Emergency Medicine Registrar, Supplementary Panel

The HSE Dublin and Midlands serves a population of circa 1,077,639 providing health and social care services to communities living within Dublin West, Dublin South-West, Dublin South City, Laois, Longford, Offaly, Kildare, West Wicklow and Westmeath. Currently, approximately 30k staff work within the HSE Dublin and Midlands Region providing key health and social care services with a budget of €3 billion.

The region has 4 Integrated Health Areas, serving a population of around 300,000 and take account of local geographies, population size, needs and services. The IHA areas are HSE Dublin South City and West, HSE Dublin South West, HSE Kildare and West Wicklow and HSE Midlands and the Integrated Healthcare Managers are in post since October 2024. IHAs bring together both acute and community services as well as other non-HSE providers and are crucial to supporting and enabling integrated care. Within the 4 Integrated Health Areas there are 9 acute hospital (model 4s and 3s, mix of statutory and voluntary providers) delivering a full range of acute hospital, women and children’s services, in addition to specialised radiation and oncology care. There are also 6 integrated care hubs/csts and 20 Community Health Networks who together will serve the population health needs of our area.

The reform programme for HSE Dublin and Midlands provides an opportunity to shape the future of health and social care in a rapidly changing environment and to continue to implement safer better health care through integrated services. Health Regions will be the primary service coordination and delivery units for the vast majority of health and social care services provided across Ireland. They will provide the governance and organisational arrangements to enable planning, management and delivery of care for people and for communities across their region.

The HSE Dublin and Midlands health region is divided into 4 healthcare areas:

• HSE Dublin South City and West
• HSE Dublin South West
• HSE Kildare West Wicklow
• HSE Midlands

And it will manage and deliver all public health and social care services in:

• Laois
• Longford
• Offaly
• Dublin South West
• Dublin West Dublin
• Dublin South City
• Kildare
• West Wicklow
• Westmeath

More than one million people live in this region.

Services in the Dublin and Midlands health region

HSE services that work together to provide healthcare to this region include:

• acute Hospitals
• primary care services
• older persons services
• disability services
• mental health services
• palliative care services
• social inclusion services
• public and private providers
• health and social care professionals
• voluntary sector services
• public health
• national ambulance services

Naas General Hospital

Naas General Hospital is an acute general hospital serving a catchment population of over a quarter of a million people in Kildare and West Wicklow. The majority of the hospital activity results from unscheduled inpatient admissions through the Emergency Department (ED) which operates 24/7.

We aim to provide a high-quality patient-centred service within a safe, cost-effective and flexible environment.

Please note: Naas General Hospital may run this recruitment competition in stages, depending on service requirements.

Principal Duties and Responsibilities

The NCHD’s standard duties and responsibilities include, as directed by the Consultant / Clinical Director / Employer to, inter alia:

· Participate as a member of a multi-disciplinary team in the provision of medical care to patients;

· Diagnose and treat patients;

· Ensure that duties and functions are undertaken in a manner that prioritises the safety and well being of patients;

· Assess patients on admission and/or discharge as required and write detailed reports in the case notes;

· Order and interpret diagnostic tests;

· Initiate and monitor treatment;

· Communicate effectively with patients and clients;

· Attend clinics and participate in relevant meetings, case conferences and ward rounds; followed by documentation of findings on each patients chart; follow through with actions arising from the round;

· Represent the department / profession / team at meetings and conferences as appropriate

· Further progress knowledge of diagnosis and management;

· Participate in multi-disciplinary clinical audit and proactive risk management and facilitate production of all data / information for same;

· Co-operate with investigations, enquiries or audit relating to the provision of health services;

· Maintain professional standards in relation to confidentiality and ethics; abide by the Irish Medical Council ‘Guide to Ethical Conduct and Behaviour’ (www.medicalcouncil.ie);

· Seek advice and assistance from the Consultant / Clinical Director / Employer with any assigned cases or issues that prove to be beyond the scope of his / her professional competence in line with principles of best practice and clinical governance;

· Engage in technological developments as they apply to the patient and service administration

· Cover for occasional unplanned absence of colleagues;

· Assignment to support services as required.

· Perform other duties as required by the supervising Consultant / Clinical Director / Employer.

Legislation / Policy / Procedures:

· Co-operate with such measures as are necessary to ensure compliance with the

requirements of the European Working Time Directive and related Irish legislation

comply with statutory and regulatory requirements, agreed training principles[1]

where appropriate, corporate policies and procedures and human resource policies and

procedures (e.g. Dignity At Work, Trust in Care, Flexible Working Scheme etc);

· Co-operate with such arrangements as are put into pace to verify the delivery of all

contractual commitments;

· Document appropriately and report any near misses, hazards and accidents and bring

them to the attention of relevant / designated individual(s) in line with best practice;

· Be aware of risk management issues, identify risks and take appropriate action.

Education and Training:

· Attend at NCHD Induction;

· Participate in mandatory and recommended educational and professional development programmes in accordance with organisational / professional requirements;

· Maintain and develop professional expertise and knowledge by actively engaging in continuing professional education and development;

· Make satisfactory progress in his / her training and development as per the requirements of the training body;

· Engage in planning and performance reviews as required with the supervising Consultant / Clinical Director / Head of Academic Department.

Health & Safety:

· Comply with the policies, procedures and safe professional practice of the Irish Healthcare System by adhering to relevant legislation, regulations and standards;

· Document appropriately and report any near misses, hazards and accidents and bring them to the attention of relevant / designated individual(s) in line with best practice;

· Work in a safe manner with due care and attention to the safety of self and others

· Be aware of risk management issues, identify risks and take appropriate action;

· Promote a culture that values diversity and respect.

Administrative:

· Ensure good working practice and adherence to standards of best practice;

· Promote quality by reviewing and evaluating the service, identifying changing needs and opportunities to improve services;

· Assist the Consultant / Clinical Director / Employer in service development, including policy development and implementation;

· Ensure the maintenance of accurate records in line with best clinical governance, the organisation’s requirements and the Freedom of Information Act, and provide reports and other information / statistics as required;

· Engage in service audit and demonstrate the achievement of the service objectives;

· Represent the department / profession / team at meetings and conferences as appropriate;

· Keep up to date with change and developments within the Irish Health Service.

The above Job Description is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office.

This job description is a guide to the general range of duties assigned to the post holder. It is intended to be neither definitive nor restrictive and is subject to periodic review with the employee concerned. Specific duties associated with the post of Registrar are available on request.

[1] “Training principles to be incorporated into new working arrangements for doctors in training” published by the Medical Education and Training Group, July 2004