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Fellowship in Patient Safety and Management at the Royal Marsden Hospital - November 2016

Posted: 17 February 2016 10:05 AM  
Total Posts:  8
Joined  2009-02-12

This rewarding fellowship opportunity is available from November 2016. Please contact Ms Debbie Evans, Critical Care PA or 020 7352 8059 Ext for further details, and a full job description.


This is a substantive 6-month post, extendable to 12 months subject to satisfactory internal review, open to all post-fellowship anaesthetic specialist registrars who wish to develop a further interest in Trust wide patient safety initiatives and represent the junior medical staff on the Trust wide transformation board.  The trainee would be expected to have up to two days a week dedicated to management and safety projects, with one day a week clinical service commitment to theatres/ICU and an additional on call commitment to in-patient care on the Sutton site of the Royal Marsden.

Patient Safety and Risk Management

The impact of healthcare systems on patient safety is well recognized, but the effective implementation of risk management strategies within healthcare is still at a developmental stage and poorly understood by many healthcare practitioners. Developing good risk management strategies requires a good understanding of human error, including error mechanisms and recovery, the impact of “latent pathogens” within healthcare systems and how healthcare teams can work more effectively together in complex dynamic environments.  Implementation of risk management strategies involves both effective management and educational systems for all healthcare staff.

The Royal Marsden Trust is committed to reducing patient risk to an absolute minimum. This does not merely involve improving management of patients during their treatment but undertaking thorough pre-treatment assessments and informing patients of risk in advance of therapy and involving them in decision making pathways. Strategies of pre-operative surgical/anaesthetic risk assessment and group decision making (patients/carers/MDT /surgeon/oncologist/radiotherapist/anaesthetist and palliative care) are evolving dynamically within the Trust. Despite these strategies, and clinical care pathways designed to reduce risk, adverse events still occur which require to be rapidly recognised and managed by all members of the multi-disciplinary team in order to prevent realization of avoidable harm. Staff and patient education, audit and excellent clinical management systems all have roles to play in enhancing patient safety and reducing harm.

Expected outcomes

The post holder will in return receive experience in patient safety initiatives across the Trust. They will be a key player and junior medical representative on the Transformation Board, which looks at change and project management throughout the Trust to align process with patient outcomes.

The post can be tailored to the interests of the post holder so an exhaustive list of on-going projects is not essential at this stage.

The post holder will be a key player in engaging other groups of junior doctors in the Trust in critical incident reporting and feedback, business case training. The Trust is committed to improving the experience for junior doctors and this post will be fundamental in the identification, communication and process change around junior doctor education. The GMC National Training survey is taken very seriously by the Trust and the post holder would be expected to identify those areas where improvement is required and assist the senior management team to ensure the feedback from such surveys remains positive and reflects the working conditions of the junior medical staff.

It would be anticipated that the post holder would be responsible for the Junior Doctor forum, listening to their colleagues and ensure the junior doctor forum is utilized to its maximum potential.

The post holder will contribute to the highly successful management course run at the Clinical Skills and Simulation Centre in conjunction with the Senior Fellows in Medical Education.

If so desired, the post holder will be able to “shadow” the senior management team as part of the shared learning programme at the Trust to gain experience in wider management issues.

The Trust has recently secured funding to convert all junior doctor rotas to a paper free format in the next 6 months, with real time/on-line rota management; if desired this post could contribute to the project management of this Trust wide initiative.

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