Locally Employed Doctor (ST4+ Equivalent) in Renal Medicine

Job description

Job responsibilities

The Department

The renal inpatient beds are situated on a 18 bed ward Ward 35. There are Consultant ward rounds on a Monday, Wednesday and Friday morning and board rounds Monday Friday morning. There is a Friday 4:00pm handover to the weekend covering Consultant. All renal Consultants have equal access to junior doctors. We have 2 Speciality Doctors who will support the renal wards depending on the staffing levels of junior Doctors.

Additional support for the renal service includes a nurse operational manager, modality sister, renal anaemia coordinator, home haemodialysis sister, vascular access sister, pre-end stage dialysis sister, renal transplant sister, and 2 dieticians. At RSH site we also have a West Midlands Renal SpR, 2 Specialty Doctors, an IMT3, CT2, CT1, FY1,a GPVTS trainee, a FY3 and a physician associate. Weekly multi-disciplinary meetings, a monthly renal forum, monthly governance , monthly histopathology meeting and fortnightly educational meetings also take place. There are fortnightly dedicated surgical day-case access lists provided by the three vascular surgeons who have demonstrated a clear commitment and interest in vascular access surgery. Two consultant radiologists provide renal radiological services including vascular access surveillance, MR angiography and renal artery stenting.

The Haemodialysis Unit

The Haemodialysis unit at The Royal Shrewsbury Hospital provides chronic haemodialysis for over 90 patients (20 stations). On Monday, Wednesday and Friday there are three dialysis shifts whilst on Tuesday Thursday and Saturday there isnt a twilight shift. The renal unit also provides haemodialysis for approximately 80 patients per year with acute kidney injury. A 16-station satellite haemodialysis unit at the Princess Royal Hospital currently provides dialysis for 90 patients. The satellite haemodialysis unit at Ludlow currently caters for 16 patients. There are plans in expanding the Satellite unit capacity to a 31 station centre, catering for the planned growth of dialysis patients in the next decade.

Renal Transplants

The majority of our renal transplants are performed at the Queen Elizabeth Hospital, Birmingham with whom there are close links. Patients return for post-transplant care at three months. There are currently around 180 renal transplant recipients under our care. Our combined renal- pancreas transplants are usually done at University Hospital, Cardiff. Future expansion will include the earlier repatriation of transplant patients, requiring an increased transplant work force.

The Peritoneal Dialysis Unit

The Peritoneal Dialysis unit is based on ward 35 and is managed by an enthusiastic PD nursing team who care for 60 peritoneal dialysis patients. The number of PD patients has nearly doubled in the last 3 years and is expected to continue to increase. Our peritonitis rates have traditionally been low. Approximately 70% of patients receive APD. Acute PD and assisted APD are also provided depending on clinical need. We provide a medical PD insertion service for patients who are deemed suitable. The home therapies teams have been recently expanded.

The Home Haemodialysis Program

The home haemodialysis program has an excellent record and continues to flourish and expand. It is headed by 3 senior nurses and 1 HHD sister. Currently 30 of our patients receive their dialysis at home. This number is expected to increase further. We were one of the first units in West Midlands to use NxStage machines for HHD and currently we have 24 patients using this system.

With an expanding home therapies service, the clinical workload will be shared between three consultants. As a result, clinics for PD and HHD patients will increase in number.

The Transplant Listing Team

The transplant listing team (including the transplantation sister, transplant link nurses and 2 dedicated transplant lead consultants) have ensured that we actively partake in the transplant first programme and are working hard to increase our live donor transplant rates as well as our pre-emptive transplant rates. There are ample opportunities for the new appointees to contribute to the transplant service, particularly as there is an ambition to achieve earlier repatriation of transplant patients from the transplanting centres.

CKD Care

CKD care has been streamlined with the development of a low clearance clinic. Four consultants , working with the CKD team manage over 250 patients. Dialysis and transplantation preparation, as well as palliative care are managed within this service. SaTH has an excellent record of access preparedness for dialysis (>70%+ per year achieving the Renal Association dialysis access standards).

SaTH has further developed CKD services and activated a CKD detection system. With the development of informatics resources, CKD referral from Primary care has improved. Late presenting patients with ESRF has fallen from 25% to 5% per year. Over 3000 CKD patients are now managed in general nephrology clinics. The new appointees will contribute to these duties. Further developments in managing CKD in the community is envisaged.

Person Specification

Qualifications

Essential

• MBBS, MB ChB or equivalent medical qualification

Entry Criteria

Essential

• Full Registration and a licence to practise with the General Medical Council (GMC)
• 4 years post-graduate study with demonstrable equivalent experience and/or completion of NHS foundation and core/specialist training years 1 and 2
• Basic life support
• Advanced life support (ALS)

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).

Employer details

Employer name

The Shrewsbury and Telford Hospital NHS Trust

Address

The Princess Royal Hospital

Apley Castle

Telford

TF1 6TF

Employer's website

http://www.sath.nhs.uk/ (Opens in a new tab)