Hybrid Consultant in Acute and Community Medicine


Company:	NHS Jobs
Salary:	£113,565 to £150,569 a year
Hours:	Full-time
Location:	Shrewsbury, SY3 8XQ
Job type:	Permanent
Posting date:	13 Oct 2026
Closing date:	6 Nov 2026

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Summary

A formal job plan will be agreed between the successful candidate and their Clinical Director and consultant colleagues, on behalf of the Medical Director within 3 months of starting in post. A full-time job plan is based on a 10 PA working week. The job plan will be reviewed annually and is a prospective agreement that sets out the consultant's duties, responsibilities, and objectives for the coming year.It covers all aspects of a consultants professional practice including clinical work, teaching, research, education and managerial responsibilities. It will provide a clear schedule of commitments, both internal and external and will include personal objectives, detailing links to wider service improvements and trust strategic priorities.For a full-time contract, the job plan will be divided on average per week (pro-rata for a part time post) as: 7.5 Programmed Activities (PAs) of Direct Clinical Care - includes clinical activity, clinically related activity and predictable and unpredictable emergency work. One DCC is allocated for clinical admin work.- Morning Inpatient Reviews (AMU and AAU): On average, acute physicians review 10 patients each morning on the Acute Medical Unit (AMU) or Acute assessment unit (AAU).- Short Stay Ward Rounds: Each short stay ward round typically involves 12 - 14 patients.- Acute Medical Take in ED: The average intake per hospital site is 40 - 60 patients over 24 hours. Each acute physician is responsible for approximately 10 - 12 post take reviews per four hour shift between 0830-1700 hours- Same Day Emergency Care (SDEC): SDEC service runs from 0830-2130 hours divided into 3 shifts and on average will manage 30-35 patients per day at each site, including new and follow ups. This work is supported by a well structured team, including the nurse in charge of SDEC, alongside a dedicated junior workforce comprising GPs, ACPs, PAs, and junior doctors. Supporting Professional Activities (SPAs)- 0.5 SPA (Corporate): This allocation will focus on corporate responsibilities, with the specific scope agreed upon at the time of appointment.- 0.5 SPA for supervision and teaching/training The successful candidate will be expected to contribute to: Audit and quality improvement initiatives Clinical governance activities Team management and leadership Development and enhancement of acute medical services 1.5 SPAs: Dedicated to Appraisal and revalidationThe allocation of PAs is reviewed and may be subject to adjustment when a further diary exercise is undertaken or if the service demands a review of the team job plan.Any applicant who is unable, for personal reasons, to work full-time will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis with the Trust in consultation with other consultant colleagues.

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