Locum Consultant Diabetologist

Job responsibilities

The 10 PA contract will comprise 7.5 direct clinical programmed activities and 2.5 supportingprogrammed activities.The supporting programmed activities will include 1.5 PA for revalidation includingparticipation in morbidity & mortality reviews, in the departmental clinical governanceprogramme and in mandatory training. It is anticipated that a further 1 SPA will be allocatedfor teaching and training activities including educational supervision, plus development of thecommunity service.

The Community role is envisaged as follows:- To provide clinical leadership for a borough based multidisciplinary team includingDSNs, podiatrists, dietitian and psychologist.- To deliver Consultant led community diabetes clinics (type 1 and complex type 2),provide clinical support to the DSNs, podiatrists, dietitian and psychologist.- Using Practice data, work with Practices to risk stratify their patients with diabetesand deliver MDTs to agree a management plan- Offer advice and guidance either by telephone or email- To have the opportunity and flexibility to develop this role and service so that it meetsthe needs of the local community and system partners- To test and explore innovation within the service, for example, the use of digital andremote monitoring

The acute role would be to facilitate continuity and a high quality of diabetes care for patientswith established or newly diagnosed type 2 diabetes admitted to the hospital, during theirstay and on discharge. We envisage that they will undertake type 2 diabetes and possiblymore specialist clinics of their choice. Colleagues will continue to also provide T2DMcommunity clinics to facilitate team working. There will be considerable flexibility within therole to maintain and develop clinical skills.

On Call Commitment:There may be opportunities to undertake inpatient diabetes/endocrine reviews, preoperative assessments, endocrinology clinics or engage in the on call rota depending on theappointees interests. If applicants which to join the on-call rota there will be consideration fortime off in lieu.CPD/SPACPD is counted within SPA time (see trust regulations). Attendance at internal meetings(non DCC) counts as SPA and is also often CPD, the clinician will have to make a choice ofwhat to attend within department and discuss with the CD where attendance is vital as partof smooth working of the department.

SPA in this post is 2.5 PAs per week.

Professional leaveMust be agreed with the CD/DD and is discretionary according to the activity. No clinicsshould be cancelled for professional leave.Diabetes and Endocrinology Department at Queen Elizabeth Hospital (Woolwich) andQueen Marys Hospital (Sidcup) Medical Staff:

Dr Jennifer Tremble Consultant D&E and General/Acute Medicine, Clinical Lead for D &E, QEH MedicineDr Debbie-Ann Charles Consultant D&E and General Medicine, QEHDr Iffy Chika Consultant D&E and General Medicine, QEHDr Valmiki Salema Consultant D&E QEH and Community servicesDr Serife Mehmet Consultant D&E and General Medicine, QMHDr Sharaf Ibrahim Consultant D&E and General Medicine, QMH

Within the QEH Medicine Division, Diabetes and Endocrine outpatient clinics are deliveredacross two sites: Queen Elizabeth Hospital, Woolwich and Queen Marys Hospital, Sidcup.All inpatient work is delivered at Queen Elizabeth Hospital, where there is a busy EmergencyDepartment. There are no inpatients at Queen Marys Hospital.There are diabetes day centres on both sites where nurse/dietetic and podiatry clinics areheld. At QEH Consultant diabetes clinics are largely in the main outpatients departmentalthough many of these are currently running virtually. Two of the Consultants currentlyundertake T2DM community clinics alternate weeks within the hospital supported byCommunity nurses, dietitians and a psychologist.

There is a lead Diabetes nurse based at QEH and a second DAFNE and pump trainednurse. There is a part time band 7 nurse supporting inpatient diabetes and a newlyappointed band 6 nurse and HCA. At QMH there are two band 7 nurses. There is a DAFNEtrained T1DM dietitian and a newly appointed inpatient diabetes dietitian.

There is a pump service on both sites. Transition clinics take place quarterly on both sites.There is a separate antenatal clinic for Bexley and Greenwich patients both held currentlyas a result of COVID at QMH all deliveries are at QEH. There is a specialist foot roundlead by the inpatient podiatrist supported by Vascular surgeons from St Thomas, adiabetologist, microbiologist and pharmacist. There are also foot services at QMH supportedby the diabetologist and vascular surgeons. There is a satellite dialysis unit at QEH,supported by the renal team from Kings College Hospital, and another at QMH, supportedby the renal team from Guys and St Thomas.

Qualifications

Essential

• MBBS or equivalent.
• Full registration with the GMC and hold a license to practice
• MRCP (UK) or equivalent.
• To be on the GMC Specialist Register for diabetes, endocrinology and ideally general medicine or within six months of obtaining CCT at the time of interview.

Desirable

• Distinctions, scholarships, prizes Other degrees, e.g. BSc MSc, MD
• The Specialty Examination in Endocrinology and Diabetes

Clinical Experience

Essential

• Broad based training and wide experience of diabetes type 1 type 2 in the hospital and community
• Depending on the interests of the candidate evidence of experience in specialist diabetes, General/Acute Medicine and Endocrinology
• Experience of working in a multicultural environment

Desirable

• Previous consultant-level experience of working in diabetes within a multidisciplinary team.

Clinical Audit

Essential

• Evidence of participation in clinical audit.
• Understanding of the principles of Clinical Governance and Clinical Risk
• Understanding of NHS systems and audit processes
• Evidence of service improvement projects and audits

Desirable

• Evidence of involvement in audits that have been used to significantly improve patient care.
• involvement and /or experience in risk processes such as Serious Incident reviews and patient safety systems

Teaching Experience

Essential

• Experience and interest in undergraduate teaching
• Skill and ability in formal and informal teaching for both under/ postgraduate students and nursing/midwifery staff
• Educational supervision accreditation

Desirable

• An understanding of current issues in medical education and training
• Previous experience in trainee Supervision
• Presentations at National or International meetings
• Publications in peer reviewed journals

Management and Administrative Experience

Essential

• Understands the management structure of the NHS Evidence of risk management

Desirable

• Will have attended a National Health Service Management Course appropriate to consultant duties

IT skills

Essential

• Ability to use Microsoft office packages, e.g. MS Word, Excel, Access & PowerPoint.
• Ability to use patient information systems

Other Attributes

Essential

• Effective communicator - verbal and written
• Ability to work as part of a multidisciplinary team
• Evidence of leadership. Organisational ability.
• Able to take responsibility and cope with stressful situations.
• Able to get on with other members of the multidisciplinary team.
• Credibility and integrity.
• A sympathetic approach to patients and relatives.
• Ability to establish good professional relationships with others.
• Ability to plan strategically, execute tasks and to exercise sound judgment when faced with conflicting pressures.
• Ability to engage in and lead change management.

Desirable

• Has experience of committee work and prepared to undertake committee work
• Critical and enquiring approach to knowledge acquisition.

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.

Certificate of Sponsorship

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).