Consultant in Acute Medicine

Introduction To The Department

The Acute Medical Unit is a 39-bedded assessment and short-stay Ward located on the ground floor of the hospital. Of the 39 beds, 11 are side rooms (including 4 negative pressure isolation rooms for infection control purposes).

The care of patients on the Ward is divided between two acute medical teams each led by an acute medicine consultant, with each team caring for 15-16 patients.

The development of our SDEC services has allowed for the prevention of avoidable admissions and management of patients along ambulatory / same day emergency care pathways. Acute medical patients are referred to SDEC along established pathways following emergency presentation to ED, or can be referred directly from GPs or NHS111 via our dedicated acute medicine Hot Phone. LAS directly conveys suitable patients to SDEC following the Trusted Assessor model.

Patients also attend SDEC as part of early supported discharges from AMU and the medical take. SDEC operating hours are 8am-8pm 7 days a week. We are currently expanding our SDEC Team to accommodate increased demand.

Admission avoidance and early discharge are further supported by our dedicated therapies team. Specialty in-reach is provided by medical specialties.

Main Duties And Responsibilities

• CLINICAL RESPONSIBILITIES
  
  

1.1 Participate in clinical governance activities including incident reporting and patient safety initiatives.

1.2 Provide senior clinical leadership and expert management for patients presenting with acute medical conditions.

1.3 Contribute to safe discharge planning in partnership with community and primary care services.

1.4 Promote early senior decision-making to support effective patient flow.

1.5 provide clinical supervision, training, and mentoring to resident medical staff and support their professional development.

1.6 Show flexibility and undertake different appropriate clinical tasks at the request of the clinical manager, as the need arises.

1.7 To provide clinical supervision for specialist registrars

See Full Details On Attached Job Description.

The North Middlesex University Hospital, Royal Free NHS Foundation Trust is a medium-sized acute and community trust with over 525 beds and over 600 community staff, serving more than 600,000 people living across Enfield and Haringey and the surrounding areas, including Barnet and Waltham Forest.

In the year ending 31 March 2022, the Trust reported a turnover of £419.7m and employed almost 4,000 staff. Following the transfer of Enfield Community Services on 1st April 2023, this has increased as we have welcomed over 600 new staff including District Nurses, Community Matrons, Community Physiotherapists, Psychologists and many more across a wide range of adult and children’s community services in Enfield.

In January 2025 we joined the Royal Free group: it is an exciting time to join North Mid as we continue our journey to become an integrated care organisation to deliver high quality, seamless care in our local communities, with a focus on tackling health inequalities.

North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICSs, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone statutory bodies, we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

For further details / informal visits contact: Name: Pietro Garbelli Job title: Clinical Director - Acute Medicine Email address: [email protected] Telephone number: 020 8887 3392