Job summary
The Consultant Nephrologist will join the Department of Renal Medicine at University Hospital Birmingham NHS Foundation Trust. This post is based at Heartlands Hospital, but will include activity at other sites.
This post will have two main components:
i) rotation through in-patient renal and general medicine services
ii) delivery of secondary care-based kidney disease management, including dialysis care (Haemodialysis care in particular) and out-patient clinics
The role contains significant opportunity to develop sub-speciality focus within the appointee's areas of interest and experience.
There are quality improvement, research and teaching opportunities within the UHB renal service associated with this post and it is expected that the appointee will contribute to one or more of these.
The post holder will have access to a networked Trust computer, training in UHB hospital network applications as well as designated secretarial support and defined office space. Both Trust and Departmental inductions will be arranged.
Main duties of the job
KEY SKILLS
The appointee will be expected to work as part of the Consultant team and contribute to the development of the department. The appointee will work closely with nursing, managerial and medical colleagues to provide high quality healthcare for patients.
* Provision of a first class clinical service for patients
* Provision of leadership to all staff both in clinical and non-clinical settings
* Appetite for professional self-development and innovation
* Excellent communication skills and self-awareness.
* Emotional resilience
KEY RESPONSIBILITIES
GENERAL:
1.As a Consultant the appointee will have full responsibilities for patients under their care within the context of a multidisciplinary team structure.
2.The appointee will share clinical responsibility with colleagues in running the clinical work of the department
3.The appointee will play a role in meeting the department's contracted obligations for the provision of renal services and in ensuring that the overall performance of the unit meets the quality criteria agreed with the purchasing consortia.
About us
University Hospitals Birmingham NHS Foundation Trust strives to have an inclusive culture where everyone feels like they belong, can thrive, knows that they add value and feels valued. We do this by developing compassionate and culturally competent leaders, being values driven in all that we do and by creating a welcoming and inclusive workplace that thrives on the diversity of our people. As such we want to attract and recruit talented individuals from all backgrounds, and for each of you to feel supported for the diversity you bring, to achieve your full potential. For those staff with a disability, including physical disability, long term health condition, mental health or neurodiverse condition, this also means being committed to making reasonable adjustments needed for you to carry out your role.
Job description
Job responsibilities
SERVICE DESCRIPTION
At BHH, we have a significant inpatient unit focusing on the care of Nephology patients. Our Renal Assessment Unit allows rapid assessment and admission avoidance services. Support is provided for General Medical patients located on the Nephrology wards, alongside a small number on other wards. We have a busy acute HD unit as well as chronic HD provision.
There is a dedicated renal procedure room for renal biopsies, temporary dialysis catheter insertion, tunnelled HD catheters and PD catheters. Support from Interventional Radiology is available for some tunnelled lines and PD catheter insertions.
We have a large peritoneal dialysis unit based within a dedicated outpatient area. We are proud of our co-located specialist renal nursing teams (advanced CKD, anaemia, vascular access, hypertension) delivering high quality, integrated care across the service. Our RAU supports intravenous iron and cytotoxic and biologic therapy delivery.
Out-patient clinics are delivered by the Department on multiple sites including all 3 Trust hospitals and its network of 4 dialysis units.
DIALYSIS
HAEMODIALYSIS -- HOSPITAL-BASED
BHH provides in-patient haemodialysis for patients who have been admitted with AKI or ESRD. Additionally, we provide out-patient haemodialysis for selected patients whereas the majority of patients on maintenance haemodialysis are cared for at the network of satellite dialysis units. The hospital based dialysis service also provides plasma exchange for patients under the care of renal medicine and other specialties. Support is provided at both medical and nursing level for our Intensive Care Units.
SATELLITE UNITS
The majority of our haemodialysis population receive dialyse at one of 3 NHS satellite haemodialysis units located across Birmingham and Solihull. Regular quality meetings are held in all dialysis units and renal consultants undertake regular clinics at satellite dialysis units.
HOME HAEMODIALYSIS
We are committed to the provision of home therapies for patients with ESRD. We currently care for around 30 home haemodialysis patients. Patients treated by home HD are supported by a dedicated multi-professional team including technical support.
PERITONEAL DIALYSIS
There are currently around 110 patients treated by peritoneal dialysis. A successful assisted-APD service is a key component of the peritoneal dialysis unit's activity. There is a PD hub at BHH which provides training and exchange rooms and clinic rooms. Peritoneal dialysis catheters are placed by consultant nephrologists, radiologists and surgical colleagues.
RENAL MEDICINE IN-PATIENT SERVICES
At BHH, two consultant nephrologists cover in-patient duties at a given time. On-call duties are currently on a 1:12 basis. We also participate in the emergency medical (GIM) rota (approximately 1:40). Our 28 bedded inpatient ward (Ward 3) focussed on the management of people with renal disease, a small number of General Medical patients may also be under our care if bed capacity allows. We care for a small number of Medical outliers on other BHH wards, managed by our referrals Consultant, supported by a dedicated SpR. Our 5 bedded RAU is co-located on Ward 3, currently operating M-F, with plans to extend to weekend working. This supports both admission avoidance and early discharge, but also allows us to internally deliver both biologic and cytotoxic therapies.
RENAL TRANSPLANTATION AND RENAL ACCESS SURGERY
The regional renal transplant program is delivered through QEHB. The renal transplant service currently performs around 200 grafts annually. There is a live donor kidney programme, currently performing up to 60 kidney transplants per year. Laparoscopic donor nephrectomy is established. An ABO-incompatible renal transplantation service contributes up to 10 transplants a year. The assessment and management of patients pre- and post- transplant (in-patient and out-patient) is performed jointly by physicians and surgeons. This includes expert assessment of living donors for kidney transplantation from across the region and complex assessment clinics for patients requiring additional medical or surgical evaluation.
BHH Nephrologists operate Transplant follow-up clinics at BHH and Solihull Hospitals.
At BHH, haemodialysis access surgery is undertaken by consultant vascular surgeons whilst medical PD catheter insertion is performed by consultant nephrologists and radiologists.
OUTPATIENT SERVICES
Clinics are provided on 3 hospitals sites (BHH, GHH, Solihull), as well as dialysis clinics at all our HD sites. A wide-range of services are provided, most clinics are General Nephrology (including the full range of Nephrological presentations), alongside sub-speciality clinics most notably in our Regional Hypertension service.
Clinical Nurse Specialists both support and deliver a range of sub-speciality clinics, including our Advanced Kidney Care clinics, and Hypertension service across UHB.
For any additional information, please see the attached Job Description.
Job description
Job responsibilities
SERVICE DESCRIPTION
At BHH, we have a significant inpatient unit focusing on the care of Nephology patients. Our Renal Assessment Unit allows rapid assessment and admission avoidance services. Support is provided for General Medical patients located on the Nephrology wards, alongside a small number on other wards. We have a busy acute HD unit as well as chronic HD provision.
There is a dedicated renal procedure room for renal biopsies, temporary dialysis catheter insertion, tunnelled HD catheters and PD catheters. Support from Interventional Radiology is available for some tunnelled lines and PD catheter insertions.
We have a large peritoneal dialysis unit based within a dedicated outpatient area. We are proud of our co-located specialist renal nursing teams (advanced CKD, anaemia, vascular access, hypertension) delivering high quality, integrated care across the service. Our RAU supports intravenous iron and cytotoxic and biologic therapy delivery.
Out-patient clinics are delivered by the Department on multiple sites including all 3 Trust hospitals and its network of 4 dialysis units.
DIALYSIS
HAEMODIALYSIS -- HOSPITAL-BASED
BHH provides in-patient haemodialysis for patients who have been admitted with AKI or ESRD. Additionally, we provide out-patient haemodialysis for selected patients whereas the majority of patients on maintenance haemodialysis are cared for at the network of satellite dialysis units. The hospital based dialysis service also provides plasma exchange for patients under the care of renal medicine and other specialties. Support is provided at both medical and nursing level for our Intensive Care Units.
SATELLITE UNITS
The majority of our haemodialysis population receive dialyse at one of 3 NHS satellite haemodialysis units located across Birmingham and Solihull. Regular quality meetings are held in all dialysis units and renal consultants undertake regular clinics at satellite dialysis units.
HOME HAEMODIALYSIS
We are committed to the provision of home therapies for patients with ESRD. We currently care for around 30 home haemodialysis patients. Patients treated by home HD are supported by a dedicated multi-professional team including technical support.
PERITONEAL DIALYSIS
There are currently around 110 patients treated by peritoneal dialysis. A successful assisted-APD service is a key component of the peritoneal dialysis unit's activity. There is a PD hub at BHH which provides training and exchange rooms and clinic rooms. Peritoneal dialysis catheters are placed by consultant nephrologists, radiologists and surgical colleagues.
RENAL MEDICINE IN-PATIENT SERVICES
At BHH, two consultant nephrologists cover in-patient duties at a given time. On-call duties are currently on a 1:12 basis. We also participate in the emergency medical (GIM) rota (approximately 1:40). Our 28 bedded inpatient ward (Ward 3) focussed on the management of people with renal disease, a small number of General Medical patients may also be under our care if bed capacity allows. We care for a small number of Medical outliers on other BHH wards, managed by our referrals Consultant, supported by a dedicated SpR. Our 5 bedded RAU is co-located on Ward 3, currently operating M-F, with plans to extend to weekend working. This supports both admission avoidance and early discharge, but also allows us to internally deliver both biologic and cytotoxic therapies.
RENAL TRANSPLANTATION AND RENAL ACCESS SURGERY
The regional renal transplant program is delivered through QEHB. The renal transplant service currently performs around 200 grafts annually. There is a live donor kidney programme, currently performing up to 60 kidney transplants per year. Laparoscopic donor nephrectomy is established. An ABO-incompatible renal transplantation service contributes up to 10 transplants a year. The assessment and management of patients pre- and post- transplant (in-patient and out-patient) is performed jointly by physicians and surgeons. This includes expert assessment of living donors for kidney transplantation from across the region and complex assessment clinics for patients requiring additional medical or surgical evaluation.
BHH Nephrologists operate Transplant follow-up clinics at BHH and Solihull Hospitals.
At BHH, haemodialysis access surgery is undertaken by consultant vascular surgeons whilst medical PD catheter insertion is performed by consultant nephrologists and radiologists.
OUTPATIENT SERVICES
Clinics are provided on 3 hospitals sites (BHH, GHH, Solihull), as well as dialysis clinics at all our HD sites. A wide-range of services are provided, most clinics are General Nephrology (including the full range of Nephrological presentations), alongside sub-speciality clinics most notably in our Regional Hypertension service.
Clinical Nurse Specialists both support and deliver a range of sub-speciality clinics, including our Advanced Kidney Care clinics, and Hypertension service across UHB.
For any additional information, please see the attached Job Description.
Person Specification
Qualifications
Essential
- *GMC Registration
- *CCT / CESR in Renal Medicine
- *CCT / CESR in General Medicine
Desirable
- *Consultant experience
- *GMC Educational Supervisor registration
Experience
Essential
- *Experience in AKI, CKD, dialysis, transplantation and immune mediated kidney disease
Desirable
- *Sub-speciality experience especially in peritoneal dialysis care
- *Declared interest/experience in service development
Person Specification
Qualifications
Essential
- *GMC Registration
- *CCT / CESR in Renal Medicine
- *CCT / CESR in General Medicine
Desirable
- *Consultant experience
- *GMC Educational Supervisor registration
Experience
Essential
- *Experience in AKI, CKD, dialysis, transplantation and immune mediated kidney disease
Desirable
- *Sub-speciality experience especially in peritoneal dialysis care
- *Declared interest/experience in service development
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
