocrinology, nephrology, older peoples’ medicine, gastroenterology, neurology, haematology and oncology all provide at least twice daily consultant in reach to review specialty patients on the AMU. This provides outstanding early senior specialty review for our patients, and also allows the AMU and other medical teams to work very closely together. Similarly, the ED has 12 clinical decision unit (CDU) beds collocated on the AMU.

AMU is a 7/7 specialty, and so we work flexibly to provide consultant cover until8pm for the AEC and for new admissions. Consultants currently work on a 1 in12 rota, on site typically until 8pm and on call until 10pm only. The overnight on call is shared with colleagues from all medical specialties, with a timetabled morning off after on calls. 

Because we have such strong ties with our specialties, we can offer flexible job plans. Most of our current AMU consultants have between 1-5 PAs allocated to their second specialty, and new appointees are also encouraged to maintain a special interest with 1-2 PAs available to dedicate to this. As acute medicine can be quite intense, we feel that each consultant with a 10 session contract should have at least 2 sessions off the unit (or similar) and we encourage additional SPA time for research, educational supervision and other interests in addition to the standard 1.5 SPA for CPD, governance and appraisal. 

The Norfolk and Norwich University Hospital is the 6th largest hospital in the UK with over 1,000 beds and serves a population of almost a million. The hospital is set among the green fields of Norwich Research Park adjacent to the University of East Anglia with its excellent Medical School. The curriculum is innovative and integrated. We have close ties with the medical school have joint posts with them. 

The hospital is located on the periphery of the cathedral city of Norwich, which has a rich character and charm. It is surrounded by beautiful villages, unspoilt East Anglian countryside, the Norfolk Broads and beautiful beaches. There are excellent schools in and around the Norwich area and good transport links to Cambridge and London. 

We think our unit is going places, if you want to find out more, come and visit! Please refer to the ‘Job Description’ link to the right of the page for the full specification of responsibilities and requirements for this post. 

For informal enquiries please contact Dr James Edwards, Service Director for Acute Medicine, on (01603) 287955, To learn more about the Trust, please see our website at

We welcome all applications irrespective of age, disability, gender, sexual orientation, race or religion. 

To view further details and apply for a post please click the apply button quoting vacancy reference number 234-MS719. Please attach a CV. 

Closing date: 22 July 2017.

The Advisory Appointments Committee will meet on the afternoon of the 10 August 2017.

The Trust has an Equality and Diversity Policy, flexible working and operates a Smoke Free Policy on all sites.