Overview
The Royal College of Physicians (RCP) Chief Registrar Programme is a healthcare management and leadership training programme for senior trainees as emergent healthcare leaders, developed as a key component of the Future Hospital Programme established to implement the recommendations of the 2012 Future Hospital Commission.
A key recommendation was to establish the Chief Registrar - a new senior role focused on leading and prioritising the optimal coordination of medical care, 24-7, to deliver best patient and service outcomes from available healthcare resources.
The 'Chief Registrar role combines the role of senior clinical trainee with a healthcare leadership and management development role, providing a unique personal development opportunity. Across all participating organisations, the RCP envisages that the Chief Registrar role will contribute to one or more of the following activities within a Trust: managing services; coordination of medical care; quality and service improvement; education and training; service re-design; and workforce transformation.
Role and Responsibilities
We are seeking a Chief Registrar to join our progressive team that has a clear vision to deliver patient-centred, contemporary care in innovative ways. There will be a total of two chief registrars within Acute General Medicine (one post has been appointed to already). 60% of basic time will focus on delivering and leading clinical care that is ambulatory by default at the John Radcliffe and Horton Hospital sites. This input, focused on extending the reach and application of contemporary ambulatory care, will complement the current senior- and middle-grade input to ambulatory services.
The additional hours (beyond basic) commitment will focus on delivery of leadership in ambulatory care support peak periods. Typically, urgent care pathways see sustained surges in demand from lunchtime until late evening; Chief Registrar leadership of early, rapid assessment, treatment and pathway determination during this period will be a vital component in delivering better patient outcomes and ensuring that every appropriate patient is home by midnight.
Specifically, within a < 48 hour average working week, it is currently proposed that the Chief Registrar will contribute to the weekend rota and to one late evening / long day per week, but not to overnight care (beyond midnight or before 7am).
Service Transformation
In aggregate, 40% of basic time will be allocated to supporting service transformation towards an 'ambulatory by default' model: delivered in all assessment settings, 24-7, with exceptional patient-centred outcomes and inclusive use of innovative pathways that minimise use of traditional inpatient settings and optimise value. Delivering this will require close work with management teams, to initiate and develop projects including those identified by the Chief Registrars.
All activities will embrace the Trust's vision of patient-centered service transformation and be aligned with the Future Hospital Commission's recommendations for ambulatory care: with greater vertical and horizontal integration of acute services transcending traditional hospital-community and intra-hospital barriers. Such activities will complement Trust service improvement initiatives, and will have patient safety and the delivery of high-quality, better safe, compassionate care at their core.
This is an exciting opportunity for an energetic, forward-thinking trainee who wishes to develop higher level skills in the acute setting in a teaching hospital.
The Trust is looking to appoint two Chief Resident to follow on from its very successful previous cohorts of Chief Residents. These posts are supported by the Royal College of Physicians and Health Education England and are aimed to help trainees develop key skills that will equip them for their career as a consultant.
Applicants should be interested in developing skills within an acute environment with the programme having particular focus on Ambulatory Care, Acute Medicine, Acute Hospital at Home, specialty pathway development and point of care ultrasound.
Oxford has recruited Chief Residents every year since the launch of the RCP programme. The Chief Residents have had the opportunity to work on Service Development, Quality Improvement, Leadership Development and have presented their work at a variety of national forums. Their success is allowing the Trust to continue to have Chief Residents for the coming year.
Support will be given from the consultant body as well as from key leaders within the Trust. Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. Find out more here www.ouh.nhs.uk
The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.
Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel
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