Job summary
Applications are invited for a substantive full time 10 PA Consultant position in Integrated Genitourinary (GUM), contraception and HIV services.
A part time/job share position would be considered for this role.
The post is based within Somerset Wide Integrated Sexual Health Service (SWISH) with one day per week within the HIV service (The Starling Service). Somerset Foundation NHS Trust has been successful in securing the bid to deliver the integrated sexual health services for Somerset from April 2024 so this is an exciting time to join us as we develop and deliver our new service delivery model.
The service is county-wide and our focus is to meet the geographical challenges by improving patient access, improving efficiency and increasing patient involvement with a new PPI programme. This has all been underpinned by introduction of a triumvirate management structure for SWISH with representation from an administrative lead, nursing lead and medical lead to ensure all staff voices are represented in the implementation process. There is also ongoing work to further integrate the SWISH and Starling services.
We work closely with our supportive and collaborative commissioners who appreciate the needs and challenges of delivering a specialist sexual health service and are increasingly involved with the implementation process.
Main duties of the job
The post holder will be expected to provide clinical care for our local population and to promote opportunities for innovation within the service. The successful candidate will work in the main hub in Taunton and community hospital sites. They will work closely with the multidisciplinary team, including consultant colleagues, specialty doctors and nursing staff, providing support and advice. The post includes both out-patient and in-patient HIV care at Yeovil District Hospital and the main hub at Musgrove Park Hospital. The post holder will also be encouraged to develop a specialist clinical interest, supporting the service to continue to establish an increasingly specialist service.
The post holder will contribute to clinical, teaching, audit and management support for the staff and department in general.
SWISH and Staring are within the Families Directorate of Somerset Foundation Trust. The SWISH main hub is at Millstream House in Taunton with clinics also held at community hospitals in Minehead, Bridgwater, Frome, Chard, South Petherton and Burnham-on-Sea. A new integrated Sexual health and HIV clinic in Yeovil is planned as part of the 2024 contract implementation.
About us
As an organisation, Somerset NHS Foundation Trust offers employees a wide range of benefits including flexible working, NHS pension scheme, generous annual leave allowance and a commitment to career development.
You will be eligible for our Blue Light Card and a wide range of NHS exclusive shopping & leisure discounts.
We are proud of our skilled, diverse workforce and as an inclusive employer we welcome applications from all backgrounds.
Working in Somerset enables you to enjoy the idyllic countryside, areas of outstanding beauty and stunning coastlines whilst still only being a stone's throw away from bustling city centres like Bristol, Bath and Exeter and only two hours away from London.
There are excellent educational facilities in the area and, when compared to other regions, house prices are reasonable.
Somerset offers the countryside and the cosmopolitan - there is truly something for everyone!
We really value the impact that you as a Consultant will have on our patients and services; we therefore offer an enhanced benefits package (subject to criteria) which includes:
- Welcome to Somerset Foundation Trust payment
- Relocation Assistance
Job description
Job responsibilities
Main Duties of the PostClinical Duties
- Able to manage STIs presenting in an integrated SH service and manage PREP, post-exposure prophylaxis (PEPSE) for HIV infection and complex cases.
- To provide counselling, initiation and continuation of all contraception methods including LARC and emergency contraception.
- To provide telephone and e-mail advice inhouse and for other health care professionals e.g., GPs, secondary care, pharmacists.
- Counsel and advise on termination of pregnancy and refer on to appropriate services.
- Providing HIV care and treatment according to service needs and individual competency.
- To work collaboratively with clinical teams to develop innovative pathways in sexual health and contraception.
- Encouraged to develop special interest clinic based on service needs
Undergraduate students
The appointee will be Clinical Teacher Lead - Genitourinary Medicine for the Peninsula Medical School (PMS) year 3 students. This includes 0.25 PA funded by the University of Plymouth. Genitourinary Medicine clinical teaching is provided as a 10 week block in year three of the curriculum. Groups of 3-4 students spend a week in the department and then rotate on to another specialty. In effect there will be three-four different students each week for a 10 week period. (Students from Bristol University are placed with the department throughout the year out with the arrangements for PMS students ).
Teaching
The appointee (in common with other senior members of the trust) will be expected to supervise the doctors in training, to participate in teaching and be involved with the postgraduate programme generally.
- Provide high quality teaching to undergraduates, postgraduates, nurses and other clinical staff together with other members of the medical staff.
- Actively participate in training of healthcare professionals including GPs, higher specialist trainees and midwives in LARC provision, and development of pathways across primary and secondary care.
- Provide and take part in educational activities within SWISH, and for other health care professionals e.g. fitters forum, GP training day etc.
- To take part in the protected departmental teaching time for clinical staff.
- To undertake mandatory training and any other training relevant to the role as required by Somerset NHS Foundation Trust.
- To participate in research activity as appropriate and in line with the Research Governance framework.
Research
Research is encouraged, particularly when this is appropriate to the professional development of the successful candidate and to the service development of the department. Opportunities are available within the Trust with applications for funding encouraged and support by the research team and the regional NIHR funded CRN.
Clinical Audit
The appointee will be expected to actively participate in audit. He/she will be expected to initiate and supervise audit projects related to his/her particular sub-specialty interest. He/she will liaise with the audit specialty Lead or act as audit lead if required. All audit projects, including Trust directed audit are approved by the Clinical Effectiveness and Audit Committee. Participation in national audit is encouraged. The appointee will be expected to contribute to the development and reporting of Clinical Quality Standards.
Clinical Governance
All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent. Clinical staff are also required to comply with the requirements of their professional organizations regarding supervision.
- To be aware of and comply with the Trusts policies and procedures relating to Clinical Governance and Health and Safety at Work.
- To support the Clinical Governance programme for the service, cascade good clinical practice guidance of BASHH, Faculty of SRH & NICE to the team and contribute to develop PGDs.
- To become familiar with local clinical policies, guidelines, and protocols, and contribute to implementation within the service.
- To participate in the Trusts incident reporting process, particularly in respect of the reporting of clinical incidents.
- To seek actively patient and user opinion in the development and delivery of patient care.
- Develop and maintain the competencies required to carry out the duties required of the post.
- Maintain own professional development and participate in the Trusts appraisal and job planning process.
- Actively take part in the Swish Best Practice Group meetings and contribute to local and national audits.
- To fulfil requirements for recertification of qualifications as set out by the relevant National Body, Royal College or Faculty.
Continuing Professional Development (CPD)
The Trust supports the requirements for CPD as laid down by the GMC and Royal Colleges and is committed to providing time and financial support for these activities.
Administration/Budgetary Responsibilities
Responsibility for undertaking the administrative duties associated with the care of patients and the administration of the department.
Appraisal, Job Planning and Mandatory Annual Training
The successful candidate will be required to participate actively in the annual appraisal and job planning process. In addition they will be expected to attend the mandatory annual update training.
Revalidation
The Trust has the required arrangements in place, as laid down by the Royal Colleges to ensure that all doctors have an annual appraisal with a trained appraiser and supports all consultants going through the revalidation process.
Mentoring
The Trust is committed to setting up a mentor for all newly qualified consultants. Full support and guidance comes from the Clinical Director during the first 6 months. Our Responsible Officer coordinates a mentor from 6 months of joining Yeovil Hospital.
The salary and incremental increases are subject to annual review and in accordance with the National NHS Terms and Conditions of Service for Consultants in England.
Job Plan
The successful applicant and Clinical Director will agree a prospective Job Plan that sets out their main duties and responsibilities, a schedule for carrying out their Programmed Activities, managerial responsibilities, accountability arrangements, objectives and supporting resources.
Suggested job plan (to be discussed further some activity is likely to be provided flexibly, this timetable is indicative only. All sessions entailing travelling to outlying community hospitals will have the travel time included as DCC).
Monday
Tuesday
Wednesday
Thursday
Friday
Weekend
MORNING 9am 1pm
South Petherton
1.0 DCC
Taunton Millstream House
0.5DCC/0.5 SPA
Taunton Millstream House
1.0 DCC
Patient admin
HIV clinic
Yeovil/Millstream
1.0 DCC
Taunton Millstream
1.0 DCC
AFTERNOON 1-5pm
South Petherton
1.0 DCC
Taunton Millstream House
1.0 SPA
Taunton Millstream House
1.0 DCC
HIV clinic
Yeovil/Millstream
1.0 DCC
Taunton Millstream
0.75DCC /0.25 Plymouth student teaching
EVENING 5-8pm
Job description
Job responsibilities
Main Duties of the PostClinical Duties
- Able to manage STIs presenting in an integrated SH service and manage PREP, post-exposure prophylaxis (PEPSE) for HIV infection and complex cases.
- To provide counselling, initiation and continuation of all contraception methods including LARC and emergency contraception.
- To provide telephone and e-mail advice inhouse and for other health care professionals e.g., GPs, secondary care, pharmacists.
- Counsel and advise on termination of pregnancy and refer on to appropriate services.
- Providing HIV care and treatment according to service needs and individual competency.
- To work collaboratively with clinical teams to develop innovative pathways in sexual health and contraception.
- Encouraged to develop special interest clinic based on service needs
Undergraduate students
The appointee will be Clinical Teacher Lead - Genitourinary Medicine for the Peninsula Medical School (PMS) year 3 students. This includes 0.25 PA funded by the University of Plymouth. Genitourinary Medicine clinical teaching is provided as a 10 week block in year three of the curriculum. Groups of 3-4 students spend a week in the department and then rotate on to another specialty. In effect there will be three-four different students each week for a 10 week period. (Students from Bristol University are placed with the department throughout the year out with the arrangements for PMS students ).
Teaching
The appointee (in common with other senior members of the trust) will be expected to supervise the doctors in training, to participate in teaching and be involved with the postgraduate programme generally.
- Provide high quality teaching to undergraduates, postgraduates, nurses and other clinical staff together with other members of the medical staff.
- Actively participate in training of healthcare professionals including GPs, higher specialist trainees and midwives in LARC provision, and development of pathways across primary and secondary care.
- Provide and take part in educational activities within SWISH, and for other health care professionals e.g. fitters forum, GP training day etc.
- To take part in the protected departmental teaching time for clinical staff.
- To undertake mandatory training and any other training relevant to the role as required by Somerset NHS Foundation Trust.
- To participate in research activity as appropriate and in line with the Research Governance framework.
Research
Research is encouraged, particularly when this is appropriate to the professional development of the successful candidate and to the service development of the department. Opportunities are available within the Trust with applications for funding encouraged and support by the research team and the regional NIHR funded CRN.
Clinical Audit
The appointee will be expected to actively participate in audit. He/she will be expected to initiate and supervise audit projects related to his/her particular sub-specialty interest. He/she will liaise with the audit specialty Lead or act as audit lead if required. All audit projects, including Trust directed audit are approved by the Clinical Effectiveness and Audit Committee. Participation in national audit is encouraged. The appointee will be expected to contribute to the development and reporting of Clinical Quality Standards.
Clinical Governance
All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent. Clinical staff are also required to comply with the requirements of their professional organizations regarding supervision.
- To be aware of and comply with the Trusts policies and procedures relating to Clinical Governance and Health and Safety at Work.
- To support the Clinical Governance programme for the service, cascade good clinical practice guidance of BASHH, Faculty of SRH & NICE to the team and contribute to develop PGDs.
- To become familiar with local clinical policies, guidelines, and protocols, and contribute to implementation within the service.
- To participate in the Trusts incident reporting process, particularly in respect of the reporting of clinical incidents.
- To seek actively patient and user opinion in the development and delivery of patient care.
- Develop and maintain the competencies required to carry out the duties required of the post.
- Maintain own professional development and participate in the Trusts appraisal and job planning process.
- Actively take part in the Swish Best Practice Group meetings and contribute to local and national audits.
- To fulfil requirements for recertification of qualifications as set out by the relevant National Body, Royal College or Faculty.
Continuing Professional Development (CPD)
The Trust supports the requirements for CPD as laid down by the GMC and Royal Colleges and is committed to providing time and financial support for these activities.
Administration/Budgetary Responsibilities
Responsibility for undertaking the administrative duties associated with the care of patients and the administration of the department.
Appraisal, Job Planning and Mandatory Annual Training
The successful candidate will be required to participate actively in the annual appraisal and job planning process. In addition they will be expected to attend the mandatory annual update training.
Revalidation
The Trust has the required arrangements in place, as laid down by the Royal Colleges to ensure that all doctors have an annual appraisal with a trained appraiser and supports all consultants going through the revalidation process.
Mentoring
The Trust is committed to setting up a mentor for all newly qualified consultants. Full support and guidance comes from the Clinical Director during the first 6 months. Our Responsible Officer coordinates a mentor from 6 months of joining Yeovil Hospital.
The salary and incremental increases are subject to annual review and in accordance with the National NHS Terms and Conditions of Service for Consultants in England.
Job Plan
The successful applicant and Clinical Director will agree a prospective Job Plan that sets out their main duties and responsibilities, a schedule for carrying out their Programmed Activities, managerial responsibilities, accountability arrangements, objectives and supporting resources.
Suggested job plan (to be discussed further some activity is likely to be provided flexibly, this timetable is indicative only. All sessions entailing travelling to outlying community hospitals will have the travel time included as DCC).
Monday
Tuesday
Wednesday
Thursday
Friday
Weekend
MORNING 9am 1pm
South Petherton
1.0 DCC
Taunton Millstream House
0.5DCC/0.5 SPA
Taunton Millstream House
1.0 DCC
Patient admin
HIV clinic
Yeovil/Millstream
1.0 DCC
Taunton Millstream
1.0 DCC
AFTERNOON 1-5pm
South Petherton
1.0 DCC
Taunton Millstream House
1.0 SPA
Taunton Millstream House
1.0 DCC
HIV clinic
Yeovil/Millstream
1.0 DCC
Taunton Millstream
0.75DCC /0.25 Plymouth student teaching
EVENING 5-8pm
Person Specification
Qualifications
Essential
- Full GMC registration
- Diploma in GU Medicine
- CCT in GU Medicine (or be eligible within 6 months of interview date
- Diploma in HIV Medicine
- Diploma of the Faculty of Sexual & Reproductive Health
- Letter of Competence (LoC) in Subdermal Implants (SDI) and Intrauterine Devices (IUT).
Desirable
Clinical Experience
Essential
- Wide experience in management of STIs including complex conditions
- Counselling and provision of all methods of contraception including LARC.
Desirable
- Experience in HIV care and treatment
- An understanding of the value of Psychosexual Medicine within an integrated sexual health service
Management and Admin experience
Essential
- Ability to work effectively with a multidisciplinary team
- Organisational skills
Desirable
- Management experience
- Suitable computer skills to enable appropriate, timely and accurate recording of patient information on the electronic patient records system
Person Specification
Qualifications
Essential
- Full GMC registration
- Diploma in GU Medicine
- CCT in GU Medicine (or be eligible within 6 months of interview date
- Diploma in HIV Medicine
- Diploma of the Faculty of Sexual & Reproductive Health
- Letter of Competence (LoC) in Subdermal Implants (SDI) and Intrauterine Devices (IUT).
Desirable
Clinical Experience
Essential
- Wide experience in management of STIs including complex conditions
- Counselling and provision of all methods of contraception including LARC.
Desirable
- Experience in HIV care and treatment
- An understanding of the value of Psychosexual Medicine within an integrated sexual health service
Management and Admin experience
Essential
- Ability to work effectively with a multidisciplinary team
- Organisational skills
Desirable
- Management experience
- Suitable computer skills to enable appropriate, timely and accurate recording of patient information on the electronic patient records system
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).
