Job summary
This is a fixed term 8 PA post for 1 year for a Consultant in Genitourinary Medicine (GUM) to cover a consultant on sabbatical from the end of January 2025. The postholder will work collaboratively with the integrated sexual and reproductive health team high quality specialist (level 3) sexual health service and support and training for staff within the department and the organisation as well as with training of the GUM specialty trainees.
We have strong links with Lambeth and North Southwark primary care for whom we are the lead providers. The department works in close collaboration with women's health services, Urology, Dermatology, infection services, emergency department and inpatient services.
The service is going through an organisational restructure to increase accessibility for LARC, HIV PrEP, STI prevention and care.
Main duties of the job
This is a part-time (8 programmed activities/0.8 Whole time equivalent) 1-year fixed term locum post for a Consultant in Sexual Health & HIV (Genitourinary Medicine) to provide complex sexual health care, leadership within the sexual and reproductive health department, training, as well as general clinical and managerial responsibilities in the department.
The post holder will contribute to clinical, teaching, audit and research support for the department and management support for the medical staff and the department in general. The service currently operates a senior doctor model where the named senior doctor provides oversight and support for the service as well as managing referrals and hospital/primary care queries.
The post holder will provide leadership for the PrEP service and the GUM Urology MDT.
They will provide a GUM Consultant referral clinic, a Genital dermatology clinic and a HIV outpatient clinic every week.
About us
The Sexual and Reproductive Health department at Guy's and St Thomas' (GSTT) incorporates three integrated clinics. We provide a full range of sexual and reproductive health services based at Burrell Street, Walworth Road, and Minnie Kidd House, covering a diverse client group across Southwark and Lambeth. We run a walk-in service across five days at Walworth Road and Minnie Kidd House, and a seven-day service at our Burrell Street location.
It is a busy department seeing66000 patient attendances annually.
Organisational Values:
Ourstrategyto 2030 is to deliver 'better, faster, fairer healthcare for all'. It sets out our plans to respond to the challenges being faced across the NHS, but also to build a better future for our patients, staff, and communities.
To help us achieve our strategy,our valuesguide us in everything we do. They define who we are as an organisation, shape our culture and are central to how we deliver our plans.
It is important that you understand andreflect these values throughout your employment with the Trust.
The post holder will be:
- Caring - Put patients first
- Ambitious - Innovate and strive for excellence
- Inclusive - Respect each other and work collaboratively
Ourstrategy and values|set out who we are, what we're going to do and how we're going to do it.
Job description
Job responsibilities
1.Duties and Responsibilities
Clinical:
The post holder will, together with consultant colleagues, be responsible for the provision of Sexual and Reproductive healthcare services to the Guys & St Thomas NHS Foundation Trust to include:
- Complex sexual health services
- Specialist Genitourinary medicine clinics
- Consultant referral and review clinic
- Genital dermatology clinic
- Urology MDT (Genitourinary medicine lead)
- PrEP MDT
- Advice and guidance for Sexual health:
- Other hospital departments
- Primary care
- Lambeth GPs
- North Southwark GPs
- South East London community pharmacies
- E-referral services
Provide High Quality Care to Patients
- The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice
- To develop and maintain the competencies required to carry out the duties required of the post.
- To ensure prompt attendance at agreed direct clinical care Programmed Activities.
- To ensure patients are involved in decisions about their care and to respond to their views.
Research, Teaching and Training
- Where possible to collaborate with academic and clinical colleagues to enhance the Trusts research and academic training portfolio, at all times meeting the full requirements of Research Governance.
- To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Lead.
- To act as educational supervisor and appraiser as delegated by the Clinical Lead to ensure external accreditation of training post.
Performance Management
- To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
- Clinical efficiency e.g. optimising clinic capacity with demand and reducing DNA rates.
- Quality of outcomes e.g. infection control targets, reducing rebook rates.
- Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, ensuring clinical teams code activity accurately so tariffs are not missed
- Operational efficiency e.g. waiting list activity and demand management.
Medical Staff Management
- To work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal.
- To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas,
- To participate in the recruitment of junior medical staff as and when required.
- To participate in team objective setting as part of the annual job planning cycle.
- To be responsible for the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Lead/General Manager
Strategy and Business Planning
- To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
- To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Lead.
Leadership and Team Working
- To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives.
- To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required.
- To chair regular meetings for the specialties.
- To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.
- Adhere to Trust/departmental guidelines on leave including reporting absence.
2.The indicative Job Plan
The job plan is anticipated to contain 8 Programmed Activities per week on average to be carried out on Guys & St Thomas sites and does not include on-call commitments. This is an outline programme and the post holder will be expected to discuss and agree a detailed job plan including personal and professional objectives with the clinical lead within 3 months of your start date.
The job plan will be negotiated between the consultant and their clinical lead at least annually. The initial job plan for this post is planned to be:
Day
Time
Location
Work
No. of PA's
Monday
09:00-13:00
Harrison Wing
HIV outpatient clinic
1
13:00-14:00
Harrison Wing
HIV clinic admin
.25
Tuesday
DAY OFF
Wednesday
08:00-09:00
Burrell Street/Minnie Kidd House
Departmental leadership role
0.25
09:00-10:00
Burrell Street/Minnie Kidd House
Departmental meetings
0.25
10:00-11:00
Burrell Street/Minnie Kidd House
Departmental meetings
0.25
11:00-12:00
Burrell Street/Minnie Kidd House
Meetings/supervision
0.25
12:00-16:00
Burrell Street/Minnie Kidd House
CPD/Revalidation/Job planning/Appraisal
1
16:00-19:00
Burrell Street/Walworth Road/Minnie Kidd House
General walk-in sexual health clinic
0.75
Thursday
08:00-12:00
Walworth Road
Complex Genitourinary medicine clinic
1
12:00-16:00
Walworth Road
PrEP MDT
1
16:00-19:00
Walworth Road
GUM/Urology MDT Admin
.75
Friday
12:00-16:00
Burrell Street
Genital dermatology clinic
1
16:00-19:00
Burrell Street
General walk-in sexual health clinic
0.75
Saturday
08:00-16:00
Burrell Street
General walk-in sexual health clinic
1:8 weekends. TOIL the following week (5 clinical sessions)
Sunday
08:00-16:00
Burrell Street
General walk-in sexual health clinic
Programmed Activities (PA) category
Number of PAs
%
Direct Clinical Care
6.5
80%
Supporting Professional Activity
1.5
20%
Total
8
Job description
Job responsibilities
1.Duties and Responsibilities
Clinical:
The post holder will, together with consultant colleagues, be responsible for the provision of Sexual and Reproductive healthcare services to the Guys & St Thomas NHS Foundation Trust to include:
- Complex sexual health services
- Specialist Genitourinary medicine clinics
- Consultant referral and review clinic
- Genital dermatology clinic
- Urology MDT (Genitourinary medicine lead)
- PrEP MDT
- Advice and guidance for Sexual health:
- Other hospital departments
- Primary care
- Lambeth GPs
- North Southwark GPs
- South East London community pharmacies
- E-referral services
Provide High Quality Care to Patients
- The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice
- To develop and maintain the competencies required to carry out the duties required of the post.
- To ensure prompt attendance at agreed direct clinical care Programmed Activities.
- To ensure patients are involved in decisions about their care and to respond to their views.
Research, Teaching and Training
- Where possible to collaborate with academic and clinical colleagues to enhance the Trusts research and academic training portfolio, at all times meeting the full requirements of Research Governance.
- To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Lead.
- To act as educational supervisor and appraiser as delegated by the Clinical Lead to ensure external accreditation of training post.
Performance Management
- To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
- Clinical efficiency e.g. optimising clinic capacity with demand and reducing DNA rates.
- Quality of outcomes e.g. infection control targets, reducing rebook rates.
- Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, ensuring clinical teams code activity accurately so tariffs are not missed
- Operational efficiency e.g. waiting list activity and demand management.
Medical Staff Management
- To work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal.
- To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas,
- To participate in the recruitment of junior medical staff as and when required.
- To participate in team objective setting as part of the annual job planning cycle.
- To be responsible for the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Lead/General Manager
Strategy and Business Planning
- To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
- To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Lead.
Leadership and Team Working
- To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives.
- To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required.
- To chair regular meetings for the specialties.
- To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.
- Adhere to Trust/departmental guidelines on leave including reporting absence.
2.The indicative Job Plan
The job plan is anticipated to contain 8 Programmed Activities per week on average to be carried out on Guys & St Thomas sites and does not include on-call commitments. This is an outline programme and the post holder will be expected to discuss and agree a detailed job plan including personal and professional objectives with the clinical lead within 3 months of your start date.
The job plan will be negotiated between the consultant and their clinical lead at least annually. The initial job plan for this post is planned to be:
Day
Time
Location
Work
No. of PA's
Monday
09:00-13:00
Harrison Wing
HIV outpatient clinic
1
13:00-14:00
Harrison Wing
HIV clinic admin
.25
Tuesday
DAY OFF
Wednesday
08:00-09:00
Burrell Street/Minnie Kidd House
Departmental leadership role
0.25
09:00-10:00
Burrell Street/Minnie Kidd House
Departmental meetings
0.25
10:00-11:00
Burrell Street/Minnie Kidd House
Departmental meetings
0.25
11:00-12:00
Burrell Street/Minnie Kidd House
Meetings/supervision
0.25
12:00-16:00
Burrell Street/Minnie Kidd House
CPD/Revalidation/Job planning/Appraisal
1
16:00-19:00
Burrell Street/Walworth Road/Minnie Kidd House
General walk-in sexual health clinic
0.75
Thursday
08:00-12:00
Walworth Road
Complex Genitourinary medicine clinic
1
12:00-16:00
Walworth Road
PrEP MDT
1
16:00-19:00
Walworth Road
GUM/Urology MDT Admin
.75
Friday
12:00-16:00
Burrell Street
Genital dermatology clinic
1
16:00-19:00
Burrell Street
General walk-in sexual health clinic
0.75
Saturday
08:00-16:00
Burrell Street
General walk-in sexual health clinic
1:8 weekends. TOIL the following week (5 clinical sessions)
Sunday
08:00-16:00
Burrell Street
General walk-in sexual health clinic
Programmed Activities (PA) category
Number of PAs
%
Direct Clinical Care
6.5
80%
Supporting Professional Activity
1.5
20%
Total
8
Person Specification
Qualifications
Essential
- MBBS or equivalent and full GMC registration and a Licence to Practice and on Specialist register for Genitourinary medicine or within 6 monbth sof cobtaining certificate of completion of training in Genitourinary medicine by the AAC /interview date or has submitted a CESR application for entry to the specialist register for genitourinary medicine by the AAC/interview date
- MRCP/FRCP
- Diploma in Genitourinary Medicine
- Diploma in HIV medicine
- Diploma of the Faculty of sexual and Reproductive Health
- Letter of Competency for Subdermal implants
- Letter of Competency for Intra-uterine techniques
Desirable
- Post-graduate degree e.g. MD, PhD, MSc
- Current LoC Med Ed/PGEA in Medical Education
- Faculty registered trainer for the FSRH
Clinical experience and skills
Essential
- Evidence of broad-based training experience and competence in sexual health, contraception (including LARC) and HIV care equivalent to that required for a UK CCT
- Wide experience in Sexual and Reproductive Health and HIV work including experience in community clinics
- Understanding of the nRelevant specialist interest as detailed in the Job plan (Genital Dermatology, Complex Genitourinary medicine, and complex PrEP)eed for an integrated sexual health service and the commissioning requirements for these.
- Experience of working with young people
- Understanding of and training in safeguarding issues (young people and adults)
Desirable
- Experience in service and care pathway development including outreach services
Audit, Management & IT
Essential
- Evidence of a depth of understanding of audit.
- Evidence of understanding of the role of clinical management
- Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council.
- Evidence of contribution to effective clinical audit and clinical risk management.
- Evidence of multidisciplinary working, organisational skills, and IT skills.
Desirable
- Training/qualification in Quality Improvement
- Experience in clinical guideline development.
Research, Teaching Skills & Experience
Essential
- Understanding of the principles and applications of clinical research.
- Demonstration of an interest in research and willingness to help developing academic activity aligned with the King's Health Partners' strategy.
- Experience of teaching and training undergraduates, postgraduates, junior medical staff and wider clinical multidisciplinary team.
- Experience of clinical and educational supervisor, with training
Desirable
- Research skills and experience in sexual health research
- Publications in peer reviewed journals
- Formal teaching qualifications
Leadership/ Management skills
Essential
- Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate.
- Ability to take responsibility, lead, make decisions and exert appropriate authority.
- Empathy, understanding, listening skills, patience and ability to work co-operatively with others.
- Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
- Ability to work as part of a team.
- Experience of performance management, developing and motivating staff.
- Knowledge of finance and budgets.
Desirable
- Management training or qualification.
- Evidence of leadership in the development of clinical services.
- Appraisal training
- Experience of working with colleagues, including commissioners at a regional or national level to help develop services or the specialty itself
Other Attributes
Essential
- Awareness of the challenges of an inner city, multicultural community
- Ability to travel to all clinic sites speedily, including on call cover in an emergency
- Flexible approach to working Willingness to work with male and female patients
- Willingness to participate in assessment and referral for termination of pregnancy
Person Specification
Qualifications
Essential
- MBBS or equivalent and full GMC registration and a Licence to Practice and on Specialist register for Genitourinary medicine or within 6 monbth sof cobtaining certificate of completion of training in Genitourinary medicine by the AAC /interview date or has submitted a CESR application for entry to the specialist register for genitourinary medicine by the AAC/interview date
- MRCP/FRCP
- Diploma in Genitourinary Medicine
- Diploma in HIV medicine
- Diploma of the Faculty of sexual and Reproductive Health
- Letter of Competency for Subdermal implants
- Letter of Competency for Intra-uterine techniques
Desirable
- Post-graduate degree e.g. MD, PhD, MSc
- Current LoC Med Ed/PGEA in Medical Education
- Faculty registered trainer for the FSRH
Clinical experience and skills
Essential
- Evidence of broad-based training experience and competence in sexual health, contraception (including LARC) and HIV care equivalent to that required for a UK CCT
- Wide experience in Sexual and Reproductive Health and HIV work including experience in community clinics
- Understanding of the nRelevant specialist interest as detailed in the Job plan (Genital Dermatology, Complex Genitourinary medicine, and complex PrEP)eed for an integrated sexual health service and the commissioning requirements for these.
- Experience of working with young people
- Understanding of and training in safeguarding issues (young people and adults)
Desirable
- Experience in service and care pathway development including outreach services
Audit, Management & IT
Essential
- Evidence of a depth of understanding of audit.
- Evidence of understanding of the role of clinical management
- Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council.
- Evidence of contribution to effective clinical audit and clinical risk management.
- Evidence of multidisciplinary working, organisational skills, and IT skills.
Desirable
- Training/qualification in Quality Improvement
- Experience in clinical guideline development.
Research, Teaching Skills & Experience
Essential
- Understanding of the principles and applications of clinical research.
- Demonstration of an interest in research and willingness to help developing academic activity aligned with the King's Health Partners' strategy.
- Experience of teaching and training undergraduates, postgraduates, junior medical staff and wider clinical multidisciplinary team.
- Experience of clinical and educational supervisor, with training
Desirable
- Research skills and experience in sexual health research
- Publications in peer reviewed journals
- Formal teaching qualifications
Leadership/ Management skills
Essential
- Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate.
- Ability to take responsibility, lead, make decisions and exert appropriate authority.
- Empathy, understanding, listening skills, patience and ability to work co-operatively with others.
- Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
- Ability to work as part of a team.
- Experience of performance management, developing and motivating staff.
- Knowledge of finance and budgets.
Desirable
- Management training or qualification.
- Evidence of leadership in the development of clinical services.
- Appraisal training
- Experience of working with colleagues, including commissioners at a regional or national level to help develop services or the specialty itself
Other Attributes
Essential
- Awareness of the challenges of an inner city, multicultural community
- Ability to travel to all clinic sites speedily, including on call cover in an emergency
- Flexible approach to working Willingness to work with male and female patients
- Willingness to participate in assessment and referral for termination of pregnancy
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).
